Parents of a 15-year-old state that he is moody and rude. The nurse should advise his parents to:
- A. Restrict his activities.
- B. Discuss their feelings with their child.
- C. Obtain family counseling.
- D. Talk to other parents of adolescents.
Correct Answer: B
Rationale: Open communication helps address adolescent moodiness and fosters understanding.
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A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and she asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following?
- A. A loss of approximately one-third of her vision.
- B. Ability to see at 60 feet what she should see at 20 feet.
- C. Ability to see at 20 feet what she should see at 60 feet.
- D. Visual acuity three times better than average.
Correct Answer: C
Rationale: 20/60 vision means the child sees at 20 feet what a person with normal vision sees at 60 feet.
Which of the following, if described by the parents of a child with cystic fibrosis (CF), indicates that the parents understand the underlying problem of the disease?
- A. An abnormality in the body's mucus-secreting glands.
- B. Formation of fibrous cysts in various body organs.
- C. Failure of the pancreatic ducts to develop properly.
- D. Addition to the formation of antibodies against streptococcus.
Correct Answer: A
Rationale: Cystic fibrosis is caused by an abnormality in mucus-secreting glands, leading to thick mucus that affects multiple organs, particularly the lungs and pancreas.
The nurse is caring for a lethargic 4-year-old who is a victim of a near-drowning accident. The nurse should first:
- A. Administer oxygen.
- B. Institute rewarming.
- C. Prepare for intubation.
- D. Start an intravenous infusion.
Correct Answer: A
Rationale: Administering oxygen addresses hypoxia, the primary concern in near-drowning, to stabilize the child's condition.
A 12-year-old is having surgery to repair a fractured left femur. As a part of the preoperative safety procedures, the nurse should ask the client to:
- A. Point to the area of the fracture.
- B. Mark the location of the fracture with an 'x' and sign his name.
- C. Confirm with his parents that they have signed the operative permit.
- D. State the surgery risks as understood from the surgeon.
Correct Answer: B
Rationale: Marking the surgical site with an 'x' and signing is a standard safety procedure to confirm the correct site for surgery.
A nasogastric tube is ordered to be inserted for a child with severe head trauma. Diagnostic testing reveals that the child has a basilar skull fracture. What should the nurse do next?
- A. Ask for the order to be changed to oral gastric tube.
- B. Attempt to place the tube into the duodenum.
- C. Test the gastric aspirate for blood.
- D. Use extra lubrication when inserting the nasogastric tube.
Correct Answer: A
Rationale: Basilar skull fractures contraindicate NG tube insertion due to the risk of cranial penetration; an oral gastric tube is safer.
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