A school-age child is 2 hours postoperative following a tonsillectomy. Which of the following actions should the nurse include in the plan of care?
- A. Place a heating pad at the surgical site.
- B. Encourage the child to cough every 2 hours.
- C. Administer analgesics to the child on a regular schedule.
- D. Apply an ice collar to the child's neck.
Correct Answer: D
Rationale: After a tonsillectomy, applying an ice collar to the child's neck helps decrease pain and swelling. Heat should be avoided as it can increase bleeding. Encouraging coughing may increase the risk of bleeding. Administering analgesics on a regular schedule is essential for pain management, but the immediate postoperative period may require additional interventions like ice collar application.
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Epstein-Barr virus (EBV) infection is more likely to be associated with all the following malignancies EXCEPT
- A. Burkitt lymphoma
- B. nasopharyngeal T-cell lymphoma
- C. carcinoma
- D. Hodgkin lymphoma
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is teaching a parent of a child who has asthma. Which of the following instructions should the nurse include?
- A. Use a peak flow meter daily.
- B. Administer the medication with meals.
- C. Provide a low-carbohydrate diet.
- D. Limit exposure to cold air.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Diagnosis of attention deficit/hyperactivity disorder (ADHD) in children up to the age of 16 years requires the presence of at least
- A. 4 symptoms of inattention or4 symptoms of hyperactivity-impulsivity for at least 4 months in two or more environments
- B. 5 symptoms of inattention or 5 symptoms of hyperactivity-impulsivity for at least 5 months in two or more environments
- C. 6 symptoms of inattention or 6 symptoms of hyperactivity-impulsivity for at least 6 months in two or more environments
- D. 6 symptoms of inattention or 6 symptoms of hyperactivity-impulsivity for at least 3 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?
- A. Hypernatremia
- B. Metabolic acidosis
- C. Hypotonic dehydration
- D. Isotonic dehydration
Correct Answer: C
Rationale: The correct answer is hypotonic dehydration. The combination of high hemoglobin and hematocrit with low serum sodium indicates hypotonic dehydration. In this condition, there is an excess of solutes relative to water, leading to higher red blood cell concentration (elevated hemoglobin and hematocrit) and low serum sodium levels.
The age at which the infant can see an object, grasp it, and bring it to the mouth is
- A. 4 months
- B. 5 months
- C. 6 months
- D. 7 months
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.