Nokea
A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his son's testicle is missing. Which of the following explanations would be most appropriate?
- A. Although the testes should have descended by now
- B. it is not a cause for worry.
- C. The testes often do not descend until age 6 months
- D. but let's check to see whether the testes are present.
- E. The testes are present in the scrotal sac at birth
- F. but surgery can remedy the situation.
- G. Although the testes normally descend by 1 year of age
Correct Answer: B
Rationale: Testes often descend by 6 months of age; however, if they haven't, surgical intervention may be necessary.
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After teaching the parents of a child with febrile seizures about methods to lower temperature other than using medication, which of the following statements indicates that further teaching is necessary?
- A. We'll add extra blankets when he complains of being cold.'
- B. We'll wrap him in a blanket if he starts shivering.'
- C. We'll make the bath water cold enough to make him shiver.'
- D. We'll use a solution of half alcohol and half water when sponging him.'
Correct Answer: A,B,C,D
Rationale: All options are incorrect: blankets increase temperature, cold baths cause discomfort, and alcohol sponging is unsafe. Further teaching is needed.
A 10-year-old has 5 lb of Buck's extension traction on his left leg. The nurse should assess the child for which of the following? Select all that apply.
- A. Dryness of the skin, by removing the foam wraps and boot.
- B. Alignment of the shoulder, hips, and knees.
- C. Frayed rope near pulleys.
- D. Correct amount of traction weight on fracture.
- E. Pressure on the coccyx.
Correct Answer: B,C,D,E
Rationale: The nurse should check alignment, rope condition, weight accuracy, and pressure points to ensure effective and safe traction.
A 12-year-old client with asthma is receiving I.V. hydrocortisone, ampicillin, and theophylline. The client vomits after breakfast and lunch, is very irritable, and has a heart rate of 120 beats/minute. The nurse should:
- A. Offer small amounts of clear liquids.
- B. Inform the primary health care provider that the child is having an allergic reaction to the ampicillin.
- C. Add the missed dose of theophylline and inform the primary health care provider of the vomiting.
- D. Administer oxygen to decrease the heart rate.
Correct Answer: C
Rationale: Vomiting, irritability, and tachycardia (heart rate of 120 bpm) are signs of theophylline toxicity. The nurse should withhold further doses, inform the provider of the vomiting, and monitor for toxicity, as additional theophylline could worsen symptoms.
A child with celiac disease is at risk for which complication if the diet is not followed?
- A. Renal failure.
- B. Intestinal lymphoma.
- C. Pulmonary fibrosis.
- D. Cardiomyopathy.
Correct Answer: B
Rationale: Untreated celiac disease increases the risk of intestinal lymphoma due to chronic inflammation. Renal, pulmonary, or cardiac complications are not directly associated.
The nurse is teaching the parents of a child with sickle cell disease. To instruct them on how to prevent sickle cell crisis, she should include which instruction?
- A. Restrict the child's fluid intake to less than 1 quart per day.
- B. Start up a 1½ quarts of fluids per day.
- C. Stay away from other teenagers.
- D. Avoid physical activity.
Correct Answer: B
Rationale: Adequate hydration (1½ quarts daily) prevents blood viscosity, reducing the risk of sickle cell crisis. Other options are incorrect or overly restrictive.