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Which of the following statements by the mother of a toddler diagnosed with nephrotic syndrome indicates that the mother has understood the nurse's teaching about this disease?
- A. My child really likes chips and bologna. I guess we'll have to find something else.
- B. We'll have to encourage lots of liquids. Did you say about 4 liters every day?
- C. We worry about the surgery. Do you think we should do direct donation of blood?
- D. We understand the need for antibiotics. I just wish the antibiotics could be given by mouth.
Correct Answer: A
Rationale: Shows understanding of dietary restrictions.
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When developing the teaching plan for parents using the Pavlik harness with their child, what should be the nurse's initial step?
- A. Assessing the parents' current coping strategies.
- B. Determining the parents' knowledge about the device.
- C. Providing the parents with written instructions.
- D. Giving the parents a list of community resources.
Correct Answer: B
Rationale: Determining the parents' knowledge about the Pavlik harness is the initial step to tailor teaching to their understanding and needs.
When developing the discharge plan for a child who had a nephrectomy for a Wilms' tumor, the nurse identifies outcomes to prevent damage to the child's remaining kidney and accomplish which of the following?
- A. Minimize pain.
- B. Prevent dependent edema.
- C. Prevent urinary tract infection.
- D. Minimize sodium intake.
Correct Answer: C
Rationale: Preventing UTIs protects kidney function.
On finding a child who is not breathing, which of the following should the nurse do first?
- A. Clear the airway.
- B. Begin mouth-to-mouth resuscitation.
- C. Initiate oxygen therapy.
- D. Start chest compressions.
Correct Answer: A
Rationale: Clearing the airway is the first step in CPR to ensure no obstructions prevent effective ventilation.
The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
- A. Daily phone calls from the hospital nurse.
- B. Enrollment in community parenting classes.
- C. Twice-weekly clinic appointments.
- D. Weekly visits by a community health nurse.
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, the nurse should advise the mother:
- A. The child does not need to eat between-meal snacks.
- B. The child should eat the snacks the mother thinks are appropriate.
- C. The child should help with preparing his or her own snacks.
- D. The child will instinctively select nutritional snacks.
Correct Answer: C
Rationale: Involving the child in snack preparation promotes healthy choices and responsibility.