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After teaching the family of a child with scoliosis who wears a Boston brace, which of the following activities, if stated by the child and family as occasions appropriate for removal of the brace, indicates successful teaching?
- A. When bathing, for about 1 hour per day.
- B. While eating, for a total of 3 hours a day.
- C. During school, for about 8 hours a day.
- D. When sleeping, for a total of 10 hours a day.
Correct Answer: A
Rationale: The Boston brace can be removed for short periods, such as during bathing, typically limited to about 1 hour per day, to maintain treatment efficacy.
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The nurse discusses the eating habits of school-age children with their parents, explaining that these habits are most influenced by:
- A. Food preferences of their peers.
- B. Smell and appearance of foods offered.
- C. Examples provided by parents at mealtimes.
- D. Parental encouragement to eat nutritious foods.
Correct Answer: C
Rationale: Parental modeling during meals strongly influences children's eating habits.
Which of the following assessments would be most important for the nurse to make initially in a school-age child being seen in the clinic who has a sore throat, muscle tenderness, arms feeling weak, and generally is not feeling well?
- A. Difficulty swallowing.
- B. Recent history of viral infection.
- C. Presence of fever.
- D. History of recent trauma.
Correct Answer: A
Rationale: Difficulty swallowing indicates potential cranial nerve involvement, a critical early sign in Guillain-Barré syndrome, requiring immediate attention.
When developing a teaching plan for the parents of a child with Down syndrome, the nurse focuses on activities to increase which of the following for the parents?
- A. Affection for their child.
- B. Responsibility for their child's welfare.
- C. Understanding of their child's disability.
- D. Confidence in their ability to care for their child.
Correct Answer: D
Rationale: Building parental confidence empowers them to manage their child's needs effectively, fostering positive outcomes.
An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When initially discussing the diagnosis and treatment with the parents, which of the following would be most appropriate?
- A. Assessing the adequacy of their coping skills.
- B. Reassuring them that their child will be fine.
- C. Encouraging them to ask questions.
- D. Giving them printed material on the procedure.
Correct Answer: C
Rationale: Encouraging questions promotes understanding and engagement with the treatment plan.
A nurse is teaching parents of a child with PKU about dietary management. Which instruction is most important?
- A. Avoid all fruits and vegetables.
- B. Monitor phenylalanine levels regularly.
- C. Use high-protein supplements.
- D. Limit water intake.
Correct Answer: B
Rationale: Regular monitoring of phenylalanine levels ensures dietary compliance and prevents toxicity. Fruits and vegetables are allowed, high-protein foods are avoided, and water restriction is unnecessary.