Nokea
Which of the following beverages should the nurse plan to give a child with leukemia to relieve nausea?
- A. Orange juice.
- B. Weak tea.
- C. Plain water.
- D. A carbonated beverage.
Correct Answer: B
Rationale: Weak tea is gentle and soothing, helping relieve nausea without irritation. Other options may worsen nausea.
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A 14-year-old has just had a plaster cast placed on his lower left leg. To provide safe cast care, the nurse should?
- A. Petal the cast as soon as it is put on.
- B. Keep the child in the same position for 24 hours until the cast is dry.
- C. Use only the palms of the hand when handling the cast.
- D. Notify the physician if the client complains of heat.
Correct Answer: C
Rationale: Using only the palms prevents indentations in the wet cast, which could cause pressure points or alter the cast's shape.
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.
Preoperatively, the nurse develops a plan to prepare a 7-month-old infant psychologically for a scheduled herniorrhaphy the next day. Which of the following should the nurse expect to implement to accomplish this goal?
- A. Explaining the preoperative and postoperative procedures to the mother.
- B. Having the mother stay with the infant.
- C. Making sure the infant's favorite toy is available.
- D. Allowing the infant to play with surgical equipment.
Correct Answer: B
Rationale: The mother's presence provides comfort and reduces anxiety for a 7-month-old.
A nurse is teaching parents about soothing an infant with colic. Which strategy should be recommended?
- A. Increase formula volume.
- B. Use a pacifier.
- C. Keep the infant in a noisy environment.
- D. Feed every 5 hours.
Correct Answer: B
Rationale: A pacifier can soothe colic by satisfying sucking needs. Increased formula, noise, or infrequent feeds may worsen symptoms.
An adolescent tells the nurse that the area below his knee has been hurting for several weeks. The nurse should obtain history information about participation in which of the following?
- A. Soccer.
- B. Golf.
- C. Diving.
- D. Swimming.
Correct Answer: A
Rationale: Pain below the knee in adolescents is often associated with Osgood-Schlatter disease, which is common in sports like soccer that involve repetitive knee stress.