A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.)
- A. Maintain strict bed rest.
- B. Consider age.
- C. Assess developmental level.
- D. Implement light play activities.
- E. Provide hypnotic medication as ordered.
Correct Answer: B,C,D
Rationale: Confinement to bed for a child does not always result in physical rest. In pediatrics, 'bed rest' means providing play therapy that promotes minimal activity.
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What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- A. Pancreatic enzymes
- B. Water-soluble minerals
- C. Fat-soluble vitamins
- D. Salt supplements
Correct Answer: A
Rationale: An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce.
What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?
- A. A popsicle
- B. Chocolate milk
- C. Orange juice
- D. Cola drink
Correct Answer: A
Rationale: Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural juices. A popsicle is usually well-tolerated.
The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely. What does the nurse recognize as the cause of these symptoms?
- A. Severe asthma attack
- B. Allergic response to theophylline
- C. Onset of bronchitis
- D. Drug toxicity
Correct Answer: D
Rationale: The symptoms described are the signs of theophylline toxicity.
After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for __ months.
Correct Answer: 9
Rationale: Antiviral medications for RSV can interfere with the immune response to vaccinations, requiring a 9-month delay.
Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?
- A. Provide chest physiotherapy before meals every day.
- B. Assess weight monthly.
- C. Administer pancreas with protein food at mealtime.
- D. Ensure high-protein, high-calorie diet.
Correct Answer: D
Rationale: The maintenance of adequate nutrition is essential. The diet is high in protein and calories.
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