Nokea
During the admission procedure of a 6-year-old, the child states, 'I'm going to have an operation.' Which response is best for the nurse to provide to this child?
- A. Are you scared?
- B. We're going to do everything we can to take very good care of you.
- C. Tell me what an operation is.
- D. I'm glad your mother told you why you were coming to the hospital.
Correct Answer: B
Rationale: In this situation, the most appropriate response for the nurse is to provide reassurance and express care to alleviate the child's anxiety about the upcoming operation. By reassuring the child that everything will be done to take very good care of them, the nurse helps build trust and comfort, creating a positive and supportive environment for the child.
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A neonate with congenital adrenal hypoplasia (CAH) presents with ambiguous genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly?
- A. Discuss the need for cortisol and aldosterone replacement therapy after discharge
- B. Support the parents in their decision regarding the sex assignment of their child
- C. Offer information about ultrasonography and genotyping to determine sex assignment
- D. Explain that corrective surgical procedures consistent with sex assignment can be delayed
Correct Answer: B
Rationale: Supporting the parents in their decision regarding the sex assignment of their child is crucial as it respects the parental role in making this important decision and helps provide emotional support during a challenging time. The primary focus should be on helping the parents navigate the complexities and implications of determining the sex assignment for their child with ambiguous genitalia.
The LPN/LVN should explain to a 30-year-old gravida client that alpha fetoprotein testing is recommended for which purpose?
- A. Detect cardiovascular disorders.
- B. Screen for neural tube defects.
- C. Monitor placental functioning.
- D. Assess for maternal pre-eclampsia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A laboring client's membranes rupture spontaneously. The nurse notices that the amniotic fluid is greenish-brown. What intervention should the nurse implement first?
- A. Turn the client to her left side
- B. Contact the healthcare provider
- C. Assess the fetal heart rate
- D. Check the cervical dilation
Correct Answer: C
Rationale: The correct answer is to assess the fetal heart rate. When amniotic fluid is greenish-brown, it may indicate the presence of meconium, which can be concerning as it may lead to fetal distress. Assessing the fetal heart rate will help determine the well-being of the fetus and guide further actions to ensure the safety of both the mother and the baby.
A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother, who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which intervention is most important to implement?
- A. Provide a bottle of electrolyte solution.
- B. Infuse normal saline intravenously.
- C. Administer an antipyretic rectally.
- D. Apply an external cooling blanket.
Correct Answer: B
Rationale: Infusing normal saline intravenously is crucial to treat dehydration caused by fever and diarrhea. In this scenario, the infant's weak cry with no tears indicates severe dehydration, necessitating rapid fluid replacement via intravenous normal saline to restore fluid balance and prevent complications.
In which chromosome pattern is Duchenne disease inherited?
- A. Autosomal dominant
- B. Autosomal recessive
- C. X-linked recessive
- D. Mitochondrial
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.