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A mother reports to the nurse at the pediatric clinic that her toddler has had a fever and sore throat for the past two days. The nurse observes several swollen red spots on the child's body, some of which are fluid-filled blisters. What action should the nurse take?
- A. Obtain a fluid culture from the blisters
- B. Administer a fever-reducing medication
- C. Cover the draining vesicles with a dressing
- D. Implement transmission precautions
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Why is honest information important in building a trusting relationship with adolescent patients?
- A. Encourage the adolescent to seek help outside of the school clinic.
- B. Keep disclosures from the adolescent confidential.
- C. Honest information ensures establishing a trusting relationship.
- D. Discourage minor adolescents from disclosing private concerns.
Correct Answer: C
Rationale: Honesty is fundamental in building trust with adolescent patients as it helps create an environment where they feel safe to share their concerns openly. By being honest and maintaining confidentiality, healthcare providers can establish a strong and trusting relationship with adolescents, ultimately leading to better healthcare outcomes.
A 6 year old who has asthma is demonstrating a prolonged expiratory phase and wheezing and has a 35% of personal best peak expiratory flow rate (PEFR). Based on these findings, what actions should the nurse take first?
- A. Administer a prescribed bronchodilator.
- B. Encourage the child to cough and deep breath.
- C. Report findings to the health care provider.
- D. Determine what triggers precipitated this attack.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother?
- A. A 2-year-old should be speaking in 2-word phrases
- B. Dental caries is associated with drinking soda
- C. Drinking soda is related to childhood obesity
- D. Toddlers should be sleeping 10 hours a night
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old child with sickle cell anemia presents to the emergency department with severe pain in the arms and legs. What is the nurse's priority action?
- A. Administer prescribed pain medication
- B. Apply warm compresses to the affected areas
- C. Encourage the child to drink fluids
- D. Monitor the child's oxygen saturation
Correct Answer: A
Rationale: In a sickle cell crisis, pain management is a priority due to the severe pain experienced by the child. Administering prescribed pain medication is crucial to alleviate the pain and provide comfort to the child. Once pain is controlled, other comfort measures like applying warm compresses and encouraging fluid intake can be implemented. Monitoring oxygen saturation is important but not the priority action when dealing with severe pain in a sickle cell crisis.
What age-appropriate play activity should the practical nurse suggest to the parents of a 7-month-old infant to encourage visual stimulation?
- A. Play peek-a-boo.
- B. Play pat-a-cake.
- C. Imitate animal sounds.
- D. Show how to clap hands.
Correct Answer: A
Rationale: The practical nurse should suggest playing peek-a-boo to the parents of a 7-month-old infant to encourage visual stimulation. Peek-a-boo is a suitable game for this age group as it helps develop visual tracking skills and the concept of object permanence. By covering and uncovering their face or a toy, the infant learns that things still exist even when they cannot be seen, promoting cognitive development and visual engagement.