Nokea
After the nurse teaches the mother of a child with atopic dermatitis how to bathe her child, which of the following statements by the mother indicates effective teaching?
- A. I let my child play in the tub for 30 minutes every night.
- B. I would loves the bubble bath I put in the tub.
- C. When my child gets out of the tub I just pat the skin dry.
- D. I make sure my child has a bath every night.
Correct Answer: C
Rationale: Patting the skin dry prevents irritation and maintains skin integrity in atopic dermatitis. Prolonged baths, bubble baths, and daily bathing can exacerbate dryness and irritation.
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The mother asks the nurse about using a car seat for her toddler who is in a hip spica cast. The nurse should tell the mother:
- A. You can use a seat belt because of the spica cast.'
- B. You will need a specially designed car seat for your toddler.'
- C. You can still use the car seat you already have.'
- D. You'll need to get a special release from the police so that a car seat won't be needed.'
Correct Answer: B
Rationale: A specially designed car seat is required to accommodate the hip spica cast and ensure safety during transport.
A nurse evaluates discharge teaching as successful when the parents of a school-age child with a ventriculoperitoneal shunt insertion identify which sign as signaling a blocked shunt?
- A. Decreased urine output with stable intake.
- B. Tense fontanel and increased head circumference.
- C. Elevated temperature and reddened incisional site.
- D. Irritability and increasing difficulty with eating.
Correct Answer: D
Rationale: Irritability and difficulty eating are early signs of shunt blockage due to increased intracranial pressure, which parents should recognize for timely intervention.
When teaching the parents of an older infant with cystic fibrosis (CF) about the type of diet the child should consume, which of the following would be appropriate?
- A. Low-protein diet.
- B. High-fat diet.
- C. Low-carbohydrate diet.
- D. High-calorie diet.
Correct Answer: D
Rationale: A high-calorie diet is appropriate for an infant with cystic fibrosis to meet increased energy needs due to malabsorption and chronic respiratory issues.
A child with a known seizure disorder is hospitalized for an appendectomy. While assisting the child back from the restroom, the child begins tonic-clonic movements. The nurse should take which actions in order of priority from first to last?
- A. Note the time.
- B. Clear the area of potentially harmful objects and pad the head.
- C. Ease the child to the floor.
- D. Roll the child to the side.
Correct Answer: C,B,D,A
Rationale: Easing the child to the floor prevents injury, clearing objects and padding the head ensures safety, rolling to the side maintains airway, and noting the time tracks seizure duration.
When the infant returns to the unit after imperforate anus repair, the nurse should place the infant in which of the following positions?
- A. On the abdomen, with legs pulled up under the body.
- B. On the back, with legs extended straight out.
- C. Lying on the side with the hips elevated.
- D. Lying on the back in a position of comfort.
Correct Answer: C
Rationale: Lying on the side with hips elevated minimizes pressure on the surgical site and promotes healing.