Where in the health history does a record of immunizations belong?
- A. History
- B. Present illness
- C. Review of systems
- D. Physical assessment
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?
- A. Ask her why she wants to know.
- B. Determine why she is so anxious.
- C. Explain in simple terms how it works.
- D. Tell her she will see how it works as it is used.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is presenting a staff development program about understanding culture in the healthcare encounter. Which components should the nurse include in the program? (Select all that apply.)
- A. Cultural humility
- B. All are applicable
- C. Cultural sensitivity
- D. Cultural competency
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A school-age client is in the playroom when the respiratory therapist arrives to give a scheduled breathing treatment. What is the most appropriate nursing action?
- A. Escort the child to their room and ask the child-life specialist to bring toys to the bedside
- B. Reschedule the treatment for a later time
- C. Assist the child back to their room for the treatment but reassure them that they may return when the procedure is completed
- D. Show the respiratory therapist to the playroom
Correct Answer: C
Rationale: The most appropriate action is to assist the child back to their room for the treatment but reassure them that they may return when the procedure is completed. This approach ensures that the child receives the necessary treatment while also acknowledging their desire to continue playing in the playroom. Choice A is incorrect because it suggests moving the child to the room and asking the child-life specialist to bring toys, which may not be necessary. Choice B is incorrect as rescheduling the treatment may not be in the best interest of the child's health. Choice D is incorrect as the nurse should guide the child back to their room for the treatment.
A 6-year-old child has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation to the parents include?
- A. The child will continue to sleep and be pain-free
- B. Parents cannot administer additional medication with the button
- C. The pump can deliver baseline and bolus dosages
- D. There is a high risk of overdose, so monitoring is done every 15 minutes
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Because children younger than 5 years are egocentric, the nurse should do which when communicating with them?
- A. Focus communication on the child.
- B. Use easy analogies when possible.
- C. Explain experiences of others to the child
- D. Assure the child that communication is private
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.