Nokea
After teaching the parents of a child with lactose intolerance about the disorder, the nurse determines that the teaching was effective when the mother describes the condition?
- A. The lack of an enzyme to break down lactose.
- B. An allergy to lactose found in milk.
- C. Inability to digest proteins completely.
- D. Inability to digest fats completely.
Correct Answer: A
Rationale: Lactose intolerance is due to lactase deficiency, causing lactose maldigestion. It is not an allergy or a protein/fat digestion issue.
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When developing the plan of care for a child with cystic fibrosis (CF) who is scheduled to receive postural drainage, the nurse should anticipate performing postural drainage at which of the following times?
- A. After meals.
- B. Before meals.
- C. After rest periods.
- D. Before inhalation treatments.
Correct Answer: B
Rationale: Postural drainage should be performed before meals to avoid discomfort and reduce the risk of vomiting, as it involves positioning to facilitate mucus clearance.
During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is a new needed finding?
- A. Diffuse tenderness.
- B. Decreased pain.
- C. Increased warmth.
- D. Localized edema.
Correct Answer: C
Rationale: Increased warmth is a key sign of osteomyelitis, indicating inflammation and possible infection in the affected bone.
While assessing a preschooler brought by her parents to the emergency department after ingestion of kerosene, the nurse should be alert for which of the following?
- A. Uremia.
- B. Hepatitis.
- C. Carditis.
- D. Pneumonitis.
Correct Answer: D
Rationale: Kerosene ingestion often causes chemical pneumonitis due to aspiration risk. Uremia, hepatitis, and carditis are not common complications.
When developing the teaching plan about illness for the mother of a preschooler, which of the following should the nurse include about how a preschooler perceives illness?
- A. A necessary part of life.
- B. A test of self-worth.
- C. A punishment for wrongdoing.
- D. The will of God.
Correct Answer: C
Rationale: Preschoolers often view illness as punishment for bad behavior due to magical thinking.
After reading the vaccine information sheets, the parent of a 2-month-old infant is hesitant to consent to the recommended vaccinations. The nurse should first ask the parent:
- A. Did you know that vaccinations are required by law for school entry?
- B. What personal beliefs or safety concerns do you have about vaccinations?
- C. Would you prefer that fewer vaccines are given at a time?
- D. Can you please sign this vaccine waiver form?
Correct Answer: B
Rationale: Addressing the parent's specific concerns fosters trust and encourages informed decision-making.