Nokea
Which of the following foods should the nurse encourage the mother to offer to her child with iron deficiency anemia?
- A. Rice cereal, whole milk, and yellow vegetables.
- B. Potato, peas, and chicken.
- C. Macaroni, cheese, and ham.
- D. Pudding, green vegetables, and rice.
Correct Answer: B
Rationale: Chicken and peas are iron-rich, supporting anemia treatment. Other options lack sufficient iron sources.
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In planning the discharge for a newborn diagnosed with torticollis (wry neck), the nurse should:
- A. Teach the parent the side effects of botulinum toxin (BOTOX).
- B. Coordinate outpatient physical therapy.
- C. Verify the date for corrective surgery.
- D. Demonstrate the use of positioning wedges for sleep.
Correct Answer: B
Rationale: Physical therapy is the most important part of the child's plan of care. Most cases of torticollis respond to gentle stretching exercises, which can be taught to parents and continued at home.
A child with newly diagnosed osteomyelitis has nausea and vomiting. The parent wishes to give the child ginger snaps to help control the nausea. The nurse should tell the parent:
- A. I will need to get an order.'
- B. Your child needs medication for the vomiting.'
- C. We discourage the use of home remedies in children.'
- D. Ginger snaps are safe and may help with nausea.'
Correct Answer: D
Rationale: Ginger snaps are a safe, non-medicinal option that may help alleviate nausea in children.
A nurse is developing a plan of care with the parents of a 6-year-old girl diagnosed with a seizure disorder. To promote growth and development, the nurse should instruct the parents that:
- A. The child will need activity limitation and will be unable to perform as well as her peers.
- B. There is potential for a learning disability and the child may need tutoring to reach her grade level.
- C. The child will likely have normal intelligence and be able to attend regular school.
- D. There will be problems associated with social stigma and parents should consider home schooling.
Correct Answer: C
Rationale: Most children with seizure disorders have normal intelligence and can attend regular school with appropriate management, promoting normal development.
The nurse is planning care with the parents of a child who requires continuous peritoneal dialysis. Which finding should be discussed with the physician?
- A. The family lives a long distance from the medical facility.
- B. The child attends a large public school.
- C. The child reports having a previous surgery for a ruptured appendix.
- D. The family feels the child cannot self-regulate to wake at night and change bags.
Correct Answer: C
Rationale: Previous surgery might impact current care.
Which procedures can the nurse working on a pediatric floor safely delegate to the licensed practical nurse (LPN). Select all that apply.
- A. Refilling a baclofen pump.
- B. Administering gastrostomy tube feedings.
- C. Administering gastrostomy medications.
- D. Giving an IV push medication.
- E. Calling the AM blood sugars to the physician.
Correct Answer: B,C,E
Rationale: LPNs can safely administer gastrostomy feedings and medications and report blood sugar results, as these tasks are within their scope of practice.