Terms in this set (82)
Which should the nurse assess last when c. Throat.
examining a 5-year-old child?
Examination of the mouth, throat, and perineum is
a. Heart. considered to be more invasive than other parts of a
b. Lungs. physical examination. Invasive procedures should be left for
c. Throat. the end of the examination for a preschooler.
d. Abdomen.
,The community health nurse teaches the d. "Dental caries can be prevented through fluoridation of
parents of school-age children about the public water."
need for fluoride as part of a dental health
program. Which statement by the parents Dental caries can be prevented through fluoridation of
indicates that they understand the public water.
teaching?
a. "Excessive amounts of fluoride will make
teeth turn brittle and yellow."
b. "Having our children brush with fluoride
toothpaste is not effective."
c. "Use of fluoride in water is mostly
effective during initial tooth formation."
d. "Dental caries can be prevented through
fluoridation of public water."
,The nurse is assessing an infant with a. Tachycardia.
diarrhea and lethargy. Which finding should
the nurse identify that is consistent with In early dehydration (during the first 2 days), fluid loss occurs
early dehydration? first from the extracellular and intravascular fluid spaces.
Blood pressure falls and heart rate increases in response to a
a. Tachycardia. diminished blood volume.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor.
When conducting a hygiene class for a. Wash your hands before inserting a tampon.
adolescent girls, it is important for the
nurse to include which instruction about The single most effective means of preventing infection is
preventing toxic shock syndrome? handwashing.
a. Wash your hands before inserting a
tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation.
, The nurse is caring for an irritable, lethargic a. Initiate gastric lavage.
18-month-old child who swallowed several
over-the-counter (OTC) antihistamine Gastric lavage should be implemented within 2 hours of
tablets an hour ago. Which intervention ingestion to ensure gastric removal of a noncorrosive
should the nurse implement? substance, such as an OTC antihistamine.
a. Initiate gastric lavage.
b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
Which sign of malignant hyperthermia b. Tachypnea.
should the nurse assess for during the
perioperative period in a child receiving Malignant hyperthermia, a potentially fatal autosomal
general anesthesia? genetic myopathy, can cause a change in vital signs that
demands immediate attention in the perioperative period
a. Apnea. when these individuals are exposed to anesthetic agents.
b. Tachypnea. Early symptoms of the disorder include tachycardia and
c. Bradycardia. tachyarrhythmia, tachypnea, hypercarbia, and metabolic and
d. Decreased blood pressure. respiratory acidosis. An elevated temperature is a late sign of
the disorder.