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When assessing a 2-year-old child with Wilms' tumor, the nurse should avoid?
- A. Measuring the child's chest circumference.
- B. Palpating the child's abdomen.
- C. Placing the child in an upright position.
- D. Measuring the child's occipitofrontal circumference.
Correct Answer: B
Rationale: Palpation can cause tumor rupture.
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A nurse is planning care for a 12-year-old with rheumatic fever. The nurse should teach the parents to:
- A. Observe the child closely.
- B. Allow the child to participate in activities that will not tire him.
- C. Provide for adequate periods of rest between activities.
- D. Encourage someone in the family to be with the child 24 hours a day.
Correct Answer: C
Rationale: Rest is critical in rheumatic fever to reduce cardiac strain and prevent complications like carditis. Observation and limited activities are important, but rest is the priority.
The mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decide that the best course of action would be to do which of the following?
- A. Allow the child to stay up later one or two nights a week.
- B. Establish a set bedtime and follow a routine.
- C. Encourage active play before bedtime.
- D. Give the child a cookie if bedtime is pleasant.
Correct Answer: B
Rationale: A consistent bedtime routine promotes healthy sleep habits.
The nurse is caring for a child with leukemia who reports mouth sores. Which intervention should the nurse implement?
- A. Encourage spicy foods to stimulate appetite.
- B. Provide a soft toothbrush and mild mouth rinse.
- C. Administer aspirin for pain relief.
- D. Avoid oral care until sores heal.
Correct Answer: B
Rationale: A soft toothbrush and mild mouth rinse prevent irritation and infection in mouth sores, common in leukemia due to chemotherapy. Aspirin and spicy foods worsen sores.
While the nurse is examining the infant for presence of testes, the father paces around the room shaking his head. Which of the following would be the most appropriate response by the nurse?
- A. I'm sure everything will work out for the best
- B. and he'll be fine.
- C. You seem upset; please tell me how you're feeling.
- D. Don't worry; his testes will probably descend on their own.
- E. Would you like to talk with a parent of a child who has the same problem?
Correct Answer: B
Rationale: This response shows empathy and opens communication.
A mother asks the nurse if her child's iron deficiency anemia is related to the child's frequent infections. The nurse responds based on the understanding of which of the following?
- A. Little is known about iron deficiency anemia and its relationship to infection.
- B. Children with iron deficiency anemia are more susceptible to infection than are other children.
- C. Children with iron deficiency anemia are less susceptible to infection than are other children.
- D. Children with iron deficiency anemia are equally as susceptible to infection as are other children.
Correct Answer: B
Rationale: Iron deficiency impairs immune function, increasing infection susceptibility. This is well-documented in pediatric care.