Nokea
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.
You may also like to solve these questions
A nurse is reinforcing discharge teaching about preventing infections with the parent of a child who is receiving chemotherapy and has a platelet count of 100,000/mm3. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will take my child's rectal temperature daily to ensure the most accurate reading.
- B. I will make sure my child receives the MMR vaccine by the end of the week.
- C. I will take my child to the park to ride her new bike.
- D. I will inspect the inside of my child's mouth for sores every day.
Correct Answer: D
Rationale: Inspecting the mouth for sores detects mucositis early, reducing infection risk. Rectal temperatures, live vaccines like MMR, and park visits increase infection risk during chemotherapy.
A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?
- A. Ask the child to cough deeply.
- B. Ask the child to clear their throat.
- C. Use wall suction to obtain the sample from the child's throat.
- D. Use a bulb syringe to obtain sputum from the child's mouth.
Correct Answer: A
Rationale: Asking the child to cough deeply helps obtain a sputum sample from the lower respiratory tract. Clearing the throat, wall suction, or bulb syringe are less effective or inappropriate methods.
A nurse is collecting data about sleep patterns from the parent of a preschooler during a well-child visit. The parent states, 'My child has nightmares three to four times each week. I hope they grow out of this soon.' Which of the following findings indicates to the nurse that the child is experiencing sleep terrors rather than nightmares?
- A. The child can describe what they were frightened of.
- B. The child usually goes back to sleep immediately.
- C. The child becomes fully awake and is in a panic.
- D. The child is easily comforted by the presence of the parent.
Correct Answer: B
Rationale: Sleep terrors involve partial arousal with no memory and quick return to sleep. Nightmares involve recall, prolonged waking, panic, and easier comforting.
A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?
- A. My child and I will watch TV for 30 minutes before we go to bed.
- B. After my child falls asleep in my bed, I will move them to their bed.
- C. I will allow my child to have a drink of water each night prior to bedtime.
- D. I will allow my child to eat dinner 1 hour before bedtime.
Correct Answer: C
Rationale: Allowing a drink of water before bed supports hydration without stimulating the child, unlike TV watching or eating close to bedtime, which can disrupt sleep. Moving a child after falling asleep may create dependency.
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?
- A. A toddler has a spiral fracture, and the parent reports a fall from a swing.
- B. A preschooler has bruises on the shins, and the parent reports a collision with furniture.
- C. An adolescent has a head injury, and the parent reports a fall from a bike.
- D. A school-age child has a black eye, and the parent reports a fight with a classmate.
Correct Answer: A
Rationale: Spiral fractures in toddlers are concerning for abuse, as they often result from twisting forces not typical in a fall from a swing. Bruises on shins, head injuries from biking, and a black eye from a fight are more consistent with common childhood injuries.