Nokea
The nurse is caring for a 10-year-old child who is scheduled for surgery to repair a fractured femur. The child's parent expresses concern about the child being afraid of the surgery. What is the nurse's best response?
- A. Children at this age are usually not afraid of surgery
- B. It's normal for your child to feel scared. Let's talk about what to expect
- C. You should talk to the surgeon about your child's fear
- D. Don't worry, your child will be fine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When observing a distraught mother scolding her 3-year-old son for wetting his pants in the hallway of a pediatric unit, what initial action should the nurse take?
- A. Suggest that the mother consult a pediatric nephrologist.
- B. Provide disposable training pants while calming the mother.
- C. Refer the mother to a community parent education program.
- D. Inform the mother that toilet training is slower for boys.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most suitable toy for a 3-year-old boy receiving weekly chemotherapy treatment?
- A. Bouncy ball
- B. Coloring book with crayons
- C. Duck that squeaks
- D. Remote-controlled car
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The parents of a 3-year-old boy who has Duchenne muscular dystrophy (DMD) ask, 'how can our son have this disease? We are wondering if we should have any more children.' What information should the nurse provide these parents?
- A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family.
- B. The male infant had a viral infection that went unnoticed and untreated, leading to muscle damage.
- C. The lack of the protein dystrophin in the mother can impact the muscle groups of males.
- D. Damage to the spinal cord due to birth trauma from a breech vaginal birth weakens the muscles.
Correct Answer: A
Rationale: The nurse should inform the parents that Duchenne muscular dystrophy is an X-linked recessive disorder, which primarily affects male children in the family. This genetic condition is caused by a mutation in the dystrophin gene located on the X chromosome. Females are usually carriers of the gene mutation and may pass it on to their sons. Daughters of carrier mothers have a 50% chance of being carriers themselves. Understanding the genetics of DMD can help the parents make informed decisions about family planning and genetic counseling.
The healthcare professional working on the pediatric unit takes two 8-year-old girls to the playroom. Which activity is best for the healthcare professional to plan for these girls?
- A. Selecting a board game.
- B. Playing doctor and patient.
- C. Watching cartoons on TV.
- D. Coloring, cutting, and pasting.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 16-year-old male client who has been treated in the past for a seizure disorder is admitted to the hospital. Immediately after admission, he begins to have a grand mal seizure. Which action should the nurse take?
- A. Obtain assistance in holding him to prevent injury.
- B. Observe him carefully.
- C. Call a CODE.
- D. Place a padded tongue blade between the teeth.
Correct Answer: B
Rationale: During a grand mal seizure, the priority action for the nurse is to ensure the safety of the client. Observing the client carefully allows the nurse to monitor the seizure activity, the client's breathing, and any signs of distress without interfering with the seizure process. Restraining the client or placing objects in the mouth can lead to injury and should be avoided. Calling a CODE is not appropriate for a seizure as it is a normal response to the client's condition.