Nokea
Which statement by the child indicates teaching about the use of ibuprofen (Motrin) has been effective?
- A. I should take Motrin every day to control my joint inflammation.
- B. I should take Motrin when my temperature is 101°F (38.3°C) or higher.
- C. I should take Motrin only when I'm having joint pain.
- D. I should take Motrin every day to thin my blood.
Correct Answer: C
Rationale: Ibuprofen is used as needed for pain and inflammation in juvenile rheumatoid arthritis (JRA). Taking it only for joint pain reflects correct understanding, as daily use is not typically required unless prescribed.
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Which of the following is the priority nursing action if the child shows symptoms of hypoglycemic reaction?
- A. Give the child orange juice or milk to drink.
- B. Give the child 10% glucose I.V.
- C. Notify the physician immediately.
- D. Administer a second dose of insulin.
Correct Answer: A
Rationale: For hypoglycemia, the priority is to rapidly raise blood glucose. Giving orange juice or milk provides quick-acting carbohydrates, the first-line treatment for conscious patients with mild to moderate hypoglycemia.
19 years old primigravida comes in emergency at 32 weeks of gestation. She is complaining of blurring of vision,gross edema. On examination her B.P is 170/115 mm Hg. What is the most likely diagnosis:
- A. Hypertension.
- B. Renal disease.
- C. Eclampsia.
- D. Preeclampsia.
- E. Thyroid disease.
Correct Answer: D
Rationale: Preeclampsia is characterized by hypertension (BP ≥140/90 mmHg) after 20 weeks gestation with symptoms like edema and visual disturbances. Eclampsia involves seizures which are not mentioned. Hypertension alone lacks other symptoms and renal or thyroid disease are less likely without specific indicators.
Vaginal examination is contraindicated in pregnancy in which situation:
- A. Carcinoma of cervix.
- B. Gonorrhoea.
- C. Prolapsed cord.
- D. Placenta previa.
- E. Active labour.
Correct Answer: D
Rationale: Placenta previa contraindicates vaginal examination due to the risk of provoking severe hemorrhage. Other conditions may require caution but are not absolute contraindications.
Which statement by the nurse would best help the parents cope with their feelings?
- A. You'll feel better if you visited your child for shorter periods of time.
- B. Don't worry. You're doing a great job, and everything will work out for the best.
- C. This is painful for you. Let's identify things you can do to help make your child feel good.
- D. It's sad that you feel helpless. What do you usually do to take your mind off your worries?
Correct Answer: C
Rationale: Acknowledging the parents' pain and suggesting actionable ways to help their child empowers them, addressing helplessness constructively and fostering coping.
Which instruction is essential to give the parents before the child's discharge?
- A. Return the child for a follow-up visit in 3 to 5 days.
- B. Give the child nothing by mouth for the next 12 hours.
- C. Check the child's pupillary response every 4 hours.
- D. Awaken the child every 4 hours during the first night.
Correct Answer: D
Rationale: Awakening the child every 4 hours during the first night allows monitoring for neurological deterioration, such as altered consciousness, critical after a head injury.