Nokea
Which is an effective strategy to reduce the stress of burn dressing procedures?
- A. Give the child as many choices as possible.
- B. Reassure the child that dressing changes are not painful.
- C. Explain to the child why analgesics cannot be used.
- D. Encourage the child to master stress with controlled passivity.
Correct Answer: A
Rationale: Giving the child as many choices as possible is an effective strategy to reduce the stress of burn dressing procedures. Allowing the child to have some control over the situation can help them feel more empowered and less anxious. By giving choices, such as letting the child choose the order in which things are done or the type of dressing used, the child is more likely to feel a sense of autonomy and reduced stress during the procedure. This approach can help the child cope better with the dressing changes and make the experience more manageable for them.
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The parents of a newborn who has just died decide they want to hold their deceased infant. What is the most appropriate nursing intervention?
- A. Explain gently that this is no longer possible.
- B. Encourage parents to accept the loss of their newborn.
- C. Offer to take a photograph of their newborn because they cannot hold newborn.
- D. Get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant.
Correct Answer: D
Rationale: The most appropriate nursing intervention in this situation would be to get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant. This is known as a "cold cuddle" technique, where the infant is gently rewarmed for a short period of time to allow the parents to hold and say goodbye to their baby. This practice has been shown to help parents in the grieving process and is a compassionate way to support them during this difficult time. It allows the parents to have a physical connection with their child and provides them with some closure and the opportunity to create lasting memories.
The LEAST important advice for a 2-month-old baby with excessive crying is
- A. master the situation in relaxed manner
- B. adhere to precry cues
- C. change milk formula
- D. avoid sensory overstimulation
Correct Answer: C
Rationale: Changing formula may not address refusal due to developmental factors.
The MOST common cause of sleeping difficulty in the first 2 months of life is
- A. gastro-esophageal reflux
- B. colic
- C. formula intolerance
- D. developmentally self-resolving sleeping behavior
Correct Answer: B
Rationale: Colic is a frequent cause of sleep difficulties in young infants.
The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for?
- A. Actinic
- B. Arcus
- C. Asymmetry
- D. Assessment
Correct Answer: C
Rationale: In the ABCD method used to assess skin lesions for possible skin cancer, the letter A stands for Asymmetry. Asymmetry refers to the irregular shape of the lesion when one half of the lesion does not match the other half. Lesions that are symmetrical are less likely to be concerning for skin cancer, while asymmetrical lesions should be further evaluated by a healthcare professional. This characteristic helps in identifying potentially worrisome skin lesions early on for appropriate management.
A narcotic analgesic is ordered for postoperative pain. Why are narcotics given in low doses to the laryngectomy patient?
- A. They depress the respiratory rate and cough reflex.
- B. They increase respiratory tract secretions.
- C. They have a tendency to cause stomal edema.
- D. They can cause addiction.
Correct Answer: A
Rationale: Narcotic analgesics, when given in high doses, can depress the respiratory rate and cough reflex in patients. Laryngectomy patients have had their larynx removed and may already have compromised respiratory function. Therefore, giving narcotics in low doses helps to minimize the risk of further respiratory depression in these patients. It is important to closely monitor respiratory status when administering narcotics to laryngectomy patients to prevent potential complications.