Nokea
What symptom leads the nurse caring for a 5-month-old child with viral influenza to suspect the development of Reye's syndrome?
- A. Respirations drop from 18 to 14 breaths/minute
- B. Falling asleep after feeding
- C. Sudden vomiting without effort
- D. Development of a macular rash
Correct Answer: C
Rationale: A child with a viral infection is at risk for Reye's syndrome, the onset of which is effortless vomiting, lethargy, and a change in level of consciousness.
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The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?
- A. Use aspirin instead of acetaminophen for children with viral illness.
- B. Advise parents to have their children immunized against Reye's syndrome.
- C. Avoid giving salicylate-containing medications to a child who has viral symptoms.
- D. Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.
Correct Answer: C
Rationale: Prevention of Reye's syndrome includes educating parents not to give aspirin-containing medication to children with viral symptoms.
Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges. Which statement by the parents alerts the nurse they need further instruction?
- A. We dress our son every morning for school.'
- B. Our son participates in the Special Olympics every year.'
- C. Our son attends play therapy at a center close to home.'
- D. We attend a support group once a week.'
Correct Answer: A
Rationale: The mentally handicapped child needs to develop a sense of accomplishment. Caregivers should not 'take over' projects.
An 8-year-old near-drowning victim is rushed into the ED. What priorities of care will be implemented? (Select all that apply.)
- A. Parental education regarding prevention
- B. Respiratory support
- C. Cardiovascular support
- D. Controlled rewarming
- E. Adequate cerebral oxygenation
Correct Answer: B,C,D,E
Rationale: Respiratory and cardiovascular support, controlled rewarming, and maintenance of adequate cerebral oxygenation are priorities of care.
What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?
- A. I will continue using the medication until symptoms are relieved.'
- B. I will share the medicine with siblings if their symptoms are the same.'
- C. I will give the medication with a glass of milk.'
- D. I will administer prescribed doses until all the medication is used.'
Correct Answer: D
Rationale: Antibiotic therapy for otitis media is continued until the prescribed amount has been completed, even if symptoms are alleviated.
Which situation would cause the nurse to suspect a hearing impairment?
- A. 3-month-old infant with a positive Moro (startle reaction) reflex
- B. 15-month-old toddler who is babbling
- C. 18-month-old toddler who is speaking one-syllable words
- D. 24-month-old toddler who communicates by pointing
Correct Answer: D
Rationale: The child who is not making verbal attempts by 24 months should undergo a complete physical examination.