Nokea
The nurse is preparing to administer furosemide (Lasix) to a 3-year-old with a heart defect. The nurse verifies the child's identity by checking the arm band and:
- A. Asking the child to state her name.
- B. Checking the room number.
- C. Asking the child to tell her birth date.
- D. Asking the parent the child's name.
Correct Answer: D
Rationale: Asking the parent is appropriate for a 3-year-old, who may not reliably state their name or birth date. Room numbers are not reliable identifiers.
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A 12-year-old with leukemia will be taking vincristine. The nurse should encourage the child to eat what kind of diet?
- A. High-residue.
- B. Low-residue.
- C. Low-fat.
- D. High-calorie.
Correct Answer: D
Rationale: A high-calorie diet supports energy needs during leukemia treatment, especially with vincristine, which doesn't require dietary restrictions.
After teaching the parents about the urethral catheter placed after surgical repair of their son's hypospadias, the nurse determines that the teaching was successful when the mother states that the catheter in her child's penis accomplishes which of the following?
- A. Decreases pain at the surgical site.
- B. Keeps the new urethra from closing.
- C. Measures his urine correctly.
- D. Prevents bladder spasms.
Correct Answer: B
Rationale: The catheter keeps the urethra open.
The family of a 5-year-old, only child has just moved to a rural setting where the father has started a dental practice. At the well-child visit, the father expresses concern that his child seems prone to minor accidents such as skinning his elbow and knees or falling off his scooter. The nurse tells the father:
- A. Only children use accidents as a way to seek parents' attention.
- B. Children who live in the suburbs typically have more accidents.
- C. Children frequently have more accidents when families experience change.
- D. We see a relationship between accidents and parental education.
Correct Answer: C
Rationale: Changes like moving can increase accidents due to stress or unfamiliar environments.
When developing the discharge plan for a child who had a nephrectomy for a Wilms' tumor, the nurse identifies outcomes to prevent damage to the child's remaining kidney and accomplish which of the following?
- A. Minimize pain.
- B. Prevent dependent edema.
- C. Prevent urinary tract infection.
- D. Minimize sodium intake.
Correct Answer: C
Rationale: Preventing UTIs protects kidney function.
A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?
- A. Administer the correct medication.
- B. Notify the prescribing physician.
- C. Complete an incident report.
- D. Inform the child's parents.
Correct Answer: C
Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.