Nokea
A child is to receive I.V. antibiotics for osteomyelitis. Before the initial dose of antibiotics can be given, the nurse confirms that a blood sample for which of the following tests has been drawn?
- A. Creatinine.
- B. Culture.
- C. Hemoglobin.
- D. White blood count.
Correct Answer: B
Rationale: A blood culture is essential before starting antibiotics to identify the causative organism in osteomyelitis.
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Which of the following beverages should the nurse plan to give a child with leukemia to relieve nausea?
- A. Orange juice.
- B. Weak tea.
- C. Plain water.
- D. A carbonated beverage.
Correct Answer: B
Rationale: Weak tea is gentle and soothing, helping relieve nausea without irritation. Other options may worsen nausea.
The mother of an 8-year-old with diabetes tells the nurse that she does not want the school to know about her daughter's condition. The nurse should reply:
- A. I think that would be a good idea.'
- B. What is it that concerns you about having the school know about your daughter's condition?'
- C. It would be fine not to tell your daughter's friends, but the teacher must know.'
- D. In order to keep your daughter safe, it is necessary for all adults in the school to know her condition.'
Correct Answer: B
Rationale: Exploring concerns builds trust and allows the nurse to address fears while explaining the need for school awareness (e.g., for hypoglycemia management). Other responses dismiss or mandate without dialogue.
A child with nephrosis is taking prednisone. The nurse should teach the caregivers to report which of the following adverse effects? Select all that apply.
- A. Increased urinary output.
- B. Hematemesis.
- C. Respiratory infection.
- D. Bleeding gums.
- E. Vision problems.
Correct Answer: B,C,D,E
Rationale: These symptoms indicate potential complications.
A nurse evaluates discharge teaching as successful when the parents of a school-age child with a ventriculoperitoneal shunt insertion identify which sign as signaling a blocked shunt?
- A. Decreased urine output with stable intake.
- B. Tense fontanel and increased head circumference.
- C. Elevated temperature and reddened incisional site.
- D. Irritability and increasing difficulty with eating.
Correct Answer: D
Rationale: Irritability and difficulty eating are early signs of shunt blockage due to increased intracranial pressure, which parents should recognize for timely intervention.
The mother of a toddler with nephrotic syndrome asks the nurse what can be done about the child's swollen eyes. Which measure should the nurse suggest?
- A. Applying cool compresses to the child's eyes.
- B. Elevating the head of the child's bed.
- C. Applying eye drops every 8 hours.
- D. Limiting the child's television watching.
Correct Answer: B
Rationale: Elevation reduces swelling.