Nokea
Which of the following should the nurse include when teaching the father of an infant just admitted with gastroenteritis about initial treatment for his infant?
- A. The infant will receive no liquids by mouth.
- B. Intravenous antibiotics will be started.
- C. The infant will be placed in a mist tent.
- D. An iron-fortified formula will be used.
Correct Answer: A
Rationale: NPO status is common initially to rest the gut during rehydration.
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The parents of a 12-year-old girl ask why their non-sexually active daughter should receive the human papillomavirus (HPV) vaccine. The nurse should tell the parents:
- A. The vaccine is most effective against cervical cancer if given before becoming sexually active.
- B. Parents are never sure when their child might become sexually active.
- C. HPV is most common in teens and women in their late twenties.
- D. If your daughter is sexually assaulted, she may be exposed to HPV.
Correct Answer: A
Rationale: The HPV vaccine is most effective when given before potential exposure to the virus.
A 7-year-old has been diagnosed as mentally retarded. Which of the parents' expectations for their child is realistic?
- A. Difficulty learning.
- B. An IQ below 70.
- C. Deficits in adaptive behavior.
- D. Normal intellectual capacity.
- E. Behavioral problems.
Correct Answer: A,B,C
Rationale: Mental retardation involves difficulty learning, an IQ below 70, and deficits in adaptive behavior, which are realistic expectations for the child's capabilities.
After teaching the mother of a child with severe burns about the importance of specific nutritional support in burn management, which of the following, if chosen by the mother from the child's diet menu, indicates the need for further teaching?
- A. Bacon, lettuce, and tomato sandwich; milk; and celery and carrot sticks.
- B. Cheeseburger, cottage cheese and pineapple salad, chocolate milk, and a brownie.
- C. Chicken nuggets, orange and grapefruit sections, and a vanilla milkshake.
- D. Beef, bean, and cheese burrito; a banana; fruit-flavored yogurt; and skim milk.
Correct Answer: A
Rationale: Burn patients require high-protein, high-calorie diets. Option A is low in protein and calories compared to options B, C, and D, which include protein-rich foods like cheese, chicken, and beans.
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.
Which of the following meals would be most appropriate for a 15-year-old with glomerulonephritis with severe hypertension?
- A. Egg noodles, hamburger, canned peas, milk.
- B. Baked ham, baked potato, pear, canned carrots, milk.
- C. Baked chicken, rice, beans, orange juice.
- D. Hot dog on a bun, corn chips, pickle, cookie, milk.
Correct Answer: C
Rationale: Low-sodium diet is recommended.