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Nurse planning diversionary activities for children on peds unit. Which should nurse incorporate as appropriate play activities for school-age children? (Select all that apply.)
- A. Building models
- B. Playing video games
- C. Reading books
- D. Using toy carpentry tools
- E. Shaping modeling clay
Correct Answer: A,B,C
Rationale: The correct activities for school-age children should be developmentally appropriate and engaging. Building models (A) promotes creativity and fine motor skills. Playing video games (B) can be stimulating and entertaining. Reading books (C) encourages literacy and imagination. Toy carpentry tools (D) may pose safety risks. Shaping modeling clay (E) is suitable but less interactive than the correct choices. In summary, A, B, and C are the best options for promoting active engagement and development in school-age children.
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Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
- A. Install bath rails & grab bars in bathrooms
- B. Wear helmet while skiing
- C. Install carbon monoxide detector
- D. Secure firearms in safe location
- E. Remove throw rugs from the home
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (D) to prevent accidents. Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.
An RN is making assignments for client care to an LPN at the beginning of shift. Which of the following assignments should the LPN question?
- A. Assisting a client who is 24h post-op to use incentive spirometer
- B. Collecting clean-catch urine specimen
- C. Providing nasopharyngeal suctioning for pneumonia client
- D. Replacing cartridge & tubing on PCA pump
Correct Answer: D
Rationale: The LPN should question replacing cartridge & tubing on PCA pump (Choice D) because this task involves manipulating the patient's medication delivery system, which is beyond the LPN's scope of practice. LPNs are not trained to handle complex medication administration devices like PCA pumps, as this requires a higher level of knowledge and skill typically reserved for RNs. The LPN should advocate for clarification from the RN or delegate this task to someone with the appropriate training. Choices A, B, and C are within the LPN's scope of practice and do not require specialized training like manipulating a PCA pump.
Nurse collecting hx & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions? (Select all that apply.)
- A. Metabolism
- B. Ability to hear low-pitched sounds
- C. Gastric secretion
- D. Far vision
- E. Glomerular filtration
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. As individuals age, metabolism decreases due to changes in muscle mass and activity levels. Gastric secretion decreases, leading to decreased absorption of certain nutrients. Glomerular filtration rate decreases with age, affecting kidney function. Choice B is incorrect as hearing high-pitched sounds is more commonly affected with age. Choice D is incorrect as near vision is usually affected, not far vision.
Nurse reviewing CDC's immunization recommendations with parents of 2 preschoolers. Which recommendations should nurse include in this discussion? (Select all that apply.)
- A. Haemophilus influenzae type b
- B. Varicella
- C. Polio
- D. Hepatitis A
- E. Seasonal influenza
Correct Answer: B,C,E
Rationale: The correct recommendations to include are Varicella (B), Polio (C), and Seasonal influenza (E). Varicella vaccination prevents chickenpox, a common childhood illness. Polio vaccination is crucial to prevent the spread of polio, a highly contagious disease that can cause paralysis. Seasonal influenza vaccination is recommended to protect against the flu, which can be severe in young children. Haemophilus influenzae type b (A) is typically given in infancy, not preschool years. Hepatitis A (D) is recommended for older children and high-risk groups, not necessarily preschoolers.
Nurse is preparing discharge summary for client whose had knee surgery & is going home. Which following info about client should nurse include in it?
- A. Advance directives status
- B. Where to go for follow-up care
- C. Instructions for diet/meds
- D. Most recent vital sign data
- E. Contact info for home healthcare agency
- F. Follow-up care
- G. medication
Correct Answer: B,C,E
Rationale: The correct answer includes where to go for follow-up care, instructions for diet/meds, and contact info for home healthcare agency. Follow-up care ensures continuity of care post-surgery. Instructions for diet/meds are crucial for recovery. Contact info for home healthcare agency facilitates additional support at home. Advance directives status is important but not directly related to post-surgery care. Most recent vital sign data is essential for monitoring during hospitalization, not for discharge summary. Just mentioning follow-up care or medication without specific details is not as comprehensive as providing detailed instructions and contact information.