Nokea
After teaching a group of parents about temper tantrums, the nurse knows the teaching has been effective when one of the parents states which of the following?
- A. I will ignore the temper tantrum.
- B. I should pick up the child during the tantrum.
- C. I'll talk to my daughter during the tantrum.
- D. I should put my child in time out.
Correct Answer: A
Rationale: Ignoring temper tantrums reduces attention-seeking behavior and is an effective strategy.
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Which of the following should the nurse assess in a newborn diagnosed with an anorectal malformation? Select all that apply.
- A. Abdominal distension.
- B. Loose stools.
- C. Vomiting.
- D. Meconium in the urine.
- E. Meconium stools.
Correct Answer: A,C,D
Rationale: Anorectal malformations can cause abdominal distension, vomiting, and meconium in the urine due to obstruction or fistulas.
Discharge teaching for a 3-month-old infant with a cardiac defect who is to receive digoxin (Lanoxin) should include which of the following?
- A. Give the medication at regular intervals.
- B. Mix the medication with a small volume of breast milk or formula.
- C. Repeat the dose one time if the child vomits immediately after administration.
- D. Notify the primary care provider of poor feeding or vomiting.
- E. Make up any missed doses as soon as realized.
- F. Notify the primary care provider if more than 2 consecutive doses are missed.
- G. Keep medication in a safe place, preferably a locked cabinet.
Correct Answer: A,C,D,F,G
Rationale: Digoxin requires regular dosing, safe storage, and monitoring for side effects like vomiting or poor feeding. Vomiting doses should not be repeated due to toxicity risks, and missed doses should not be made up.
Which of the following should the nurse include when completing discharge instructions for the parents of a 12-month-old child diagnosed with Kawasaki disease (KD) and being discharged to home?
- A. Offer the child extra fluids every 2 hours for 2 weeks.
- B. Take the child's temperature daily for several days.
- C. Check the child's blood pressure daily until the follow-up appointment.
- D. Call the physician if the irritability lasts for 2 more weeks.
Correct Answer: B
Rationale: Monitoring temperature daily helps detect persistent fever, a sign of ongoing inflammation in Kawasaki disease. Other options are less critical or impractical at home.
The mother tells the nurse that her 8-year-old child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain this behavior is a sign of?
- A. Inadequate parental attention.
- B. Mastery of language ambiguities.
- C. Inappropriate peer influence.
- D. Excessive television watching.
Correct Answer: B
Rationale: Telling jokes and riddles reflects cognitive development and understanding of language nuances.
When obtaining the initial health history from a 10-year-old child with abdominal pain and suspected appendicitis, which of the following questions would be most helpful in eliciting data to help support the diagnosis?
- A. Where did the pain start?
- B. What did you do for the pain?
- C. How often do you have a bowel movement?
- D. Is the pain continuous, or does it let up?
Correct Answer: A
Rationale: Pain starting near the umbilicus and migrating to the right lower quadrant is characteristic of appendicitis.