Nokea
The parents of a 3-month-old infant are being educated by the healthcare provider about safe sleep practices. Which statement by the parents indicates a need for further teaching?
- A. We will place our baby on their back to sleep
- B. We will use a firm mattress and avoid soft bedding
- C. We will keep our baby in our bed so we can monitor them closely
- D. We will avoid putting toys or pillows in the crib
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next?
- A. Measure the infant's head-to-toe length.
- B. Palpate the anterior fontanel for tension and bulging.
- C. Observe the infant for sunken eyes.
- D. Plot the measurement on the infant's growth chart.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The infant scheduled for reduction of intussusception passes a soft-formed brown stool the day before the procedure. What intervention should the nurse implement?
- A. Instruct the parents that the infant needs to be NPO.
- B. Notify the healthcare provider of the passage of brown stool.
- C. Obtain a stool specimen for laboratory analysis.
- D. Ask the parents about recent changes in the infant's diet.
Correct Answer: B
Rationale: Notifying the healthcare provider is crucial when an infant scheduled for intussusception reduction passes a soft-formed brown stool as it may indicate spontaneous reduction of the intussusception. The healthcare provider needs to be informed to assess if the procedure is still necessary or if further evaluation is required.
A child with sickle cell anemia is being treated for a vaso-occlusive crisis. Which intervention should the practical nurse (PN) implement?
- A. Apply cold packs to painful areas.
- B. Encourage increased fluid intake.
- C. Administer high doses of vitamin C.
- D. Provide low-calorie meals.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old child with a history of asthma presents to the clinic with shortness of breath and wheezing. The nurse notes that the child's peak flow reading is in the red zone. What should the nurse do first?
- A. Administer a bronchodilator
- B. Reassess the peak flow reading
- C. Notify the healthcare provider
- D. Provide oxygen therapy
Correct Answer: A
Rationale: When a child with asthma presents with shortness of breath and wheezing, and the peak flow reading is in the red zone, indicating severe airflow limitation, the priority intervention is to administer a bronchodilator. Bronchodilators help dilate the airways quickly, improving airflow and assisting with breathing. Reassessing the peak flow reading, notifying the healthcare provider, and providing oxygen therapy may be necessary actions but administering a bronchodilator takes precedence in managing acute asthma exacerbation.
The mother calls the clinic and tells the practical nurse (PN) that her child cannot swallow a prescribed tablet that was dispensed by the local pharmacy as a whole tablet. How should the PN respond?
- A. You can crush the tablet and mix it with food.
- B. You should not force the child to swallow the tablets by holding her nose closed.
- C. If a liquid form is available, the pharmacist can be contacted for a prescription change.
- D. Do not advise the child to chew the tablet if she cannot swallow it.
Correct Answer: C
Rationale: When a child is unable to swallow a tablet, the appropriate response is to consider if a liquid form of the medication is available. This is a safer and more effective alternative than forcing the child to swallow or chew the tablet. Contacting the pharmacist for a prescription change can provide a suitable solution that ensures the child receives the medication in a more manageable form.