A school-age child is 2 hours postoperative following a tonsillectomy. Which of the following actions should the nurse include in the plan of care?
- A. Place a heating pad at the surgical site.
- B. Encourage the child to cough every 2 hours.
- C. Administer analgesics to the child on a regular schedule.
- D. Apply an ice collar to the child's neck.
Correct Answer: D
Rationale: After a tonsillectomy, applying an ice collar to the child's neck helps decrease pain and swelling. Heat should be avoided as it can increase bleeding. Encouraging coughing may increase the risk of bleeding. Administering analgesics on a regular schedule is essential for pain management, but the immediate postoperative period may require additional interventions like ice collar application.
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Epstein-Barr virus (EBV) infection is more likely to be associated with all the following malignancies EXCEPT
- A. Burkitt lymphoma
- B. nasopharyngeal T-cell lymphoma
- C. carcinoma
- D. Hodgkin lymphoma
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Upper respiratory infections (URI) in children may increase the risk of reactive airway disease. Which of the following is NOT a typical feature of URI?
- A. Fever
- B. Clear rhinorrhea
- C. Injected sclerae
- D. Productive cough
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
- A. skin
- B. ear
- C. bone
- D. middle nodes
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is caring for a child on bed rest who has severe edema in the left lower extremity due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
- A. Risk for Impaired Skin Integrity
- B. Risk for Altered Body Image
- C. Risk for Imbalanced Nutrition: Less Than Body Requirements
- D. Risk for Activity Intolerance
Correct Answer: A
Rationale: The priority nursing diagnosis in this scenario is 'Risk for Impaired Skin Integrity' because severe edema in the left lower extremity can lead to compromised circulation and pressure ulcers, increasing the risk of skin breakdown and infection. Addressing and preventing impaired skin integrity is crucial for the child's overall health and well-being.
The body mass index (screening tool for children and adolescents to identify those overweight or at risk for being overweight) is defined as
- A. body weight in pounds divided by height in inches
- B. body weight in kilograms divided by height in meters squared
- C. body weight in grams divided by height in centimeters squared
- D. body weight in kilograms multiplied by height in meters squared
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.