Nokea
A caregiver is learning about administering digoxin to a toddler. Which statement by the caregiver indicates an understanding of the teaching?
- A. I will mix the medication with a small amount of juice.
- B. I will give the medication with meals.
- C. I will give a second dose if my child vomits.
- D. I will give my child water after giving the medication.
Correct Answer: D
Rationale: The correct statement is D because giving the child water after administering digoxin helps ensure the medication is swallowed properly. Mixing the medication with juice (choice A) may affect its absorption. Giving the medication with meals (choice B) may interfere with its effectiveness. Administering a second dose if the child vomits (choice C) is not recommended as it may lead to an overdose.
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A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A preschool-age child is admitted to the hospital with acute postinfectious glomerulonephritis (APIGN). Which is the priority nursing diagnosis for this child?
- A. Risk for Injury related to hypertension.
- B. Altered Growth and Development related to chronic disease.
- C. Risk for Infection related to hypertension.
- D. Fluid Volume Excess related to decreased plasma filtration.
Correct Answer: A
Rationale: The priority nursing diagnosis for a preschool-age child with acute postinfectious glomerulonephritis (APIGN) is 'Risk for Injury related to hypertension' due to the potential complications such as hypertensive encephalopathy. Hypertension poses an immediate threat to the child's well-being, making it crucial to address the risk for injury associated with elevated blood pressure as the top priority.
When developing a home program for self-care, which approach is the most effective?
- A. Require the parent to practice the steps regularly and track progress.
- B. Introduce new home programs weekly with clear instructions for the parent to follow.
- C. List all the steps and have the parent teach them to the child without practicing.
- D. Practice the new steps until the child is ready to independently perform them at home.
Correct Answer: D
Rationale: The most effective approach when developing a home program for self-care is to practice the new steps with the child until they are capable of independently carrying them out at home. This method ensures that the child has mastered the skills before transitioning to independent implementation. It is essential for the child's success in self-care activities and promotes their autonomy and confidence. Requiring the parent to practice the steps regularly and track progress, introducing new programs weekly, or having the parent teach the steps without practice may not be as beneficial in fostering the child's independence and skill acquisition.
A healthcare professional is performing hearing screenings for children at a community health fair. Which of the following children should the professional refer to a provider for a more extensive hearing evaluation?
- A. A toddler who is 18 months old and has unintelligible speech
- B. An infant who is 3 months old and has an exaggerated startle response
- C. A preschooler who is 4 years old and prefers playing with others rather than alone
- D. An infant who is 8 months old and is not yet making babbling sounds
Correct Answer: D
Rationale: The healthcare professional should refer an infant who is not making babbling sounds by the age of 7 months to a provider for a more extensive evaluation of hearing. Babbling sounds are a developmental milestone that typically occurs by 7 months of age. Delayed or absent babbling can indicate potential hearing issues that warrant further assessment.
A 3-year-old child has recurrent attacks of screaming, vomiting, and biting other children, these attacks lasts 2-5 minutes and occurs once or twice weekly, the child looks well between the attacks.
- A. autism
- B. traumatic brain injury
- C. cognitive impairment
- D. temper tantrums
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.