A 7-year-old child with cystic fibrosis is admitted to the hospital with a respiratory infection. The nurse is teaching the child's parents about the importance of chest physiotherapy (CPT). Which statement by the parents indicates they need further teaching?
- A. We should perform CPT before meals.
- B. CPT will help loosen mucus in the lungs.
- C. We should perform CPT right after the child eats.
- D. CPT is an important part of our child's treatment.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When reinforcing information about the use of corticosteroids in treating asthma in children, which statement indicates that the parent understands the teaching?
- A. My child should take the medication only when experiencing symptoms.
- B. I will rinse my child's mouth after each use of the inhaler.
- C. I should discontinue the medication if my child seems better.
- D. Corticosteroids are used for quick relief during an asthma attack.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When planning care for a child diagnosed with rheumatic fever, what is the primary goal of nursing care?
- A. Reduce fever.
- B. Maintain fluid and electrolytes.
- C. Prevent cardiac damage.
- D. Maintain joint mobility and function.
Correct Answer: C
Rationale: The primary goal of nursing care for a child diagnosed with rheumatic fever is to prevent cardiac damage. Rheumatic fever can lead to complications affecting the heart, making it crucial to monitor and prevent cardiac involvement to avoid long-term consequences. While addressing fever and joint pain are important aspects of care, preventing cardiac damage takes precedence in managing rheumatic fever.
The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?
- A. Turn the infant on the left side braced against the crib when sleeping.
- B. Prop the infant in a sitting position with a cushion when not sleeping.
- C. Place a small pillow under the infant's head while lying on the back.
- D. Position the infant on the stomach occasionally when awake and active.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next?
- A. Measure the infant's head-to-toe length.
- B. Palpate the anterior fontanel for tension and bulging.
- C. Observe the infant for sunken eyes.
- D. Plot the measurement on the infant's growth chart.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 9-year-old child is brought to the clinic with complaints of fatigue, pallor, and shortness of breath. The nurse notes that the child has a history of iron-deficiency anemia. What is the nurse's priority action?
- A. Administer iron supplements as prescribed
- B. Monitor the child's hemoglobin levels
- C. Educate the parents about dietary sources of iron
- D. Notify the healthcare provider
Correct Answer: A
Rationale: In a child with a history of iron-deficiency anemia presenting with symptoms of fatigue, pallor, and shortness of breath, the priority action for the nurse is to administer iron supplements as prescribed. Iron supplementation is essential to treat iron-deficiency anemia and improve the child's symptoms promptly.
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