Nokea
The nurse is planning care for a child with hemophilia who is scheduled for a dental procedure. Which precaution should the nurse include?
- A. Administer ibuprofen for post-procedure pain.
- B. Schedule the procedure without prior preparation.
- C. Ensure factor replacement therapy is given before the procedure.
- D. Encourage vigorous rinsing of the mouth post-procedure.
Correct Answer: C
Rationale: Factor replacement therapy before dental procedures prevents excessive bleeding in hemophilia. Ibuprofen and vigorous rinsing increase bleeding risk.
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When developing the plan of care for a school-age child with acute poststreptococcal glomerulonephritis who has a fluid restriction of 1,000 mL/day, which of the following fluids should the nurse consider as most appropriate for the client's condition and effective for preventing excessive thirst?
- A. Diet cola.
- B. Ice chips.
- C. Lemonade.
- D. Tap water.
Correct Answer: B
Rationale: Ice chips help manage thirst.
An 11-year-old child has been diagnosed with Grave's disease and is to start drug therapy. Which of the following instructions should be included in the teaching plan for the child's mother and teacher?
- A. Continue with the same amount of schoolwork and homework.
- B. Understand that mood swings are rare with this disorder.
- C. Limit the amount of food that is offered to the child.
- D. Provide the child with a calm, nonstimulating environment.
Correct Answer: D
Rationale: A calm environment reduces stress and exacerbation of hyperthyroidism symptoms like anxiety. Schoolwork may need adjustment, mood swings are common, and food restriction is unnecessary.
A nurse is teaching an obese child about portion control. Which strategy should be included?
- A. Eat only prepackaged meals.
- B. Use smaller plates.
- C. Skip breakfast daily.
- D. Drink soda with meals.
Correct Answer: B
Rationale: Smaller plates help control portion sizes visually. Prepackaged meals may be unhealthy, skipping breakfast can increase hunger, and soda adds empty calories.
The health care team wishes to establish a policy regarding sleep positions for infants with gastroesophageal reflux (GER). The first step should be to search for:
- A. Policies from other hospitals.
- B. Data from retrospective studies.
- C. Published national standards.
- D. Expert opinions.
Correct Answer: C
Rationale: National standards provide evidence-based guidance for policy development.
The parents of a child who requires skeletal traction are unable to visit their child for more than one hour a day because of their jobs. The nurse should:
- A. Encourage the parents to spend more time with the child.
- B. Arrange for volunteers or staff to provide companionship.
- C. Suggest the parents adjust their work schedules.
- D. Provide the child with a phone to contact the parents.
Correct Answer: B
Rationale: Arranging companionship helps meet the child's emotional needs when parents are unavailable due to work constraints.