Nokea
The physical abuse of children affects children of all ages. Serious injuries, such as head or abdominal trauma, are more likely to be inflicted by
- A. mothers
- B. fathers
- C. old brothers
- D. grand mothers
Correct Answer: B
Rationale: Fathers and male caregivers are statistically more likely to inflict serious physical abuse, including head and abdominal trauma, due to greater physical strength and aggression.
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A factory worker suffered a chemical burn to the eye and arrives at the Emergency department. What is the first action of the nurse?
- A. Apply a cold compress to the injured eye
- B. Apply a light bandage to the eye
- C. perform an assessment on the client
- D. flush the eye continuously with sterile solution
Correct Answer: D
Rationale: The first action should be to flush the eye continuously with a sterile solution to remove the chemical and prevent further damage to the eye. This is important in cases of chemical burns to prevent the chemical from causing more harm or spreading to other parts of the eye. It is crucial to start immediate irrigation to promote the best possible outcome and help alleviate the pain and potential long-term damage. Once the eye has been thoroughly flushed, further assessment and appropriate treatment can be provided by the healthcare team.
A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?
- A. 16 lb 4 oz
- B. 20 lb 5 oz
- C. 24 lb 6 oz
- D. 32 lb 8 oz
Correct Answer: C
Rationale: Infants typically triple their birth weight by 12 months. For an 8-lb infant, that would be approximately 24 lb.
The nurse needs to obtain blood for ongoing assessment of a high-risk newborn's progress. Which tests should the nurse monitor? (Select all that apply.)
- A. Blood glucose
- B. Complete blood count (CBC)
- C. Calcium
- D. Serum electrolytes
Correct Answer: A
Rationale: Blood glucose: Monitoring blood glucose levels is crucial in high-risk newborns to ensure they are within the normal range. High or low blood glucose levels can indicate various conditions that require prompt intervention.
During examination of a toddler's extremities, the nurse notes that the child is bowlegged. What should the nurse recognize regarding this finding?
- A. Abnormal and requires further investigation
- B. Abnormal unless it occurs in conjunction with knock-knee
- C. Normal if the condition is unilateral or asymmetric
- D. Normal because the lower back and leg muscles are not yet well developed
Correct Answer: A
Rationale: Bowlegged appearance in a toddler is not considered normal and should prompt further investigation by a healthcare provider. Bowlegs, also known as genu varum, can be caused by various underlying conditions such as vitamin D deficiency, rickets, or genetic factors. It is important to determine the cause of bowleggedness in order to provide appropriate treatment or interventions to promote proper development of the child's legs. Bowleggedness on its own is not considered a normal variation in toddler development and warrants further assessment.
An adult has a central line in his right subclavian vein. The nurse is to change the tubing. Which of the following should be done?
- A. Use the present solution with the new tubing
- B. Connect the new tubing to the hub prior to running any fluid through the tubing
- C. Close the roller clamp on the new tubing after priming it
- D. Have the client roll to the right side to prevent an air embolus
Correct Answer: C
Rationale: The correct action to be taken when changing the tubing of a central line in the right subclavian vein is to close the roller clamp on the new tubing after priming it. This step is important to prevent air from entering the central line, which can lead to an air embolus. Proper priming and ensuring that the tubing is connected securely are essential steps in maintaining the integrity and safety of the central line system. Therefore, closing the roller clamp after priming the new tubing is crucial to prevent complications.