Nokea
When initiating a peripheral intravenous (IV) infusion on an infant, what action should the nurse take?
- A. Apply soft restraints to all four extremities.
- B. Assess the dorsal surface of the feet for an IV site.
- C. Instruct parents to sing or croon to the infant.
- D. Select a site that is least restrictive to the infant.
Correct Answer: D
Rationale: Choosing a least restrictive site minimizes distress and allows easier movement post-IV insertion.
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A newborn, who has had gastroschisis repair, is transferred to the pediatric unit after spending several days in the pediatric intensive care unit. The infant is on parenteral nutrition and continuous enteral feedings. What action should the nurse include in the plan of care to promote the infant's normal growth and development?
- A. Discuss with the healthcare provider about starting physical therapy
- B. Offer a pacifier for non-nutritive sucking
- C. Confirm placement of the enteral tube with an abdominal x-ray
- D. Use sterile technique during feedings .
Correct Answer: B
Rationale: Non-nutritive sucking via a pacifier stimulates the sucking reflex and supports feeding development, promoting normal growth.
A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?
- A. Propose food even if the child shows no interest.
- B. Integrate play activities during meal times.
- C. Establish regular meal times.
- D. Permit a variety of food options.
Correct Answer: C
Rationale: Regular meal times provide structure, aiding nutrition in autism spectrum disorder.
During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse's course of action?
- A. Advise the client about the risks and benefits associated with oral contraceptives.
- B. Inform the client about how to obtain a variety of free oral contraceptives from the clinic.
- C. Encourage the client to discuss her contraceptive needs with her parents.
- D. Explain that parental consent is required to receive contraceptives.
Correct Answer: A
Rationale: Educating about risks and benefits respects autonomy and informs decision-making.
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?
- A. Speak to the healthcare provider about instituting physical therapy.
- B. Offer a pacifier for non-nutritive sucking.
- C. Ensure placement of the enteral tube with an abdominal x-ray.
- D. Use sterile technique during feedings.
Correct Answer: B
Rationale: Offering a pacifier for non-nutritive sucking promotes oral feeding skills and emotional stability, supporting normal growth and development in infants with gastroschisis repair.
The nurse is teaching a school-age child with left femoral osteomyelitis and the child's parent before discharge. What instruction should the nurse give related to the initial phase of treatment?
- A. Ensure no weight bearing on the affected extremity
- B. Administer topical antibiotic therapy daily
- C. Schedule ice pack applications to the infected area
- D. Provide passive range of motion exercises
Correct Answer: A
Rationale: No weight bearing prevents further bone damage during the initial treatment phase of osteomyelitis, supporting infection control.