Nokea
Because of the risks associated with administration of factor VIII concentrate, the nurse should teach the child's family to recognize and report which of the following?
- A. Yellowing of the skin.
- B. Constipation.
- C. Abdominal distention.
- D. Puffiness around the eyes.
Correct Answer: A
Rationale: Yellowing of the skin (jaundice) may indicate hepatitis, a risk with factor VIII. Other symptoms are less directly related to factor risks.
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When developing the discharge teaching plan for a child with chronic renal failure and the family, the nurse should emphasize restriction of which of the following nutrients?
- A. Ascorbic acid.
- B. Calcium.
- C. Magnesium.
- D. Phosphorus.
Correct Answer: D
Rationale: Phosphorus restriction is important.
While preparing to examine a 6-week-old infant's scrotal sac and testes for possible undescended testes, which of the following would be most important for the nurse to do?
- A. Check the diaper for recent urination.
- B. Give the infant a pacifier.
- C. Ensure that the room is kept warm.
- D. Tap lightly on the left inguinal ring.
Correct Answer: C
Rationale: Ensuring the room is warm helps relax the cremaster muscle, facilitating examination.
When developing the teaching plan for the parents of a 12-month-old infant with hypospadias and chordee repair, which of the following should the nurse expect to include as most important?
- A. Assisting the child to become familiar with his dressings so he will leave them alone.
- B. Encouraging the child to ambulate as soon as possible by using a favorite push toy.
- C. Forcing fluids to at least 2,500 mL/day by offering his favorite juices.
- D. Preventing the child from disrupting the catheters by using soft restraints.
Correct Answer: D
Rationale: Restraining prevents dislodgment of catheters.
Which of the following actions initiated by the parents of an 8-month-old indicates they need further teaching about preventing childhood accidents?
- A. Placing a fire screen in front of the fireplace.
- B. Placing a car seat in a front-seat, front-facing position.
- C. Inspecting toys for loose parts.
- D. Placing toxic substances out of reach or in a locked cabinet.
Correct Answer: B
Rationale: A front-seat, front-facing car seat is unsafe for an 8-month-old; rear-facing in the back seat is recommended.
When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do?
- A. Ride a tricycle.
- B. Tie his shoelaces.
- C. Kick a ball forward.
- D. Use blunt scissors.
Correct Answer: C
Rationale: Kicking a ball forward is a gross motor skill expected at 2 years.