Nokea
What play activities should the nurse implement to encourage fluid intake for a child? (Select all that apply.)
- A. Have a tea party.
- B. Use a crazy straw.
- C. Cut gelatin into fun shapes.
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)
- A. Oliguric renal failure
- B. Increased intracranial pressure
- C. Mechanical ventilation
- D. All above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
- A. Place a warm moist pack on the scrotal area.
- B. Instruct the adolescent to lie down and elevate the legs.
- C. Refer the adolescent for immediate medical evaluation.
- D. Suggest that the adolescent wear a scrotum-protecting guard.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most consistent and commonly used indicator of pain in infants?
- A. Increased respirations
- B. Increased heart rate
- C. Thrashing of arms and legs
- D. Facial expression of discomfort
Correct Answer: D
Rationale: Facial expression has consistently been validated as an indicator of pain in infants. Behavioral pain measures are most reliable for sharp procedural pain in infants. Increased heart rate and respirations are indicative of a generalized and complex response to stress, not specific for pain in infants. Thrashing of arms and legs is a reliable indicator in young children, not specifically in infants.
What condition is often associated with severe diarrhea?
- A. Metabolic acidosis
- B. Metabolic alkalosis
- C. Respiratory acidosis
- D. Respiratory alkalosis
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is a physical characteristic of infants whose mothers smoked during pregnancy?
- A. Being large for gestational age
- B. Growth restriction in weight only
- C. Preterm but size appropriate for gestational age
- D. Growth restriction in weight, length, and chest and head circumference
Correct Answer: D
Rationale: The correct answer is D: Growth restriction in weight, length, and chest and head circumference. Infants born to mothers who smoke during pregnancy exhibit growth failure in weight, length, chest, and head circumference. This growth failure is directly related to the number of cigarettes smoked by the mother. Choices A, B, and C are incorrect because infants exposed to maternal smoking do not tend to be large for gestational age, experience growth restriction in weight only, or be preterm but size appropriate for gestational age.