Nokea
An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested. What is the first action the nurse should take?
- A. Wait for the childs parents to arrive.
- B. Move the child out of the parking lot.
- C. Have someone notify the emergency medical services (EMS) system.
- D. Help the child stand to return to play.
Correct Answer: C
Rationale: Activating EMS is critical for a child unable to move extremities post-collision, indicating potential spinal cord injury requiring immediate hospital evaluation. Moving the child risks further injury, waiting for parents delays care, and standing is contraindicated.
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The nurse is caring for an immobilized preschool child. What intervention is helpful during this period of immobilization?
- A. Encourage wearing pajamas.
- B. Let the child have few behavioral limitations.
- C. Keep the child away from other immobilized children if possible.
- D. Take the child for a walk by wagon outside the room.
Correct Answer: D
Rationale: Transporting the child by wagon outside the room provides social and environmental stimulation, aiding psychosocial health. Street clothes, not pajamas, reduce illness perception; appropriate behavioral limits are needed; and isolation from other children isn?t necessary.
The nurse is teaching the girls varsity sports teams about the female athlete triad. What is essential information to include?
- A. They should take low to moderate calcium to avoid hypercalcemia.
- B. They have strong bones because of the athletic training.
- C. Pregnancy can occur in the absence of menstruation.
- D. A diet high in carbohydrates accommodates increased training.
Correct Answer: C
Rationale: Pregnancy is possible despite amenorrhea in the female athlete triad, necessitating contraceptive education. High calcium (1500 mg) prevents osteoporosis, low estrogen weakens bones, and high-protein, high-calorie diets, not just carbohydrates, support intense training.
The nurse at a summer camp recognizes the signs of heatstroke in an adolescent girl. Her temperature is 40 C (104 F). She is slightly confused but able to drink water. Nursing care while waiting for transport to the hospital should include what intervention?
- A. Administer antipyretics.
- B. Administer salt tablets.
- C. Apply towels wet with cool water.
- D. Sponge with solution of rubbing alcohol and water.
Correct Answer: C
Rationale: Applying cool, wet towels and removing clothing cools the body in heatstroke, addressing thermoregulatory failure. Antipyretics are ineffective, salt tablets worsen dehydration, and rubbing alcohol is harmful and not used.
The middle school nurse is speaking to parents about prevention of injuries as a goal of the physical education program. How should the goal be achieved?
- A. Use of protective equipment at the familys discretion
- B. Education of adults to recognize signs that indicate a risk for injury
- C. Sports medicine program to help student athletes work through overuse injuries
- D. Arrangements for multiple sports to use same athletic fields to accommodate more children
Correct Answer: B
Rationale: Educating adults to recognize fatigue, dehydration, and injury risk signs prevents sports injuries. Protective equipment is mandatory, working through overuse injuries is harmful, and shared fields increase distraction and injury risk.
What measure is important in managing hypercalcemia in a child who is immobilized?
- A. Provide adequate hydration.
- B. Change position frequently.
- C. Encourage a diet high in calcium.
- D. Provide a diet high in calories for healing.
Correct Answer: A
Rationale: Vigorous hydration (3000-4000 ml/day for adolescents) with diuretics helps manage hypercalcemia by promoting calcium excretion. Frequent position changes address skin and respiratory issues, calcium intake is restricted, and high-protein, not just high-calorie, diets aid healing.