Nokea
The nurse assesses the child with chronic renal failure who is receiving peritoneal dialysis for edema. Which finding is expected for this child?
- A. Absence of pulmonary crackles.
- B. Increased dialysate outflow.
- C. Normal blood pressure.
- D. Pallor.
Correct Answer: D
Rationale: Pallor is common in chronic conditions.
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A 10-year-old child proudly tells the nurse that brushing and flossing her teeth is her responsibility. The nurse interprets this statement as indicating which of the following about the child?
- A. She is too young to be given this responsibility.
- B. She is most likely capable of this responsibility.
- C. She should have assumed this responsibility much sooner.
- D. She is probably just exaggerating the responsibility.
Correct Answer: B
Rationale: A 10-year-old is capable of taking responsibility for personal hygiene tasks like brushing teeth.
A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and she asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following?
- A. A loss of approximately one-third of her vision.
- B. Ability to see at 60 feet what she should see at 20 feet.
- C. Ability to see at 20 feet what she should see at 60 feet.
- D. Visual acuity three times better than average.
Correct Answer: C
Rationale: 20/60 vision means the child sees at 20 feet what a person with normal vision sees at 60 feet.
Which of the following foods should the nurse encourage the mother to offer to her child with iron deficiency anemia?
- A. Rice cereal, whole milk, and yellow vegetables.
- B. Potato, peas, and chicken.
- C. Macaroni, cheese, and ham.
- D. Pudding, green vegetables, and rice.
Correct Answer: B
Rationale: Chicken and peas are iron-rich, supporting anemia treatment. Other options lack sufficient iron sources.
Which of the following, if described by the parents of a child with cystic fibrosis (CF), indicates that the parents understand the underlying problem of the disease?
- A. An abnormality in the body's mucus-secreting glands.
- B. Formation of fibrous cysts in various body organs.
- C. Failure of the pancreatic ducts to develop properly.
- D. Addition to the formation of antibodies against streptococcus.
Correct Answer: A
Rationale: Cystic fibrosis is caused by an abnormality in mucus-secreting glands, leading to thick mucus that affects multiple organs, particularly the lungs and pancreas.
A 16-month-old child diagnosed with Kawasaki disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. The nurse should do which of the following first?
- A. Apply lotion to the hands and feet.
- B. Offer foods the toddler likes.
- C. Place the toddler in a quiet environment.
- D. Encourage the parents to get some rest.
Correct Answer: C
Rationale: Irritability in Kawasaki disease is often due to discomfort and inflammation. A quiet environment reduces stimulation and promotes comfort, addressing the primary issue first.