Nokea
A nurse is reinforcing teaching with the parents of an 8-month-old infant who will be admitted for surgery. Which of the following instructions should the nurse include in the teaching?
- A. You should bring the infant's favorite blanket to the hospital.
- B. You should begin to manipulate the infant's bedtime based on the hospitals visiting hours.
- C. You should read the child a story about hospitalization.
- D. You will need to go home when it is not visiting hours.
Correct Answer: A
Rationale: Bringing the infant's favourite blanket can provide comfort and a sense of security in an unfamiliar hospital environment. It helps the child feel more at ease and can reduce anxiety and stress associated with hospitalization.
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A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?
- A. Ribbon Like
- B. foul-smelling stools
- C. Chronic hunger
- D. Projectile vomiting
- E. Rigid abdomen
Correct Answer: A
Rationale: Hirschsprung disease is characterized by a lack of nerve cells in parts of the colon, leading to obstruction and resulting in narrow ribbon-like stool.
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
- A. Stand above the child's eye level when speaking.
- B. Talk directly into the child's impaired ear.
- C. Speak loudly to the child.
- D. Speak slowly while facing the child.
Correct Answer: D
Rationale: Speaking slowly and facing the child ensures that they can read lips and facial expressions.
A nurse is collecting data from an infant who has a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?
- A. Cyanosis with crying
- B. Weak pulses
- C. Chronic hypoxemia
- D. Machine-like murmur
Correct Answer: D
Rationale: A characteristic feature of PDA is a continuous
A nurse is reinforcing teaching with an assistive personnel (AP) about counting the respiratory rate for a 1-month-old infant. Which of the following statements by the AP indicates an understanding of the teaching?
- A. I will immediately report irregular respirations.
- B. I will immediately report a respiratory rate of 28.
- C. I will count the baby's respirations for 30 seconds and multiply by two.
- D. I will count the baby's respirations by observing abdominal movements.
Correct Answer: D
Rationale: In infants respiration is primarily diaphragmatic making abdominal movements a reliable indicator of respiratory rate.
A nurse is caring for a 2-week old Infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?
- A. SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.
- B. SIDS rates have been rising over the last 10 years.
- C. You should place your baby on her back when sleeping to decrease the risk of SIDS.
- D. Sleep apnea is the main cause of SIDS.
Correct Answer: C
Rationale: Placing a baby on their back to sleep significantly reduces the risk of SIDS.