Nokea
The nurse educates the family of a newly admitted child with cystic fibrosis that the treatment will be centered on what therapy?
- A. Chest physiotherapy
- B. Mucus-drying agents
- C. Prevention of diarrhea
- D. Insulin therapy
Correct Answer: A
Rationale: Chest physiotherapy and aerosol medications are the center of treatment for cystic fibrosis.
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The nurse explains that which diagnostic studies are needed for the diagnosis of cognitive impairment?
- A. Denver Developmental Screening Test
- B. Stanford-Binet Intelligence Scale
- C. Wechsler Intelligence Scale
- D. Miller's Analogies
- E. Strong Personality Assessment
Correct Answer: A,B,C
Rationale: The Denver, Stanford-Binet, and Wechsler are standard intelligence tests that aid in the diagnosis of a cognitively impaired child.
The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP). What is a finding that is characteristic of this disorder?
- A. Morning headaches
- B. Pain for 3 consecutive months
- C. Febrile episodes in the late afternoon
- D. Diaphoresis when attacks occur
Correct Answer: B
Rationale: Recurrent abdominal pain occurring consecutively for 3 months supports a diagnosis of RAP once other causes have been ruled out.
Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. How often should children be assessed for side effects of the drug therapy?
- A. Every 2 months
- B. Every 4 months
- C. Every 6 months
- D. Every 8 months
Correct Answer: C
Rationale: Children should be checked for medication side effects every 6 months.
Following a bout of diarrhea, which foods should be offered to the school-age child?
- A. Apricots and peaches
- B. Chocolate milk
- C. Applesauce and milk
- D. Bananas and rice
Correct Answer: D
Rationale: When rehydration has been completed, foods that are nonirritating to the bowel should be offered to the child. Bananas and rice would be the least irritating to the bowel, as fruits and milk could cause GI irritation.
What is the major criterion for diagnosing a child as cognitively impaired?
- A. An IQ of 75 or less
- B. Subaverage functioning
- C. An IQ of 70 or less
- D. Onset before 18
Correct Answer: C
Rationale: Cognitive impairment is based upon IQs from 20 to 70.