NR 439 evidence based practice EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




EAQ peds 2026 A+ GRADE ASSURED COMPLETE SOLUTI
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ONS AND VERIFIED ANSWERS (E4173) vc vc vc vc




QUESTION 1 vc




A child is admitted to the pediatric unit with a diagnosis of meningococcal meningitis. W
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hat does the nurse conclude about isolation? 1 It is unnecessary during the incubation p
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eriod. 2 It is required for 7 to 10 days until the fever subsides. 3 It will be unnecessary af
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ter the diagnosis is confirmed. 4 It will be necessary for 24 to 72 hours after the initiatio
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n of antibiotic therapy.
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ANSWER

The meningococcal organism is rendered inactive after 24 to 72 hours of antibiotic therapy; isolation is
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not required after this time. Meningitis is not evident during the incubation period. The presence of a fe
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ver is not the influencing factor indicating the need for isolation. After the diagnosis of meningitis is con
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firmed, isolation is required for 24 to 72 hours after the institution of antibiotic therapy.
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QUESTION 2 vc




A 5-year-
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old child is admitted to the pediatric unit for an appendectomy. What question should th
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e nurse ask to determine what the child thinks is the reason for hospitalization? 1 "What
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are you doing at the hospital?" 2 "Have you brought any toys with you?" Incorrect 3 "Did
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your parents tell you why you're here?" 4 "Did you know that you're going to have an op
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eration?"
ANSWER

The first option is a direct question that should elicit the desired information. The other questions can b
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e answered with a yes-or-
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no response and do not elicit what the child knows or feels about the situation. STUDY TIP: When formi
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ng a study group, carefully select members for your group. Choose students who have abilities and moti
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vation similar to your own. Look for students who have a different learning style than you. Exchange na
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mes, email addresses, and phone numbers. Plan a schedule for when and how often you will meet. Plan
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an agenda for each meeting. You may exchange lecture notes and discuss content for clarity or quiz one
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another on the material. You could also create your own practice tests or make flash cards that review k
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ey vocabulary terms.
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, QUESTION 3 vc




The nurse assesses a 5-year-
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old child after a shunt procedure is performed to correct increased intracranial pressure
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. Which finding is of most concern? 1 Marked irritability 2 Complaints of pain 3 Pulse of
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100 beats/min 4 Temperature of 99.4° F (37.4° C)
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ANSWER

Marked irritability may be a sign of malfunction of the shunt or infection and should be reported immed
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iately. Complaints of pain are expected after surgery. A pulse rate of 100 beats/min is within the expect
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ed range (70 to 110 beats/min) for children between the ages of 2 and 10 years. A low-
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grade fever is expected after the stress of surgery.
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QUESTION 4 vc




A preschooler is admitted with a diagnosis of acute glomerulonephritis. The child's histo
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ry reveals a 5-
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lb (2.3 kg) weight gain in 1 week and periorbital edema. How can the nurse obtain the m
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ost accurate information on the status of the child's edema? 1 Weighing daily 2 Observin
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g body changes 3 Measuring intake and output 4 Monitoring electrolyte values
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ANSWER

Weight monitoring is the most useful means of assessing fluid balance and changes in the edematous st
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ate; 1 L of fluid weighs about 2.2 lb (1 kg). Visual inspection is subjective and generally inaccurate. Meas
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uring intake and output is not as accurate as daily weights; fluid may be trapped in the third compartm
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ent. Monitoring of electrolyte values is unreliable; they may or may not be altered with fluid shifts.
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QUESTION 5 vc




A 5-year-
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old kindergartner asks to go to the bathroom almost every hour. What is the most impor
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tant question to ask when the school nurse calls the mother to inquire about this proble
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m? 1 "Has your child had a physical lately?" 2 "Does your child wet the bed at night?" 3 "
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Does your child have a short attention span?" 4 "Has your child been going to the bathro
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om often at home?"
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ANSWER

If this behavior persists outside school as well, the nurse may pursue a physical examination to test for
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possible problems such as a urinary tract infection or diabetes. Asking about a physical may eventually
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be done, but it is not the priority question. Frequent urination at home, not uncontrolled urination at ni
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ght, is information that should be obtained from the parent first; enuresis can occur in boys even witho
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ut a urinary tract infection. A short attention span is not related to the presenting problem.
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QUESTION 6 vc