Nokea
A preschool-age child is admitted to the pediatric unit for surgery. The parents request to stay with their child. How should the nurse respond?
- A. Tell the parents they can stay in the hospital but not on the unit
- B. Read the rules and regulations of rooming in with the child
- C. Let the parents know they are allowed to stay with the child
- D. Explain to the parents why they cannot stay with the child
Correct Answer: C
Rationale: The correct response is to let the parents know they are allowed to stay with the child. Allowing parents to stay with the child can help reduce the child's anxiety and provide comfort. Choice A is incorrect as the parents should be encouraged to stay with their child. Choice B is not the immediate response the nurse should provide. Choice D is inappropriate as it does not address the benefits and importance of parental presence for the child's well-being during hospitalization.
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After a 7-year-old with acute diarrhea has been rehydrated with oral rehydration solutions, what type of diet should the nurse recommend following rehydration?
- A. Regular diet
- B. Fruit juices
- C. High carbohydrate diet
- D. BRAT diet (bananas, rice, apples, and toast or tea)
Correct Answer: A
Rationale: After rehydration, a regular diet is generally recommended to ensure proper nutrition and recovery. A regular diet includes a balanced intake of all food groups and nutrients. Fruit juices may be too high in simple sugars and lack necessary nutrients, which can exacerbate diarrhea. While a high carbohydrate diet may be beneficial in some cases, a regular diet is more comprehensive. The BRAT diet, consisting of bananas, rice, apples, and toast or tea, was previously recommended for diarrhea, but it lacks adequate protein and fat, so a regular diet is now preferred for overall better nutrition and recovery.
The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education?
- A. When my child counts numbers, it is only to 10 and we are slowly working on counting higher.
- B. I am glad to know that my 4-year-old child asking so many questions is normal.
- C. Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that.
- D. My child is finally talking in a way that most of my friends can understand her speech.
Correct Answer: C
Rationale: The correct answer is C. By age 5, children should be able to state their name and address. If a child cannot do this, it may indicate a developmental delay that requires further assessment. Choices A, B, and D do not indicate a need for further education as they reflect typical developmental milestones for preschool-age children, such as gradually improving counting skills, asking many questions, and improving speech clarity over time.
An appropriate method for administering oral medications that are bitter to an infant or small child should be to mix them with which?
- A. Bottle of formula or milk
- B. Any food the child is going to eat
- C. One teaspoon of something sweet-tasting such as jam
- D. Carbonated beverage, which is then poured over crushed ice
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In general, how much is a child that was 10 pounds at birth expected to weigh at 6 months old?
- A. Double = 20 lbs
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is an approximate method of estimating output for a child who is not toilet trained?
- A. Have parents estimate output.
- B. Weigh diapers after each void.
- C. Place a urine collection device on the child.
- D. Have the child sit on a potty chair 30 minutes after eating.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.