Nokea
When developing the ongoing plan of care for the parents whose infant died of sudden infant death syndrome (SIDS), the nurse should plan to accomplish which of the following on the second home visit?
- A. Allow the parents to express their feelings.
- B. Have the parents gain an understanding of the disease.
- C. Assess the impact of the infant's death on their other children.
- D. Deal with issues such as having other children.
Correct Answer: A
Rationale: On the second home visit, allowing parents to express their feelings supports their emotional processing of grief, which is a priority in early bereavement care.
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A male adolescent who underwent repair of an inguinal hernia earlier today and is getting ready to go home receives instructions about resuming physical activities. Which of the following statements would indicate that he has understood the instructions?
- A. I can start riding my bike next week.
- B. I have to skip physical education classes for 2 weeks.
- C. I can start wrestling again in 3 weeks.
- D. I can return to my weight-lifting class in 2 weeks.
Correct Answer: B
Rationale: Avoiding strenuous activities like PE for 2 weeks prevents strain on the surgical site.
A recent history of which of the following should alert the nurse to gather additional information about the possibility of a urinary tract infection in a 2-year-old child who is exhibiting fever and fussiness?
- A. Abdominal pain.
- B. Swollen lymph glands.
- C. Skin rash.
- D. Back pain.
Correct Answer: A
Rationale: Abdominal pain can indicate UTI.
A child with newly diagnosed osteomyelitis has nausea and vomiting. The parent wishes to give the child ginger snaps to help control the nausea. The nurse should tell the parent:
- A. I will need to get an order.'
- B. Your child needs medication for the vomiting.'
- C. We discourage the use of home remedies in children.'
- D. Ginger snaps are safe and may help with nausea.'
Correct Answer: D
Rationale: Ginger snaps are a safe, non-medicinal option that may help alleviate nausea in children.
When developing the discharge teaching plan for the parents of a child who has undergone a cardiac catheterization for ventricular septal defect, which of the following should the nurse expect to include?
- A. Restriction of the child's activities for the next 3 weeks.
- B. Use of sponge baths until the stitches are removed.
- C. Use of prophylactic antibiotics before receiving any dental work.
- D. Maintenance of a pressure dressing until a return visit with the physician.
Correct Answer: C
Rationale: Prophylactic antibiotics are recommended before dental procedures for children with ventricular septal defects to prevent endocarditis. Activity restrictions are typically shorter, stitches are not always used, and pressure dressings are removed sooner.
A 1-year-old child is scheduled for surgery to correct hypospadias and chordee. The nurse explains to the parents that this is the preferred time for surgical repair based on which of the following?
- A. At this age, the child will experience less pain.
- B. The child is too young to have developed castration anxiety.
- C. The child will not remember the surgical experience.
- D. The repair is easier to perform after the child is toilet trained.
Correct Answer: C
Rationale: Younger children may not remember the experience.