Nokea
The nurse is teaching a group of parents about sickle cell anemia. Which statement by a parent indicates a need for further teaching?
- A. Sickle cell anemia is a genetic disorder.'
- B. Crises can be triggered by dehydration.'
- C. The disease only affects African Americans.'
- D. Oxygen therapy may be needed during a crisis.'
Correct Answer: C
Rationale: Sickle cell anemia affects various ethnic groups, not only African Americans. The other statements are accurate, indicating understanding.
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The father of a 16-month-old child calls the clinic because the child has a low-grade fever, cold symptoms, and a hoarse cough. Which of the following should the nurse suggest that the father do?
- A. Offer extra fluids frequently.
Correct Answer: A
Rationale: Offering extra fluids frequently helps keep the child hydrated and may soothe the throat, alleviating symptoms of croup.
When developing the teaching plan for the mother of a 2-year-old child diagnosed with babies, which do not be the following points should the nurse expect to include?
- A. The floors of the house should be cleaned with a damp mop.
- B. The child should be held frequently.
- C. Itching should cease in a few days.
- D. The entire family should be treated.
Correct Answer: D
Rationale: The question likely refers to scabies (miswritten as 'babies'). Scabies requires treatment of all household members to prevent reinfestation. Damp mopping is less relevant, frequent holding may spread mites, and itching may persist post-treatment.
The parents of an 18-year-old preparing to enter college ask if their daughter should have the meningococcal (MCV4) vaccine. The nurse should tell the parents:
- A. It is only necessary to have the vaccine if your daughter will be living in a dormitory.'
- B. We recommend the vaccine, but it needs to be given as a series of three injections.'
- C. Let's review your records. The vaccine may have already been given a few years ago.'
- D. We highly recommend this vaccine, but we will need to do a pregnancy screening first.'
Correct Answer: C
Rationale: Checking vaccination records confirms whether the MCV4 vaccine, recommended for adolescents, was previously administered.
An infant has been transferred from the ICU to the pediatric floor after undergoing surgery to correct a heart defect. Which tasks can the nurse delegate to the licensed practical nurse (LPN)?
- A. Administering oral medications.
- B. Administering I.V. morphine.
- C. Obtaining vital signs.
- D. Recording the input and output.
- E. Administering blood products.
- F. Morning hygiene.
- G. Circulation checks.
Correct Answer: A,C,D,F,G
Rationale: LPNs can handle oral medications, vital signs, input/output, hygiene, and circulation checks. I.V. morphine and blood products require RN oversight.
When caring for a child with moderate burns from the waist down, which of the following should the nurse do when positioning the child?
- A. Place the child in a position of comfort.
- B. Allow the child to lie on the abdomen.
- C. Ensure the application of leg splints.
- D. Have the child flex the hips and knees.
Correct Answer: D
Rationale: Flexing hips and knees prevents contractures and promotes circulation in lower extremity burns. Comfort is secondary, lying on the abdomen may cause pressure, and splints are not routinely needed.