Questions And Answers Verified 100% Correct
A 12-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is
schedule. Which information should the nurse provide concerning to this procedure?
A• Explain that fluids cannot be taken for 8 hours before the procedure and 4 hours after the
procedure
B• Tell the child to expend loud clicking during the procedure that may be annoying
C• Describe the side-lying, knee to the chest position that must be assumed during
the procedure D• Reassure the child that there will be no restrictions on activity
after the procedure is completed
C• Describe the side-lying, knee to the chest position that must be assumed during the procedure
Child vomiting for 3 days is admitted for fluid and electrolyte imbalance. What acid base
imbalance is likely?
Metabolic alkalosis
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for
the nurse to take?
A) Auscultate the lungs for respiratory pneumonia
B) Change to latex-free gloves when handling infant
C) Draw blood to analyze for streptococcal infection D) Apply zinc oxide to perineum with each
diaper change
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Teacher notifies school nurse that kid has nose bleed for no reason. What action should nurse
implement first?
Pinch nose and hold for 10 minutes
The nurse has provided discharge teaching to the mother of a premature infant. Which statement
by the mother would indicated that the understands the importance of making sure that her baby
gets the monthly palivizumab (Synagis) injection?
A• Palivizumab will help with neurological and physical development
B• The medication will protect my baby from respiratory syncytial virus
C• Palivizumab will prevent the development retinopathy of premature
D• The monthly injections will baby's lung mature
B• The medication will protect my baby from respiratory
syncytial virus Which client requires immediate intervention
by the nurse?
A• A child with cystic fibrosis who is constipated
, B• A toddler with chicken pox who is scratching
C• A child with acute renal failure and hyperkalemia
D• An adolescent with a migraine and photophobia
C• A child with acute renal failure and hyperkalemia
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding
indicates to the nurse that the medication is having the desired effect?
A) Weight gain
B) Reduction of fever
C) Improved caloric intake
D) Reduction of edema
D) Reduction of edema
When developing a plan of care for adolescent with a recent diagnosis of DM type 1, nurse
should instruct to eat a source of sugar if which symptom occurs? Profuse sweating
A female of child - bearing age receives a rubella vaccination. She has two children at home,
ages 13 months and 3 years. Which instruction is most important for the nurse to provide to this
client?
A• Tell the mother to isolate the children for 3 days
B• Inquire if anyone in the family is allergic to eggs
C• Encourage the client to immunize the children
D• Assess family history for
incidence of rubella C• Encourage
the client to immunize the
children
The nurse administers digoxin (Lanoxin) to a 9-month-old infant with an apical heart rate of 160
beats per minute. Which apical pulse rate indicates that therapeutic effect of the medication has
been achieved?
A• 80 beats per minute
B• 180 beats per minute
C• 60 beats per minute
D• 120 beats per minute
D• 120 beats per minute
During her sports physical examination, 15-year -old female requests oral contraceptives. She
explains that she is sexually active and does not want her parents to know. What action should
the nurse take?
A• Explain that she needs parental approval to receive contraceptives
B• Encourage the client to discuss her need for contraceptives with her parents
C• Counsel the client about the risks and benefits of using oral contraceptives
D• Tell the client how to receive a variety of oral contraceptives from the clinic
C• Counsel the client about the risks and benefits of using oral contraceptives