Nokea
The parents of a child who requires skeletal traction are unable to visit their child for more than one hour a day because of their jobs. The nurse should:
- A. Encourage the parents to spend more time with the child.
- B. Arrange for volunteers or staff to provide companionship.
- C. Suggest the parents adjust their work schedules.
- D. Provide the child with a phone to contact the parents.
Correct Answer: B
Rationale: Arranging companionship helps meet the child's emotional needs when parents are unavailable due to work constraints.
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While caring for a neonate with an imperforate anus, the nurse assesses the neonate's urine output for which of the following?
- A. Meconium.
- B. Blood.
- C. Bile.
- D. Acetone.
Correct Answer: A
Rationale: Meconium in the urine may indicate a rectourinary fistula, a common complication of imperforate anus.
An adolescent female is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of:
- A. Antacids.
- B. Oral contraceptives.
- C. Multiple vitamins.
- D. Protein shakes.
Correct Answer: B
Rationale: Amoxicillin can reduce the effectiveness of oral contraceptives, increasing the risk of unintended pregnancy. The nurse should educate the adolescent about this interaction and suggest additional contraceptive measures during antibiotic therapy.
On finding a child who is not breathing, which of the following should the nurse do first?
- A. Clear the airway.
- B. Begin mouth-to-mouth resuscitation.
- C. Initiate oxygen therapy.
- D. Start chest compressions.
Correct Answer: A
Rationale: Clearing the airway is the first step in CPR to ensure no obstructions prevent effective ventilation.
The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, the nurse should advise the mother:
- A. The child does not need to eat between-meal snacks.
- B. The child should eat the snacks the mother thinks are appropriate.
- C. The child should help with preparing his or her own snacks.
- D. The child will instinctively select nutritional snacks.
Correct Answer: C
Rationale: Involving the child in snack preparation promotes healthy choices and responsibility.
The nurse is discharging an 8-month-old who weighs 15 lb from the hospital. The parents have put the child in the back seat of the car with the car seat facing the front. The nurse should:
- A. Ask the parents to wait while obtaining the correct car seat.
- B. Complete the discharge with the child sitting facing the front seat.
- C. Give the parents a manual on proper car seat placement.
- D. Explain the need for the rear-facing position and request assistance from a car seat technician.
Correct Answer: D
Rationale: Rear-facing car seats are recommended for infants under 2 years to protect their neck and spine.