Yield Review | Graded A+
1. A 3-month-old has an ileostomy. What should the nurse include in the plan of
care?
Avoid tucking the appliance into the diaper
Check the bag for stool every 4 hours
Replace the appliance every 4 days
Avoid laying the infant on the abdomen
2. Why is it important to pad the rails of a toddler's bed when they are
experiencing fever and irritability?
Padding the rails is a standard procedure for all patients.
Padding the rails ensures the toddler remains in a supine position.
Padding the rails prevents injury from potential seizures or agitation.
Padding the rails helps to cool the toddler down.
3. What is an appropriate statement a nurse should include when teaching a
child recovering from hemophilia A?
Have your parent stretch and move your legs for you
You will be able to participate in physical exercises
Apply heat to joints that become painful, stiff, and swollen
Take aspirin at the first sign of a headache
,4. In a scenario where an adolescent with sickle cell anemia is experiencing
severe pain during a vaso-occlusive crisis, what additional intervention
should the nurse consider alongside maintaining bed rest?
Apply heat packs to the affected areas.
Limit fluid intake to prevent swelling.
Administer pain relief medication as prescribed.
Encourage the child to engage in light physical activity.
5. How might a nurse explain the significance of an imaginary friend in a
preschooler's development?
An imaginary friend should be discouraged to promote social skills.
An imaginary friend is a sign of delayed development.
An imaginary friend indicates a serious psychological issue.
An imaginary friend can be a normal part of a child's social
development and coping mechanism.
6. Describe how body fat content influences the timing of menarche in school-
aged females.
Increased physical activity delays menarche regardless of body fat.
Higher body fat content can lead to an earlier onset of menarche
due to hormonal changes.
Menarche is solely determined by genetic factors, not body fat.
Body fat content does not influence menarche timing.
, 7. In a scenario where an infant with gastroenteritis is experiencing severe
dehydration, what nursing intervention would be most critical to prevent
electrolyte imbalances?
Restricting fluid intake to prevent overload
Administering oral rehydration solutions
Increasing the infant's solid food intake
Monitoring the infant's weight daily
8. In a scenario where a child with a known insect sting allergy experiences
anaphylaxis, what immediate nursing intervention should be prioritized?
Administer epinephrine
Start IV fluids
Provide oxygen therapy
Monitor vital signs
9. While assessing a patient's IV site, the nurse identifies signs and symptoms of
infiltration. What is the priority action that the nurse implements for this
patient?
Stop the IV infusion
Remove the IV access
Apply a sterile dressing on infiltrated tissue
Elevate the extremity
10. If a nurse is caring for a 4-month-old child who is recovering from surgery,
which toy would best support the child's developmental needs while
ensuring safety?