Nokea
What position will the nurse explain the child will assume for this procedure?
- A. On your stomach with your head turned to the side.'
- B. On your side, keeping the legs bent and the head arched back.'
- C. On your back with your legs extended straight out.'
- D. On your side with the knees bent and the head close to the knees.'
Correct Answer: D
Rationale: The side-lying position with knees bent and head close to knees facilitates safe lumbar puncture.
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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 restraint is most appropriate for the insertion of an intravenous line in a scalp vein of an infant?
- A. Mummy
- B. Clove hitch
- C. Jacket
- D. Elbow
Correct Answer: A
Rationale: A mummy restraint immobilizes the infant safely for scalp vein IV insertion.
How often should a child who has a continuous intravenous infusion should be assessed?
- A. Hourly
- B. Every 2 hours
- C. Every 3 hours
- D. Every 4 hours
Correct Answer: A
Rationale: Hourly assessments are necessary to monitor for complications like inflammation or infiltration.
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.
The order reads, 'Give ampicillin oral suspension 400 mg PO every day.' The vial reads, 'Ampicillin 125 mg/5 mL.' The nurse will give a dose of __ mL.
Correct Answer: 16
Rationale: Calculating 400 mg from 125 mg/5 mL yields 16 mL as the correct daily dose.