Nokea
A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include?
- A. Maintain medical asepsis during dressing changes.
- B. Administer pain medication 30 min to 1 hour before physical therapy.
- C. Allow the child to set her own schedule for care.
- D. Provide low-calorie snacks.
Correct Answer: B
Rationale: Pain management is crucial to facilitate participation in physical therapy and improve outcomes.
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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 planning care for a child who has epiglottitis. Which of the following actions should the nurse plan to take?
- A. Obtain a throat culture.
- B. Visualize the epiglottis using a tongue depressor.
- C. Initiate airborne precautions.
- D. Prepare the child for a neck X Ray and possible tracheostomy
Correct Answer: D
Rationale: A neck X-ray can help diagnose epiglottitis by showing the characteristic "thumb sign."
A nurse is caring for an 8-year-old child who has sickle cell anemia and is recovering from a vaso-occlusive crisis. Which of the following precautions should the nurse include in the discharge teaching?
- A. Drink eight glasses of fluid daily.
- B. Maintain an updated haemophilus influenza type B immunization.
- C. Assume postural drainage positions every 6 hr.
- D. Avoid playground activities at school.
Correct Answer: A
Rationale: Maintaining hydration is crucial in preventing sickle cell crises as it helps to keep the blood less viscous.
A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?
- A. Modeling clay
- B. Brightly-colored mobile
- C. 100-piece jigsaw puzzle
- D. Checkerboard and checkers
Correct Answer: A
Rationale: Modeling clay is appropriate for a 4-year-old helping with fine motor skills and creativity.
A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
- A. Fruity breath odor
- B. Diaphoresis
- C. Dry mucous membranes
- D. Polyuria
Correct Answer: B
Rationale: Diaphoresis is a common symptom of hypoglycemia due to the activation of the sympathetic nervous system.