Nokea
The nurse talks to an adolescent about how she can tell her friends about her new diagnosis of diabetes. Which of the following behaviors by the adolescent indicates that the adolescent has responded positively to the discussion?
- A. She asks the nurse for material on diabetes for a school paper.
- B. She introduces the nurse to her friends as the nurse to the taught me all about my diabetes.
- C. She says, 'I'll try to tell my friends, but they'll probably quit hanging out with me.'
- D. She asks her friends what they think about someone who has a lifelong illness.
Correct Answer: A
Rationale: Requesting materials indicates proactive engagement and willingness to share knowledge, reflecting a positive response. Other options show hesitation or indirect approaches.
You may also like to solve these questions
A mother asks the nurse if her child's iron deficiency anemia is related to the child's frequent infections. The nurse responds based on the understanding of which of the following?
- A. Little is known about iron deficiency anemia and its relationship to infection.
- B. Children with iron deficiency anemia are more susceptible to infection than are other children.
- C. Children with iron deficiency anemia are less susceptible to infection than are other children.
- D. Children with iron deficiency anemia are equally as susceptible to infection as are other children.
Correct Answer: B
Rationale: Iron deficiency impairs immune function, increasing infection susceptibility. This is well-documented in pediatric care.
The mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decide that the best course of action would be to do which of the following?
- A. Allow the child to stay up later one or two nights a week.
- B. Establish a set bedtime and follow a routine.
- C. Encourage active play before bedtime.
- D. Give the child a cookie if bedtime is pleasant.
Correct Answer: B
Rationale: A consistent bedtime routine promotes healthy sleep habits.
A 4-year-old has been scheduled for a cardiac catheterization. To help prepare the family the nurse should:
- A. Advise the family to bring the child to the hospital the night before.
- B. Explain that the child will need a large bandage after the procedure.
- C. Discourage bringing favorite toys that might become associated with pain.
- D. Explain that the child may get up as soon as the vital signs are stable.
Correct Answer: B
Rationale: The catheter insertion site will be covered with a bandage. This is important for preschool children to know as they are very concerned about bodily harm. Preparing the child the night before, bringing favorite toys, and explaining activity restrictions are also important but not the primary focus of this choice.
While the nurse is examining the infant for presence of testes, the father paces around the room shaking his head. Which of the following would be the most appropriate response by the nurse?
- A. I'm sure everything will work out for the best
- B. and he'll be fine.
- C. You seem upset; please tell me how you're feeling.
- D. Don't worry; his testes will probably descend on their own.
- E. Would you like to talk with a parent of a child who has the same problem?
Correct Answer: B
Rationale: This response shows empathy and opens communication.
Which of the following medication orders to help relieve discomfort in a child with leukemia should the nurse question?
- A. Acetaminophen (Tylenol).
- B. Acetaminophen with codeine (Tylenol with Codeine).
- C. Ibuprofen (Motrin).
- D. Propoxyphene hydrochloride (Darvon).
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk in leukemia due to its antiplatelet effects, which is dangerous with low platelets. Other medications are safer.