Nokea
What intervention should the nurse implement after topical administration of hydrocortisone cream to the buttocks and abdomen of an infant?
- A. Diaper the infant snugly with a disposable diaper.
- B. Cover the area with a transparent dressing.
- C. Apply a cloth diaper.
- D. Place the infant on a plastic pad, undiapered.
Correct Answer: C
Rationale: Using a cloth diaper or leaving the infant undiapered on a cloth pad prevents increased drug absorption from plastic coverings.
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What would be the best example provided by the nurse?
- A. Red meat
- B. Green, leafy vegetables
- C. Acidic fruit juices
- D. Egg yolks
Correct Answer: D
Rationale: Egg yolks reduce iron absorption in the digestive tract and should be limited when taking iron supplements.
Which strategy might the nurse use when administering oral medications to a young child who is reluctant?
- A. Mix the medication with chocolate milk.
- B. Tell the child that the medication is candy.
- C. Give the medication quickly if the child is crying.
- D. Offer the child fruit juice after the medication is swallowed.
Correct Answer: D
Rationale: Offering fruit juice after swallowing medication encourages cooperation without compromising nutrient intake.
Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure?
- A. Purpose of the procedure
- B. Risks associated with the procedure
- C. That no suit can be brought for damages
- D. That the document must be signed and witnessed
- E. That information was given
Correct Answer: A,B,D,E
Rationale: Informed consent ensures understanding of the procedure's purpose, risks, information provided, and the need for a signed, witnessed document.
Which specific drug(s) should be checked with a second licensed nurse prior to administration?
- A. Insulin
- B. Digoxin
- C. Vasodilators
- D. Calcium salts
- E. Anticoagulants
Correct Answer: A,B,D,E
Rationale: Insulin, digoxin, calcium salts, and anticoagulants require a second nurse's verification to ensure safety due to their high-risk nature.
What statement made by the adolescent led the nurse to determine she understood the instructions?
- A. I should wash my perineum with soap and water, then begin to urinate.'
- B. I clean the perineum from front to back with an antiseptic wipe before I urinate.'
- C. I'll collect the first stream of urine in a sterile container.'
- D. I will discard the first void and collect a freshly voided specimen 30 minutes later.'
Correct Answer: B
Rationale: Cleaning the perineum from front to back with an antiseptic wipe ensures a clean-catch urine specimen.