RECENT VERSION|COMPREHENSIVE
QUESTIONS AND VERIFIED CORRECT
ANSWERS/ACCURATE
SOLUTIONS|ALREADY GRADED A+|GET
IT 100% CORRECT
.
, 1.The nurse is planning postoperative care for a child who
has had a cleft lip repair. What is the most important
reason to minimize this child's crying during the
recovery period?
A. Tear formation increases salivation.
B. This behavior increases respirations.
C. Excessive hysteria can lead to vomiting.
D. Crying stresses the suture line - CORRECT ANSWER -
D. Crying stresses the suture line
Rationale:
Prevention of stress on the lip suture line is essential for
optimum healing and the cosmetic appearance of a cleft lip
repair.
2.An infant is receiving digoxin for congestive heart
failure. The apical heart rate is assessed at 80 beats/min.
What intervention should the nurse implement? A. Call
for a portable chest radiograph.
B. Obtain a therapeutic drug level.
, C. Reassess the heart rate in 30 minutes.
D. Administer digoxin immune Fab stat. - CORRECT
ANSWER -B. Obtain a therapeutic drug level.
Rationale:
Sinus bradycardia (heart rate <90 to 110 beats/min in an
infant) is an indication of
digoxin toxicity, so assessment of the client's digoxin level
has the highest priority
3.The nurse admits a child to the intensive care unit with a
possible diagnosis of Wilms tumor - What is the most
safety precaution for child?
A. maintain NPO status
B. Limit visitors to the immediate family
C. Place a do not palpate abdomen sign on head of bed
D. Encourage ambulation in the pre-operative period -
CORRECT ANSWER -C. Place a do not palpate
abdomen sign on head of bed
, Rationale:
Protect child from injury; place a sign on bed stating "no
abdominal palpation" (to prevent accidental fragmentation
and dislodging into the abdominal cavity).
4.The nurse is preparing a teaching plan for the mother of a
child who has been diagnosed with celiac disease.
Choosing which lunch will be within the therapeutic
management of a child with celiac disease?
A. Turkey salad, milk, and oatmeal cookies
B. Baked chicken, coleslaw, soda, and frozen fruit
dessert
C. Tuna salad sandwich on whole wheat bread, milk,
and ice cream D. Turkey sandwich on rye bread,
orange juice, and fresh fruit - CORRECT ANSWER -B.
Baked chicken, coleslaw, soda, and frozen fruit
dessert
Rationale: