Nokea
Which is a priority nursing intervention for the cognitively impaired child?
- A. The family will provide good nutrition.
- B. The family will provide loving interactions.
- C. Stimulation will improve.
- D. There will be contact with peers.
Correct Answer: B
Rationale: Nursing interventions focus on promoting optimal development and loving interactions with family.
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What is the major criterion for diagnosing a child as cognitively impaired?
- A. An IQ of 75 or less
- B. Subaverage functioning
- C. An IQ of 70 or less
- D. Onset before 18
Correct Answer: C
Rationale: Cognitive impairment is based upon IQs from 20 to 70.
Following a bout of diarrhea, which foods should be offered to the school-age child?
- A. Apricots and peaches
- B. Chocolate milk
- C. Applesauce and milk
- D. Bananas and rice
Correct Answer: D
Rationale: When rehydration has been completed, foods that are nonirritating to the bowel should be offered to the child. Bananas and rice would be the least irritating to the bowel, as fruits and milk could cause GI irritation.
The parents of a child suffering from depression ask the nurse what causes depression in children. Which answer is an appropriate response by the nurse?
- A. The causes of major depression are unknown.
- B. Major affective disorders in parents increase depression in children.
- C. Boys are more likely than girls to be depressed.
- D. The prevalence rate is higher in prepubescent children.
Correct Answer: A
Rationale: The causes of depression have not been established. However, many studies have shown that children have a three times greater rate of suffering from depression if their parents have a major affective disorder.
Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?
- A. Prothrombin time
- B. Bleeding time
- C. Platelet count
- D. Partial thromboplastin time
Correct Answer: D
Rationale: Expected laboratory findings for a child with hemophilia include a prolonged partial thromboplastin time. The prothrombin time, bleeding time, and platelet count are typically normal.
Which signs/symptoms would be considered classical signs of meningeal irritation?
- A. Positive Kernig sign, diarrhea, and headache
- B. Negative Brudzinski sign, positive Kernig sign, and irritability
- C. Positive Brudzinski sign, positive Kernig sign, and photophobia
- D. Negative Kernig sign, vomiting, and fever
Correct Answer: C
Rationale: Classical manifestations of meningitis include positive Kernig and Brudzinski signs.