Nokea
A nurse is collecting data on a 3-year-old child with eczema in an outpatient center.
- A. "Cover the crib mattress with a plastic cover."'
- B. "Give the child a bubble bath for 20 min each day."'
- C. "Place a humidifier in the child's room."'
- D. "Dress the child in warm wool clothing in cold weather."'
Correct Answer: C
Rationale: The correct answer is C, "Place a humidifier in the child's room." This is because eczema can worsen with dry skin, and a humidifier can help maintain moisture in the air, preventing skin dryness. Choice A is incorrect as a plastic cover can trap heat and sweat, exacerbating eczema. Choice B is incorrect as bubble baths can irritate sensitive skin. Choice D is incorrect as wool clothing can be abrasive and trigger eczema flare-ups.
You may also like to solve these questions
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply).
- A. Heart Rate 154/min
- B. Axillary temperature 96.8 F
- C. Respiratory rate 58/min
- D. Length 43 cm (16.9in)
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D.
1. Heart rate of 154/min is expected in a newborn, indicating normal cardiac function.
2. Axillary temperature of 96.8 F is within the normal range for a newborn.
3. Respiratory rate of 58/min is expected due to the newborn's immature respiratory system.
4. Length of 43 cm (16.9 in) falls within the normal range for a newborn's size.
Incorrect choices are not applicable due to lack of details, but in general, incorrect options would have included values outside the normal range for a newborn's physical assessment.
A nurse is caring for a child with acute glomerulonephritis. The child has edema, hypertension, and gross hematuria. Which of the following is the most appropriate nursing intervention?
- A. Monitor the oxygen saturation every 4 hr.
- B. Teach the parents dietary restrictions regarding protein.
- C. Weigh the child daily and record intake and output.
- D. Counsel the parents about the need for follow-up.
Correct Answer: C
Rationale: The correct answer is C: Weigh the child daily and record intake and output. This intervention is crucial in monitoring fluid balance and kidney function in a child with acute glomerulonephritis. Daily weights help assess for fluid retention, while intake and output measurements help evaluate kidney function. Edema, hypertension, and gross hematuria are key symptoms of this condition, indicating the need for close monitoring.
Choice A is incorrect because monitoring oxygen saturation is not directly related to the management of acute glomerulonephritis. Choice B is also incorrect as dietary restrictions regarding protein are not the priority in this situation. Choice D is incorrect as counseling about follow-up is important but not the most immediate intervention needed.
Which of the following emotional manifestations demonstrates an improvement in a 7-month-old infant diagnosed with nonorganic failure to thrive?
- A. Infant has no fear of strangers.
- B. Infant scans environment with wide-eyed gaze.
- C. Infant is passive and sleeps well.
- D. Infant likes to be held and touched.
Correct Answer: D
Rationale: The correct answer is D: Infant likes to be held and touched. This demonstrates an improvement in the infant's emotional well-being as it shows an attachment behavior, indicating a sense of security and trust. Infants with nonorganic failure to thrive often exhibit social withdrawal and disinterest in physical contact. Choice A is incorrect as it describes a lack of stranger anxiety, which is not necessarily indicative of improvement in this context. Choice B is incorrect as a wide-eyed gaze could indicate vigilance or anxiety rather than positive emotional development. Choice C is incorrect as passivity and good sleep are not specific indicators of emotional improvement. In summary, choice D is the correct answer as it reflects positive emotional progress in the infant's attachment and responsiveness to touch.
A nurse is reinforcing teaching with the parent of a child with a urinary tract infection.
- A. "I will bring my child to the bathroom before we leave for extended trips."'
- B. "I need to switch my child from cotton underwear to nylon underwear."'
- C. "I should teach my child to wipe from back to front after urinating."'
- D. "I will have my child soak in a bubble bath once or twice a week."'
Correct Answer: A
Rationale: Correct Answer: A. "I will bring my child to the bathroom before we leave for extended trips."
Rationale: Bringing the child to the bathroom before extended trips helps prevent urinary stasis and decreases the risk of urinary tract infections by promoting regular voiding. This practice ensures that the bladder is emptied regularly, reducing the chances of bacterial growth. It is important to encourage frequent urination to flush out bacteria and prevent infection.
Summary of other choices:
B: Switching from cotton to nylon underwear can increase moisture retention and promote bacterial growth, leading to an increased risk of urinary tract infections.
C: Teaching a child to wipe from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of urinary tract infections.
D: Soaking in a bubble bath can irritate the urethra and disrupt the natural balance of bacteria in the genital area, potentially leading to urinary tract infections.
A 35-week gestation infant was delivered by forceps. Which assessment findings should alert the nurse to a possible complication of the forceps delivery?
- A. Weak, ineffective suck, and scalp edema
- B. Molding of the head and jitteriness
- C. Shrill, high pitched cry, and tachypnea
- D. Hypothermia and hemoglobin of 12.5 g/dL
Correct Answer: A
Rationale: The correct answer is A: Weak, ineffective suck, and scalp edema. Forceps delivery can cause head trauma leading to facial nerve injury, resulting in weak suck and scalp edema. Molding of the head (choice B) is a normal finding after vaginal birth. Jitteriness (choice B) may be due to immaturity rather than a complication of forceps delivery. A shrill, high-pitched cry and tachypnea (choice C) are more indicative of respiratory distress, not specific to forceps delivery. Hypothermia and hemoglobin of 12.5 g/dL (choice D) are not directly related to complications of forceps delivery.