Nokea
The nurse is caring for a child who has been diagnosed as having an attention deficit hyperactivity disorder (ADHD). What is the most important intervention for the nurse?
- A. Have the child enrolled in a special education class.
- B. Allay any feelings of guilt the parents may have.
- C. Counsel the parents that the medications are lifelong.
- D. Teach the parents to set limits.
Correct Answer: B
Rationale: It is most important to allay any feelings of guilt the parents may have.
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The nurse anticipates that the cerebrospinal fluid (CSF) taken from a child with bacterial meningitis would have a low
Correct Answer: glucose
Rationale: The glucose level in the CSF of a child with bacterial meningitis is low because the bacteria in the fluid have digested the glucose.
Following surgical repair of a cleft palate, what should be used to prevent injury to the suture line?
- A. Straw
- B. Spoon
- C. Syringe
- D. Cup
Correct Answer: D
Rationale: When feeding a child with a repaired cleft palate, the nurse should avoid utensils, straws, droppers, and syringes.
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. Which responses would be the most correct?
- A. The epinephrine given causes nausea and vomiting.
- B. The child is being hydrated with IV fluids.
- C. The child is not hungry.
- D. The child's rapid respirations pose a risk for aspiration.
Correct Answer: D
Rationale: Rapid respirations predispose to aspiration. The child is kept hydrated with IV fluids, but this is not the reason that the child must be kept NPO.
When performing an assessment of a child with recurrent abdominal pain (RAP), the nurse recognizes the child will most likely experience what symptom?
- A. Increased temperature
- B. Constipation
- C. Right quadrant pain
- D. Exercise-associated pain
Correct Answer: B
Rationale: The child may be constipated with periumbilical pain unrelated to eating, defecation, or exercise.
What assessment findings should lead the nurse to suspect Down syndrome in a newborn?
- A. Hypertonia and dark skin
- B. Low-set ears and a simian crease
- C. Inner epicanthal folds and a high, domed forehead
- D. Long, thin fingers and excessive hair
Correct Answer: B
Rationale: Manifestations of the Down syndrome infant include low-set ears, simian crease, protruding tongue, and hypotonic extremities.