Nokea
When interviewing the parents of a 2-year-old child, a history of which of the following illnesses should lead the nurse to suspect pneumococcal meningitis?
- A. Bladder infection.
- B. Middle ear infection.
- C. Fractured clavicle.
- D. Septic arthritis.
Correct Answer: B
Rationale: Middle ear infections are a common precursor to pneumococcal meningitis due to the spread of Streptococcus pneumoniae.
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An 11-year-old child has been diagnosed with Grave's disease and is to start drug therapy. Which of the following instructions should be included in the teaching plan for the child's mother and teacher?
- A. Continue with the same amount of schoolwork and homework.
- B. Understand that mood swings are rare with this disorder.
- C. Limit the amount of food that is offered to the child.
- D. Provide the child with a calm, nonstimulating environment.
Correct Answer: D
Rationale: A calm environment reduces stress and exacerbation of hyperthyroidism symptoms like anxiety. Schoolwork may need adjustment, mood swings are common, and food restriction is unnecessary.
The nurse judges that the mother understands the diet restrictions for her child with chronic renal failure who is receiving peritoneal dialysis when she reports providing a diet involving which of the following?
- A. Sodium and water restrictions.
- B. High protein and carbohydrates.
- C. High potassium and iron.
- D. Protein and phosphorus restrictions.
Correct Answer: A
Rationale: Dietary restrictions help manage symptoms.
When planning a 15-month-old toddler's daily diet with the parents, which of the following amounts of milk should the nurse include?
- A. 1/2 to 1 cup.
- B. 2 to 3 cups.
- C. 4 to 5 cups.
Correct Answer: B
Rationale: Toddlers need 2-3 cups of milk daily to meet nutritional needs.
A 13-month-old has a febrile seizure one month after the administration of the chickenpox vaccine. The nurse should:
- A. Recognize that the events are unrelated.
- B. Report the event through the Vaccine Adverse Event Reporting System.
- C. Explain to the parents that this is a rare but acceptable risk.
- D. Report the incident through the vaccine manufacturer's hotline.
Correct Answer: B
Rationale: Febrile seizures post-vaccination should be reported to VAERS for monitoring vaccine safety.
The charge nurse finds the mother of a child with a chronic bladder condition requiring clean intermittent catheterization (CIC) visibly upset. The mother states, "That other nurse said parents are not allowed to perform CIC in the hospital because of increased infection risk." The charge nurse should tell the parent:
- A. Your child is exposed to additional bacterial in the hospital that makes CIC unsafe.
- B. You can catheterize your child as long as you use sterile technique.
- C. You can use CIC on your child. I will talk with your nurse to clarify the policy.
- D. I can tell you are having a conflict with this nurse. I will switch assignments.
Correct Answer: C
Rationale: Clarifying policies supports parental involvement.