Nokea
The child has asthma.
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will give this medication to my child every 2 hours if he is wheezing.
- B. I will give this medication to my child once daily in the evening.
- C. I can stop giving my child this medication if he is taking a steroid.
- D. It takes 2 months of scheduled use before this medication is effective.
Correct Answer: B
Rationale: Montelukast is taken once daily in the evening for asthma prevention.
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A nurse is collecting data from a 4-month-old infant at a well-child visit. For which of the following findings should the nurse notify the provider?
- A. Moves objects to mouth
- B. Anterior fontanel closed
- C. Rolls from back to abdomen
- D. Posterior fontanel closed
Correct Answer: B
Rationale: Anterior fontanel closure before 12-18 months may indicate abnormal development.
The client delivered a newborn by cesarean birth 1 day ago.
A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?
- A. You can apply counterpressure to your back with each position change.
- B. You should change positions as little as possible.
- C. You can splint the incision with a pillow when changing positions.
- D. You should use patterned-paced breathing when changing positions.
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during movement.
A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?
- A. The client fell because the assistive personnel did not place nonskid slippers on the client.
- B. Client stated, 'I lost my balance and fell when I got out of bed to go to the bathroom.'
- C. An incident report has been completed and sent to risk management.
- D. The client does not appear to have any injuries resulting from the fall.
Correct Answer: B
Rationale: Quoting the client's statement provides an objective account of the event.
A nurse is contributing to the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include?
- A. Monitor the client for 1 hr after meals.
- B. Weigh the client every 2 days.
- C. Check the client's vital signs two times per week.
- D. Allow the client 2 hr to finish meals.
Correct Answer: A
Rationale: Monitoring for 1 hour after meals prevents purging, a key intervention for anorexia.
A nurse is caring for a preschooler who recently experienced the death of a parent. Which of the following findings should the nurse identify as consistent with this age group?
- A. Believes the death is punishment for bad behavior
- B. Understands that everyone dies eventually
- C. Recognizes the parent will never wake up
- D. Expresses curiosity about the funeral service
Correct Answer: A
Rationale: Preschoolers often view death as punishment due to magical thinking.