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The mother of a toddler with nephrotic syndrome asks the nurse what can be done about the child's swollen eyes. Which measure should the nurse suggest?
- A. Applying cool compresses to the child's eyes.
- B. Elevating the head of the child's bed.
- C. Applying eye drops every 8 hours.
- D. Limiting the child's television watching.
Correct Answer: B
Rationale: Elevation reduces swelling.
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A 14-year-old is being screened for scoliosis. Which of the following statements about scoliosis screening is true?
- A. Teenagers ages 14 to 16 should be screened yearly.
- B. A shirt and shorts are worn for screening.
- C. The girl is assessed standing and bending forward.
- D. The girl should refrain from eating 8 hours before the examination.
Correct Answer: C
Rationale: Assessing the girl standing and bending forward is the standard method to detect spinal asymmetry during scoliosis screening.
To determine if a blood pressure reading is normal, the nurse must know which information about the child? Select all that apply.
- A. Age.
- B. Body mass index (BMI).
- C. A secret.
- D. Height.
- E. Occipital frontal circumference (OFC).
- F. Weight.
Correct Answer: A,D,F
Rationale: Age, height, and weight are key factors in determining normal blood pressure ranges.
When developing the discharge teaching plan for a child with chronic renal failure and the family, the nurse should emphasize restriction of which of the following nutrients?
- A. Ascorbic acid.
- B. Calcium.
- C. Magnesium.
- D. Phosphorus.
Correct Answer: D
Rationale: Phosphorus restriction is important.
While preparing to examine a 6-week-old infant's scrotal sac and testes for possible undescended testes, which of the following would be most important for the nurse to do?
- A. Check the diaper for recent urination.
- B. Give the infant a pacifier.
- C. Ensure that the room is kept warm.
- D. Tap lightly on the left inguinal ring.
Correct Answer: C
Rationale: Ensuring the room is warm helps relax the cremaster muscle, facilitating examination.
The nurse is assessing a child with celiac disease. Which symptom should the nurse expect?
- A. Constipation.
- B. Abdominal distension.
- C. Fever.
- D. Joint pain.
Correct Answer: B
Rationale: Abdominal distension is a common symptom of celiac disease due to malabsorption and gas. Diarrhea is more typical than constipation, and fever or joint pain are less specific.