Nokea
A major reason for the development of respiratory distress syndrome in the preterm infant is:
- A. Excessive surfactant
- B. Lack of surfactant
- C. Immature immune system
- D. Lack of body fat
Correct Answer: B
Rationale: The correct answer is B: Lack of surfactant. Respiratory distress syndrome (RDS) in preterm infants is primarily due to a lack of surfactant, which is crucial for keeping the lungs inflated. Without adequate surfactant, the alveoli collapse, leading to breathing difficulties. Choice A, Excessive surfactant, is incorrect as RDS is caused by an insufficient amount of surfactant. Choice C, Immature immune system, and Choice D, Lack of body fat, are not directly related to the development of respiratory distress syndrome in preterm infants.
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A 6-year-old child has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation to the parents include?
- A. The child will continue to sleep and be pain-free
- B. Parents cannot administer additional medication with the button
- C. The pump can deliver baseline and bolus dosages
- D. There is a high risk of overdose, so monitoring is done every 15 minutes
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?
- A. Introduce him- or herself
- B. Make the family comfortable
- C. Give assurance of privacy
- D. Explain the purpose of the interview
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?
- A. Palpate another area simultaneously
- B. Ask the child not to laugh or move
- C. Begin with deeper palpation and gradually progress to superficial palpation
- D. Have the child help with palpation by placing his or her hand over the palpating hand
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 3-year-old child, previously potty-trained, becomes a bed-wetter again during a hospital stay. Which explanation should the nurse provide to the parents?
- A. "Your child is no longer potty-trained and will need to be retrained when she goes home."
- B. "The child may have developed a bladder infection in the hospital. I will notify the doctor."
- C. "Preschool children may regress in their behaviors when they are ill in the hospital but should return to normal when they go back home."
- D. "Don't worry about it, she is fine."
Correct Answer: C
Rationale: During a hospital stay, preschool children may exhibit regression in behaviors such as bed-wetting due to stress. It is important for parents to understand that this behavior is a common response to the hospital environment and should resolve once the child is back home. Therefore, the correct explanation for the nurse to provide to the parents is choice C. Choice A is incorrect because it inaccurately states that the child is no longer potty-trained. Choice B is incorrect as it assumes a medical issue without evidence. Choice D is incorrect as it dismisses the parents' concerns without addressing the underlying cause of the behavior.
The Asian parent of a child being seen in the clinic avoids eye contact with the nurse. What is the best explanation for this considering cultural differences?
- A. The parent feels inferior to the nurse
- B. The parent is showing respect for the nurse
- C. The parent is embarrassed to seek health care
- D. The parent feels responsible for her child's illness
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.