Nokea
The nurse is assessing a child's capillary refill time. This can be accomplished by doing what?
- A. Inspect the chest
- B. Auscultate the heart
- C. Palpate the apical pulse
- D. Palpate the nail bed with pressure to produce a slight blanching
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a non-English-speaking child and family. Which should the nurse consider when using an interpreter?
- A. Pose several questions at a time
- B. Use medical jargon when possible
- C. Communicate directly with family members when asking questions
- D. Carry on some communication in English with the interpreter about the family's needs
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A sixteen-year-old boy is diagnosed with osteosarcoma. What information should the nurse know regarding the treatment plan?
- A. Amputation of the affected extremity is rarely necessary.
- B. Intensive radiation is the primary treatment modality.
- C. Treatment usually consists of surgery and chemotherapy.
- D. Bone marrow transplantation is the preferred option for long-term survival.
Correct Answer: C
Rationale: Osteosarcoma is typically treated with a combination of surgery and chemotherapy. This approach aims to remove the tumor and reduce the risk of metastasis. Amputation of the affected extremity may be necessary in some cases to ensure complete removal of the tumor. Intensive radiation is not the primary treatment for osteosarcoma, and bone marrow transplantation is not the standard treatment for this type of cancer.
In assessing sexual maturity levels, which tool would you expect to use?
- A. Denver II Developmental Screening
- B. Tanner staging
- C. Antibody testing
- D. Nursing process
Correct Answer: B
Rationale: The correct answer is B: Tanner staging. Tanner staging is a tool specifically used to assess sexual maturity in adolescents based on the development of secondary sexual characteristics. The Tanner scale ranges from stage 1 (prepubertal) to stage 5 (adult maturity). This tool helps healthcare providers evaluate the physical development and sexual maturation of individuals. Choice A, the Denver II Developmental Screening, is used to assess developmental milestones in children. Choice C, antibody testing, is a diagnostic tool used to detect the presence of specific antibodies in the blood. Choice D, the nursing process, is a systematic method that nurses use to deliver patient-centered care, involving assessment, diagnosis, planning, implementation, and evaluation.
The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)
- A. Set clear and reasonable goals
- B. Teach desirable behavior through your own example
- C. Don't call attention to unacceptable behavior
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?
- A. Ask the parent when the neck was injured
- B. Refer for immediate medical evaluation
- C. Continue assessment to determine the cause of the neck pain
- D. Record head lag on the assessment record and continue the assessment of the child
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.