A parent of a 2-month-old infant, who was treated for pyloric stenosis, is receiving discharge instructions from a healthcare provider. Which statement by the parent indicates a need for further teaching?
- A. We will burp our baby more frequently during feedings
- B. We should feed our baby in an upright position
- C. We will lay our baby on their stomach after feeding
- D. We will start feeding our baby with small, frequent feedings
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What advice should be provided by the practical nurse to the mother of a school-age child with acute diarrhea and mild dehydration who is occasionally vomiting despite being given an oral rehydration solution (ORS)?
- A. Continue to give ORS frequently in small amounts.
- B. Alternate between ORS and carbonated beverages.
- C. Take the child to the hospital for intravenous fluids.
- D. Place the child NPO for the next eight to nine hours.
Correct Answer: A
Rationale: The practical nurse should advise the mother to continue providing the oral rehydration solution (ORS) frequently in small amounts. It is essential to continue ORS administration to prevent dehydration, even if the child is occasionally vomiting. Small, frequent amounts of ORS help maintain hydration levels in children with acute diarrhea and mild dehydration.
When assessing a child with suspected meningitis, which finding is a characteristic sign of meningitis?
- A. High-pitched cry
- B. Tachycardia
- C. Photophobia
- D. Hypotension
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a routine assessment of a 3-year-old at a community health center, the healthcare professional should be alert for signs of autism spectrum disorder. Which behavior by the child should prompt further evaluation for a possible autistic spectrum disorder?
- A. Engages in odd repetitive behaviors
- B. Shows indifference to verbal stimulation
- C. Strokes the hair of a hand-held doll
- D. Has a history of temper tantrums
Correct Answer: A
Rationale: Engaging in odd repetitive behaviors is a hallmark sign of autism spectrum disorder in children. These behaviors can include repetitive movements, insistence on sameness, or specific routines. Recognizing and addressing these behaviors early can help in providing appropriate interventions and support for the child.
When instilling ear drops in a 2-year-old child, how should the practical nurse (PN) position the earlobe to straighten the external auditory canal?
- A. Up and back.
- B. Down and back.
- C. Up and forward.
- D. Down and forward.
Correct Answer: B
Rationale: When administering ear drops to a child under three years old, it is essential to pull the earlobe down and back. This positioning helps straighten the external auditory canal, facilitating the proper administration of the ear drops. Pulling the earlobe down and back in young children aims to ensure that the medication reaches the intended area for optimal effectiveness.
Why is honest information important in building a trusting relationship with adolescent patients?
- A. Encourage the adolescent to seek help outside of the school clinic.
- B. Keep disclosures from the adolescent confidential.
- C. Honest information ensures establishing a trusting relationship.
- D. Discourage minor adolescents from disclosing private concerns.
Correct Answer: C
Rationale: Honesty is fundamental in building trust with adolescent patients as it helps create an environment where they feel safe to share their concerns openly. By being honest and maintaining confidentiality, healthcare providers can establish a strong and trusting relationship with adolescents, ultimately leading to better healthcare outcomes.