Nokea
What will the nurse include?
- A. Pour the prescribed amount into a nipple and have the infant suck the medication.
- B. Squirt the prescribed dose into the back of the mouth and have the infant swallow.
- C. Give the medication mixed with a small amount of juice in a bottle.
- D. Use a sterile applicator to swab the medication on the oral mucosa.
Correct Answer: D
Rationale: Swabbing nystatin on the oral mucosa with a sterile applicator ensures effective treatment of thrush.
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The nurse knows that the child needs to consume how many milliliters of oral fluid to make up for the fluid loss?
- A. 18
- B. 36
- C. 64
- D. 81
Correct Answer: D
Rationale: For an 18-pound (8.1 kg) child, 10 mL/kg yields 81 mL of oral fluid to replace losses from one diarrheal stool.
Which finding in a newborn is suggestive of tracheoesophageal fistula?
- A. Failure to pass meconium in 24 hours
- B. Choking on the first feeding
- C. Palpable mass in the sternal area
- D. Visible peristalsis across abdomen
Correct Answer: B
Rationale: Choking on the first feeding is a key indicator of tracheoesophageal fistula due to the abnormal connection between the esophagus and trachea.
Which food would the nurse recommend to include in the child's diet?
- A. Cooked vegetables
- B. Pretzels
- C. Whole-grain cereal
- D. Yogurt
Correct Answer: C
Rationale: Whole-grain cereal, a high-roughage food, helps alleviate constipation by promoting bowel movements.
What will be included regarding primary sources of lead in the community?
- A. Increased lead content of air
- B. Use of aluminum cookware
- C. Deteriorating paint in older buildings
- D. Inhaling smog
Correct Answer: C
Rationale: Deteriorating paint in older buildings is a primary source of lead exposure in children.
Which statement by a mother may indicate a cause of her son's vitamin C deficiency?
- A. We get our fruits from homemade preserves.'
- B. We use milk from our own goats.'
- C. We grow all our own vegetables.'
- D. We're not big meat eaters.'
Correct Answer: A
Rationale: Heating fruits for preserves destroys vitamin C, leading to deficiency.