Nokea
While caring for a neonate with an imperforate anus, the nurse assesses the neonate's urine output for which of the following?
- A. Meconium.
- B. Blood.
- C. Bile.
- D. Acetone.
Correct Answer: A
Rationale: Meconium in the urine may indicate a rectourinary fistula, a common complication of imperforate anus.
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When developing a teaching plan for the parents of a child with Down syndrome, the nurse focuses on activities to increase which of the following for the parents?
- A. Affection for their child.
- B. Responsibility for their child's welfare.
- C. Understanding of their child's disability.
- D. Confidence in their ability to care for their child.
Correct Answer: D
Rationale: Building parental confidence empowers them to manage their child's needs effectively, fostering positive outcomes.
An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When initially discussing the diagnosis and treatment with the parents, which of the following would be most appropriate?
- A. Assessing the adequacy of their coping skills.
- B. Reassuring them that their child will be fine.
- C. Encouraging them to ask questions.
- D. Giving them printed material on the procedure.
Correct Answer: C
Rationale: Encouraging questions promotes understanding and engagement with the treatment plan.
The nurse is preparing to administer furosemide (Lasix) to a 3-year-old with a heart defect. The nurse verifies the child's identity by checking the arm band and:
- A. Asking the child to state her name.
- B. Checking the room number.
- C. Asking the child to tell her birth date.
- D. Asking the parent the child's name.
Correct Answer: D
Rationale: Asking the parent is appropriate for a 3-year-old, who may not reliably state their name or birth date. Room numbers are not reliable identifiers.
A nurse is teaching an obese child about portion control. Which strategy should be included?
- A. Eat only prepackaged meals.
- B. Use smaller plates.
- C. Skip breakfast daily.
- D. Drink soda with meals.
Correct Answer: B
Rationale: Smaller plates help control portion sizes visually. Prepackaged meals may be unhealthy, skipping breakfast can increase hunger, and soda adds empty calories.
A nurse is teaching the parents of a child diagnosed with a urinary tract infection secondary to vesicoureteral reflux. How should the nurse explain how the reflux contributes to the infection?
- A. It prevents complete emptying of the bladder.
- B. It causes urine backflow into the kidney.
- C. It results in painful bladder spasms.
- D. It causes painful urination.
Correct Answer: B
Rationale: Reflux allows bacteria to reach kidneys.