Nokea
A nurse is caring for a 2-week old Infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?
- A. SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.
- B. SIDS rates have been rising over the last 10 years.
- C. You should place your baby on her back when sleeping to decrease the risk of SIDS.
- D. Sleep apnea is the main cause of SIDS.
Correct Answer: C
Rationale: Placing a baby on their back to sleep significantly reduces the risk of SIDS.
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A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the following actions should the nurse take?
- A. Maintain night splints to the affected joint.
- B. Encourage the child to take daytime naps.
- C. Administer opioids on a schedule.
- D. Apply cool compresses for 20 min every hour.
Correct Answer: A
Rationale: Night splints help maintain joint position and function during sleep, preventing contractures and deformities. This is a common intervention in managing juvenile rheumatoid arthritis to ensure proper joint alignment and minimize pain and stiffness.
A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?
- A. Sodium 142 mEq/L
- B. Urine specific gravity 1.025
- C. Potassium 2.5 mEq/L
- D. Blood glucose 110 mg/Dl
Correct Answer: C
Rationale: Potassium 2.5 mEq/L is below the normal range for potassium (3.5-5.0 mEq/L) and indicates hypokalemia which can cause serious cardiac issues and muscle weakness.
A nurse is collecting data from an infant. Which of the following sites is the most reliable location to check the infant's pulse?
- A. Temporal
- B. Carotid
- C. Apical
- D. Dorsalis pedis
Correct Answer: C
Rationale: The apical pulse is the most reliable method for assessing heart rate in infants.
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 collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?
- A. Pain
- B. Vomiting
- C. Constipation
- D. Bradycardia
Correct Answer: A
Rationale: Pain is the most common and significant symptom of a vaso-occlusive crisis in sickle cell disease.