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An adolescent who sustained a tibia fracture in a motor vehicle accident has a cast. What should the nurse do to help relieve the itching?
- A. Apply cool air under the cast with a blow-dryer
- B. Use sterile applicators to scratch the itch
- C. Apply cool water under the cast
- D. Apply hydrocortisone cream under the cast using sterile applicator
Correct Answer: A
Rationale: Cool air helps relieve itching without damaging the cast or introducing moisture, which can lead to skin breakdown.
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Sequelae of a complete posterior cord section between C3 and T1 include:
- A. Muscle fasciculation
- B. Loss of sensation below the lesion
- C. Loss of deep tendon reflexes
- D. Athetoid movements
Correct Answer: B
Rationale: A complete posterior cord section results in loss of sensation below the lesion due to damage to the sensory pathways. Motor functions may remain intact as the anterior cord is unaffected.
After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching?
- A. “Well follow these instructions until our child’s symptoms disappear.â€
- B. “Our child must maintain these dietary restrictions until adulthood.â€
- C. “Our child must maintain these dietary restrictions lifelong.â€
- D. “We’ll follow these instructions until our child has completely grown and developed.â€
Correct Answer: C
Rationale: Celiac disease requires lifelong adherence to a gluten-free diet to prevent symptoms and complications.
The primary care pediatric nurse practitioner is performing a sports physical on an adolescent whose history reveals mild aortic stenosis (AS). What will the nurse practitioner recommend?
- A. Avoidance of all sports to prevent sudden death
- B. Clearance for any sports since this is mild
- C. Evaluation by a cardiologist prior to participation
- D. Low-intensity sports
Correct Answer: C
Rationale: Children with mild AS may participate in any sport but must have annual cardiac evaluations.
In bronchopulmonary dysplasia:
- A. Lung compliance is increased
- B. Bronchial reactivity is increased
- C. Lung function typically improves with age
- D. Hyperinflation is an associated finding
Correct Answer: D
Rationale: Hyperinflation is a common finding in bronchopulmonary dysplasia due to lung damage and the need for prolonged mechanical ventilation.
The lower limit of pulse rate in neonate at rest is
- A. 50/min
- B. 60/min
- C. 70/min
- D. 80/min
Correct Answer: B
Rationale: The lower limit of normal pulse rate in neonates at rest is typically around 60 beats/min.