Nokea
When developing the teaching plan for the mother of a 2-year-old child diagnosed with babies, which do not be the following points should the nurse expect to include?
- A. The floors of the house should be cleaned with a damp mop.
- B. The child should be held frequently.
- C. Itching should cease in a few days.
- D. The entire family should be treated.
Correct Answer: D
Rationale: The question likely refers to scabies (miswritten as 'babies'). Scabies requires treatment of all household members to prevent reinfestation. Damp mopping is less relevant, frequent holding may spread mites, and itching may persist post-treatment.
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When preparing to obtain a neonatal screening test for phenylketonuria (PKU), the neonate must have received which of the following to ensure reliable results?
- A. A feeding of an iron-rich formula.
- B. Nothing by mouth for 4 hours before the test.
- C. Initial formula or breast milk at least 24 hours before the test.
- D. A feeding of glucose water.
Correct Answer: C
Rationale: PKU screening requires protein intake (breast milk or formula) for 24 hours to detect elevated phenylalanine levels. Iron-rich formula, fasting, or glucose water are inadequate.
The nurse is caring for a child who has just returned from surgery for repair of a cleft lip. In which order, from first to last, should the nurse do the following?
- A. Maintain a clear and adequate airway.
- B. Maintain sufficient fluid and caloric intake.
- C. Provide emotional comfort to the child.
- D. Apply elbow restraints.
- E. Teach the parents proper feeding methods.
Correct Answer: A,B,C,D,E
Rationale: Postoperative care prioritizes airway maintenance to ensure breathing, followed by fluid and caloric intake for recovery, emotional comfort to reduce stress, elbow restraints to protect the surgical site, and finally teaching parents feeding methods for ongoing care.
To meet the developmental needs of an 8-year-old child who is confined to home with osteomyelitis, what should the nurse include in the care plan?
- A. Encouraging the child to communicate with schoolmates.
- B. Encouraging the parents to stay with the child.
- C. Allowing siblings to visit freely throughout the day.
- D. Talking to the child about his interests twice daily.
Correct Answer: A
Rationale: Encouraging communication with schoolmates supports social development and reduces isolation during home confinement.
During a developmental screening, the nurse finds that a 3-year-old child with cerebral palsy has arrested social and language development. The nurse tells the family:
- A. This is a sign the cerebral palsy is progressing.'
- B. Your child has reached his maximum language abilities.'
- C. I need to refer you for more developmental testing.'
- D. We need to modify your therapy plan.'
Correct Answer: C
Rationale: Arrested development requires further evaluation to determine the cause and appropriate interventions, so referral for additional testing is necessary.
The health care provider has ordered a sterile urine specimen on a 3-year-old boy with a history of recurrent urinary tract infections. The family is upset because the last time the child was catheterized the procedure was very painful and traumatic. The nurse should tell the family:
- A. I will request an order for a sedative to help him relax.
- B. I can't do anything to reduce the pain
- C. but you can hold him during the procedure.
- D. I will get an order for a lidocaine-based lubricant to make the procedure more comfortable.
- E. I can apply a topical anesthetic 20 minutes before placing the catheter.
Correct Answer: D
Rationale: Topical anesthetics can minimize discomfort.