Nokea
A nurse is teaching the family of an 8-year-old boy with acute lymphocytic leukemia about appropriate activities. Which of the following activities should the nurse recommend?
- A. Home schooling.
- B. Restriction from participating in athletic activities.
- C. Avoiding trips to the shopping mall.
- D. Being treated as 'normal' as much as possible.
Correct Answer: D
Rationale: Normal activities promote psychological well-being in leukemia, with precautions for infection and bleeding risks.
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When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do?
- A. Ride a tricycle.
- B. Tie his shoelaces.
- C. Kick a ball forward.
- D. Use blunt scissors.
Correct Answer: C
Rationale: Kicking a ball forward is a gross motor skill expected at 2 years.
An adolescent girl with a seizure disorder controlled with phenytoin (Dilantin) and carbamazepine (Tegretol) asks the nurse about getting married and having children. Which of the following responses by the nurse would be most appropriate?
- A. You probably shouldn't consider having children until your seizures are cured.'
- B. Your children won't necessarily have an increased risk of seizure disorder.'
- C. When you decide to have children, talk to the doctor about changing your medication.'
- D. Women with seizure disorders commonly have a difficult time conceiving.'
Correct Answer: C
Rationale: Consulting a doctor about medication adjustments before pregnancy ensures safety for mother and fetus, addressing teratogenic risks.
When assessing a 4-month-old infant diagnosed with possible intussusception, the nurse should expect the mother to relate which of the following about the infant's crying and episodes of pain?
- A. Constant accompanied by leg extension.
- B. Intermittent with knees drawn to the chest.
- C. Shrill during ingestion of solids.
- D. Intermittent while being held in the mother's arms.
Correct Answer: B
Rationale: Intussusception causes intermittent pain with knees drawn to the chest due to bowel obstruction.
Which intervention should the nurse prioritize for an infant with failure to thrive?
- A. Administer IV fluids.
- B. Establish a feeding schedule.
- C. Order a developmental evaluation.
- D. Increase room temperature.
Correct Answer: B
Rationale: A consistent feeding schedule addresses poor intake, promoting weight gain. IV fluids are for acute dehydration, developmental evaluation is secondary, and room temperature is less relevant.
The mother of a toilet-trained toddler who was admitted to the hospital for severe gastroenteritis and subsequent dehydration and is now at home asks the nurse why the child still wets the bed. Which of the following should be the nurse's best response?
- A. Hospitalization is a traumatic experience for children, regression is common and it takes time for them to return to their former behavior.
- B. The stress of hospitalization is hard for many children, but usually they have no problems when they return home.
- C. After returning home from being hospitalized, children still feel they should be the center of attention.
- D. Children do not feel comfortable in their home surroundings once they return home from being hospitalized.
Correct Answer: A
Rationale: Regression, like bedwetting, is common after hospitalization due to stress.