Nokea
The nurse in the emergency department is caring for a 3-year-old child with a fractured humerus. The child is crying and screaming, 'I hate you.' Which of the following would be most appropriate:
- A. Tell the parents they will need to wait out in the lobby.
- B. Ask the charge nurse to assign this client to another nurse.
- C. Reassure the parents that this is a normal behavior under the circumstances.
- D. Ask the parents to discipline the child so that the physician can treat her.
Correct Answer: C
Rationale: Such behavior is a normal stress response in a young child experiencing pain and fear in an emergency setting.
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A child with meningitis is to receive 1,000 mL of dextrose 5% in normal saline over 12 hours. At what rate in milliliters per hour should the nurse set the pump? Round your answer to the nearest whole number.
- A. 83 mL/hour
Correct Answer: A
Rationale: Calculate: 1,000 mL ÷ 12 hours = 83.33 mL/hour, rounded to 83 mL/hour, ensuring accurate fluid administration.
An adolescent tells the nurse that the area below his knee has been hurting for several weeks. The nurse should obtain history information about participation in which of the following?
- A. Soccer.
- B. Golf.
- C. Diving.
- D. Swimming.
Correct Answer: A
Rationale: Pain below the knee in adolescents is often associated with Osgood-Schlatter disease, which is common in sports like soccer that involve repetitive knee stress.
A 14-year-old has just had a plaster cast placed on his lower left leg. To provide safe cast care, the nurse should?
- A. Petal the cast as soon as it is put on.
- B. Keep the child in the same position for 24 hours until the cast is dry.
- C. Use only the palms of the hand when handling the cast.
- D. Notify the physician if the client complains of heat.
Correct Answer: C
Rationale: Using only the palms prevents indentations in the wet cast, which could cause pressure points or alter the cast's shape.
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.
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.