Nokea
A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?
- A. Administer the correct medication.
- B. Notify the prescribing physician.
- C. Complete an incident report.
- D. Inform the child's parents.
Correct Answer: C
Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.
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When teaching an adolescent with facial acne about skin care, the nurse should instruct the adolescent.
- A. Wash the face twice a day with mild soap and water.
- B. Remove whiteheads and comedones after washing his face with antibacterial soap.
- C. Apply vitamin E ointment twice daily to the affected skin.
- D. Apply tretinoin (Retin-A) daily in the morning and expose the face to the sun.
Correct Answer: A
Rationale: Washing the face twice daily with mild soap and water helps remove excess oil and debris without irritating the skin. Removing whiteheads can cause scarring, vitamin E is not evidence-based for acne, and tretinoin should be applied at night due to photosensitivity.
When developing a teaching plan for the parents of a child with Down syndrome, the nurse focuses on activities to increase which of the following for the parents?
- A. Affection for their child.
- B. Responsibility for their child's welfare.
- C. Understanding of their child's disability.
- D. Confidence in their ability to care for their child.
Correct Answer: D
Rationale: Building parental confidence empowers them to manage their child's needs effectively, fostering positive outcomes.
A nurse working in the nursery identifies a goal for a mother of a newborn to demonstrate positive attachment behaviors upon discharge. Which intervention would be least effective in accomplishing this goal?
- A. Provide opportunities for the mother to hold and examine the newborn.
- B. Engage the mother in the newborn's care.
- C. Create an environment that fosters privacy for the mother and newborn.
- D. Identify strategies to prevent difficulties in parenting.
Correct Answer: D
Rationale: Preventing parenting difficulties is less directly related to fostering immediate attachment.
What should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is being treated with naproxen (Naprosyn)?
- A. Anti-inflammatory effect will occur in approximately 8 weeks.
- B. Within 24 hours, the child will have antiinflammatory relief.
- C. The nurse should be called before giving the child any over-the-counter medications.
- D. If a dose is forgotten or missed, that dose is not made up.
Correct Answer: C,D
Rationale: Parents should consult the nurse before giving other medications due to potential interactions, and missed doses should not be doubled to avoid toxicity.
On finding a child who is not breathing, which of the following should the nurse do first?
- A. Clear the airway.
- B. Begin mouth-to-mouth resuscitation.
- C. Initiate oxygen therapy.
- D. Start chest compressions.
Correct Answer: A
Rationale: Clearing the airway is the first step in CPR to ensure no obstructions prevent effective ventilation.