Nokea
The parents of a 10-year-old child with newly diagnosed type 1 diabetes are being taught by the nurse about managing their child's condition. Which statement by the parents indicates they need further teaching?
- A. We should rotate injection sites to prevent tissue damage
- B. Our child should avoid all sugary foods and drinks
- C. We will monitor blood glucose levels regularly
- D. Our child needs to wear a medical alert bracelet
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 2-year-old child with respiratory syncytial virus (RSV) is being treated in the hospital. What should the healthcare provider monitor for in this child?
- A. Increased urine output.
- B. Decreased respiratory rate.
- C. Labored breathing.
- D. Improved appetite.
Correct Answer: C
Rationale: Labored breathing is a critical sign of worsening respiratory distress in children with RSV. It indicates that the child's condition may be deteriorating, requiring prompt intervention to ensure adequate oxygenation and prevent respiratory failure. Monitoring for labored breathing allows healthcare providers to promptly assess and manage the child's respiratory status, potentially preventing further complications associated with RSV infection.
During a follow-up clinical visit, a mother tells the nurse that her 5-month-old son, who had surgical correction for tetralogy of Fallot, has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held, and his growth is in the expected range. Which intervention should the nurse implement?
- A. Stimulate the infant to cry to produce cyanosis
- B. Auscultate the heart and lungs while the infant is held
- C. Evaluate the infant for failure to thrive
- D. Obtain a 12-lead electrocardiogram
Correct Answer: B
Rationale: Auscultating the heart and lungs while the infant is held can provide important diagnostic information in assessing the cardiac and respiratory status of the infant who had surgical correction for tetralogy of Fallot. This intervention can help the nurse identify any abnormal heart or lung sounds, which may indicate complications or issues that need further evaluation or intervention.
A child is recovering from an appendectomy. The parent asks when the child can resume normal activities. What is the best response by the nurse?
- A. The child can resume normal activities as soon as they feel up to it
- B. The child should avoid strenuous activities for at least 2 weeks
- C. The child can resume normal activities after the stitches are removed
- D. The child should avoid all physical activities for the next month
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a 14-year-old adolescent who was admitted to the hospital after a suicide attempt. The adolescent's mood appears stable, and the healthcare provider has recommended discharge. What is the nurse's priority action?
- A. Ensure that a safety plan is in place before discharge
- B. Provide education about medication adherence
- C. Encourage the adolescent to participate in group therapy
- D. Schedule a follow-up appointment with a mental health professional
Correct Answer: A
Rationale: The priority action for the nurse is to ensure that a safety plan is in place before discharge. A safety plan is essential to assist the adolescent in managing future crises and decreasing the likelihood of another suicide attempt. It provides guidance on coping strategies and resources to help the adolescent stay safe in times of distress.
A 2-year-old boy begins to cry when the mother starts to leave. What is the nurse's best response in this situation?
- A. Let me read this book to you.
- B. Two years old usually stop crying the minute the parent leaves.
- C. Now be a big boy. Mommy will be back soon.
- D. Let's wave bye-bye to mommy.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.