Nokea
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.
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A nurse is reinforcing teaching with the parents of a preschooler who has atopic dermatitis. Which of the following information should the nurse include?
- A. You will need to take the entire prescription of antibiotics even if your symptoms improve.
- B. The doctor will remove the lesions with liquid nitrogen.
- C. The doctor might recommend an antihistamine to help control your symptoms.
- D. You can relieve your child's discomfort by applying warm compresses to the lesions.
Correct Answer: C
Rationale: Antihistamines can help reduce itching and provide relief which is a common symptom of atopic dermatitis.
An adolescent was recently diagnosed with acne vulgaris and was prescribed tetracycline. Which of the following statements indicates that the client requires further education?
- A. I'll take this medication at least an hour before I eat a meal
- B. I'll take this medication with a full glass of milk
- C. I'll take this medication with a full glass of water on an empty stomach
- D. I'll stay out of direct sunlight while taking this medication
Correct Answer: B
Rationale: Tetracycline should not be taken with dairy products including milk because calcium in dairy can bind to the antibiotic and significantly reduce its absorption.
A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?
- A. Give her acetaminophen, not aspirin.
- B. You'll have to call your physician.
- C. Follow the directions on the aspirin bottle for her age and weight.
- D. Give her no more than three baby aspirin every 4 hours.
Correct Answer: A
Rationale: Acetaminophen is commonly recommended for treating fever in children as it is safer and does not carry the risk of Reye's syndrome.
A nurse is caring for an Infant who has spina bifida. Which of the following actions should the nurse take?
- A. Perform range-of-motion (ROM) exercises to the infant's hips.
- B. Place the infant in a prone position.
- C. Feed the infant through an NG tube.
- D. Cover the infant's lesion with a dry cloth.
Correct Answer: B
Rationale: This helps prevent pressure on the spina bifida lesion and minimizes the risk of injury or infection.
A nurse is collecting data from an infant who has a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?
- A. Cyanosis with crying
- B. Weak pulses
- C. Chronic hypoxemia
- D. Machine-like murmur
Correct Answer: D
Rationale: A characteristic feature of PDA is a continuous