Nokea
A child is admitted to the pediatric unit with the diagnosis of severe gastroenteritis. To prevent spread of the disease the nurse should?
- A. Institute standard precautions.
- B. Place the child in a semiprivate room.
- C. Serve meals with eating utensils that can be sterilized.
- D. Single-bag all linens.
Correct Answer: A
Rationale: Standard precautions prevent the spread of infectious gastroenteritis.
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After a child undergoes nephrectomy for a Wilms' tumor, the nurse should assess the child postoperatively for which early sign of a complication?
- A. Increased abdominal distention.
- B. Elevated blood pressure.
- C. Increased respiratory rate.
- D. Increased urine output.
Correct Answer: A
Rationale: Distention suggests internal bleeding.
After teaching a group of parents about temper tantrums, the nurse knows the teaching has been effective when one of the parents states which of the following?
- A. I will ignore the temper tantrum.
- B. I should pick up the child during the tantrum.
- C. I'll talk to my daughter during the tantrum.
- D. I should put my child in time out.
Correct Answer: A
Rationale: Ignoring temper tantrums reduces attention-seeking behavior and is an effective strategy.
A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:
- A. He was too immature to be toilet trained. In a few months he should be old enough.
- B. Children are afraid in the hospital and frequently wet their bed.
- C. It's very common for children to regress when they're in the hospital.
- D. This is normal. He probably received too much fluid the night before.
Correct Answer: C
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress.
Which of the following should the nurse assess in a newborn diagnosed with an anorectal malformation? Select all that apply.
- A. Abdominal distension.
- B. Loose stools.
- C. Vomiting.
- D. Meconium in the urine.
- E. Meconium stools.
Correct Answer: A,C,D
Rationale: Anorectal malformations can cause abdominal distension, vomiting, and meconium in the urine due to obstruction or fistulas.
When taking a diet history from the mother of a 7-year-old child with phenylketonuria, a report of which of the following foods indicates a need for further teaching?
- A. Low-protein bread.
- B. Special PKU formula.
- C. Fresh apples.
- D. Chicken nuggets.
Correct Answer: D
Rationale: Chicken nuggets are high in phenylalanine, contraindicated in PKU. Low-protein bread, PKU formula, and apples are appropriate for a PKU diet.