Nokea
When planning home care for the child with Legg-Calvé-Perthes disease, what should be the primary focus for family teaching?
- A. Need for intake of protein-rich foods.
- B. Little stretching exercises for both legs.
- C. Management of the corrective appliance.
- D. Relaxation techniques for pain control.
Correct Answer: C
Rationale: Management of the corrective appliance, such as a brace or traction, is the primary focus to ensure proper use and compliance, which is critical for treatment success.
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While caring for a neonate with an imperforate anus, the nurse assesses the neonate's urine output for which of the following?
- A. Meconium.
- B. Blood.
- C. Bile.
- D. Acetone.
Correct Answer: A
Rationale: Meconium in the urine may indicate a rectourinary fistula, a common complication of imperforate anus.
The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
- A. Daily phone calls from the hospital nurse.
- B. Enrollment in community parenting classes.
- C. Twice-weekly clinic appointments.
- D. Weekly visits by a community health nurse.
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
When developing the plan of care for a school-age child with acute poststreptococcal glomerulonephritis who has a fluid restriction of 1,000 mL/day, which of the following fluids should the nurse consider as most appropriate for the client's condition and effective for preventing excessive thirst?
- A. Diet cola.
- B. Ice chips.
- C. Lemonade.
- D. Tap water.
Correct Answer: B
Rationale: Ice chips help manage thirst.
A nurse is teaching the parents of a child newly diagnosed with celiac disease. Which food should the nurse instruct them to avoid?
- A. Rice.
- B. Wheat.
- C. Corn.
- D. Potatoes.
Correct Answer: B
Rationale: Celiac disease requires a gluten-free diet, avoiding wheat, barley, and rye. Rice, corn, and potatoes are gluten-free and safe.
A 6-month old infant has had a cardiac arrest and the rapid response team has been paged. The nurse arrives in the client's room and observes a physician assistant (PA) administering CPR to an infant (see figure). To assist the PA with CPR, the nurse should:
- A. Tell the PA to use the heel of the hand on the infant's sternum.
- B. Place one hand on the infant's sternum for chest compressions while the PA ventilates the lungs at a rate of one breath to every 5 compressions.
- C. Obtain an Ambu bag and give breaths at a rate of 2 breaths per 15 compressions.
- D. Encircle the infant's chest with the thumbs=on top to provide compression while the PA uses an Ambu bag to administer rescue breaths after every 15 compressions.
Correct Answer: C
Rationale: For an infant, the nurse should obtain an Ambu bag and deliver 2 breaths per 15 compressions, following pediatric CPR guidelines for 2-rescuer CPR.