Nokea
Which symptom reported by the parents is best indicative of methamphetamine abuse by the adolescent?
- A. Watery eyes
- B. Drowsiness
- C. Excessive nasal drainage
- D. Marked nervousness
Correct Answer: D
Rationale: Methamphetamine, a stimulant, causes marked nervousness due to increased central nervous system activity, making it a key indicator of abuse.
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The nurse is caring for the newborn infant. The nurse should prepare to assess the newborn’s anterior fontanel by which method?
- A. Lay the infant on his or her back.
- B. Stimulate the infant to cry strongly.
- C. Feel near the parietal and occipital bones.
- D. Place the infant in a sitting position.
Correct Answer: D
Rationale: The anterior fontanel is assessed with the infant in a sitting position (45°–90°) to evaluate size and abnormalities. Supine positioning or crying may cause bulging and parietal/occipital bones locate the posterior fontanel.
Which intervention is most appropriate initially for an 8-year-old child who selects the fourth face on the Wong-Baker FACES Pain Rating Scale?
- A. Take no action; the child is pain-free.
- B. Provide diversional activities to relieve the child's pain.
- C. Document findings, and recheck the child later.
- D. Give the prescribed analgesic to relieve the pain.
Correct Answer: D
Rationale: The fourth face on the Wong-Baker FACES Pain Rating Scale indicates moderate to severe pain, requiring administration of a prescribed analgesic for effective pain relief.
Which of the following findings during a routine wellness checkup best indicates that a child has iron deficiency anemia?
- A. Weight gain and hypertension
- B. Nervousness and diarrhea
- C. Nausea and vomiting
- D. Pallor and listlessness
Correct Answer: D
Rationale: Pallor and listlessness are hallmark signs of iron deficiency anemia due to reduced hemoglobin, leading to decreased oxygen delivery and fatigue.
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.
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.