Nokea
The nurse should expect to assess which causative agent in a child with warts?
- A. Bacteria
- B. Fungus
- C. Parasite
- D. Virus
Correct Answer: D
Rationale: Warts are typically caused by a viral infection, specifically the human papillomavirus (HPV). This virus infects the top layer of the skin, causing the skin cells to grow rapidly, leading to the formation of a wart. Other causative agents such as bacteria, fungus, and parasites do not typically cause warts in children. Therefore, when assessing a child with warts, the nurse should expect the causative agent to be a virus, specifically HPV.
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Wilma knew that the maximum time when suctioning James is
- A. 10 seconds
- B. 20 seconds
- C. 30 seconds
- D. 45 seconds SITUATION: A 45 year old male construction worker was admitted to a tertiary hospital for incessant vomiting. Assessment disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue, slow flattening of the skin was noted when the nurse released her pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains for postural hypotension. There was no infection.
Correct Answer: C
Rationale: When suctioning a patient, it is important to limit the suctioning time to avoid hypoxia and tissue trauma. The maximum recommended time for suctioning an adult patient is usually around 10-15 seconds. However, in some cases, such as when dealing with thick or excessive secretions, the maximum time can be extended up to 30 seconds. In this particular case, where James is likely experiencing respiratory distress due to his symptoms, it would be appropriate for Wilma to suction him for a maximum of 30 seconds to effectively clear his airways while minimizing the risk of complications.
A nurse is conducting a teaching session for parents of infants. The nurse explains that which behavior indicates that an infant has developed object permanence?
- A. Recognizes familiar face, such as mother
- B. Recognizes familiar object, such as bottle
- C. Actively searches for a hidden object
- D. Secures objects by pulling on a string
Correct Answer: C
Rationale: Object permanence is the understanding that objects continue to exist even when they can't be seen, heard, or touched. When an infant actively searches for a hidden object, it demonstrates that the infant has developed object permanence. This behavior implies that the infant understands that the object still exists even though it is temporarily out of sight. This usually emerges around 8-12 months of age, according to Piaget's theory of cognitive development. The other choices do not specifically relate to the concept of object permanence as directly as actively searching for a hidden object does.
Which of the following situations increase the risk of lead poisoning in children?
- A. playing in the park with heavy traffic and with many vehicles passing by
- B. playing sand in the park
- C. playing plastic balls with other children
- D. playing with stuffed toys at home
Correct Answer: B
Rationale: Playing in sand at the park can increase the risk of lead poisoning in children because sand can be contaminated with lead particles from various sources such as old paint, industrial pollution, or leaded gasoline residues. When children play in sand, they may accidentally ingest the contaminated particles while handling or playing with the sand. This ingestion can lead to lead poisoning, as even small amounts of lead can be harmful to children's health. Therefore, playing in sand at the park poses a higher risk of lead exposure compared to the other activities listed.
A one-month-old patient, who has developmental dysplasia of the hip, is placed in a hip spica cast. The patient's mother expresses the desire to continue breastfeeding. What is the pediatric nurse's best response?
- A. After breastfeeding, hold your baby upright for 45 minutes.
- B. Due to the weight of the cast, breastfeeding is not encouraged. I recommend that you bottle-feed.
- C. Breastfeeding can continue without significant changes; ensure proper positioning to accommodate the cast.
- D. none of the above.
Correct Answer: C
Rationale: Breastfeeding can continue even with a hip spica cast, but proper positioning is essential to ensure comfort for both the infant and the mother.
The child begins to understand right and left by age of
- A. 3 yr
- B. 4 yr
- C. 5 yr
- D. 6 yr
Correct Answer: C
Rationale: Understanding right and left typically develops around age 5.