Nokea
The charge nurse on the pediatric floor has assigned a 6-year-old girl of Arab-American ethnicity with newly diagnosed type 1 diabetes and an 8-year-old girl recovering from ketoacidosis to the same semi-immune treatment. The 6-year-old's mother is upset because the parent staying with the other child is the father. The nurse should:
- A. Explain to the parents that this room arrangement facilitates teaching.
- B. Reassign the children to different rooms.
- C. Offer the Arab-American parent another place to sleep.
- D. Refer the parent to the customer service representative.
Correct Answer: B
Rationale: Cultural sensitivity requires addressing the mother's discomfort, likely due to gender norms. Reassigning rooms respects her concerns while maintaining care. Teaching convenience, alternative sleeping, or customer service do not address cultural needs.
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A nurse is teaching an obese child about portion control. Which strategy should be included?
- A. Eat only prepackaged meals.
- B. Use smaller plates.
- C. Skip breakfast daily.
- D. Drink soda with meals.
Correct Answer: B
Rationale: Smaller plates help control portion sizes visually. Prepackaged meals may be unhealthy, skipping breakfast can increase hunger, and soda adds empty calories.
After teaching the parents of a neonate diagnosed with a tracheoesophageal fistula (TEF) about this anomaly, the nurse determines that the teaching was successful when the father describes the condition as which of the following?
- A. The muscle below the stomach is too tight, causing the baby to vomit forcefully.
- B. There is a blind upper pouch and an opening from the esophagus into the airway.
- C. The lower bowel is lacking certain nerves to allow normal function.
- D. A part of the bowel is on the outside without anything covering it.
Correct Answer: B
Rationale: TEF involves a blind esophageal pouch and a fistula connecting the esophagus to the trachea, as described.
Which of the following would be most appropriate for the nurse to teach the mother of a 6-month-old infant hospitalized with severe diarrhea to help her comfort her infant who is fussy?
- A. Offering a pacifier.
- B. Placing a mobile above the crib.
- C. Sitting at crib side talking to the infant.
- D. Turning the television on to cartoons.
Correct Answer: A
Rationale: A pacifier provides non-nutritive sucking, soothing a fussy infant.
When developing the teaching plan for parents using the Pavlik harness with their child, what should be the nurse's initial step?
- A. Assessing the parents' current coping strategies.
- B. Determining the parents' knowledge about the device.
- C. Providing the parents with written instructions.
- D. Giving the parents a list of community resources.
Correct Answer: B
Rationale: Determining the parents' knowledge about the Pavlik harness is the initial step to tailor teaching to their understanding and needs.
When developing the plan of care for a toddler who has taken an acetaminophen overdose, which of the following should the nurse expect to include as part of the initial treatment?
- A. Frequent blood level determinations.
- B. Gastric lavage.
- C. Tracheostomy.
- D. Electrocardiogram.
Correct Answer: A
Rationale: Frequent blood level monitoring guides acetylcysteine therapy. Gastric lavage is less effective than charcoal, and tracheostomy or ECG are not typically needed unless complications arise.