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A nurse is caring for an infant who has just returned from the PACU
following cleft lip and palate repair. Which of the following actions should
the nurse take?
A. Remove the packing in the mouth.
B. Place the infant in a side-lying position.
C. Offer a pacifier with sucrose.
D. Assess the mouth with a tongue blade. - Correct AnswerB. Place the
infant in a side-lying position.
When taking action during the care of an infant who has just returned from
the PACU following a cleft lip and palate repair, the nurse should place the
infant in a side-lying position to facilitate drainage and prevent aspiration
A nurse is teaching a parent of an infant who has gastrointestinal reflux
disease. Which of the following should the nurse include in the teaching?
Select all that apply.
A. Offer frequent feedings.
B. Thicken formula with rice cereal.
C. Use a bottle with a one-way valve.
D. Position infant upright after feedings
E. Use a wide-based nipple for feedings. - Correct AnswerA. Offer frequent
feedings.
B. Thicken formula with rice cereal.
D. Position infant upright after feedings
A nurse is caring for a child who has Hirschsprung's disease. Which of the
following actions should the nurse take?
A. Encourage a high-fiber, low-protein, low-calorie diet.
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,B. Prepare the family for surgery.
C. Place an NG tube for decompression.
D. Initiate bed rest. - Correct AnswerB. Prepare the family for surgery.
When taking action during the care of a child who has Hirschsprung's
disease, the nurse should prepare the child and family for surgery. A child
who has Hirschsprung's disease requires surgery to remove the affected
segment of the intestine
A nurse is caring for a child who has Meckel's diverticulum. Which of the
following manifestations should the nurse expect?
Select all that apply.
A. Abdominal pain
B. Fever
C. Mucus and blood in stools
D. Vomiting
E. Rapid, shallow breathing - Correct AnswerA. Abdominal pain
C. Mucus and blood in stools
A nurse is teaching a group of family members about communicable
diseases. The nurse should include that which of the following is the best
method to prevent a communicable disease?
A. Hand washing
B. Avoiding persons who have active disease
C. Covering your cough
D. Obtaining immunizations - Correct AnswerD. Obtaining immunizations
When providing teaching to a group of family members about prevention of
communicable diseases, the nurse should include in the teaching that
obtaining immunizations is the best prevention method for communicable
diseases.
A nurse in a pediatric clinic is providing discharge instructions to the
caregiver of a child who has chickenpox (varicella). Which of the following
instructions should the nurse include in the teaching?
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,Select all that apply.
A. The child is contagious until all vesicles have crusted.
B. Calamine lotion may be applied to decrease itching.
C. Fingernails should be kept short while lesions are present.
D. Bed linens should be changed every other day.
E. Bathe the child in tepid water. - Correct AnswerA. The child is contagious
until all vesicles have crusted.
B. Calamine lotion may be applied to decrease itching.
C. Fingernails should be kept short while lesions are present.
E. Bathe the child in tepid water.
A nurse is assessing a child who has pertussis. Which of the following
findings should the nurse expect?
Select all that apply.
A. Runny nose
B. Mild fever
C. Cough with whooping sound
D. Swollen salivary glands
E. Red rash - Correct AnswerA. Runny nose
B. Mild fever
C. Cough with whooping sound
A nurse is caring for a child who has rubeola. The nurse should monitor for
which of the following complications?
Select all that apply.
A. Otitis media
B. Constipation
C. Laryngitis
D. Arthralgia
E. Syncope - Correct AnswerA. Otitis media
C. Laryngitis
A nurse is teaching a group of family members about complications of
communicable diseases. Which of the following communicable diseases
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, should the nurse include in the teaching as a disease that can lead to
pneumonia?
Select all that apply.
A. Rubella (German measles)
B. Rubeola (measles)
C. Pertussis (whooping cough)
D. Varicella (chickenpox)
E. Mumps - Correct AnswerB. Rubeola (measles)
C. Pertussis (whooping cough)
D. Varicella (chickenpox)
A nurse is planning to administer recommended immunizations to a 2-
month-old infant. Which of the following vaccines should the nurse plan to
give?
Select all that apply.
A. Rotavirus (RV)
B. Diphtheria, tetanus, and acellular pertussis (DTaP)
C. Haemophilus influenzae type b (Hib)
D. Hepatitis A (Hep A)
E. Pneumococcal conjugate (PCV13)
F. Inactivated poliovirus (IPV) - Correct AnswerA. Rotavirus (RV)
B. Diphtheria, tetanus, and acellular pertussis (DTaP)
C. Haemophilus influenzae type b (Hib)
E. Pneumococcal conjugate (PCV13)
F. Inactivated poliovirus (IPV)
When generating solutions while planning the administer immunizations to
a 2-month-old infant, the nurse should plan to administer the RV, DTaP, Hib,
PCV13, and IPV vaccines. HepA is given as a two-dose series starting at 12
months of age.
A nurse is planning to administer recommended immunizations to a 4-year-
old child. Which of the following vaccines should the nurse plan to give?
Select all that apply.
A. Inactivated poliovirus (IPV)
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