Nokea
Which of the following medication orders to help relieve discomfort in a child with leukemia should the nurse question?
- A. Acetaminophen (Tylenol).
- B. Acetaminophen with codeine (Tylenol with Codeine).
- C. Ibuprofen (Motrin).
- D. Propoxyphene hydrochloride (Darvon).
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk in leukemia due to its antiplatelet effects, which is dangerous with low platelets. Other medications are safer.
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Which of the following instructions should the nurse expect to include in the discharge teaching plan for the parent of an infant who has had an inguinal herniorrhaphy?
- A. Change diapers as soon as they become soiled.
- B. Apply an abdominal binder.
- C. Keep the incision covered with a sterile dressing.
- D. Restrain the infant's hands.
Correct Answer: A
Rationale: Prompt diaper changes prevent irritation and infection at the surgical site.
An infant diagnosed with Hirschsprung's disease undergoes surgery with the creation of a temporary colostomy. Which of the following statements by the parent regarding the colostomy indicates the need for further teaching?
- A. The colostomy is only temporary.
- B. The colostomy will give time for the nerves to return to normal.
- C. The colostomy may include two separate abdominal openings.
- D. Right after the procedure the stoma may appear purple.
Correct Answer: B
Rationale: The colostomy allows the affected bowel to rest, but nerves do not regenerate.
A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
- A. Reading the child a story.
- B. Painting with watercolors.
- C. Pounding on a pegboard.
- D. Stacking a tower of blocks.
Correct Answer: C
Rationale: Pounding on a pegboard allows the child to express frustration physically, which is developmentally appropriate for a preschooler.
The nurse is caring for a child with leukemia who reports mouth sores. Which intervention should the nurse implement?
- A. Encourage spicy foods to stimulate appetite.
- B. Provide a soft toothbrush and mild mouth rinse.
- C. Administer aspirin for pain relief.
- D. Avoid oral care until sores heal.
Correct Answer: B
Rationale: A soft toothbrush and mild mouth rinse prevent irritation and infection in mouth sores, common in leukemia due to chemotherapy. Aspirin and spicy foods worsen sores.
The nurse is caring for a child with osteomyelitis who will be receiving high-dose intravenous antibiotic therapy for 3 to 4 weeks. What should the nurse plan to monitor?
- A. Blood glucose level.
- B. Thrombin times.
- C. Urine glucose level.
- D. Urine specific gravity.
Correct Answer: D
Rationale: Urine specific gravity should be monitored to assess hydration status, as prolonged antibiotic therapy can affect renal function.