Nokea
The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on which of the following?
- A. Child is too young to digest hot dogs.
- B. Child is too young to eat hot dogs safely.
- C. Hot dogs must be sliced into sections to prevent aspiration.
- D. Hot dogs must be cut into small, irregular pieces to prevent aspiration.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
- A. This cannot be prevented.
- B. Infants do not feel pain as adults do.
- C. This is not a good reason for refusing immunizations.
- D. A topical anesthetic, EMLA, can be applied before injections are given.
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.
A 35-year-old female client is requesting information about mammograms and breast cancer. She isn't considered at high risk for breast cancer. What should the nurse tell this client?
- A. She should have had a baseline mammogram before age
Correct Answer: D
Rationale: According to the American Cancer Society guidelines, women with average risk for breast cancer should start getting mammograms every 2 years starting at age 40. Since the client is not considered at high risk for breast cancer, this recommendation applies to her. Regular mammograms are important for early detection of breast cancer, even in those at average risk. It is also important for the client to perform monthly breast self-exams and report any changes or concerns to her healthcare provider.
An adult is receiving NSAID. Which of the following would the nurse include in the teaching about this medication?
- A. Take NSAID with aspiring for full effect
- B. Take the NSAID with meals
- C. Orange juice will help to potentiate the effect of NSAID mach lining
- D. The NSAID will coat the sto
Correct Answer: B
Rationale: Taking NSAIDs with meals or a snack can help reduce the risk of stomach irritation and ulcers that are commonly associated with these medications. Food can help protect the stomach lining from the irritating effects of NSAIDs. It is important for the adult to follow this instruction to minimize any potential gastrointestinal side effects. Taking NSAIDs with meals also helps with the absorption of the medication into the bloodstream, ensuring its effectiveness.
You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is
- A. affected children usually do not have antisocial tendencies
- B. girls are more likely affected than boys
- C. there is strong association with social class
- D. the oldest member of a family of few children is more likely to be affected
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When receiving change-of-shift report for children, which child should the nurse assess first?
- A. A toddler who has a concussion and an episode of forceful vomiting
- B. An adolescent with infective endocarditis who reports having a headache
- C. An adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale
- D. A school-age child with acute glomerulonephritis and brown-colored urine
Correct Answer: A
Rationale: The nurse should assess the toddler with a concussion and an episode of forceful vomiting first when receiving change-of-shift report for children. Forceful vomiting in a toddler with a concussion indicates increased intracranial pressure, requiring immediate assessment and intervention to prevent further complications.