Nokea
What information regarding the dangers of tattooing should the nurse provide for this client? Select all that apply.
- A. Tattooing can lead to skin cancer.
- B. There can be an allergic reaction to the tattoo ink.
- C. Tattooing can result in skin infections.
- D. There is a risk for contracting hepatitis B and human immunodeficiency virus (HIV) if dirty needles are used in tattooing.
- E. Tattooing can cause spontaneous abortions in pregnant women.
- F. Tattooing can result in heart and lung conditions.
Correct Answer: B,C,D
Rationale: Tattooing risks include allergic reactions to ink, skin infections from unsterile equipment, and bloodborne infections like hepatitis B and HIV from contaminated needles. Skin cancer, abortions, and heart/lung conditions are not directly linked.
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Which findings by the nurse best indicate that the child is experiencing diabetic ketoacidosis? Select all that apply.
- A. Blood glucose level of 120 mg/dL
- B. Fruity-smelling breath
- C. Pale-colored face
- D. Excessive perspiration
- E. Deep, rapid breathing
- F. Dry, flushed skin
Correct Answer: B,E,F
Rationale: Diabetic ketoacidosis (DKA) is characterized by hyperglycemia (blood glucose typically >250 mg/dL, so 120 mg/dL is incorrect), fruity-smelling breath due to acetone, deep and rapid breathing (Kussmaul respirations) to compensate for acidosis, and dry, flushed skin due to dehydration.
Which instruction is essential to give the parents before the child's discharge?
- A. Return the child for a follow-up visit in 3 to 5 days.
- B. Give the child nothing by mouth for the next 12 hours.
- C. Check the child's pupillary response every 4 hours.
- D. Awaken the child every 4 hours during the first night.
Correct Answer: D
Rationale: Awakening the child every 4 hours during the first night allows monitoring for neurological deterioration, such as altered consciousness, critical after a head injury.
Which of the following findings during a routine wellness checkup best indicates that a child has iron deficiency anemia?
- A. Weight gain and hypertension
- B. Nervousness and diarrhea
- C. Nausea and vomiting
- D. Pallor and listlessness
Correct Answer: D
Rationale: Pallor and listlessness are hallmark signs of iron deficiency anemia due to reduced hemoglobin, leading to decreased oxygen delivery and fatigue.
The nurse is caring for a 30-year-old,single female who delivered a term newborn. What is the best way for the nurse to assess the impact of the newborn on the client’s lifestyle?
- A. Observe how the client interacts with her hospital visitors.
- B. Review the prenatal record for clues about the client’s lifestyle.
- C. Ask the client what plans she has made for newborn care at home.
- D. Observe the relationship between the client and her newborn’s father.
Correct Answer: C
Rationale: Open-ended questions about newborn care plans encourage sharing of lifestyle adjustments especially for single parents. Visitors prenatal records or father involvement are less direct.
The nurse advises the parents that, in most cases, children who have had an appendectomy usually return to school within what time frame?
- A. 5 days
- B. 2 weeks
- C. 4 weeks
- D. 6 weeks
Correct Answer: B
Rationale: Most children recover from an uncomplicated appendectomy within 1-2 weeks, allowing a return to school in about 2 weeks, depending on individual healing.