The nurse is explaining the nature of the fracture to the parents of a 10-year-old who has a greenstick fracture. Which drawing should the nurse choose to explain the fracture to the parents?
- A. fracture-1.png
- B. fracture-2.png
- C. fracture-3.png
- D. fracture-4.png
Correct Answer: C
Rationale: A greenstick fracture involves an incomplete break, typically shown as a bend or partial break in the bone, common in children due to their flexible bones.
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Shortly after an infant is returned to his room following hydrocele repair, the infant's mother tells the nurse that the child's scrotum looks swollen and bruised. Which of the following responses by the nurse would be most appropriate?
- A. Let me see if the doctor has ordered aspirin for him. If he did
- B. I'll get it right away.
- C. Why don't you wait in his room? Then you can ask me any questions when I get there.
- D. What you are describing is unusual after this type of surgery. I'll let the doctor know.
- E. This is normal after this type of surgery. Let's look at it together just to be sure.
Correct Answer: D
Rationale: Swelling and bruising post-surgery are common.
The nurse is caring for a child with osteomyelitis who will be receiving high-dose intravenous antibiotic therapy for 3 to 4 weeks. What should the nurse plan to monitor?
- A. Blood glucose level.
- B. Thrombin times.
- C. Urine glucose level.
- D. Urine specific gravity.
Correct Answer: D
Rationale: Urine specific gravity should be monitored to assess hydration status, as prolonged antibiotic therapy can affect renal function.
After teaching the mother of a child with severe burns about the importance of specific nutritional support in burn management, which of the following, if chosen by the mother from the child's diet menu, indicates the need for further teaching?
- A. Bacon, lettuce, and tomato sandwich; milk; and celery and carrot sticks.
- B. Cheeseburger, cottage cheese and pineapple salad, chocolate milk, and a brownie.
- C. Chicken nuggets, orange and grapefruit sections, and a vanilla milkshake.
- D. Beef, bean, and cheese burrito; a banana; fruit-flavored yogurt; and skim milk.
Correct Answer: A
Rationale: Burn patients require high-protein, high-calorie diets. Option A is low in protein and calories compared to options B, C, and D, which include protein-rich foods like cheese, chicken, and beans.
A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
- A. Reading the child a story.
- B. Painting with watercolors.
- C. Pounding on a pegboard.
- D. Stacking a tower of blocks.
Correct Answer: C
Rationale: Pounding on a pegboard allows the child to express frustration physically, which is developmentally appropriate for a preschooler.
When teaching an adolescent with a seizure disorder who is receiving valproic acid (Depakene), which sign or symptom should the nurse instruct the client to report to the health care provider?
- A. Three episodes of diarrhea.
- B. Loss of appetite.
- C. Jaundice.
- D. Sore throat.
Correct Answer: C
Rationale: Jaundice indicates potential liver toxicity, a serious side effect of valproic acid, requiring immediate reporting.
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