Nokea
The health care provider is treating a child with meningitis with a course of antibiotic therapy. When should the nurse expect the child to be out of isolation?
- A. When the course of antibiotics is complete
- B. When a negative CNS culture is obtained
- C. When the antibiotics have been initiated for 24 hours
- D. When the child has no symptoms of the disease
Correct Answer: C
Rationale: The child with bacterial meningitis is isolated for at least 24 hours until antibiotic therapy has been administered.
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The mother of a child who has been diagnosed with varicella asks the nurse when the child can return to school. When is the child no longer contagious?
- A. When the fever dissipates
- B. After the incubation period
- C. When the lesions have healed
- D. When the lesions are crusted over
Correct Answer: D
Rationale: Varicella is no longer contagious when the lesions are dry.
Recurrent abdominal pain (RAP) is most often seen in school-age or adolescent children. The nurse should assess closely for what potential problems?
- A. Physical problems
- B. Relational problems
- C. Eating disorders
- D. Emotional problems
Correct Answer: D
Rationale: RAP is often related to emotional factors in the child.
The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure, called a
Correct Answer: pyloromyotomy
Rationale: When the muscle is cut, the obstruction is immediately relieved and the child who is hungry will begin to eat and keep food down.
What other congenital defects are common in children with Down syndrome?
- A. Hypospadias
- B. Pyloric stenosis
- C. Heart defects
- D. Hip dysplasia
Correct Answer: C
Rationale: Many children with Down syndrome have congenital heart defects.
The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). How is a child with an IQ of 45 classified?
- A. Within the normal low range
- B. Educable
- C. Trainable
- D. Severe
Correct Answer: C
Rationale: The category of trainable is identified on the basis of an IQ of 35 to 55.