Nokea
Which of the following actions initiated by the parents of an 8-month-old indicates they need further teaching about preventing childhood accidents?
- A. Placing a fire screen in front of the fireplace.
- B. Placing a car seat in a front-seat, front-facing position.
- C. Inspecting toys for loose parts.
- D. Placing toxic substances out of reach or in a locked cabinet.
Correct Answer: B
Rationale: A front-seat, front-facing car seat is unsafe for an 8-month-old; rear-facing in the back seat is recommended.
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Griseofulvin (Grisactin) was ordered to treat a child's ringworm of the scalp. The nurse instructs the parents to use the medication for several weeks for which of the following reasons?
- A. A sensitivity to the drug is less likely if it is used over a period of time.
- B. Fewer side effects occur as the body slowly adjusts to a new substance over time.
- C. Fewer allergic reactions occur if the drug is maintained at the same level long-term.
- D. The growth of the causative organism into new cells is prevented with long-term use.
Correct Answer: D
Rationale: Long-term use of griseofulvin ensures eradication of the fungus by inhibiting its growth.
When developing the preoperative plan of care for an infant with Hirschsprung's disease, which of the following should the nurse include?
- A. Administering a tap water enema.
- B. Inserting a gastrostomy tube.
- C. Inserting a rectal tube.
- D. Using povidone-iodine solution to prepare the perineum.
Correct Answer: C
Rationale: A rectal tube may help relieve obstruction preoperatively in Hirschsprung's disease.
To determine if a blood pressure reading is normal, the nurse must know which information about the child? Select all that apply.
- A. Age.
- B. Body mass index (BMI).
- C. A secret.
- D. Height.
- E. Occipital frontal circumference (OFC).
- F. Weight.
Correct Answer: A,D,F
Rationale: Age, height, and weight are key factors in determining normal blood pressure ranges.
When the infant returns to the unit after imperforate anus repair, the nurse should place the infant in which of the following positions?
- A. On the abdomen, with legs pulled up under the body.
- B. On the back, with legs extended straight out.
- C. Lying on the side with the hips elevated.
- D. Lying on the back in a position of comfort.
Correct Answer: C
Rationale: Lying on the side with hips elevated minimizes pressure on the surgical site and promotes healing.
The mother of an 8-year-old with diabetes tells the nurse that she does not want the school to know about her daughter's condition. The nurse should reply:
- A. I think that would be a good idea.'
- B. What is it that concerns you about having the school know about your daughter's condition?'
- C. It would be fine not to tell your daughter's friends, but the teacher must know.'
- D. In order to keep your daughter safe, it is necessary for all adults in the school to know her condition.'
Correct Answer: B
Rationale: Exploring concerns builds trust and allows the nurse to address fears while explaining the need for school awareness (e.g., for hypoglycemia management). Other responses dismiss or mandate without dialogue.