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When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. encouraging the parents to have another baby.
- B. encouraging the parents to remain stoic.
- C. allaying feelings of guilt and blame.
- D. learning how the event could have been prevented.
Correct Answer: C
Rationale: As parents try to cope, they have feelings of guilt and blame.
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The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining remission of the disease. What would be the most effective therapy?
- A. Surgery to remove enlarged lymph nodes
- B. Long-term chemotherapy
- C. Nutritional supplements to enhance blood cell production
- D. Blood transfusions to replace ineffective red cells
Correct Answer: B
Rationale: The treatment of choice is methotrexate, a chemotherapeutic agent, to produce remission.
When the mother of a child with gastroesophageal reflux calls the clinic nurse to report that her baby is vomiting small amounts of blood, the nurse explains that the esophagus has been irritated by gastric
Correct Answer: acid
Rationale: Gastric acid that has repeatedly come in contact with the esophageal mucosa will erode the mucosa, and bleeding will result.
What is the main characteristic of cystic fibrosis?
- A. Multiple upper respiratory infections
- B. An underproduction of exocrine glands
- C. Excessive, thick mucus
- D. An overproduction of thin mucus
Correct Answer: C
Rationale: The pathophysiology of cystic fibrosis includes excessive, thick mucus.
Which is a long-term complication of cleft lip and palate?
- A. Cognitive impairment
- B. Altered growth and development
- C. Faulty dentition
- D. Physical abilities
Correct Answer: C
Rationale: The older child with cleft lip and palate may experience psychological difficulties because of the cosmetic appearance of the defect, problems with impaired speech, and faulty dentition.
When performing an assessment of a child with recurrent abdominal pain (RAP), the nurse recognizes the child will most likely experience what symptom?
- A. Increased temperature
- B. Constipation
- C. Right quadrant pain
- D. Exercise-associated pain
Correct Answer: B
Rationale: The child may be constipated with periumbilical pain unrelated to eating, defecation, or exercise.