Nokea
The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?
- A. Repair should be done before the child is potty-trained.
- B. The urethral repair should be done after sexual maturity.
- C. Surgery should be done by one month to prevent bladder infections.
- D. Delaying the repair until school age reduces castration fears.
Correct Answer: A
Rationale: Repair before potty-training (6-12 months) prevents urinary dysfunction and psychosocial issues.
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A child receives a prescription for loratadine 5 mg by mouth once day. The bottle is labelled 'Loratadine for Oral Suspension, USP 5 mg per 5 mL.' How many teaspoons should the nurse instruct the parent to administer with each dose?
- A. 1 teaspoon
Correct Answer: A
Rationale: 5 mg of loratadine corresponds to 5 mL (1 teaspoon) of the suspension, as per the concentration provided.
When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?
- A. Racing pulse.
- B. Profuse perspiration.
- C. Excessive thirst.
- D. Seeing spots.
Correct Answer: B
Rationale: Profuse perspiration is a symptom of hypoglycemia, requiring immediate sugar intake to raise blood glucose levels.
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic anti-infective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
- A. Discontinue the ointment once drainage resolves.
- B. Prepare the child for blurry vision after ointment application.
- C. Use a disposable moist wipe to remove eye crusts.
- D. Remove secretions by wiping toward the opposite eye.
Correct Answer: B
Rationale: Ophthalmic ointment can cause temporary blurry vision, and preparing the child for this effect is important.
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
- A. Has doubled birth weight.
- B. Plays 'peek-a-boo.'
- C. Demonstrates startle reflex.
- D. Turns head to locate sound.
Correct Answer: C
Rationale: The startle reflex typically disappears by 3-4 months; its presence at 6 months may indicate a developmental or neurological issue.
During a routine clinic visit, the nurse determines that a 5-year-old girl's systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next?
- A. Refer the child to the healthcare provider and schedule evaluation of blood pressure in two weeks.
- B. Measure the child's blood pressure three times during the visit and determine the highest of the readings.
- C. Conduct a head-to-toe assessment and omit repeated blood pressures during the examination.
- D. Take the blood pressure two more times during the visit and determine the average of the three readings.
Correct Answer: D
Rationale: Taking the blood pressure two more times and averaging the readings provides a more accurate assessment.