Nokea
What does the nurse expect this child to receive following gastric lavage?
- A. Activated charcoal
- B. N-Acetylcysteine
- C. Vitamin K
- D. Syrup of ipecac
Correct Answer: B
Rationale: N-Acetylcysteine is the antidote for acetaminophen poisoning, administered after gastric lavage.
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How does the nurse interpret these values?
- A. Metabolic acidosis
- B. Metabolic alkalosis
- C. Respiratory acidosis
- D. Respiratory alkalosis
Correct Answer: A
Rationale: A pH of 7.32 and low HCO3- (21) indicate metabolic acidosis, common in severe dehydration.
What interventions will the nurse perform when feeding a child with pyloric stenosis?
- A. Give a formula thinned with water.
- B. Burp the infant before and during feeding.
- C. Give the feeding slowly.
- D. Refeed if the infant vomits.
- E. Position infant on left side after feeding.
Correct Answer: B,C,D
Rationale: Burping, slow feeding, and refeeding if vomiting occurs help manage pyloric stenosis; the infant is positioned on the right side, not left.
What is the most appropriate nursing action?
- A. Delay feeding the child for 6 hours.
- B. Offer regular formula thinned with water.
- C. Give small amounts of regular formula thickened with cereal.
- D. Allow 1 ounce of glucose water at frequent intervals.
Correct Answer: D
Rationale: Small, frequent glucose water feedings post-pyloric stenosis surgery support recovery while minimizing vomiting risk.
Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive?
- A. Pointing out errors that the nurse observes when the mother is caring for the infant
- B. Discussing negative characteristics of the infant with the mother
- C. Having the nurse provide as much of the infant's care as possible
- D. Teaching the mother about the developmental milestones to expect in the next few months
Correct Answer: D
Rationale: Teaching about developmental milestones provides anticipatory guidance, supporting parental care in nonorganic failure to thrive.
Which statement by a mother may indicate a cause of her son's vitamin C deficiency?
- A. We get our fruits from homemade preserves.'
- B. We use milk from our own goats.'
- C. We grow all our own vegetables.'
- D. We're not big meat eaters.'
Correct Answer: A
Rationale: Heating fruits for preserves destroys vitamin C, leading to deficiency.