Nokea
The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.)
- A. Abdominal distention
- B. Vomiting
- C. Hiccoughing
- D. Jaundice
- E. Absence of stool
Correct Answer: A,B,E
Rationale: Distended abdomen, vomiting, and absence of stool are the signs indicating meconium ileus in the newborn.
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A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.)
- A. Maintain strict bed rest.
- B. Consider age.
- C. Assess developmental level.
- D. Implement light play activities.
- E. Provide hypnotic medication as ordered.
Correct Answer: B,C,D
Rationale: Confinement to bed for a child does not always result in physical rest. In pediatrics, 'bed rest' means providing play therapy that promotes minimal activity.
The nurse is caring for a toddler with acute laryngotracheobronchitis. Which assessment finding would indicate the child is experiencing increased respiratory obstruction?
- A. Restlessness
- B. Tachycardia
- C. Brassy cough
- D. Expiratory wheezing
Correct Answer: A
Rationale: Restlessness is a primary sign of increased respiratory obstruction.
How would the nurse advise a mother to clear the nostrils when her infant has a cold?
- A. Clear the nasal passages after the infant has a feeding.
- B. Use over-the-counter nose drops to clear passages.
- C. Remove nasal secretions with a bulb syringe.
- D. Instill saline nose drops after clearing away secretions.
Correct Answer: C
Rationale: The nasal passages can be cleared by instilling a few drops of saline into the nose and then suctioning the secretions with a bulb syringe.
The first child of a couple is being treated for bronchopulmonary dysplasia (BPD). They ask how to prevent this from happening with the child they are currently expecting. What will the nurse explain as the best way to prevent BPD?
- A. Maternal intake of folic acid
- B. Exercise
- C. Prevention of preterm birth
- D. Provision of oxygen therapy to the newborn
Correct Answer: C
Rationale: The prevention of preterm birth is the best way to prevent BPD, as it is associated with prematurity and prolonged ventilation.
The nurse is caring for a 3-year-old child who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure?
- A. 2 hours
- B. 4 hours
- C. 18 hours
- D. 72 hours
Correct Answer: D
Rationale: Pulmonary edema appears in a child with smoke inhalation injury 6 to 72 hours after exposure.