Nokea
Several types of long-term central venous access devices are used. What is a benefit of using an implanted port (e.g., Port-a-Cath)?
- A. You do not need to pierce the skin for access.
- B. It is easy to use for self-administered infusions.
- C. The patient does not need to limit regular physical activity, including swimming.
- D. The catheter cannot dislodge from the port even if the child plays with the port site.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT). Which actions should the nurse plan to implement?
- A. Be persistent.
- B. Introduce new foods slowly.
- C. All are correct
- D. Maintain a calm, even temperament.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. What action should the nurse take?
- A. Reassess the child in 15 minutes to see if the pain rating has changed
- B. Administer the prescribed analgesic
- C. Do nothing since the child appears to be resting
- D. Ask the child's parents if they think the child is hurting
Correct Answer: B
Rationale: Pain management should be based on the child's report of pain, regardless of their activity level. Administering the prescribed analgesic is the appropriate action. Reassessing the child in 15 minutes without providing immediate pain relief may not be in the child's best interest. Doing nothing since the child appears to be resting may lead to inadequate pain management. Asking the child's parents if they think the child is hurting does not replace the need for direct assessment and intervention by the nurse.
A new mom is instructed to have her toddler brush his teeth every night after dinner. This is an example of __________ which increases the toddler's sense of security and self-mastery.
- A. Negativism
- B. Diversionary activity
- C. Critical play
- D. Ritualism
Correct Answer: D
Rationale: The correct answer is D, Ritualism. Establishing routines like brushing teeth every night after dinner helps toddlers feel secure and in control. Choice A, Negativism, refers to a child's oppositional behavior. Choice B, Diversionary activity, involves redirecting attention to something else. Choice C, Critical play, does not relate to the scenario of establishing a routine for the toddler.
Which information about hemophilia will the nurse include in the teaching plan for the parents of a child diagnosed with hemophilia?
- A. Autosomal dominant disorder in which the blood clotting factors are deficient.
- B. X-linked recessive inherited disorder in which blood clotting factors are deficient.
- C. X-linked recessive inherited disorder involving decreased platelets causing prolonged bleeding.
- D. Autosomal recessive disorder in which the blood clotting factors are deficient.
Correct Answer: B
Rationale: The correct answer is B: Hemophilia is an X-linked recessive disorder, primarily affecting males and passed from mothers to sons. It involves a deficiency in clotting factors, leading to prolonged bleeding. Choice A is incorrect as hemophilia is not autosomal dominant. Choice C is incorrect as hemophilia does not involve platelets. Choice D is incorrect as hemophilia is not autosomal recessive.
The nurse is caring for a child with hypernatremia. The nurse evaluates the child for which signs and symptoms of hypernatremia? (Select all that apply.)
- A. All below
- B. Lethargy
- C. Oliguria
- D. Intense thirst
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.