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A mother asks, "How should I bathe my baby now that he's had surgery for his inguinal hernia?" Which of the following instructions should the nurse give the mother?
- A. Clean his face and diaper area for 2 weeks.
- B. Use sterile sponges to cleanse the inguinal incision.
- C. Give him a sponge bath daily for 1 week.
- D. Give the infant full tub baths every day.
Correct Answer: C
Rationale: Sponge baths for 1 week keep the incision dry and reduce infection risk.
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A 7-year-old child is experiencing pain after an appendectomy. Which data collection tool should the nurse use to assess the pain?
- A. Visual analog scale.
- B. Short Form McGill Questionnaire.
- C. FACES Pain Rating Scale.
- D. Numeric Pain Intensity Scale.
Correct Answer: C
Rationale: The FACES scale is age-appropriate for a 7-year-old to assess pain.
The physician orders carbamazepine extended release (Tegretol-XR) for a client with cerebral palsy who also has a seizure disorder. The client has a gastrostomy feeding tube. What should the nurse do?
- A. Crush the medication and administer through the tube.
- B. Request an immediate-release formulation.
- C. Withhold the medication and notify the physician.
- D. Administer the medication orally.
Correct Answer: C
Rationale: Extended-release formulations like Tegretol-XR should not be crushed; the nurse should notify the physician to adjust the order.
A nasogastric tube inserted during surgery to correct an infant's intussusception is no longer freely removing gastric secretions. Which of the following should the nurse do next?
- A. Aspirate the tube with a syringe.
- B. Irrigate the tube with distilled water.
- C. Increase the level of suction.
- D. Rotate the tube.
Correct Answer: A
Rationale: Aspirating with a syringe checks for blockages and attempts to restore function safely.
A mother tells the nurse that one of her children has chickenpox and asks what she should do to care for that child. When teaching the mother, the nurse should instruct the mother to help her child prevent:
- A. Acid-base imbalance.
- B. Malnutrition.
- C. Skin infection.
- D. Respiratory infection.
Correct Answer: C
Rationale: Scratching chickenpox lesions can lead to bacterial skin infections, which should be prevented.
The father of a 16-month-old child calls the clinic because the child has a low-grade fever, cold symptoms, and a hoarse cough. Which of the following should the nurse suggest that the father do?
- A. Offer extra fluids frequently.
Correct Answer: A
Rationale: Offering extra fluids frequently helps keep the child hydrated and may soothe the throat, alleviating symptoms of croup.