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The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:
- A. ask the social worker or case manager to organize a care conference.
- B. assess the family for transportation needs.
- C. call the medical supply company to ensure delivery of home care equipment.
- D. contact the patient's school to ensure its readiness to accommodate the patient.
Correct Answer: A
Rationale: Organizing a care conference ensures all aspects of the patient's care are addressed and coordinated effectively.
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A nurse is teaching high school students about transmission of the human immunodeficiency virus (HIV). Which comment by a student warrants clarification by the nurse?
- A. "A man should wear a latex condom during intimate sexual contact."
- B. "I've heard about people who got AIDS from blood transfusions."
- C. "I won't donate blood because I don't want to get AIDS."
- D. "IV drug users can get HIV from sharing needles."
Correct Answer: C
Rationale: It is important for the nurse to clarify to the student that donating blood does not put them at risk for getting AIDS. Blood donation centers follow strict protocols to ensure that donated blood is safe for transfusion, including screening for infectious diseases like HIV. It is admirable to donate blood as it can save lives without putting the donor at risk for acquiring HIV. It is crucial to dispel any misconceptions or fears surrounding blood donation to encourage people to participate in this important act of altruism.
According to developmental theories, which event is essential to toddler development?
- A. Learning to feed oneself.
- B. Developing friendships.
- C. Learning to walk.
- D. Being potty-trained.
Correct Answer: D
Rationale: The mastery of toilet training is considered a key developmental milestone during the toddler period.
The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:
- A. ask the social worker or case manager to organize a care conference.
- B. assess the family for transportation needs.
- C. call the medical supply company to ensure delivery of home care equipment.
- D. contact the patient's school to ensure its readiness to accommodate the patient.
Correct Answer: A
Rationale: Organizing a care conference ensures all aspects of the patient's care are addressed and coordinated effectively.
What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
- A. Vesicular
- B. Bronchial
- C. Adventitious
- D. Bronchovesicular
Correct Answer: A
Rationale: Vesicular breath sounds are normal, low-pitched sounds heard over the majority of the lung surface. They are usually soft and rustling with a longer inspiratory phase than expiratory phase. Vesicular breath sounds are produced by air moving through smaller bronchioles and alveoli. These sounds can be heard over the entire lung surface except for the upper intrascapular area and the area beneath the manubrium, where bronchovesicular breath sounds are typically heard.
A nurse notes that a 12-hour-old newborn has not had the first meconium stool. The nurse documents this finding and continues to monitor the newborn because, in term newborns, the first meconium stool occurs within how many hours of birth?
- A. 6 to 8
- B. 8 to 12
- C. 12 to 24
- D. 24 to 48
Correct Answer: A
Rationale: In term newborns, the first meconium stool typically occurs within the first 6 to 8 hours after birth. Meconium is the baby's first stool, and its presence signifies that the baby's gastrointestinal system is functioning properly. If a newborn has not passed meconium within this timeframe, it may indicate an issue such as bowel obstruction that requires further evaluation and intervention. Therefore, the nurse should document and monitor the situation closely to ensure the newborn's health and well-being.