Nokea
What is the priority intervention for a 10-year-old girl in a foster family?
- A. Determining if the child is being bullied at school
- B. Dealing with mixed parental expectations
- C. Establishing the child's primary caretaker
- D. Performing a comprehensive health assessment
Correct Answer: D
Rationale: In a foster family setup, the priority intervention for a 10-year-old girl is to perform a comprehensive health assessment. This is crucial as children in foster care may have moved between different homes, leading to incomplete medical records. A comprehensive health assessment helps identify any health issues, track the child's growth and development, and ensure appropriate medical care. While addressing bullying at school, managing parental expectations, and establishing the primary caretaker are important considerations, the immediate priority for the child's well-being and holistic care is to conduct a thorough health assessment.
You may also like to solve these questions
The school nurse is presenting a class to a group of students about common overuse disorders. Which disorder would the school nurse include?
- A. Dislocated radial head
- B. Transient synovitis of the hip
- C. Osgood-Schlatter disease
- D. Scoliosis
Correct Answer: C
Rationale: Osgood-Schlatter disease is a common overuse injury that specifically affects the knee. It is characterized by inflammation of the patellar ligament at the tibial tuberosity due to repetitive strain on the growth plate during activities such as running and jumping. Dislocated radial head (Choice A) is not an overuse disorder but rather an injury usually seen in young children. Transient synovitis of the hip (Choice B) is an acute hip condition and not typically classified as an overuse disorder. Scoliosis (Choice D) is a condition characterized by an abnormal lateral curvature of the spine and is not considered an overuse disorder.
What should be the priority action when caring for a child with acute laryngotracheobronchitis?
- A. Initiate measures to reduce fever.
- B. Ensure delivery of humidified oxygen.
- C. Provide support to reduce apprehension.
- D. Continually assess the respiratory status.
Correct Answer: D
Rationale: When caring for a child with acute laryngotracheobronchitis, the priority action should be to continually assess the respiratory status. This is crucial to detect early signs of respiratory distress, such as worsening stridor or increased work of breathing. Prompt intervention can prevent further deterioration of the child's condition. Initiating measures to reduce fever (Choice A) may be necessary but is not the priority in this situation. Ensuring delivery of humidified oxygen (Choice B) is important for maintaining oxygenation but should follow the assessment of respiratory status. Providing support to reduce apprehension (Choice C) is also important for the child's comfort but is not the priority over assessing and managing respiratory distress.
A parent tearfully tells a nurse, 'They think our child is developmentally delayed. We are thinking about investigating a preschool program for cognitively impaired children.' What is the nurse's most appropriate response?
- A. Praise the parent for the decision and encourage the plan.
- B. Ask for more specific information related to the developmental delays.
- C. Advise the parent to have the healthcare provider help choose an appropriate program.
- D. Explain that this may be a premature action and the developmental delays could disappear.
Correct Answer: B
Rationale: The most appropriate response in this situation is to ask for more specific information related to the developmental delays. By seeking additional details, the nurse can better understand the child's needs and provide tailored guidance and support to the parent. Praising the parent (Choice A) before fully grasping the situation may not be beneficial. Advising the parent to involve the healthcare provider in selecting a program (Choice C) is premature without a comprehensive understanding of the child's developmental delays. Explaining that the delays might resolve on their own (Choice D) is inappropriate as it dismisses the parent's concerns and the necessity for timely and appropriate interventions.
A healthcare provider is assessing a child with suspected bacterial meningitis. What clinical manifestation is the healthcare provider likely to observe?
- A. Photophobia
- B. High fever
- C. Rash
- D. Nasal congestion
Correct Answer: B
Rationale: High fever is a key clinical manifestation of bacterial meningitis due to the inflammatory response in the meninges. Photophobia, choice A, is also commonly observed due to meningeal irritation, but it is not as specific as high fever. Rash, choice C, is more indicative of conditions like meningococcal meningitis rather than bacterial meningitis. Nasal congestion, choice D, is not typically associated with bacterial meningitis. Therefore, the correct answer is B.
Your assessment of a mother in active labor reveals that a limb is protruding from the vagina. Management of this condition should include:
- A. Positioning the mother in a semi-Fowler's position, administering oxygen, and providing transport
- B. Positioning the mother in a head-down position with her hips elevated, administering oxygen, and providing transport
- C. Applying gentle traction to the protruding limb to remove pressure of the fetus from the umbilical cord
- D. Giving the mother 100% oxygen and attempting to manipulate the protruding limb so that delivery can occur
Correct Answer: B
Rationale: In a situation where a limb is protruding from the vagina during active labor, the correct management includes positioning the mother in a head-down position with her hips elevated. This position helps relieve pressure on the umbilical cord and improves oxygenation to the fetus. Administering oxygen is important to ensure adequate oxygen supply to both the mother and the baby. Providing transport is necessary for prompt transfer to a medical facility for further management. Applying gentle traction to the protruding limb is not recommended as it can cause harm to the baby and should be avoided. Giving 100% oxygen and attempting to manipulate the protruding limb is not the correct approach and can potentially lead to further complications.