A 19 y.o. student develops trigeminal neuralgia. Which of the ff. actions will most likely aggravate her pain?
- A. Sleeping
- B. Reading
- C. Eating
- D. Cooking
Correct Answer: C
Rationale: Trigeminal neuralgia is a condition characterized by sudden and severe facial pain caused by irritation or damage to the trigeminal nerve. Trigeminal neuralgia pain is often triggered by certain activities that stimulate the nerve, such as eating, talking, or brushing teeth. The act of chewing and ingesting food can put pressure on the trigeminal nerve, leading to increased pain for individuals suffering from trigeminal neuralgia. Therefore, eating is most likely to aggravate the pain in a 19-year-old student with trigeminal neuralgia.
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The basic principle of healthy sleep hygiene which is NOT included is
- A. set routine
- B. avoid stimulating activities as playing computer games
- C. makes sure child spends time outside every day
- D. gives a heavy meal within an hour of bedtime
Correct Answer: D
Rationale: Heavy meals close to bedtime disrupt sleep.
The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include?
- A. Prepare the child for separation from parents during hospitalization by reviewing a video.
- B. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.
- C. Help the child accept the loss of control associated with hospitalization.
- D. Help the child accept pain that is connected with a treatment or procedure.
Correct Answer: B
Rationale: Atraumatic care for pediatric patients aims to minimize emotional and psychological distress during hospitalization or medical procedures. Option B, preparing the child before any unfamiliar treatment or procedure by demonstrating it on a stuffed animal, is an appropriate intervention. This technique allows the child to understand what will happen, reduces fear of the unknown, and promotes a sense of control. By using a stuffed animal as a teaching tool, the nurse can provide clear information to the child in a non-threatening way, helping to alleviate anxiety and stress. This intervention encourages trust between the child and healthcare provider and promotes a positive healthcare experience for the pediatric patient.
An infant can move his head from side to side while following a moving object, can lift his head from a prone position 45 degrees off the examining table, smiles when encouraged, and makes cooing sounds. He cannot maintain a seated position. The most likely age of the infant is:
- A. 1 month
- B. 3 months
- C. 6 months
- D. 9 months
Correct Answer: B
Rationale: At 3 months, infants typically develop the ability to lift their heads 45 degrees in prone, follow objects with their eyes, smile responsively, and make cooing sounds. They are not yet able to sit independently.
Which age group should the pediatric nurse recognize as being vulnerable to events that lessen their feeling of control and power?
- A. Infants
- B. Toddlers
- C. Preschoolers
- D. School-age children
Correct Answer: A
Rationale: Infants are the age group that the pediatric nurse should recognize as being vulnerable to events that lessen their feeling of control and power. Infants are entirely dependent on others for their care and are still developing their sense of self and autonomy. They are unable to communicate their needs effectively and rely on caregivers to interpret and respond to their cues. Any disruptions in routine or changes in their environment can make infants feel insecure and powerless. Therefore, the pediatric nurse should be particularly attentive to the emotional needs and sense of control of infants when providing care.
The nurse is caring for an infant with a suspected urinary tract infection. Which clinical manifestations should be expected? (Select all that apply.)
- A. Vomiting
- B. Jaundice
- C. Failure to gain weight
- D. Swelling of the face
Correct Answer: A
Rationale: A urinary tract infection (UTI) in an infant may present with symptoms such as vomiting and failure to gain weight. Vomiting can be a common sign of UTI in infants due to irritation and inflammation in the urinary tract. Additionally, infants with UTIs may experience poor feeding and failure to gain weight due to the discomfort and systemic effects of the infection. While symptoms like jaundice, swelling of the face, back pain, and persistent diaper rash can be seen in other conditions, they are not typically associated with a urinary tract infection in infants.