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The family of a 5-year-old, only child has just moved to a rural setting where the father has started a dental practice. At the well-child visit, the father expresses concern that his child seems prone to minor accidents such as skinning his elbow and knees or falling off his scooter. The nurse tells the father:
- A. Only children use accidents as a way to seek parents' attention.
- B. Children who live in the suburbs typically have more accidents.
- C. Children frequently have more accidents when families experience change.
- D. We see a relationship between accidents and parental education.
Correct Answer: C
Rationale: Changes like moving can increase accidents due to stress or unfamiliar environments.
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When planning home care for the child with Legg-Calvé-Perthes disease, what should be the primary focus for family teaching?
- A. Need for intake of protein-rich foods.
- B. Little stretching exercises for both legs.
- C. Management of the corrective appliance.
- D. Relaxation techniques for pain control.
Correct Answer: C
Rationale: Management of the corrective appliance, such as a brace or traction, is the primary focus to ensure proper use and compliance, which is critical for treatment success.
The nurse is teaching the parents of an infant with pyloric stenosis about postoperative care. Which instruction should be included?
- A. Resume regular formula immediately.
- B. Monitor for projectile vomiting.
- C. Keep the incision site covered with a bandage.
- D. Administer pain medication every 6 hours.
Correct Answer: B
Rationale: Monitoring for projectile vomiting ensures early detection of surgical complications.
When teaching the parents of a child with Salmonella gastroenteritis about preventing recurrence, which instruction should the nurse include?
- A. Avoid sharing toys with other children.
- B. Cook poultry to an internal temperature of 165°F.
- C. Use hand sanitizers before meals.
- D. Limit fluid intake during meals.
Correct Answer: B
Rationale: Cooking poultry thoroughly prevents Salmonella contamination.
The charge nurse finds the mother of a child with a chronic bladder condition requiring clean intermittent catheterization (CIC) visibly upset. The mother states, "That other nurse said parents are not allowed to perform CIC in the hospital because of increased infection risk." The charge nurse should tell the parent:
- A. Your child is exposed to additional bacterial in the hospital that makes CIC unsafe.
- B. You can catheterize your child as long as you use sterile technique.
- C. You can use CIC on your child. I will talk with your nurse to clarify the policy.
- D. I can tell you are having a conflict with this nurse. I will switch assignments.
Correct Answer: C
Rationale: Clarifying policies supports parental involvement.
The nurse is planning care for a child with hemophilia who is scheduled for a dental procedure. Which precaution should the nurse include?
- A. Administer ibuprofen for post-procedure pain.
- B. Schedule the procedure without prior preparation.
- C. Ensure factor replacement therapy is given before the procedure.
- D. Encourage vigorous rinsing of the mouth post-procedure.
Correct Answer: C
Rationale: Factor replacement therapy before dental procedures prevents excessive bleeding in hemophilia. Ibuprofen and vigorous rinsing increase bleeding risk.