Nokea
The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?
- A. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed.
- B. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur.
- C. Discourage parent presence during procedures on infants and toddlers.
- D. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What type of dehydration occurs when the electrolyte deficit exceeds the water deficit?
- A. Isotonic dehydration
- B. Hypotonic dehydration
- C. Hypertonic dehydration
- D. Hyperosmotic dehydration
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is preparing a presentation on compensated, decompensated, and irreversible shock in children. What clinical manifestations related to decompensated shock should the nurse include? (Select all that apply.)
- A. All below
- B. Oliguria
- C. Confusion
- D. Pale extremities
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Nurses should be alert for increased fluid requirements in which circumstance?
- A. Fever
- B. Mechanical ventilation
- C. Congestive heart failure
- D. Increased intracranial pressure
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?
- A. Postpone starting the IV until the next shift.
- B. Start the IV line and then allow for expression of feelings.
- C. Change the route of the antibiotics to PO.
- D. Postpone starting the IV line until the child is ready.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which disease requires strict isolation due to its mode of transmission?
- A. Mumps
- B. Chickenpox
- C. Exanthema subitum (roseola)
- D. Erythema infectiosum (fifth disease)
Correct Answer: B
Rationale: The correct answer is Chickenpox (choice B). Chickenpox is highly communicable and requires strict isolation to prevent the spread of the virus through direct contact, droplet transmission, and contaminated objects. Mumps (choice A) is also contagious but does not typically require strict isolation. Exanthema subitum (roseola) (choice C) and Erythema infectiosum (fifth disease) (choice D) are not as highly contagious as chickenpox and do not necessitate strict isolation.