As part of a health education program, the nurse teaches a g...

As part of a health education program, the nurse teaches a group of parents CPR. The nurse determines the teaching has been effective when a parent states:

A. If I am by myself, I should call for help before starting CPR.
B. I should compress the chest using 2-3 fingers.
C. I should deliver chest compression at a rate of 100 per minute.
D. If I can't get the breaths to make the chest rise, I should administer abdominal thrusts.

Correct Answer: A

Rationale: Calling for help before starting CPR when alone ensures timely emergency response, which is critical for improving outcomes.

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When assessing a 3-month-old with Hirschsprung's disease, which finding should the nurse report immediately?

A. Soft, formed stools.
B. Abdominal distension.
C. Regular feeding patterns.
D. Mild fussiness.

Correct Answer: B

Rationale: Abdominal distension may indicate obstruction, requiring urgent intervention.

The nurse is teaching the parents of a child with myelomeningocele how to prevent urinary tract infections. What should the care plan include for this child? Select all that apply.

A. Provide meticulous skin care.
B. See the seeds's maneuver to empty the bladder.
C. Encourage frequent emptying of the bladder.
D. Assure adequate fluid intake.
E. Use tight-fitting diapers around the meatus.

Correct Answer: A,C,D

Rationale: Meticulous skin care prevents skin breakdown and infection. Frequent bladder emptying and adequate fluid intake reduce urinary stasis and bacterial growth. The 'seeds's maneuver' is likely a typo for CredÃ©'s maneuver, which is not always appropriate without medical guidance. Tight diapers can cause irritation and increase infection risk.

Shortly after an infant is returned to his room following hydrocele repair, the infant's mother tells the nurse that the child's scrotum looks swollen and bruised. Which of the following responses by the nurse would be most appropriate?

A. Let me see if the doctor has ordered aspirin for him. If he did
B. I'll get it right away.
C. Why don't you wait in his room? Then you can ask me any questions when I get there.
D. What you are describing is unusual after this type of surgery. I'll let the doctor know.
E. This is normal after this type of surgery. Let's look at it together just to be sure.

Correct Answer: D

Rationale: Swelling and bruising post-surgery are common.

The nurse is conducting a quality improvement audit on the pediatric unit. Which finding indicates a need for further staff education on IV catheter care?

A. IV sites checked every 2 hours.
B. Use of transparent dressings.
C. Infiltration rates above 10%.
D. Documentation of insertion dates.

Correct Answer: C

Rationale: High infiltration rates suggest improper technique or monitoring, requiring education.

The nurse manager on a pediatric floor is reviewing national sentinel event alerts and preparing recommendations for the unit. Which strategy would help reduce pediatric medication errors? Select all that apply.

A. Eliminate the pediatric satellite pharmacy.
B. Increase the steps in the medication administration procedure.
C. Utilize only oral syringes to administer oral medication.
D. Limit the size of I.V. fluid bags that can be hung on small children.
E. Reduce the available concentrations or dose strengths to the minimum.

Correct Answer: C,D,E

Rationale: Oral syringes ensure accurate dosing, smaller IV bags prevent fluid overload, and fewer concentrations reduce dosing errors.