Nokea
What initial position will the nurse maintain for this patient?
- A. Left side-lying
- B. Supine
- C. Prone
- D. Semi-Fowler's
Correct Answer: B
Rationale: Lying supine post-lumbar puncture helps prevent headaches by maintaining spinal fluid pressure.
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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.
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.
What should the nurse assess to determine the method of transportation for a pediatric patient?
- A. Age
- B. Race
- C. Vital signs
- D. Distance to travel
- E. Level of consciousness
Correct Answer: A,D,E
Rationale: Age, distance to travel, and level of consciousness determine safe transportation methods; race is irrelevant.
How would the nurse teach the parent to best administer an oral suspension?
- A. Pour the medication into a small cup and allowing the infant to drink it.
- B. Place the medication in a nipple and having the infant suck the nipple.
- C. Use an oral syringe and placing the medication in the side of the infant's mouth.
- D. Administer the medication with a dropper onto the back of the infant's tongue.
Correct Answer: C
Rationale: Using an oral syringe to place medication in the side of the mouth ensures accurate dosing and safe administration.
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.