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What should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is being treated with naproxen (Naprosyn)?
- A. Anti-inflammatory effect will occur in approximately 8 weeks.
- B. Within 24 hours, the child will have antiinflammatory relief.
- C. The nurse should be called before giving the child any over-the-counter medications.
- D. If a dose is forgotten or missed, that dose is not made up.
Correct Answer: C,D
Rationale: Parents should consult the nurse before giving other medications due to potential interactions, and missed doses should not be doubled to avoid toxicity.
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After teaching the family of a child with scoliosis who wears a Boston brace, which of the following activities, if stated by the child and family as occasions appropriate for removal of the brace, indicates successful teaching?
- A. When bathing, for about 1 hour per day.
- B. While eating, for a total of 3 hours a day.
- C. During school, for about 8 hours a day.
- D. When sleeping, for a total of 10 hours a day.
Correct Answer: A
Rationale: The Boston brace can be removed for short periods, such as during bathing, typically limited to about 1 hour per day, to maintain treatment efficacy.
A parent asks, 'Can I get head lice too?' The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons?
- A. An immunity to pediculosis usually is established by adulthood.
- B. School-age children tend to be more neglectful of frequent handwashing.
- C. Pediculosis usually is spread by close contact with infested children.
- D. The skin of adults is more capable of resisting the invasion of lice.
Correct Answer: C
Rationale: Close contact in school settings facilitates lice transmission among children.
A nurse is teaching the parents of a child diagnosed with a urinary tract infection secondary to vesicoureteral reflux. How should the nurse explain how the reflux contributes to the infection?
- A. It prevents complete emptying of the bladder.
- B. It causes urine backflow into the kidney.
- C. It results in painful bladder spasms.
- D. It causes painful urination.
Correct Answer: B
Rationale: Reflux allows bacteria to reach kidneys.
Which of the following initial physical findings indicate the development of carditis in a child with rheumatic fever?
- A. Heart murmur.
- B. Low blood pressure.
- C. Irregular pulse.
- D. Anterior chest wall pain.
Correct Answer: A
Rationale: A heart murmur is a hallmark of carditis in rheumatic fever, indicating valvular involvement. Other findings may occur but are less specific.
The parents of a child who requires skeletal traction are unable to visit their child for more than one hour a day because of their jobs. The nurse should:
- A. Encourage the parents to spend more time with the child.
- B. Arrange for volunteers or staff to provide companionship.
- C. Suggest the parents adjust their work schedules.
- D. Provide the child with a phone to contact the parents.
Correct Answer: B
Rationale: Arranging companionship helps meet the child's emotional needs when parents are unavailable due to work constraints.