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After teaching the parents about the urethral catheter placed after surgical repair of their son's hypospadias, the nurse determines that the teaching was successful when the mother states that the catheter in her child's penis accomplishes which of the following?
- A. Decreases pain at the surgical site.
- B. Keeps the new urethra from closing.
- C. Measures his urine correctly.
- D. Prevents bladder spasms.
Correct Answer: B
Rationale: The catheter keeps the urethra open.
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A 7-year-old child with a history of asthma controlled without medications is referred to the school nurse by the teacher because of persistent coughing. Which of the following should the nurse do first?
- A. Obtain the child's heart rate.
- B. Give the child a nebulizer treatment.
- C. Call a parent to obtain more information.
- D. Have a parent come and pick up the child.
Correct Answer: C
Rationale: Calling a parent to obtain more information is the first step to clarify the child's asthma history, recent symptoms, and any prescribed medications, ensuring appropriate management of the persistent coughing.
The charge nurse finds the mother of a child with a chronic bladder condition requiring clean intermittent catheterization (CIC) visibly upset. The mother states, "That other nurse said parents are not allowed to perform CIC in the hospital because of increased infection risk." The charge nurse should tell the parent:
- A. Your child is exposed to additional bacterial in the hospital that makes CIC unsafe.
- B. You can catheterize your child as long as you use sterile technique.
- C. You can use CIC on your child. I will talk with your nurse to clarify the policy.
- D. I can tell you are having a conflict with this nurse. I will switch assignments.
Correct Answer: C
Rationale: Clarifying policies supports parental involvement.
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 11-year-old child has been diagnosed with Grave's disease and is to start drug therapy. Which of the following instructions should be included in the teaching plan for the child's mother and teacher?
- A. Continue with the same amount of schoolwork and homework.
- B. Understand that mood swings are rare with this disorder.
- C. Limit the amount of food that is offered to the child.
- D. Provide the child with a calm, nonstimulating environment.
Correct Answer: D
Rationale: A calm environment reduces stress and exacerbation of hyperthyroidism symptoms like anxiety. Schoolwork may need adjustment, mood swings are common, and food restriction is unnecessary.
Laboratory findings indicate that a child with leukemia is also anemic. The nurse interprets this finding as most likely resulting from which of the following?
- A. Inadequate dietary folic acid intake.
- B. Decreased red blood cell production.
- C. Increased destruction of red blood cells by lymphocytes.
- D. Progressive replacement of bone marrow with scar tissue.
Correct Answer: B
Rationale: Leukemia crowds out bone marrow, reducing red blood cell production, causing anemia. Other causes are less likely.