Nokea
A 3-year-old child receiving chemotherapy after surgery for a Wilms' tumor has developed neutropenia. The parent is trying to encourage the child to eat by bringing extra foods to the room. Which food would not be appropriate for this child?
- A. Fudge.
- B. French fries.
- C. Fresh strawberries.
- D. A milk shake.
Correct Answer: C
Rationale: Raw fruits carry infection risk.
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The nurse in the emergency department is caring for a 3-year-old child with a fractured humerus. The child is crying and screaming, 'I hate you.' Which of the following would be most appropriate:
- A. Tell the parents they will need to wait out in the lobby.
- B. Ask the charge nurse to assign this client to another nurse.
- C. Reassure the parents that this is a normal behavior under the circumstances.
- D. Ask the parents to discipline the child so that the physician can treat her.
Correct Answer: C
Rationale: Such behavior is a normal stress response in a young child experiencing pain and fear in an emergency setting.
The nurse is teaching the parents of a child with leukemia about infection prevention. Which instruction should the nurse include?
- A. Encourage frequent handwashing.
- B. Allow the child to attend crowded events.
- C. Administer live vaccines as scheduled.
- D. Avoid fresh fruits and vegetables.
Correct Answer: A
Rationale: Frequent handwashing is critical to prevent infections in leukemia, as the child is immunocompromised. Crowded events, live vaccines, and raw produce increase infection risk.
A child with meningitis is to receive 1,000 mL of dextrose 5% in normal saline over 12 hours. At what rate in milliliters per hour should the nurse set the pump? Round your answer to the nearest whole number.
- A. 83 mL/hour
Correct Answer: A
Rationale: Calculate: 1,000 mL ÷ 12 hours = 83.33 mL/hour, rounded to 83 mL/hour, ensuring accurate fluid administration.
After discussing asthma as a chronic condition, which of the following statements by the father of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease?
- A. I try to keep him happy at all costs; otherwise, he has an asthma attack.
- B. We keep our child away from other children to help cut down on infections.
- C. Although our child's disease is serious, we try not to let it be the focus of our family.
- D. I'm afraid that when my child gets older, he won't be able to care for himself like I do.
Correct Answer: C
Rationale: The statement 'Although our child's disease is serious, we try not to let it be the focus of our family' reflects a positive adjustment, indicating the family is managing the chronic condition without letting it dominate their lives.
A child with nephrosis is taking prednisone. The nurse should teach the caregivers to report which of the following adverse effects? Select all that apply.
- A. Increased urinary output.
- B. Hematemesis.
- C. Respiratory infection.
- D. Bleeding gums.
- E. Vision problems.
Correct Answer: B,C,D,E
Rationale: These symptoms indicate potential complications.