Nokea
A school-age child with cystic fibrosis asks the nurse what sports she can become involved in as she becomes older. Which of the following activities would be appropriate for the nurse to suggest?
- A. Swimming.
- B. Track.
- C. Baseball.
- D. Javelin throwing.
Correct Answer: A
Rationale: Swimming is appropriate for a child with cystic fibrosis, as the humid environment minimizes airway irritation, and the activity promotes respiratory muscle strength without excessive strain.
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A 14-year-old girl with sickle cell disease has her fourth hospitalization for sickle cell crisis. Her family is planning a ski vacation in the mountains. What should the nurse tell the parents?
- A. Encourage them to go on the trip.
- B. Go on the trip, but find a sitter for the 14-year-old.
- C. Suggest the trip be postponed until next year.
- D. Explain that the high altitude may cause a crisis.
Correct Answer: D
Rationale: High altitudes reduce oxygen availability, increasing the risk of sickle cell crisis due to hypoxia. This is a critical consideration for the child's safety.
A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?
- A. Administer the correct medication.
- B. Notify the prescribing physician.
- C. Complete an incident report.
- D. Inform the child's parents.
Correct Answer: C
Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.
While caring for a neonate with an imperforate anus, the nurse assesses the neonate's urine output for which of the following?
- A. Meconium.
- B. Blood.
- C. Bile.
- D. Acetone.
Correct Answer: A
Rationale: Meconium in the urine may indicate a rectourinary fistula, a common complication of imperforate anus.
What should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is being treated with naproxen (Naprosyn)?
- A. Anti-inflammatory effect will occur in approximately 8 weeks.
- B. Within 24 hours, the child will have antiinflammatory relief.
- C. The nurse should be called before giving the child any over-the-counter medications.
- D. If a dose is forgotten or missed, that dose is not made up.
Correct Answer: C,D
Rationale: Parents should consult the nurse before giving other medications due to potential interactions, and missed doses should not be doubled to avoid toxicity.
The parents of a child who requires skeletal traction are unable to visit their child for more than one hour a day because of their jobs. The nurse should:
- A. Encourage the parents to spend more time with the child.
- B. Arrange for volunteers or staff to provide companionship.
- C. Suggest the parents adjust their work schedules.
- D. Provide the child with a phone to contact the parents.
Correct Answer: B
Rationale: Arranging companionship helps meet the child's emotional needs when parents are unavailable due to work constraints.