Nokea
Which nursing action is most appropriate when caring for a child experiencing a sickle cell crisis?
- A. Apply heat to the affected joints.
- B. Administer oxygen as ordered.
- C. Encourage vigorous physical activity.
- D. Provide a high-sodium diet.
Correct Answer: B
Rationale: Administering oxygen as ordered improves oxygenation, critical during a sickle cell crisis to counteract hypoxia caused by vaso-occlusion and reduced oxygen-carrying capacity.
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After assisting in the delivery of a full-term infant with anencephaly,the parents ask the nurse to explain treatments that might be available for their infant. Which statement should be the basis for the nurse’s response?
- A. Immediate surgery is necessary to repair the congenital defect.
- B. Anencephaly is incompatible with life; only palliative care should be provided.
- C. A shunting procedure will be necessary initially to relieve intracranial pressure.
- D. Antibiotics are needed initially before any treatment is started.
Correct Answer: B
Rationale: Anencephaly lacking cerebral hemispheres and skull is incompatible with life warranting only palliative care. Surgery shunting or antibiotics cannot correct it.
Breech extraction is only indicated in:
- A. Retained second twin.
- B. Footling breech.
- C. Extended breech.
- D. Flexed breech.
- E. Breech in first twin.
Correct Answer: A
Rationale: Breech extraction is indicated for a retained second twin to expedite delivery and prevent complications. Other breech presentations typically require cesarean section or external cephalic version.
Which diversional activity suggested by the nurse is most appropriate for the child during the acute phase of rheumatic fever?
- A. Playing with action figures
- B. Playing video games
- C. Reading an adventure story
- D. Pounding wooden pegs with a mallet
Correct Answer: C
Rationale: During the acute phase of rheumatic fever, the child is on bed rest to reduce cardiac workload. Reading an adventure story is a quiet, non-physically demanding activity appropriate for a 7-year-old, promoting rest while keeping the child engaged.
A 24 years old G3P2 presents to you at 32 weeks of gestation with preterm prelabour rupture of membranes for ten days. She is complaining of pain in lower abdomen,fever with rigors and chills and purulent vaginal discharge. What is her diagnosis:
- A. Pyrexia of unknown origin.
- B. Puerperal pyrexia.
- C. Preterm labour.
- D. Chorioamnionitis.
- E. Antepartum haemorrhage.
Correct Answer: D
Rationale: Chorioamnionitis is an infection of the amniotic membranes often following prolonged rupture of membranes presenting with fever abdominal pain and purulent discharge. Other options do not fit the clinical picture.
Which nursing instruction is correct for the parents of a child who has a vitamin D deficiency?
- A. Give the child cod liver oil daily.
- B. Give the child orange juice daily.
- C. Apply sunblock to the child before sun exposure.
- D. Keep the child indoors during daylight hours.
Correct Answer: A
Rationale: Cod liver oil is a rich source of vitamin D, essential for correcting vitamin D deficiency and supporting bone health.