Nokea
Which member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation one or more months ago?
- A. A Pedorthist
- B. A pediatric nurse practitioner
- C. A trauma certified clinical nurse specialist
- D. A prosthetist
Correct Answer: D
Rationale: A prosthetist specializes in designing and fitting prosthetic limbs, making them the most appropriate team member to collaborate with for a pediatric client with a traumatic amputation.
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A child is brought to the emergency department after being bitten on the arm by a neighborhood dog. Which is the priority question for the nurse to ask the parent of the child?
- A. How old is the dog?
- B. Does the dog have a history of biting?
- C. Are the child's immunizations up-to-date?
- D. Did the dog have all of its recommended shots?
Correct Answer: C
Rationale: When a bite occurs, the injury site of the bite should be cleansed carefully and the child should be given tetanus prophylaxis if immunizations are not up-to-date. The remaining options identify information that may have to be obtained, but are not the priority questions. Additionally the mother may not have the answers to these questions.
The nurse is caring for a client who has just returned to the nursing unit after an intravenous pyelogram (IVP). Which of the following nursing interventions is most appropriate at this time?
- A. Encourage a large fluid intake.
- B. Assess for return of bowel sounds.
- C. Assist with morning care.
- D. Administer a laxative as ordered.
Correct Answer: A
Rationale: Encouraging a large fluid intake post-IVP helps flush the contrast dye from the kidneys, reducing the risk of nephrotoxicity.
Which of the following signs and symptoms is an early indication that a client has developed hypocalcemia?
- A. Tingling in the fingers
- B. Depressed reflexes
- C. Ventricular dysrhythmias
- D. Memory changes
Correct Answer: A
Rationale: Tingling in the fingers is an early sign of hypocalcemia due to neuromuscular irritability. Depressed reflexes, dysrhythmias, and memory changes are later or less specific.
A client with a history of asthma is prescribed a metered-dose inhaler with albuterol. The nurse should teach the client to:
- A. Use the inhaler daily to prevent asthma attacks.
- B. Shake the inhaler well before each use.
- C. Hold the breath for 2 seconds after inhaling.
- D. Clean the inhaler with soap and water daily.
Correct Answer: B
Rationale: Shaking the inhaler well before use ensures proper mixing of the medication for effective delivery.
The nurse should instruct the parent of a child who is taking valproic acid (Depakene) that the child will need to have routine blood analyses consisting of which of the following?
- A. Complete blood count (CBC) and alkaline phosphate level.
- B. Amylase and platelet levels.
- C. Electrolytes and CBC.
- D. Platelet and fibrinogen levels.
Correct Answer: B
Rationale: Valproic acid requires monitoring of amylase (for pancreatitis) and platelet levels (for thrombocytopenia).