Nokea
After teaching the mother of a 2-year-old child with lactose intolerance about which dairy products to include in the child's diet, which of the following if stated by the mother indicates effective teaching?
- A. Ice cream.
- B. Creamed soups.
- C. Pudding.
- D. Cheese.
Correct Answer: D
Rationale: Hard cheeses (e.g., cheddar) are low in lactose and often tolerated. Ice cream, creamed soups, and pudding have high lactose content, causing symptoms.
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The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?
- A. My son will probably be unable to walk independently by the time he is 9 to 11 years old.'
- B. Muscle relaxants are effective for some children; I hope they can help my son.'
- C. When my son is a little older, he can have surgery to improve his ability to walk.'
- D. I need to help my son be as active as possible to prevent progression of the disease.'
Correct Answer: A
Rationale: Children with Duchenne's muscular dystrophy typically lose the ability to walk independently by ages 9 to 11 due to progressive muscle weakness.
When developing the discharge teaching plan for a child with chronic renal failure and the family, the nurse should emphasize restriction of which of the following nutrients?
- A. Ascorbic acid.
- B. Calcium.
- C. Magnesium.
- D. Phosphorus.
Correct Answer: D
Rationale: Phosphorus restriction is important.
The nurse is assessing a child with sickle cell disease during a routine clinic visit. Which finding requires immediate follow-up by the nurse?
- A. Pallor of the nail beds and mucous membranes.
- B. A heart rate of 88 beats per minute.
- C. Intact and equal bilateral peripheral pulses.
- D. Normal vision and hearing reported by the parents.
Correct Answer: A
Rationale: Pallor of nail beds and mucous membranes indicates anemia or poor perfusion, a serious concern in sickle cell disease requiring immediate follow-up.
The mother of a toilet-trained toddler who was admitted to the hospital for severe gastroenteritis and subsequent dehydration and is now at home asks the nurse why the child still wets the bed. Which of the following should be the nurse's best response?
- A. Hospitalization is a traumatic experience for children, regression is common and it takes time for them to return to their former behavior.
- B. The stress of hospitalization is hard for many children, but usually they have no problems when they return home.
- C. After returning home from being hospitalized, children still feel they should be the center of attention.
- D. Children do not feel comfortable in their home surroundings once they return home from being hospitalized.
Correct Answer: A
Rationale: Regression, like bedwetting, is common after hospitalization due to stress.
A mother states that she thinks her 9-month-old 'is developing slowly.' When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?
- A. Vocalizing single syllables.
- B. Standing alone.
- C. Building a tower of two cubes.
- D. Drinking from a cup with little spilling.
Correct Answer: C
Rationale: Building a tower of two cubes is expected by 9 months; failure to do so suggests developmental delay.