Nokea
A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first?
- A. The pull of traction on the pin.
- B. The Ace bandage.
- C. The pin sites for signs of infection.
- D. The dressings for tightness.
Correct Answer: C
Rationale: Assessing pin sites for infection is the priority, as infection can lead to serious complications in skeletal traction.
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An infant is to be discharged after surgery for intussusception. In developing the discharge teaching plan, the nurse should tell the mother?
- A. The infant will experience a change in the normal home routine.
- B. The infant can return to the prehospital routine immediately.
- C. The infant needs to ingest more calories at home than normal.
- D. The infant will continue to experience abdominal cramping for a few days.
Correct Answer: B
Rationale: After successful surgery, the infant can typically resume normal routines unless complications arise.
The parents of a child with occasional generalized seizures want to send the child to summer camp. The parents contact the nurse for advice on planning for the camping experience. Which of the following activities should the nurse and family decide the child should avoid?
- A. Rock climbing.
- B. Hiking.
- C. Swimming.
- D. Tennis.
Correct Answer: C
Rationale: Swimming poses a drowning risk during a seizure; it should be avoided unless closely supervised.
The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following?
- A. Positive peer relations.
- B. Positive self-identity.
- C. A sense of autonomy.
- D. A sense of independence.
Correct Answer: C
Rationale: Managing dysmenorrhea supports autonomy by empowering the adolescent to control her health.
The mother of an infant with myelomeningocele asks if her baby is likely to have any other defects. The nurse responds based on the understanding that myelomeningocele is commonly associated with which disorder?
- A. Excessive cerebrospinal fluid within the cranial cavity.
- B. Generally small head.
- C. Congenital absence of the cranium vault.
- D. Overriding of the cranial sutures.
Correct Answer: A
Rationale: Myelomeningocele is often associated with hydrocephalus, characterized by excessive cerebrospinal fluid in the cranial cavity, due to impaired cerebrospinal fluid circulation.
Which of the following structures should be closed by the time the child is 2 months old?
- A. A.
- B. B.
- C. C.
- D. D.
Correct Answer: C
Rationale: posterior fontanelle closes by 2 months.