Which statement by a mother may indicate a cause of her son's vitamin C deficiency?
- A. We get our fruits from homemade preserves.'
- B. We use milk from our own goats.'
- C. We grow all our own vegetables.'
- D. We're not big meat eaters.'
Correct Answer: A
Rationale: Heating fruits for preserves destroys vitamin C, leading to deficiency.
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What is the treatment of choice for a child with intussusception?
- A. A barium enema
- B. Immediate surgery
- C. IV fluids until the spasms subside
- D. Gastric lavage
Correct Answer: A
Rationale: A barium enema can often reduce intussusception by 'un-telescoping' the bowel, avoiding surgery.
Which statement made by a parent alerts the nurse to the need for additional education about poison prevention?
- A. I keep the poison control center phone number easily accessible.'
- B. All medication is kept out of reach in a locked cabinet.'
- C. I keep a bottle of syrup of ipecac handy.'
- D. Our garden is free from marigolds.'
Correct Answer: C
Rationale: Keeping syrup of ipecac is outdated; the AAP recommends against it due to risks of uncontrolled vomiting.
What does the nurse expect the appearance of the stools of a child with celiac disease to be?
- A. Ribbon like
- B. Hard, constipated
- C. Bulky, frothy
- D. Loose, foul-smelling
Correct Answer: C
Rationale: Bulky, frothy stools indicate malabsorption, a common feature of celiac disease.
For what is this child at the highest risk?
- A. Metabolic alkalosis
- B. Hypocalcemia
- C. Sepsis
- D. Shock
Correct Answer: D
Rationale: Severe isotonic dehydration puts the child at highest risk for shock due to significant fluid loss.
Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive?
- A. Pointing out errors that the nurse observes when the mother is caring for the infant
- B. Discussing negative characteristics of the infant with the mother
- C. Having the nurse provide as much of the infant's care as possible
- D. Teaching the mother about the developmental milestones to expect in the next few months
Correct Answer: D
Rationale: Teaching about developmental milestones provides anticipatory guidance, supporting parental care in nonorganic failure to thrive.
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