Nokea
A nurse is planning an initial home care visit to a mother who gave birth to a high-risk infant. For what time of day should the nurse schedule the visit for it to be most productive?
- A. When the husband is out of the home.
- B. At a time when the mother is feeding the infant.
- C. At a time that is convenient for the family.
- D. When the nurse can spend time with the family.
Correct Answer: C
Rationale: Scheduling the visit at a time that is convenient for the family is the most appropriate choice. This ensures that the family is receptive and available, making the visit more productive. Choice A is incorrect because the presence of the husband may be important for support and decision-making. Choice B focuses solely on the mother and the infant's feeding time, which may not align with the family's overall availability. Choice D is incorrect as it emphasizes the nurse's convenience rather than the family's, which may not lead to an effective visit.
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A child has undergone surgery using steel bar placement to correct pectus excavatum. What position would the nurse instruct the parents to avoid?
- A. Semi-Fowler
- B. Supine
- C. High Fowler
- D. Side-lying
Correct Answer: D
Rationale: The correct answer is D: Side-lying. After surgery using steel bar placement to correct pectus excavatum, the nurse should instruct the parents to avoid placing the child in a side-lying position. This position should be avoided to prevent displacement of the steel bar. Choices A, B, and C are incorrect. Semi-Fowler, Supine, and High Fowler positions are generally safe and commonly used in postoperative care, but in this specific case, side-lying should be avoided to ensure the effectiveness of the surgical correction.
.A child with type 1 diabetes mellitus is being discharged from the hospital. What is important for the nurse to include in the discharge teaching?
- A. Monitor blood glucose levels once a day
- B. Follow a strict meal plan
- C. Administer insulin only when blood glucose is high
- D. Recognize signs of hypoglycemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assessing a family to determine if they have access to adequate health care. Which statement accurately describes how certain families are affected by common barriers to health care?
- A. After a decade of escalation, the percentage of children living in low-income families has been on the decline since 2000.
- B. White, non-Hispanic children overall are more likely than African American and Hispanic children to be in very good or excellent health.
- C. The proportion of children between the ages of 6 and 18 who are overweight is decreasing, but a large increase is occurring in African American females.
- D. The overall health care plan of working families may improve access to specialty care but limit access to preventive services.
Correct Answer: B
Rationale: Choice B is the correct answer because it accurately states that White, non-Hispanic children are more likely to be in very good or excellent health compared to African American and Hispanic children. This reflects a disparity in health outcomes among different racial groups. Choices A, C, and D are incorrect. Choice A is unrelated to the impact of common barriers to health care on families. Choice C talks about overweight children but does not address access to health care. Choice D discusses the impact of the overall health care plan on working families but does not specifically address the disparity in health status among different racial groups.
A nurse is assessing a child with suspected pertussis. What clinical manifestation is the nurse likely to observe?
- A. Dry, hacking cough
- B. Inspiratory stridor
- C. Nasal congestion
- D. Severe coughing spells
Correct Answer: D
Rationale: The correct answer is D: Severe coughing spells. Pertussis, also known as whooping cough, typically presents with severe coughing spells that can be followed by a characteristic 'whoop' sound. These coughing fits can be intense and prolonged, often causing the child to gasp for air between coughs. Option A, dry hacking cough, is a common symptom of other respiratory conditions like bronchitis. Option B, inspiratory stridor, is more commonly associated with conditions like croup. Option C, nasal congestion, is not a typical symptom of pertussis.
A 2-week-old infant is admitted with a tentative diagnosis of a ventricular septal defect. The parents report that their baby has had difficulty feeding since coming home after birth. What should the nurse consider before responding?
- A. Feeding problems are common in neonates.
- B. Inadequate sucking is not significant in the absence of cyanosis.
- C. Ineffective sucking and swallowing may be early indications of a heart defect.
- D. Many neonates retain mucus, which may interfere with feeding for several weeks.
Correct Answer: C
Rationale: In this scenario, the nurse should consider that ineffective sucking and swallowing in a 2-week-old infant could be early signs of a heart defect such as a ventricular septal defect. This is crucial information as it can guide further assessment and management. Choice A is incorrect because while feeding problems can be common in neonates, in this case, the specific context of a suspected heart defect should be prioritized. Choice B is incorrect as inadequate sucking can indeed be significant, especially when considering potential underlying heart issues, regardless of the presence of cyanosis. Choice D is incorrect as while mucus retention can affect feeding, in this case, the focus should be on the possibility of a heart defect rather than a temporary issue like mucus interference.