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Which procedures can the nurse working on a pediatric floor safely delegate to the licensed practical nurse (LPN). Select all that apply.
- A. Refilling a baclofen pump.
- B. Administering gastrostomy tube feedings.
- C. Administering gastrostomy medications.
- D. Giving an IV push medication.
- E. Calling the AM blood sugars to the physician.
Correct Answer: B,C,E
Rationale: LPNs can safely administer gastrostomy feedings and medications and report blood sugar results, as these tasks are within their scope of practice.
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After talking with the parents of a child with Down syndrome, the nurse should help the parents establish which goal?
- A. Encouraging self-care skills in the child.
- B. Teaching the child something new each day.
- C. Encouraging more lenient behavior limits for the child.
- D. Achieving age-appropriate social skills.
Correct Answer: A
Rationale: Promoting self-care skills enhances independence and aligns with developmental goals for children with Down syndrome.
Which of the following would be the best activity for the nurse to include in the plan of care for an infant experiencing severe diarrhea?
- A. Monitoring the total 8-hour formula intake.
- B. Weighing the infant each day.
- C. Checking the anterior fontanel every shift.
- D. Monitoring abdominal skin turgor every shift.
Correct Answer: B
Rationale: Daily weights provide an accurate measure of fluid loss in diarrhea.
The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:
- A. Do you think your baby will be fine with this milk?
- B. Is it possible for you to switch your baby to whole milk?
- C. Can you tell me more about the reason you switched your baby to 2% milk?
- D. You cannot switch to 2% milk right now. Did your pediatrician tell you to do this?
Correct Answer: C
Rationale: Understanding the reason for the switch helps address misconceptions and provide education.
A nurse is making an initial visit to a family with a 3-year-old child with early Duchenne's muscular dystrophy. Which of the following findings is expected with the missing child?
- A. Contractures of the large joints.
- B. Enlarged calf muscles.
- C. Difficulty riding a tricycle.
- D. Small, weak muscles.
Correct Answer: B
Rationale: Enlarged calf muscles due to pseudohypertrophy are a hallmark of early Duchenne's muscular dystrophy, caused by fatty infiltration of muscle tissue.
When developing the plan of care for an infant with myelomeningocele and the parents who have just been informed of the infant's diagnosis, which action should the nurse include as the priority when the parents visit the infant for the first time?
- A. Emphasizing the infant's normal and positive features.
- B. Encouraging the parents to discuss their fears and concerns.
- C. Reinforcing the doctor's explanation of the defect.
- D. Having the parents feed their infant.
Correct Answer: A
Rationale: Highlighting normal features helps parents bond with their infant and fosters a positive perception, which is critical initially after a diagnosis.