Nokea
The mother of a 4-year-old expresses concern that her child may be hyperactive. She describes the child as always in motion, constantly dropping and spilling things. Which of the following actions would be appropriate at this time?
- A. Determine whether there have been any changes at home.
- B. Explain that this is not unusual behavior.
- C. Explore the possibility that the child is being abused.
- D. Assess that the child be seen by a pediatric neurologist.
Correct Answer: A
Rationale: Assessing home changes helps identify triggers for the behavior before assuming pathology.
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The nurse is admitting a child who has been diagnosed with bacterial meningitis to the pediatric unit. The nurse should implement which type of isolation?
- A. Standard precautions.
- B. Contact precautions.
- C. Airborne precautions.
- D. Droplet precautions.
Correct Answer: D
Rationale: Bacterial meningitis, such as meningococcal, requires droplet precautions due to transmission via respiratory secretions.
A child is to receive I.V. antibiotics for osteomyelitis. Before the initial dose of antibiotics can be given, the nurse confirms that a blood sample for which of the following tests has been drawn?
- A. Creatinine.
- B. Culture.
- C. Hemoglobin.
- D. White blood count.
Correct Answer: B
Rationale: A blood culture is essential before starting antibiotics to identify the causative organism in osteomyelitis.
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.
Which of the following should the nurse include in the postoperative care plan for a child after an appendectomy to promote recovery?
- A. Encourage early ambulation.
- B. Administer laxatives daily.
- C. Keep the child NPO for 48 hours.
- D. Apply a heating pad to the abdomen.
Correct Answer: A
Rationale: Early ambulation prevents complications like atelectasis and promotes recovery.
When positioning a neonate with an unrepaired myelomeningocele, which of the following positions is most appropriate?
- A. Supine with the hips at 90-degree flexion.
- B. Right side-lying position with the knees flexed.
- C. Prone with hips in abduction.
- D. Supine in semi-Fowler's position with chest and abdomen elevated.
Correct Answer: C
Rationale: The prone position protects the myelomeningocele sac from pressure and rupture before surgical repair, with hips in abduction to maintain alignment and prevent strain on the defect.