Nokea
The nurse is caring for a newborn with a myelomeningocele. Before surgery, what should the nursing interventions include?
- A. Leaving the lesion uncovered and placing the infant supine
- B. Covering the lesion with a sterile, saline-soaked gauze
- C. Applying lotion to the lesion to keep it moist
- D. Covering the lesion with a dry, sterile gauze
Correct Answer: B
Rationale: Nursing interventions for an infant with myelomeningocele include covering the lesion with a sterile, saline-soaked gauze.
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What is the main characteristic of cystic fibrosis?
- A. Multiple upper respiratory infections
- B. An underproduction of exocrine glands
- C. Excessive, thick mucus
- D. An overproduction of thin mucus
Correct Answer: C
Rationale: The pathophysiology of cystic fibrosis includes excessive, thick mucus.
Recurrent abdominal pain (RAP) is most often seen in school-age or adolescent children. The nurse should assess closely for what potential problems?
- A. Physical problems
- B. Relational problems
- C. Eating disorders
- D. Emotional problems
Correct Answer: D
Rationale: RAP is often related to emotional factors in the child.
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 nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). How is a child with an IQ of 45 classified?
- A. Within the normal low range
- B. Educable
- C. Trainable
- D. Severe
Correct Answer: C
Rationale: The category of trainable is identified on the basis of an IQ of 35 to 55.
When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?
- A. Excessive growth
- B. Cognitive impairment
- C. Damage to the nervous system
- D. Damage to the urinary system
Correct Answer: B
Rationale: The treatment of choice for congenital and acquired hypothyroidism is oral thyroid hormone replacement therapy. Prompt treatment is especially critical in the infant with congenital hypothyroidism to avoid permanent cognitive impairment.