Nokea
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.
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A 9-month-old is admitted because of dehydration. How should the nurse go about accurately monitoring fluid intake and output? Select all that apply.
- A. Weighing and recording all wet diapers.
- B. Obtaining a urine specific gravity measure.
- C. Obtaining an accurate daily weight.
- D. Restricting fluids prior to weighing the child.
- E. Obtaining an accurate stool count.
Correct Answer: A,C,E
Rationale: Weighing diapers, daily weights, and stool counts accurately track fluid balance.
A school-age child who has received burns over 60% of his body is to receive 2,000 mL of I.V. fluid over the next 8 hours. At what rate (in milliliters per hour) should the nurse set the infusion pump?
Correct Answer: 250
Rationale: Dividing 2,000 mL by 8 hours yields 250 mL/hour. This ensures fluid resuscitation meets burn protocol (e.g., Parkland formula) to maintain hemodynamic stability.
When developing the plan of care for a school-age child with a suspected diagnosis of appendicitis who is complaining of severe abdominal pain, which of the following measures should the nurse expect to include in the child's plan of care?
- A. Application of a heating pad.
- B. Insertion of a rectal tube.
- C. Application of an ice bag.
- D. Administration of an intravenous narcotic.
Correct Answer: C,D
Rationale: Ice and narcotics relieve pain without risking perforation, unlike heat or rectal tubes.
When developing the plan of care for a toddler who has taken an acetaminophen overdose, which of the following should the nurse expect to include as part of the initial treatment?
- A. Frequent blood level determinations.
- B. Gastric lavage.
- C. Tracheostomy.
- D. Electrocardiogram.
Correct Answer: A
Rationale: Frequent blood level monitoring guides acetylcysteine therapy. Gastric lavage is less effective than charcoal, and tracheostomy or ECG are not typically needed unless complications arise.
A 12-year-old with leukemia will be taking vincristine. The nurse should encourage the child to eat what kind of diet?
- A. High-residue.
- B. Low-residue.
- C. Low-fat.
- D. High-calorie.
Correct Answer: D
Rationale: A high-calorie diet supports energy needs during leukemia treatment, especially with vincristine, which doesn't require dietary restrictions.