Nokea
The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure, called a
Correct Answer: pyloromyotomy
Rationale: When the muscle is cut, the obstruction is immediately relieved and the child who is hungry will begin to eat and keep food down.
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When assessing the laboratory values of a child with nephrosis, the nurse anticipates which results?
- A. High levels of protein in the urine
- B. High serum lipid levels
- C. Low serum protein levels
- D. Low hemoglobin
- E. High white blood cell count
Correct Answer: A,B,C
Rationale: A patient with nephrotic syndrome has high levels of serum lipids, low serum protein, and albumin in urine that is dark and frothy with a high specific gravity. The hemoglobin and WBC are usually normal.
When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. encouraging the parents to have another baby.
- B. encouraging the parents to remain stoic.
- C. allaying feelings of guilt and blame.
- D. learning how the event could have been prevented.
Correct Answer: C
Rationale: As parents try to cope, they have feelings of guilt and blame.
Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?
- A. Prothrombin time
- B. Bleeding time
- C. Platelet count
- D. Partial thromboplastin time
Correct Answer: D
Rationale: Expected laboratory findings for a child with hemophilia include a prolonged partial thromboplastin time. The prothrombin time, bleeding time, and platelet count are typically normal.
When selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse?
- A. Impaired body image
- B. Skin impairment
- C. Nutritional deficit
- D. Injury
Correct Answer: B
Rationale: Nephrosis is a clinical state characterized by gross edema, which makes skin care a priority.
Following surgical repair of a cleft palate, what should be used to prevent injury to the suture line?
- A. Straw
- B. Spoon
- C. Syringe
- D. Cup
Correct Answer: D
Rationale: When feeding a child with a repaired cleft palate, the nurse should avoid utensils, straws, droppers, and syringes.