Answers.
The nurse provides discharge instructions to the parents of a child who has
undergone tonsillectomy. Which statement indicates that the parents need further
teaching?
"Cherry milkshakes will ease the pain."
A parent tells the nurse that he or she is apprehensive that an antidepressant has
been prescribed for an adolescent. Which is the best response by the nurse?
"Tell me more about what's concerning you."
A child has been diagnosed with hemophilia type A after experiencing excessive
bleeding from a minor trauma. The mother states that the toddler is very active
and is difficult, constantly saying "no". Which response would the nurse
communicate that would be an appropriate response?
"Toddlers are curious, trying to make decisions and be independent."
Which procedural description would the nurse provide the parents of an infant
who has a cardiac catheterization scheduled?
"A catheter will be inserted into a blood vessel in your baby's groin and then threaded to
the heart to confirm an anatomic abnormality."
The nurse changing the dressing on the client's perineum would fall into which
zone?
Intimate zone
The clinic nurse is teaching an adolescent about lifestyle modifications to prevent
hyperlipidemia. Which statement by the adolescent indicates a need for further
teaching?
"I'll start eating more red meat."
After a prolonged period in a regional hospital far from home to which the parents
were unable to travel, an 18-month-old toddler becomes depressed, withdrawn,
and apathetic. Eventually the toddler begins playing with toys and relating to
others, even strangers. When the parents visit, the child ignores them. The
parents tell the nurse that their child has forgotten them. How would the nurse
explain the child's behavior?
This is typical behavior in toddlers who are separated from their parents for prolonged
periods, and indicates that their child will need special attention from them.
The parents of a child with acute poststreptococcal glomerulonephritis ask the
nurse why their child is being weighed every morning. Which is the best
response by the nurse?
"It's the best way to measure your child's fluid balance."
Which strategy would the nurse use to help a depressed, withdrawn client who
exhibits sadness through nonverbal behavior?
Cope with painful feelings by sharing them.
Which response would the nurse make to a client with obsessive-compulsive
disorder who says, "I know that my hands aren't dirty, but I just can't stop
washing them"?