Nokea
A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media?
- A. Infants are in a supine or prone position most of the time.
- B. Sucking on a nipple creates middle ear pressure.
- C. They have increased susceptibility to upper respiratory tract infections.
- D. The Eustachian tube is short, straight, and wide.
Correct Answer: D
Rationale: An infant's Eustachian tubes are short, wide, and straight, allowing microorganisms easy access to the middle ear.
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A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure?
- A. Restlessness
- B. Sleepiness
- C. Nausea
- D. Anxiety
Correct Answer: B
Rationale: Following a generalized tonic-clonic seizure, the child may have some confusion and may sleep for a time (postictal lethargy) and then return to full consciousness.
What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?
- A. Assist the child to bed and then go for help.
- B. Move objects out of the child's immediate area.
- C. Stick a padded tongue blade between the child's teeth.
- D. Manually restrain the child.
Correct Answer: B
Rationale: During a generalized tonic-clonic seizure, the immediate area is cleared to protect the child from injury.
An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse should call 911?
- A. The seizure lasts more than 5 minutes.
- B. The child is sleepy and lethargic after the seizure.
- C. The child vomited at the onset of the seizure.
- D. The child is confused and has slurred speech after the seizure.
Correct Answer: A
Rationale: If there are multiple seizures or if seizures last more than 5 minutes, call 911 because these are indicators of possible status epilepticus, a medical emergency.
What intervention(s) would the nurse caring for a child with infectious meningitis include? (Select all that apply.)
- A. Isolation precautions
- B. Provision of brightly lit room
- C. Observation for increasing intracranial pressure
- D. Preparation for spinal tap
- E. Seizure precautions
Correct Answer: A,C,D,E
Rationale: All elements of nursing care listed in the options, except a brightly lit room, would be part of comprehensive care of a child with meningitis.
Which aspect(s) of a child's development does the nurse caution parents that hearing impairment can affect? (Select all that apply.)
- A. Speech clarity
- B. Language development
- C. Immunity to disease
- D. Personality development
- E. Academic achievement
Correct Answer: A,B,D,E
Rationale: All the options, except immunity to disease, are areas in which a hearing impairment could interfere with normal development.