Update Questions And Well-Elaborated Answers
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A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To aid
the child's growth and development, which intervention is most important for the nurse to
implement?
, Encourage the parents to participate in a planned program of play with the infant.
Refer the parents for psychological counseling to identify parental detachment.
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
Provide instructions about formula preparation and feeding schedules. - DETAILED
ANSWER-Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
The nurse is triaging a child with a fever brought to the emergency department by the
parents. Which finding requires the nurse's immediate intervention?
Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
, Oxygen saturation is 95% by pulse oximeter. - DETAILED ANSWER-Prolonged
exhalations.
The nurse is assessing the coping behaviors of the parents whose child has been recently
diagnosed with a chronic illness. What reaction by the parents is a positive step in the ability to
cope with this new situation?
Endowing the illness with meaning.
Refusing to believe the child is ill.
Entertaining an unrealistic future plan for the child.
Placing complete faith in religion to the point of relinquishing own responsibility. -
DETAILED ANSWER-Endowing the illness with meaning.
A 15-year-old girl tells the school nurse that she wants to have a baby. How should the
nurse respond?
, "Will you be able to support the baby?"
"Do you have plans to continue school?"
"Have you talked with your parents about this?"
"Can you tell me how your life will be if you have an infant?" - DETAILED ANSWER-
"Can you tell me how your life will be if you have an infant?"
The nurse is caring for a premature infant who needs an IV access restarted. What action
should the nurse take when using adhesive tape?
Remove adhesives with water, mineral oil, or petrolatum.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.