Nokea
Which of the following should the nurse include in the postoperative care plan for a child after an appendectomy to promote recovery?
- A. Encourage early ambulation.
- B. Administer laxatives daily.
- C. Keep the child NPO for 48 hours.
- D. Apply a heating pad to the abdomen.
Correct Answer: A
Rationale: Early ambulation prevents complications like atelectasis and promotes recovery.
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Which of following should the nurse perform to help alleviate a child's joint pain associated with rheumatic fever?
- A. Maintaining the joints in an extended position.
- B. Applying gentle traction to the child's affected joints.
- C. Supporting proper alignment with rolled pillows.
- D. Using a bed cradle to avoid the weight of bed linens on joints.
Correct Answer: D
Rationale: A bed cradle reduces pressure from bed linens, alleviating joint pain in rheumatic fever. Other options may not effectively reduce pain or could cause discomfort.
The nurse is teaching the parents of a child with leukemia about infection prevention. Which instruction should the nurse include?
- A. Encourage frequent handwashing.
- B. Allow the child to attend crowded events.
- C. Administer live vaccines as scheduled.
- D. Avoid fresh fruits and vegetables.
Correct Answer: A
Rationale: Frequent handwashing is critical to prevent infections in leukemia, as the child is immunocompromised. Crowded events, live vaccines, and raw produce increase infection risk.
The nurse has identified a priority nursing diagnosis of Anxiety related to surgery for a 4-yearold preparing for a tonsillectomy. The nurse should tell the child:
- A. You won't have so many sore throats after your tonsils are removed.
- B. The doctor will put you to sleep so you don't feel anything.
- C. Show me how to give the doll an I.V.
- D. When it is done you will get to see your mommy and get a Popsicle.
Correct Answer: D
Rationale: When preparing a child for a procedure the nurse should use neutral words, focus on sensory experiences, and emphasize the positive aspects at the end. Being reunited with parents and having an ice pop would be considered pleasurable events. Children this age fear bodily harm. To reduce anxiety, avoid the word 'removed' to describe what is being done to the tonsils. Using the terms 'put to sleep' and 'I.V.' may be threatening. Additionally, directing a play experience to focus on I.V. insertion may be counterproductive as the child may have little recollection of this aspect of the procedure.
When teaching the parents of an older infant with cystic fibrosis (CF) about the type of diet the child should consume, which of the following would be appropriate?
- A. Low-protein diet.
- B. High-fat diet.
- C. Low-carbohydrate diet.
- D. High-calorie diet.
Correct Answer: D
Rationale: A high-calorie diet is appropriate for an infant with cystic fibrosis to meet increased energy needs due to malabsorption and chronic respiratory issues.
When assessing a 4-month-old infant diagnosed with possible intussusception, the nurse should expect the mother to relate which of the following about the infant's crying and episodes of pain?
- A. Constant accompanied by leg extension.
- B. Intermittent with knees drawn to the chest.
- C. Shrill during ingestion of solids.
- D. Intermittent while being held in the mother's arms.
Correct Answer: B
Rationale: Intussusception causes intermittent pain with knees drawn to the chest due to bowel obstruction.