Nokea
Parents bring their child to the emergency department because the child has stopped breathing. A nurse obtains a brief history of events occurring before and after the parents found the infant not breathing. Which of the following questions should the nurse ask the parents first?
- A. Was the infant sleeping while wrapped in a blanket?
- B. Was the infant lying on his stomach?
- C. What did the infant look like when you found him?
- D. When had you last checked on the infant?
Correct Answer: B
Rationale: Asking if the infant was lying on his stomach is critical, as prone sleeping is a major risk factor for SIDS and could explain the cessation of breathing.
You may also like to solve these questions
Which of the following medication orders to help relieve discomfort in a child with leukemia should the nurse question?
- A. Acetaminophen (Tylenol).
- B. Acetaminophen with codeine (Tylenol with Codeine).
- C. Ibuprofen (Motrin).
- D. Propoxyphene hydrochloride (Darvon).
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk in leukemia due to its antiplatelet effects, which is dangerous with low platelets. Other medications are safer.
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.
The physician orders a urinalysis for a child who has undergone surgical repair of a hypospadias. Which of the following results should the nurse report to the physician?
- A. Urine specific gravity of 1.017.
- B. Ten red blood cells per high-powered field.
- C. Twenty-five white blood cells per high-powered field.
- D. Urine pH of 6.0.
Correct Answer: C
Rationale: High WBC count indicates infection.
On the second postoperative day after repair of a cleft palate, which of the following should the nurse use to feed a toddler?
- A. Cup.
- B. Straw.
- C. Rubber-tipped syringe.
- D. Large-holed nipple.
Correct Answer: C
Rationale: A rubber-tipped syringe allows controlled feeding, minimizing stress on the surgical site while ensuring adequate nutrition.
The nurse is explaining the nature of the fracture to the parents of a 10-year-old who has a greenstick fracture. Which drawing should the nurse choose to explain the fracture to the parents?
- A. fracture-1.png
- B. fracture-2.png
- C. fracture-3.png
- D. fracture-4.png
Correct Answer: C
Rationale: A greenstick fracture involves an incomplete break, typically shown as a bend or partial break in the bone, common in children due to their flexible bones.