A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?
- A. My child will be constipated if they drink more than 6 ounces of juice a day.
- B. My child's intake of calcium should average 500 milligrams every day.
- C. My child should consume 1,500 to 1,800 calories each day by the time they turn 2.
- D. My child's appetite will increase suddenly when they turn 18 months old.
Correct Answer: B
Rationale: A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Excessive juice does not cause constipation but can reduce appetite for other foods. Toddlers need approximately 1,000 to 1,300 calories per day, so 1,500-1,800 calories is excessive. There is no specific age-related sudden appetite increase at 18 months.
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A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct Answer: A
Rationale: Pertussis spreads via respiratory droplets, requiring droplet precautions. Contact precautions are for direct contact diseases, airborne for smaller particles like TB, and protective precautions are for immunocompromised patients.
A nurse is reviewing the medical records of several children in an outpatient clinic. The nurse should identify that which of the following infections is included on the list of nationally notifiable conditions?
- A. Scarlet fever
- B. Rotavirus
- C. Erythema infectiosum (Fifth disease)
- D. Pertussis
Correct Answer: D
Rationale: Pertussis is nationally notifiable for public health surveillance. Scarlet fever, rotavirus, and fifth disease are not typically required to be reported.
A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with diabetes mellitus. Which of the following guidelines should the nurse include?
- A. Your child should increase carbohydrate intake when sick.
- B. You should omit your child's bedtime snack.
- C. Your child's meal plan should consist mainly of proteins.
- D. Your child's meal plan should include a snack before physical activity.
Correct Answer: D
Rationale: A snack before activity prevents hypoglycemia. Increased carbs when sick requires guidance, bedtime snacks prevent overnight lows, and meals should balance nutrients, not focus on proteins.
A nurse is assisting with the care of an infant who is postoperative following surgical repair of a cleft lip and palate. Which of the following action should the nurse plan to take?
- A. Gently rub betadine on the infant's incisions to prevent infection.
- B. Place the infant in a prone position for 1 hr to facilitate drainage of secretions.
- C. Weigh the infant once each day using the same scale.
- D. Suction the infant's nose and mouth using an in-line device on the lowest setting.
Correct Answer: C
Rationale: Daily weighing monitors fluid status post-surgery. Betadine risks irritation, prone positioning may obstruct airways, and suctioning could harm the surgical site.
A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following medications should the nurse administer first?
- A. Heliox via inhalation
- B. Albuterol via nebulizer
- C. Prednisone by mouth
- D. 0.9% sodium chloride via IV bolus
Correct Answer: B
Rationale: Albuterol rapidly relieves bronchospasm in status asthmaticus. Heliox, prednisone, and saline are secondary or not indicated as first-line treatments.
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