Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

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Samantha, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which is the best nursing action?

  • A. Apply a Band-Aid.
  • B. Ask her why she wants a Band-Aid.
  • C. Explain why a Band-Aid is not needed.
  • D. Show her that the bleeding has already stopped.
Correct Answer: C

Rationale: The best nursing action in this scenario is to explain why a Band-Aid is not needed. At 5 years old, Samantha is at an age where she can begin to understand explanations. By providing her with a simple and clear explanation, the nurse can help Samantha understand that a Band-Aid is not necessary in this situation. This also promotes education and helps Samantha learn about wound healing and appropriate care. It is important to involve the child in the decision-making process and provide education to foster their understanding of their own health.

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What is the most important postoperative instruction the nurse must give a client who has just returned from the operating room after receiving a subarachnoid block?

  • A. "Avoid drinking liquids until the gag reflex returns."
  • B. "Avoid eating milk products for 24 hours."
  • C. "Notify a nurse if you experience blood in your urine."
  • D. "Remain supine for the time specified by the physician."
Correct Answer: D

Rationale: After receiving a subarachnoid block, the client may experience a sudden drop in blood pressure that can lead to complications such as dizziness or fainting upon standing. Therefore, it is crucial for the client to remain in a supine position for the duration specified by the physician to allow for proper monitoring and management of any potential postoperative complications. This instruction helps prevent the occurrence of hypotension and other adverse effects by allowing adequate time for the block to wear off and for the body to adjust to changes in blood pressure. It also ensures the safety and well-being of the client during the immediate postoperative period.

For most children with enuresis, the only test recommended is

  • A. blood sugar
  • B. serum electrolytes
  • C. urinalysis
  • D. abdominal sonography
Correct Answer: C

Rationale: Urinalysis is the standard initial test for evaluating enuresis to rule out urinary tract infections or other conditions.

Of the following, the WORST prognostic factor in pediatric osteosarcoma is

  • A. primary pelvic bone tumor
  • B. poor histologic response to treatment
  • C. bony metastases at the time of diagnosis
  • D. lung metastases at the time of diagnosis
Correct Answer: B

Rationale: Poor histologic response to neoadjuvant chemotherapy is a strong predictor of poor prognosis.

A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to

  • A. master the situation in a relaxed manner
  • B. adhere to precry cues
  • C. change milk formula
  • D. avoid sensory overstimulation
Correct Answer: C

Rationale: Changing the milk formula is less critical unless there is evidence of intolerance or allergy.

A 10-month-old child can do all the following EXCEPT

  • A. says mama or dada
  • B. follows one-step command without gesture
  • C. points to objects or real first word
  • D. speaks inhibition word 'no'
Correct Answer: D

Rationale: Speaking inhibition words like 'no' typically occurs later.

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