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What does the nurse explain to parents of a child with febrile seizures?
- A. They occur when the body temperature exceeds 38.3?°C (101?°F).
- B. They can be prevented by anticonvulsant medication.
- C. They usually lead to the development of epilepsy.
- D. They occur when the temperature rises quickly.
Correct Answer: D
Rationale: Febrile seizures occur in response to a rapid rise in temperature, often above 38.8?°C (102?°F).
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What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?
- A. Use gestures and signs as much as possible.
- B. Let the child's parents communicate for her.
- C. Face the child and speak clearly in short sentences.
- D. Recognize that the child's ability to communicate will be on a 6-year-old child's level.
Correct Answer: C
Rationale: The nurse who faces the child and speaks clearly will help the hearing-impaired child in the hospital to develop a healthy personality.
What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)?
- A. The medication should be given on an empty stomach.
- B. Insomnia can be a significant side effect.
- C. Gums should be massaged regularly to prevent hyperplasia.
- D. Blood pressure should be closely monitored.
Correct Answer: C
Rationale: Dilantin can cause gum overgrowth, which can be minimized by regular massaging.
What will the nurse teach parents when giving instructions for acute conjunctivitis?
- A. Apply cool compresses to the affected eye several times a day.
- B. Instill topical steroid eyedrops for 1 week.
- C. Clear drainage from the inner to the outer aspect of the eye.
- D. Keep the eye patched until the inflammation resolves.
Correct Answer: C
Rationale: Eye secretions are always cleared from the inner canthus downward and away from the opposite eye.
What intervention(s) would the nurse caring for a child with infectious meningitis include? (Select all that apply.)
- A. Isolation precautions
- B. Provision of brightly lit room
- C. Observation for increasing intracranial pressure
- D. Preparation for spinal tap
- E. Seizure precautions
Correct Answer: A,C,D,E
Rationale: All elements of nursing care listed in the options, except a brightly lit room, would be part of comprehensive care of a child with meningitis.
The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy?
- A. Athetoid
- B. Ataxic
- C. Spastic
- D. Mixed
Correct Answer: C
Rationale: Spasticity is characterized by tension in certain muscle groups, which makes voluntary movements of muscles jerky and uncoordinated.