Nokea
A 3-year-old is hospitalized for an ASD repair. The parents plan to leave briefly. The child asks when his parents will return. The nurse's best response is:
- A. They will be back after your nap.
- B. They will be back at 6:00 p.m.
- C. They will be back later this evening.
- D. They will be back when your mommy finishes a short errand, just like when you wait for bedtime.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the best action for a 6-year-old boy with school refusal?
- A. Refer to a pediatric psychologist
- B. Start selective serotonin reuptake inhibitor
- C. Assess the home environment
- D. Give the child special attention from the teacher
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which clean-catch urinalysis finding should raise the most concern for a child admitted to an urgent care center to rule out a urinary tract infection?
- A. 2+ white blood cells
- B. 1+ red blood cells
- C. Urine appearance: cloudy
- D. Specific gravity: 1.009
Correct Answer: D
Rationale: A specific gravity of 1.009 is low, indicating diluted urine, which can be concerning in the context of a urinary tract infection. Diluted urine may suggest inadequate concentration due to increased fluid intake or impaired kidney function, which are important considerations in the assessment of a possible UTI.
Which iron-rich foods should the nurse encourage an anemic client requiring iron therapy to eat?
- A. Shrimp and tomatoes
- B. Cheese and bananas
- C. Lobster and squash
- D. Lamb and peaches
Correct Answer: D
Rationale: Both lamb and peaches are rich sources of iron. Lamb is a type of red meat that is high in heme iron, which is a form of iron that is easily absorbed by the body. Peaches, on the other hand, are a fruit that contains non-heme iron, which is not as easily absorbed but can still contribute to increasing iron levels in the body. Including these iron-rich foods in the diet of an anemic client can help improve their iron levels and overall health.
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
- A. Taking over total care of the child to reduce stress on the family
- B. Encouraging family dependence on health care systems
- C. Recognizing that the family is the constant in a child's life
- D. Excluding families from the decision-making process
Correct Answer: C
Rationale: Family-centered care in pediatric nursing involves recognizing that the family is the constant in a child's life. This approach focuses on involving families in the care of the child, considering their preferences, needs, and beliefs. It acknowledges the important role that families play in the well-being of the child and aims to support and empower them in the care process. By centering care around the family, healthcare providers can ensure that the care provided is holistic, culturally sensitive, and tailored to meet the unique needs of the child and their family.
When performing a neurological examination on Mr. RR, which of the following would not be considered an important or useful part of the examination?
- A. Eye movements
- B. Reflexes
- C. Nuchal rigidity
- D. Pupil size NEUROLOGIC MEDICATIONS
Correct Answer: D
Rationale: When performing a neurological examination on Mr. RR, pupil size due to neurologic medications would not typically be considered an important or useful part of the examination. While assessing pupil size and reactivity can provide valuable information about brain function and potential neurological issues, the focus of the initial examination would generally be on assessing eye movements, reflexes, and signs of nuchal rigidity. Pupil size related to medications would be more relevant in a medication review or history-taking rather than in the initial neurological examination.