Nokea
Which of the following statements should the nurse include?
- A. Your child will have chest x-rays periodically to monitor for disease reactivation.
- B. Your child might need to have their tonsils and adenoids removed.
- C. Your child should take pancreatic enzymes with meals and snacks.
- D. Your child will take isoniazid for 9 months.
Correct Answer: C
Rationale: The correct answer is C: Your child should take pancreatic enzymes with meals and snacks. This is the correct statement to include because it pertains to the management of cystic fibrosis, a condition that affects the pancreas' ability to produce digestive enzymes. Pancreatic enzymes help in digesting food properly, ensuring proper nutrient absorption.
Choice A is incorrect as chest x-rays are not typically used for monitoring cystic fibrosis. Choice B is incorrect as tonsil and adenoid removal is not a standard treatment for cystic fibrosis. Choice D is incorrect as isoniazid is a medication used to treat tuberculosis, not cystic fibrosis.
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Specify 2 parameters the nurse should monitor to assess the client's progress.
- A. Number of steatorrhea stools
- B. Intake and output
- C. Respiratory Status (Monitor respiratory)
- D. Presence of periorbital edema
Correct Answer: B,C
Rationale: The correct parameters for the nurse to monitor to assess the client's progress are intake and output (B) and respiratory status (C). Monitoring intake and output is crucial to assess fluid balance and kidney function. Changes in these values can indicate dehydration or fluid overload. Respiratory status should be monitored to assess oxygenation and ventilation, which are essential for tissue perfusion and overall health.
The incorrect choices are A, D, E, F, and G. A (Number of steatorrhea stools) is not directly related to assessing overall client progress. D (Presence of periorbital edema) may be indicative of fluid retention but is not as direct as intake and output monitoring. Choices E, F, and G are not provided, thus not applicable to the question.
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
- A. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections.
- B. Provide a pacifier coated with an oral sucrose solution prior to the injections.
- C. Inject the immunizations into the deltoid muscle.
- D. Use a 20-gauge needle for the injections.
Correct Answer: B
Rationale: The correct answer is B: Provide a pacifier coated with an oral sucrose solution prior to the injections. This is an appropriate action for atraumatic care because it helps to reduce pain and distress during procedures, such as injections, by utilizing non-pharmacological comfort measures. The sucrose solution on the pacifier helps to soothe and distract the child, making the experience less traumatic.
Choice A (Apply EMLA cream immediately before injections) is incorrect because while EMLA cream numbs the skin, it does not address the psychological aspect of pain and distress associated with procedures.
Choice C (Inject the immunizations into the deltoid muscle) is incorrect because the location of injection does not directly relate to atraumatic care.
Choice D (Use a 20-gauge needle for the injections) is incorrect because the size of the needle does not address the psychological comfort of the child during the procedure.
Available is diphenhydramine 50 mg/mL. How many ml should the nurse administer? (Round to the nearest tenth)
Correct Answer: 0.6
Rationale: To determine the correct amount of diphenhydramine to administer, we can use the formula: Volume (mL) = Desired dose (mg) / Concentration (mg/mL). In this case, the desired dose is 50 mg and the concentration is 50 mg/mL. So, Volume = 50 mg / 50 mg/mL = 1 mL. Since we need to round to the nearest tenth, the correct answer is 0.6 mL. This is because 1 mL is equivalent to 50 mg, and since we only need to administer 50 mg, we use 0.6 mL. Other choices are incorrect as they do not adhere to the calculation based on the concentration and desired dose.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. My child might experience mood swings.
- B. I should take my child to the clinic for a weekly blood test.
- C. I should withhold my child's medication before physical activity.
- D. My child might have a decreased appetite.
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement shows understanding as mood swings can be a side effect of the medication being discussed. It demonstrates awareness of potential effects and indicates readiness to handle them. Choice B is incorrect as weekly blood tests are not typically necessary. Choice C is incorrect as withholding medication before physical activity can be dangerous. Choice D is incorrect as a decreased appetite is not a common side effect.
Which of the following oils should the nurse recommend?
- A. Lavender
- B. Eucalyptus
- C. Jasmine
- D. Tea tree
Correct Answer: A
Rationale: The nurse should recommend lavender oil because it is known for its calming and relaxing properties, which can help reduce stress and promote better sleep. Lavender oil has therapeutic benefits for anxiety and insomnia, making it a suitable choice. Eucalyptus is more commonly used for respiratory issues, jasmine for relaxation, and tea tree for skin conditions. Lavender stands out as the most appropriate option based on the context of the question.