Nokea
If the following snacks are available, which one is best to meet the child's need for protein?
- A. Strawberry milkshake
- B. A popsicle stick with cinnamon
- C. Cubes of flavored gelatin
- D. Warmed beef broth
Correct Answer: D
Rationale: Warmed beef broth is a high-protein snack suitable for a burn patient, providing protein needed for tissue repair and wound healing, unlike the other options, which are lower in protein.
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If the physician orders a magnetic resonance imaging (MRI) study for the child with a brain tumor, which statement by the nurse would best prepare the child for the diagnostic test?
- A. MRI machines differ with some being tunnel-like and others open.
- B. Pain may occur when the dye is injected into the vein.
- C. You'll be given medicine that will make you sleep during the test.
- D. You'll have little electrodes placed on your head with a special gel.
Correct Answer: A
Rationale: Explaining that MRI machines vary (tunnel-like or open) prepares the child for the procedure by addressing potential fears about the machine's appearance, ensuring they know what to expect.
35 years old woman who is now in her 5th pregnancy with 4 alive children presented in the antenatal clinic and in diagnosed as a case of anaemia. Cause of anaemia in her case is:
- A. Folate deficiency.
- B. Sickle cell anaemia.
- C. Iron deficiency.
- D. Pernicious anaemia.
- E. Thalassaemia.
Correct Answer: C
Rationale: Iron deficiency is the most common cause of anemia in pregnancy especially in a multiparous woman with multiple pregnancies as iron stores are depleted due to increased demand. Folate deficiency is less common and typically presents with megaloblastic anemia. Sickle cell anemia and thalassemia require genetic predisposition and pernicious anemia is rare in pregnancy.
Which suggestion by the nurse would be most helpful in relieving the teenager's menstrual pain and discomfort?
- A. Stay in bed until cramping is relieved, increase your fluid intake, and eat a low-fat diet.
- B. Drink plenty of cold liquids, add extra salt to your diet, and take a nap in the afternoon.
- C. Apply ice packs to the abdomen, eat a high-calorie diet, and have your largest meal at noon.
- D. Get at least 8 hours of sleep, eat a well-balanced diet, and apply heat to your abdomen.
Correct Answer: D
Rationale: Applying heat to the abdomen relaxes uterine muscles, reducing cramping, while adequate sleep and a balanced diet support overall health, alleviating dysmenorrhea symptoms.
A breastfeeding mother is being discharged with her 2-day-old,full-term newborn. The nurse recognizes that the mother understands how to determine if her newborn is getting enough breast milk when making which statement?
- A. “He should have at least three wet diapers tomorrow.”
- B. “He should have one stool per day during the next week.”
- C. “At his 1-week checkup,he should weigh an additional 8 ounces.”
- D. “He should nurse for 5 minutes on each breast to get enough milk.”
Correct Answer: A
Rationale: A 3-day-old should have at least three wet diapers indicating adequate intake. Breastfed infants stool 3–10 times daily lose 5–10% birth weight initially and nurse 10–20 minutes per breast.
Which response by the nurse would be most helpful in this situation?
- A. You should attempt to discuss the dangers of drug abuse with the patient to see if treatment is necessary.
- B. It will be necessary to get a court order before you can force your child to enter a drug treatment program.
- C. The success of the drug treatment program will depend on your child's desire to become drug-free.
- D. It's best that you force your child into the treatment program because otherwise participation probably will not occur.
Correct Answer: C
Rationale: The success of drug treatment relies on the adolescent's motivation to recover, making it important to discuss their willingness and readiness for treatment.