NR 328 CMS Exam Practice Questions and answers with rationales

NR 328 CMS Exam Practice Questions with rationales Terms in this set (44) Which interventions are included in the management of nosebleeds in children? Select all that apply. a. Apply warm compresses to the bridge of the nose if bleeding is persistent. b. Apply continuous pressure to the nose with thumb and forefinger for at least 10 minutes. c. Have the child sit down and tilt the head backward. d. Insert cotton or wadded tissue into each nostril if bleeding persists. e. Instruct the child to breathe through the mouth. Answer: B, D, E Rationale: During a nosebleed, the child should be instructed to breathe through the mouth, cotton or wadded tissue can be inserted into the nostrils to stop bleeding, and continuous pressure using the thumb and forefinger should be applied for at least 10 minutes. The child should be instructed to sit up and lean forward, not tilt the head backward. Ice or cold cloths, not warm compresses, can be used on the bridge of the nose if bleeding persists. The nurse is developing a teaching plan for the family of a toddler recently diagnosed with sickle cell disease. Of which does the nurse include as important for the family to be aware and to report in order to recognize signs of the major cause of death for children under age 5 with sickle cell disease? a. Presence of respiratory problems b. Signs and symptoms of stroke c. Localized swelling over joints d. Presence of fever Answer: D Rationale: The major cause of death for children with sickle cell disease under the age of 5 is overwhelming infections; thus the family needs to monitor the child closely for presence of fever. Signs and symptoms of stroke, presence of respiratory problems, and localized swelling over joints are also symptoms of issues related to sickle cell disease, but are not directly related to the leading cause of death for children under the age of 5. Brainpower Read More Which symptom would the nurse recognize as an acquired immunodeficiency syndrome (AIDS)-defining condition in an American child with human immunodeficiency virus (HIV)? a. Parotitis b. Cytomegalovirus