Nokea
A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following medications should the nurse administer first?
- A. Heliox via inhalation
- B. Albuterol via nebulizer
- C. Prednisone by mouth
- D. 0.9% sodium chloride via IV bolus
Correct Answer: B
Rationale: Albuterol rapidly relieves bronchospasm in status asthmaticus. Heliox, prednisone, and saline are secondary or not indicated as first-line treatments.
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A nurse is reinforcing teaching about introducing solid foods with the parents of a 6-month old infant who is bottle-fed. Which of the following information should the nurse include?
- A. You should use canned fruits and vegetables to introduce your baby to solid foods.
- B. You should introduce one new food to your baby every 5 to 7 days.
- C. You should introduce a new food by giving your baby 3 to 4 tablespoons.
- D. You should add rice cereal to a bottle before introducing your baby to solid foods.
Correct Answer: B
Rationale: Introducing one food every 5-7 days helps identify allergies. Fresh foods are preferred, initial amounts are smaller, and cereal in bottles risks choking.
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
- A. Loosen restrictive clothing.
- B. Hyperextend the child's neck.
- C. Time the seizure episode.
- D. Place the child in a side-lying position.
- E. Restrain the child.
Correct Answer: A,C,D
Rationale: Loosening clothing, timing the seizure, and side-lying position ensure safety and documentation. Hyperextending the neck risks injury, and restraining is unsafe.
A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?
- A. Ask the child to cough deeply.
- B. Ask the child to clear their throat.
- C. Use wall suction to obtain the sample from the child's throat.
- D. Use a bulb syringe to obtain sputum from the child's mouth.
Correct Answer: A
Rationale: Asking the child to cough deeply helps obtain a sputum sample from the lower respiratory tract. Clearing the throat, wall suction, or bulb syringe are less effective or inappropriate methods.
A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
- A. Allowing the toddler to button up their own shirt
- B. Asking the toddler questions that have 'yes' or 'no' answers
- C. Providing the toddler with opportunities to share toys with others
- D. Making sure the toddler has at least one nap during the day
Correct Answer: D
Rationale: Ensuring a nap supports rest and development. Buttoning shirts, yes/no questions, and sharing toys are beneficial but not the priority over rest for a toddler's well-being.
A nurse is caring for an infant who has a cleft palate and is having trouble bottle feeding. Which of the following actions should the nurse take?
- A. Select a bottle with a one-way flow valve.
- B. Choose a bottle with a narrow nipple.
- C. Burp the infant every 90 ml (3 oz).
- D. Use the football hold when feeding the child.
Correct Answer: A
Rationale: A one-way flow valve bottle controls milk flow, aiding infants with cleft palate. Narrow nipples, frequent burping, or football hold are less specific to feeding challenges.