Nokea
The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?
- A. Use aspirin instead of acetaminophen for children with viral illness.
- B. Advise parents to have their children immunized against Reye's syndrome.
- C. Avoid giving salicylate-containing medications to a child who has viral symptoms.
- D. Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.
Correct Answer: C
Rationale: Prevention of Reye's syndrome includes educating parents not to give aspirin-containing medication to children with viral symptoms.
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A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing assessment suggests the child has a concussion?
- A. Sleepy but easily arousable
- B. Complaining of a stiff neck
- C. Cannot remember what happened to him
- D. Pupils react sluggishly to light
Correct Answer: C
Rationale: A concussion is a temporary disturbance of the brain that is immediately followed by a period of unconsciousness, often accompanied by a loss of memory of the events.
What does the nurse explain to parents of a child with febrile seizures?
- A. They occur when the body temperature exceeds 38.3?°C (101?°F).
- B. They can be prevented by anticonvulsant medication.
- C. They usually lead to the development of epilepsy.
- D. They occur when the temperature rises quickly.
Correct Answer: D
Rationale: Febrile seizures occur in response to a rapid rise in temperature, often above 38.8?°C (102?°F).
What might the nurse explain as a common treatment for amblyopia?
- A. Patching the good eye to force the brain to use the affected eye
- B. Patching the affected eye to allow the refractory muscles to rest
- C. Using glasses that will slightly blur the image for the good eye
- D. Using corticosteroids to treat inflammation of the optic nerve
Correct Answer: A
Rationale: Early detection and treatment are essential for the child with amblyopia. Treatment includes patching the good eye and using glasses to correct refractive errors.
Which aspect(s) of a child's development does the nurse caution parents that hearing impairment can affect? (Select all that apply.)
- A. Speech clarity
- B. Language development
- C. Immunity to disease
- D. Personality development
- E. Academic achievement
Correct Answer: A,B,D,E
Rationale: All the options, except immunity to disease, are areas in which a hearing impairment could interfere with normal development.
A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure?
- A. Restlessness
- B. Sleepiness
- C. Nausea
- D. Anxiety
Correct Answer: B
Rationale: Following a generalized tonic-clonic seizure, the child may have some confusion and may sleep for a time (postictal lethargy) and then return to full consciousness.