Nokea
What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes?
- A. Keeping the infant flat after feeding
- B. Giving over-the-counter decongestants
- C. Avoiding getting water in the ears
- D. Cleaning the ear canal with cotton-tipped applicators
Correct Answer: C
Rationale: After a tympanostomy, care should be taken to avoid getting water in the ears.
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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 is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?
- A. Assist the child to bed and then go for help.
- B. Move objects out of the child's immediate area.
- C. Stick a padded tongue blade between the child's teeth.
- D. Manually restrain the child.
Correct Answer: B
Rationale: During a generalized tonic-clonic seizure, the immediate area is cleared to protect the child from injury.
What might the nurse explain as a common treatment for amblyopia?
- A. Patching the good eye to force the brain to use the affected eye
- B. Patching the affected eye to allow the refractory muscles to rest
- C. Using glasses that will slightly blur the image for the good eye
- D. Using corticosteroids to treat inflammation of the optic nerve
Correct Answer: A
Rationale: Early detection and treatment are essential for the child with amblyopia. Treatment includes patching the good eye and using glasses to correct refractive errors.
A child is admitted to the hospital because she had a seizure. Her parents report that for the past few weeks she has had headaches, with vomiting, that are worse in the morning. What does the nurse suspect?
- A. Meningitis
- B. Reye's syndrome
- C. Brain tumor
- D. Encephalitis
Correct Answer: C
Rationale: The signs and symptoms of a brain tumor are related to its size and location, creating increased intracranial pressure with hallmark symptoms of headache, vomiting, drowsiness, and seizures.
What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?
- A. Use gestures and signs as much as possible.
- B. Let the child's parents communicate for her.
- C. Face the child and speak clearly in short sentences.
- D. Recognize that the child's ability to communicate will be on a 6-year-old child's level.
Correct Answer: C
Rationale: The nurse who faces the child and speaks clearly will help the hearing-impaired child in the hospital to develop a healthy personality.