Nokea
Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges. Which statement by the parents alerts the nurse they need further instruction?
- A. We dress our son every morning for school.'
- B. Our son participates in the Special Olympics every year.'
- C. Our son attends play therapy at a center close to home.'
- D. We attend a support group once a week.'
Correct Answer: A
Rationale: The mentally handicapped child needs to develop a sense of accomplishment. Caregivers should not 'take over' projects.
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What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants?
- A. Using ear plugs during takeoff
- B. Omitting the meal just before takeoff
- C. Letting the infant nurse during descent
- D. Applying ear drops before takeoff
Correct Answer: C
Rationale: Encouraging an infant to swallow reduces the pressure in the ears during descent.
A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media?
- A. Infants are in a supine or prone position most of the time.
- B. Sucking on a nipple creates middle ear pressure.
- C. They have increased susceptibility to upper respiratory tract infections.
- D. The Eustachian tube is short, straight, and wide.
Correct Answer: D
Rationale: An infant's Eustachian tubes are short, wide, and straight, allowing microorganisms easy access to the middle ear.
What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?
- A. I will continue using the medication until symptoms are relieved.'
- B. I will share the medicine with siblings if their symptoms are the same.'
- C. I will give the medication with a glass of milk.'
- D. I will administer prescribed doses until all the medication is used.'
Correct Answer: D
Rationale: Antibiotic therapy for otitis media is continued until the prescribed amount has been completed, even if symptoms are alleviated.
What assessment made by the school nurse would lead to the suspicion of strabismus?
- A. Reddened sclera in one eye
- B. Child covers one eye to read the chalkboard
- C. Child complains of a headache
- D. Copious tears while watching TV
Correct Answer: B
Rationale: Indicators of strabismus include covering one eye to see, tilting the head to see, and missing objects in attempts to pick them up.
What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes?
- A. Keeping the infant flat after feeding
- B. Giving over-the-counter decongestants
- C. Avoiding getting water in the ears
- D. Cleaning the ear canal with cotton-tipped applicators
Correct Answer: C
Rationale: After a tympanostomy, care should be taken to avoid getting water in the ears.