Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

Review Burns Pediatric Primary Care 7th Edition Test Bank related questions and content

Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media?

  • A. Placing the child in the supine position to bottle-feed
  • B. Giving prescribed amoxicillin (Amoxil) on an empty stomach
  • C. Cleaning the inside of the ear canals with cotton swabs
  • D. Avoiding contact with people who have upper respiratory tract infections
Correct Answer: D

Rationale: Nurse Cheryl should include in her teaching plan for Reggie's parents to avoid contact with people who have upper respiratory tract infections. Otitis media is often caused by upper respiratory infections, and exposure to individuals with such infections can increase the risk of exacerbating Reggie's condition or causing recurrent infections. Implementing measures to minimize exposure can help prevent further complications and promote faster recovery for Reggie. Placing the child in the supine position to bottle-feed may increase the likelihood of fluid entering the middle ear, worsening the otitis media. Giving amoxicillin on an empty stomach is not recommended as it can cause gastrointestinal upset and reduce absorption; instead, it should be given with food to enhance efficacy. Cleaning the inside of the ear canals with cotton swabs can be harmful and may cause damage or introduce infection, making it an inappropriate practice in managing otitis media.

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Which explanation regarding cardiac catheterization is appropriate for a preschool child?

  • A. Postural drainage will be performed every 4 to 6 hours after the test.
  • B. It is necessary to be completely "asleep" during the test.
  • C. The test is short, usually taking less than 1 hour.
  • D. When the procedure is done, you will have to keep your leg straight for at least 4 hours.
Correct Answer: C

Rationale: For a preschool child, the appropriate explanation about cardiac catheterization would be that the test is short, usually taking less than 1 hour. This explanation is suitable for a preschool child because it provides a simple and clear understanding of what to expect during the procedure. Preschool-aged children have limited attention spans and may become anxious about medical procedures, so providing a concise and reassuring explanation can help alleviate their fears. Additionally, knowing that the test will not take a long time can help the child feel more at ease about the procedure.

Which of the following patients should the nurse monitors because of increased risk for surgical complications?

  • A. 25-year old with appendicitis
  • B. patient 5'3" in height, weight 180 lbs
  • C. 12-year old with fractured knee
  • D. 17-year old with gallstone
Correct Answer: B

Rationale: The patient who is 5'3" in height and weighs 180 lbs is considered obese based on their body mass index (BMI). Obesity is a significant risk factor for surgical complications such as wound infections, blood clots, and respiratory issues. In obese patients, surgical procedures can be more challenging due to difficulties in accessing and visualizing surgical sites, longer surgery times, and increased stress on the body's organs. Therefore, this patient should be closely monitored for potential surgical complications.

A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?

  • A. Prone
  • B. Supine
  • C. Side lying
  • D. Position of comfort
Correct Answer: B

Rationale: The nurse should recommend placing the healthy, stable, preterm newborn in the supine position for sleep. This is the current recommendation to reduce the risk of sudden infant death syndrome (SIDS) per the American Academy of Pediatrics. Placing the infant on their back to sleep helps ensure an open airway and reduces the risk of suffocation or SIDS. It is important to adhere to safe sleep practices to promote the infant's well-being and reduce the risk of sleep-related incidents.

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend the infant be given?

  • A. Skim milk
  • B. Whole cow's milk
  • C. Commercial iron-fortified formula
  • D. Commercial formula without iron
Correct Answer: C

Rationale: When a mother decides to discontinue breastfeeding, it is important for the infant to receive an appropriate alternative that provides essential nutrients, including iron. Commercial iron-fortified formula ensures that the infant is receiving adequate iron, which is crucial for healthy growth and development. Skim milk is not recommended for infants under age 1 due to its high protein and mineral content, which can strain the baby's immature kidneys. Whole cow's milk is also not suitable before age 1 because it lacks essential nutrients such as iron and vitamin E, and can lead to iron deficiency anemia. Commercial formula without iron would not provide enough iron for the infant's needs, making commercial iron-fortified formula the most appropriate choice for the 5-month-old infant.

What size of suction catheter would Wilma use for James, who is 6 feet 5 inches in height and weighing approximately 145 lbs?

  • A. Fr. 5
  • B. Fr. 12
  • C. Fr. 10
  • D. Fr. 18
Correct Answer: C

Rationale: The correct size of a suction catheter is usually determined by the patient's weight, rather than height. For James, who weighs approximately 145 lbs, a Fr. 10 suction catheter would be suitable. Suction catheter sizes typically range from Fr. 5 (smaller) to Fr. 18 (larger), with Fr. 10 being a common size for an adult patient of James' weight. Using a catheter that is too small may not effectively clear secretions, while one that is too big may cause discomfort or damage to the airways.

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