Nokea
A nurse in a pediatric clinic is talking with a parent of a toddler. The parent tells the nurse that her toddler drinks a quart of milk a day. The nurse should recognize that the toddler is at risk for which of the following disorders?
- A. Beriberi
- B. Dehydration
- C. Diabetes mellitus
- D. Iron-deficiency anemia
Correct Answer: D
Rationale: Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods.
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A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?
- A. 30 mL
- B. 1 mL
- C. 15 mL
- D. 5 mL
Correct Answer: B
Rationale: It is a standard practice to equate 1 gram of wet diaper weight to 1 mL of urine providing an accurate measure for fluid balance in infants.
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
- A. Stand above the child's eye level when speaking.
- B. Talk directly into the child's impaired ear.
- C. Speak loudly to the child.
- D. Speak slowly while facing the child.
Correct Answer: D
Rationale: Speaking slowly and facing the child ensures that they can read lips and facial expressions.
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
- A. Restrain the child's arms.
- B. Insert a padded tongue blade into the child's mouth.
- C. Place the child in a side-lying position.
- D. Elevate the child's legs on a pillow.
Correct Answer: C
Rationale: This helps maintain an open airway and allows for drainage of saliva or vomit reducing the risk of aspiration.
A nurse is reinforcing teaching about methylphenidate (Ritalin) with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?
- A. You should give your child's last daily dose of the medication before 6 o'clock in the evening.
- B. You will need to give your child the medication after meals.
- C. You will need to have your child's blood glucose level checked monthly.
- D. You should not give your child the medication on weekends.
Correct Answer: A
Rationale: Methylphenidate is a stimulant and giving it too late in the day can cause insomnia.
A nurse is caring for a school-age child who has a fracture to the right femur. Which of the following findings is the nurse's priority?
- A. Capillary refill less than 2 seconds
- B. Tingling in the right foot
- C. 2+ right pedal pulse
- D. Respiratory rate 24/min
Correct Answer: B
Rationale: Tingling (paraesthesia) can be a sign of nerve damage or compromised circulation which may indicate complications such as compartment syndrome. This is a priority finding because it can lead to severe consequences if not addressed promptly.