Nokea
A 10-year-old has just spilled hot liquid on his arm, and a 4-inch area on his forearm is severely burned. His mother calls the emergency department. What should the nurse advise the mother to do?
- A. To the child warm.
- B. Cover the burned area with an antibiotic cream.
- C. Apply cool water to the burned area.
- D. Call 911 to transport the child to the hospital.
Correct Answer: C
Rationale: Applying cool (not cold) water for 10-15 minutes reduces burn depth and pain. Keeping the child warm is secondary, antibiotic cream is not immediate, and 911 is unnecessary for a localized burn unless systemic symptoms appear.
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The mother of a toddler who has just been admitted with severe dehydration secondary to gastroenteritis says that she cannot stay with her child because she has to take care of her other children at home. Which of the responses by the nurse would be most appropriate?
- A. You really shouldn't leave right now. Your child is very sick.
- B. I understand, but feel free to visit or call anytime to see how your child is doing.
- C. It really isn't necessary to stay with your child. We'll take very good care of him.
- D. Can you find someone to stay with your children? Your child needs you here.
Correct Answer: B
Rationale: This response acknowledges the mother's constraints while encouraging involvement.
A child with newly diagnosed osteomyelitis has nausea and vomiting. The parent wishes to give the child ginger snaps to help control the nausea. The nurse should tell the parent:
- A. I will need to get an order.'
- B. Your child needs medication for the vomiting.'
- C. We discourage the use of home remedies in children.'
- D. Ginger snaps are safe and may help with nausea.'
Correct Answer: D
Rationale: Ginger snaps are a safe, non-medicinal option that may help alleviate nausea in children.
Which of the following should the nurse include in the teaching plan for a child with iron deficiency anemia to increase iron absorption?
- A. Administer iron supplements with milk.
- B. Take iron supplements between meals.
- C. Avoid eating green leafy vegetables.
- D. Limit intake of citrus fruits.
Correct Answer: B
Rationale: Taking iron supplements between meals enhances absorption, as food, especially milk, can interfere. Citrus fruits and leafy greens support absorption.
Which procedures can the nurse working on a pediatric floor safely delegate to the licensed practical nurse (LPN). Select all that apply.
- A. Refilling a baclofen pump.
- B. Administering gastrostomy tube feedings.
- C. Administering gastrostomy medications.
- D. Giving an IV push medication.
- E. Calling the AM blood sugars to the physician.
Correct Answer: B,C,E
Rationale: LPNs can safely administer gastrostomy feedings and medications and report blood sugar results, as these tasks are within their scope of practice.
The mother asks the nurse for advice about discipline for her 18-month-old. Which of the following should the nurse suggest that the mother use?
- A. Structured interactions.
- B. Spanking.
- C. Reasoning.
- D. Time out.
Correct Answer: D
Rationale: Time out is an effective, age-appropriate discipline method for an 18-month-old.