Nokea
A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
- A. Methylprednisolone
- B. Montelukast
- C. Albuterol
- D. Fluticasone
Correct Answer: C
Rationale: Albuterol is a short-acting beta-agonist that provides rapid bronchodilation. It is the first-line medication for immediate relief of bronchospasm during an acute asthma attack.
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A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?
- A. Restrain the toddler for 1 hr after the procedure.
- B. Place the toddler in a side-lying
- C. knee-chest position.
- D. Ask another nurse to assist with holding the toddler in a prone position.
- E. Swaddle the toddler in a warm blanket.
Correct Answer: B
Rationale: This position helps to open the spaces between vertebrae, facilitating the lumbar puncture.
A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
- A. Absent plantar reflexes
- B. Inwardly turned foot on the affected side
- C. Asymmetric thigh folds
- D. Lengthened thigh on the affected side
Correct Answer: C
Rationale: Asymmetric thigh folds is a common finding in DDH.
A nurse is reinforcing discharge teaching with the parent of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent requires a clarification of the teaching?
- A. Sweating can occur with hypoglycemia.
- B. My son might have nausea and vomiting with hypoglycemia.
- C. My son might complain of feeling shaky when he has a low blood glucose level.
- D. The onset of low blood glucose usually occurs rapidly.
Correct Answer: B
Rationale: Nausea and vomiting are typically associated with hyperglycemia and diabetic ketoacidosis (DKA) not hypoglycaemia. Hypoglycaemia usually presents with symptoms like sweating shakiness confusion and hunger.
A nurse is preparing to administer vaccines to a 4-month-old Infant. Which of the following vaccines should the nurse plan to administer?
- A. Rotavirus
- B. Measles
- C. mumps
- D. rubella (MMR)
- E. Varicella (VAR)
- F. Influenza
Correct Answer: A
Rationale: The rotavirus vaccine is recommended for infants at 2 4 and possibly 6 months of age.
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.