Nokea
A 13-month-old has a febrile seizure one month after the administration of the chickenpox vaccine. The nurse should:
- A. Recognize that the events are unrelated.
- B. Report the event through the Vaccine Adverse Event Reporting System.
- C. Explain to the parents that this is a rare but acceptable risk.
- D. Report the incident through the vaccine manufacturer's hotline.
Correct Answer: B
Rationale: Febrile seizures post-vaccination should be reported to VAERS for monitoring vaccine safety.
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An 11-year-old child has been diagnosed with Grave's disease and is to start drug therapy. Which of the following instructions should be included in the teaching plan for the child's mother and teacher?
- A. Continue with the same amount of schoolwork and homework.
- B. Understand that mood swings are rare with this disorder.
- C. Limit the amount of food that is offered to the child.
- D. Provide the child with a calm, nonstimulating environment.
Correct Answer: D
Rationale: A calm environment reduces stress and exacerbation of hyperthyroidism symptoms like anxiety. Schoolwork may need adjustment, mood swings are common, and food restriction is unnecessary.
A parent of a child with a moderate head injury asks the nurse, 'How will you know if my child is getting worse?' The nurse should tell the parents that the best indicator of the child's brain function is:
- A. The vital signs.
- B. Level of consciousness.
- C. Reactions of the pupils.
- D. Motor strength.
Correct Answer: B
Rationale: Level of consciousness is the most sensitive indicator of brain function, reflecting changes in neurological status.
When developing the teaching plan for parents using the Pavlik harness with their child, what should be the nurse's initial step?
- A. Assessing the parents' current coping strategies.
- B. Determining the parents' knowledge about the device.
- C. Providing the parents with written instructions.
- D. Giving the parents a list of community resources.
Correct Answer: B
Rationale: Determining the parents' knowledge about the Pavlik harness is the initial step to tailor teaching to their understanding and needs.
A nurse is teaching the parents of a child newly diagnosed with celiac disease. Which food should the nurse instruct them to avoid?
- A. Rice.
- B. Wheat.
- C. Corn.
- D. Potatoes.
Correct Answer: B
Rationale: Celiac disease requires a gluten-free diet, avoiding wheat, barley, and rye. Rice, corn, and potatoes are gluten-free and safe.
Which of the following behaviors exhibited by the parents of an infant with pyloric stenosis should the nurse correctly interpret as a positive indication of parental coping?
- A. Telling the nurse that they have to get away for a while.
- B. Discussing the infant's care realistically.
- C. Repeatedly asking if their child is normal.
- D. Exhibiting fear that they will disturb the infant.
Correct Answer: B
Rationale: Realistic discussion of care indicates acceptance and engagement with the situation.