Nokea
The mother asks the nurse about using a car seat for her toddler who is in a hip spica cast. The nurse should tell the mother:
- A. You can use a seat belt because of the spica cast.'
- B. You will need a specially designed car seat for your toddler.'
- C. You can still use the car seat you already have.'
- D. You'll need to get a special release from the police so that a car seat won't be needed.'
Correct Answer: B
Rationale: A specially designed car seat is required to accommodate the hip spica cast and ensure safety during transport.
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Which of following should the nurse perform to help alleviate a child's joint pain associated with rheumatic fever?
- A. Maintaining the joints in an extended position.
- B. Applying gentle traction to the child's affected joints.
- C. Supporting proper alignment with rolled pillows.
- D. Using a bed cradle to avoid the weight of bed linens on joints.
Correct Answer: D
Rationale: A bed cradle reduces pressure from bed linens, alleviating joint pain in rheumatic fever. Other options may not effectively reduce pain or could cause discomfort.
The parent of an infant with a cleft lip and palate asks the nurse when the infant's cleft palate will be repaired. The nurse should respond that the first repair of a cleft palate is usually done at which of the following times?
- A. Before the eruption of teeth.
- B. When the child weighs approximately 10 kg (22 lb).
- C. Before the development of speech.
- D. After the child learns to drink from a cup.
Correct Answer: C
Rationale: Cleft palate repair is typically performed before speech development (around 12-18 months) to optimize speech outcomes.
A 3-year-old child receiving chemotherapy after surgery for a Wilms' tumor has developed neutropenia. The parent is trying to encourage the child to eat by bringing extra foods to the room. Which food would not be appropriate for this child?
- A. Fudge.
- B. French fries.
- C. Fresh strawberries.
- D. A milk shake.
Correct Answer: C
Rationale: Raw fruits carry infection risk.
When developing the teaching plan for the parents of a 12-month-old infant with hypospadias and chordee repair, which of the following should the nurse expect to include as most important?
- A. Assisting the child to become familiar with his dressings so he will leave them alone.
- B. Encouraging the child to ambulate as soon as possible by using a favorite push toy.
- C. Forcing fluids to at least 2,500 mL/day by offering his favorite juices.
- D. Preventing the child from disrupting the catheters by using soft restraints.
Correct Answer: D
Rationale: Restraining prevents dislodgment of catheters.
A 9-year-old child with Guillain-Barré syndrome requires mechanical ventilation. Which action should the nurse take?
- A. Maintain the child in a supine position to prevent unnecessary nerve stimulation.
- B. Transfer the child to a bedside chair three times a day to prevent postural hypotension.
- C. Engage the child in vigorous passive range-of-motion exercises to prevent loss of muscle function.
- D. Turn the child slowly and gently from side to side to prevent respiratory complications.
Correct Answer: D
Rationale: Turning the child gently prevents respiratory complications like atelectasis while minimizing discomfort in Guillain-Barré syndrome.