Nokea
A 1-year-old child is scheduled for surgery to correct hypospadias and chordee. The nurse explains to the parents that this is the preferred time for surgical repair based on which of the following?
- A. At this age, the child will experience less pain.
- B. The child is too young to have developed castration anxiety.
- C. The child will not remember the surgical experience.
- D. The repair is easier to perform after the child is toilet trained.
Correct Answer: C
Rationale: Younger children may not remember the experience.
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After talking with the parents of a child with Down syndrome, the nurse should help the parents establish which goal?
- A. Encouraging self-care skills in the child.
- B. Teaching the child something new each day.
- C. Encouraging more lenient behavior limits for the child.
- D. Achieving age-appropriate social skills.
Correct Answer: A
Rationale: Promoting self-care skills enhances independence and aligns with developmental goals for children with Down syndrome.
Parents of a 15-year-old state that he is moody and rude. The nurse should advise his parents to:
- A. Restrict his activities.
- B. Discuss their feelings with their child.
- C. Obtain family counseling.
- D. Talk to other parents of adolescents.
Correct Answer: B
Rationale: Open communication helps address adolescent moodiness and fosters understanding.
The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:
- A. Do you think your baby will be fine with this milk?
- B. Is it possible for you to switch your baby to whole milk?
- C. Can you tell me more about the reason you switched your baby to 2% milk?
- D. You cannot switch to 2% milk right now. Did your pediatrician tell you to do this?
Correct Answer: C
Rationale: Understanding the reason for the switch helps address misconceptions and provide education.
The nurse and parents are planning for the discharge of a child with leukemia who is receiving dactinomycin (actinomycin D) and vincristine (Oncovin). The nurse should teach the parents to:
- A. Encourage increased fluid intake.
- B. Keep the child out of the sun.
- C. Monitor the child's heart rate.
- D. Observe the child for drowsiness.
Correct Answer: A
Rationale: Increased fluid intake helps flush chemotherapy drugs, reducing toxicity. Sun protection and monitoring are less critical.
The nurse is caring for a lethargic 4-year-old who is a victim of a near-drowning accident. The nurse should first:
- A. Administer oxygen.
- B. Institute rewarming.
- C. Prepare for intubation.
- D. Start an intravenous infusion.
Correct Answer: A
Rationale: Administering oxygen addresses hypoxia, the primary concern in near-drowning, to stabilize the child's condition.