The nurse is preparing an infant for inguinal hernia repair. Which preoperative intervention is most important?
- A. Administering a sedative.
- B. Ensuring NPO status.
- C. Applying a warm compress.
- D. Checking for allergies.
Correct Answer: B
Rationale: NPO status is critical to prevent aspiration during anesthesia.
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After teaching the mother of a 2-year-old child with lactose intolerance about which dairy products to include in the child's diet, which of the following if stated by the mother indicates effective teaching?
- A. Ice cream.
- B. Creamed soups.
- C. Pudding.
- D. Cheese.
Correct Answer: D
Rationale: Hard cheeses (e.g., cheddar) are low in lactose and often tolerated. Ice cream, creamed soups, and pudding have high lactose content, causing symptoms.
When developing the preoperative plan of care for an infant with Hirschsprung's disease, which of the following should the nurse include?
- A. Administering a tap water enema.
- B. Inserting a gastrostomy tube.
- C. Inserting a rectal tube.
- D. Using povidone-iodine solution to prepare the perineum.
Correct Answer: C
Rationale: A rectal tube may help relieve obstruction preoperatively in Hirschsprung's disease.
A nurse is teaching parents about soothing an infant with colic. Which strategy should be recommended?
- A. Increase formula volume.
- B. Use a pacifier.
- C. Keep the infant in a noisy environment.
- D. Feed every 5 hours.
Correct Answer: B
Rationale: A pacifier can soothe colic by satisfying sucking needs. Increased formula, noise, or infrequent feeds may worsen symptoms.
A 3-year-old child receiving chemotherapy after surgery for a Wilms' tumor has developed neutropenia. The parent is trying to encourage the child to eat by bringing extra foods to the room. Which food would not be appropriate for this child?
- A. Fudge.
- B. French fries.
- C. Fresh strawberries.
- D. A milk shake.
Correct Answer: C
Rationale: Raw fruits carry infection risk.
A child is to receive I.V. antibiotics for osteomyelitis. Before the initial dose of antibiotics can be given, the nurse confirms that a blood sample for which of the following tests has been drawn?
- A. Creatinine.
- B. Culture.
- C. Hemoglobin.
- D. White blood count.
Correct Answer: B
Rationale: A blood culture is essential before starting antibiotics to identify the causative organism in osteomyelitis.
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