Nokea
The mother of a child with moderate diarrhea asks how to manage her child's illness. Which of the following should the nurse suggest?
- A. Begin clear liquids for 24 hours.
- B. Feed the child bananas, rice, applesauce, and toast.
- C. Offer foods that are low in fat.
- D. Continue the child's regular diet.
Correct Answer: B
Rationale: The BRAT diet (bananas, rice, applesauce, toast) is recommended for moderate diarrhea in children to provide easily digestible, low-fiber foods that help firm stools.
You may also like to solve these questions
The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):
- A. Sentinel event.
- B. System variance.
- C. Adverse effect.
- D. Provider variance.
Correct Answer: B
Rationale: The lack of necessary supplies and equipment is a system variance , as it reflects a failure in the healthcare system's resources, impacting safe care delivery.
Which client should the nurse delegate to the unlicensed assistive personnel (UAP)?
- A. A client who needs teaching regarding the use of an incentive spirometer
- B. A client who needs to have a urine specimen collected for a clean catch urine
- C. A client who needs reinforcement of a dressing covering an abdominal incision
- D. A client who needs assessment of a newly identified area of pressure over the right hip
Correct Answer: B
Rationale: The UAP can assist with specimen collection such as a clean catch urine because he or she is trained in this skill. Skills requiring nursing intervention such as dressing changes, teaching, and assessment cannot be delegated to unlicensed personnel.
The nurse is assessing a client with suspected appendicitis. Which of the following findings supports this diagnosis?
- A. Pain at McBurney's point.
- B. Left lower quadrant pain.
- C. Decreased bowel sounds.
- D. Absence of fever.
Correct Answer: A
Rationale: Pain at McBurney's point (right lower quadrant) is a hallmark sign of appendicitis due to localized peritoneal irritation.
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed fluticasone (Flovent). The nurse should instruct the client to:
- A. Rinse the mouth after inhalation.
- B. Use the inhaler as needed for shortness of breath.
- C. Take the inhaler with meals.
- D. Stop the inhaler if dizziness occurs.
Correct Answer: A
Rationale: Rinsing the mouth after fluticasone inhalation prevents oral thrush.
The nurse should instruct the parents of a school-age child with hemophilia to implement which of the following when the child develops bleeding into a joint? Select all that apply.
- A. Having the child rest
- B. Applying heat to the joint area
- C. Beginning factor VIII therapy
- D. Starting physical therapy
- E. Applying a topical antifibrinolytic
Correct Answer: A,C
Rationale: Resting the joint and administering factor VIII therapy are critical to manage bleeding in hemophilia. Heat and physical therapy may worsen bleeding, and topical antifibrinolytics are not effective for joint bleeds.