Nokea
What factor does the nurse explain affects the infant's physiological response to medications?
- A. Faster metabolism in the liver
- B. Slower intestinal transit
- C. Immature kidney function
- D. Increased secretion of hydrochloric acid
Correct Answer: C
Rationale: Immature kidney function in infants under 1 year hinders effective drug excretion, affecting response.
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What will the nurse expect the child's daily urinary output to be?
- A. 400 to 500 mL
- B. 500 to 600 mL
- C. 600 to 720 mL
- D. 700 to 1000 mL
Correct Answer: C
Rationale: The average daily urine output for a 4-year-old is 600 to 720 mL, reflecting normal renal function.
How would the nurse record the infant's urine output?
- A. 47 mL
- B. 44.5 mL
- C. 43.5 mL
- D. 40.5 mL
Correct Answer: B
Rationale: Subtracting the dry diaper weight (2.5 g) from the wet diaper weight (47 g) yields 44.5 mL of urine output.
Why is a tympanic thermometer considered more accurate than other types of thermometers?
- A. The thermometer probe is blunt and wide.
- B. It takes a brief time to register.
- C. The tympanic membrane shares circulation with the hypothalamus.
- D. The tympanic membrane and the brain have the same temperature.
Correct Answer: C
Rationale: The tympanic membrane's shared circulation with the hypothalamus ensures accurate core temperature measurement.
Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
- A. The blanket is not tucked into the mattress.
- B. Diapers and wipes are stacked at the foot of the crib.
- C. The crib side is locked in the up position.
- D. Pillows are stacked on the bedside table.
Correct Answer: B
Rationale: Diapers and wipes at the crib's foot pose a suffocation risk, indicating a need for parental safety education.
What is the nurse's most effective response?
- A. No. It is over before you know it.'
- B. Yes. It will sting a little.'
- C. No. Would you like to see the syringe?'
- D. Yes. Your mom and I are going to hold you to help you be still.'
Correct Answer: B
Rationale: A truthful response about a slight sting builds trust and prepares the child for the IM injection.