Nokea
The nurse instructs the mother of a child, with a ventricular septal defect that she can expect the child to become cyanotic when the child does what?
- A. Experiences an elevation in temperature.
- B. Sleeps on the left side.
- C. Cries vigorously.
- D. Eats.
Correct Answer: C
Rationale: Crying vigorously will increase the pressure in the right ventricle, which will allow unoxygenated blood to enter the circulating volume.
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When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone?
- A. Malnutrition
- B. Anemia
- C. Bone pain
- D. Diarrhea
Correct Answer: B
Rationale: When the amount of lead ingested exceeds the amount that can be absorbed by the bone, it leads to anemia.
When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. encouraging the parents to have another baby.
- B. encouraging the parents to remain stoic.
- C. allaying feelings of guilt and blame.
- D. learning how the event could have been prevented.
Correct Answer: C
Rationale: As parents try to cope, they have feelings of guilt and blame.
When assessing the laboratory values of a child with nephrosis, the nurse anticipates which results?
- A. High levels of protein in the urine
- B. High serum lipid levels
- C. Low serum protein levels
- D. Low hemoglobin
- E. High white blood cell count
Correct Answer: A,B,C
Rationale: A patient with nephrotic syndrome has high levels of serum lipids, low serum protein, and albumin in urine that is dark and frothy with a high specific gravity. The hemoglobin and WBC are usually normal.
What is the hallmark sign of intussusception?
- A. Mucus-like stools
- B. Currant jelly-like stools
- C. Tarry, black stools
- D. Green, soft stools
Correct Answer: B
Rationale: The hallmark sign of intussusception is currant jelly stools.
A child with Duchenne muscular dystrophy rises from the floor by walking up the thighs with the hands. How should the nurse record this observation?
- A. Hand assistance
- B. Leg crawling
- C. Gowers sign
- D. Bright sign
Correct Answer: C
Rationale: Using the hands to walk up the thighs is known as the Gowers sign.