And Answers Latest Update.
1. A nurse is providing teaching about foods high in fiber to the guardian of
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achild who has chronic constipation. Which of the following foods should the
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nurse recommend?
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A. 1/2 cup whole milk tk tk tk
B. 1/2 cup cooked pinto beans
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C. 1 cup green leaf lettuce
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D. 1 cup apple juice: Correct
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Answer: B.1/2 cup cooked pinto beans
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The nurse should recommend foods high in fiber for a child who has chronic
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constipation.A half cup of cooked pinto beans contains approximately 5 g of
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fiber.Therefore, the nurse should instruct the guardian to include this food in the
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child'sdiet.
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Incorrect Answers: A. A half cup of whole milk contains no fiber.
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C. One cup of green leaf lettuce contains no fiber.
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D. One cup of apple juice contains no fiber.
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2. A nurse in an emergency department is assisting with the care of a
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4-year-old child who ingested toilet bowl cleaner. The child has tk tk tk tk tk tk tk tk tk
hemoptysis, is crying, and states, "It burns." Which of the following actions
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should the nurseperform? (Select all that apply.)
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A. Identify how much cleaner was in the bottle tk tk tk tk tk tk tk
B. Administer activated charcoal tk tk
C. Perform immediate gastric lavage tk tk tk
D. Insert an IV for morphine administration tk tk tk tk tk
E. Apply a pulse oximeter: Correct tk tk tk tk
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,Answers: A.Identify how much cleaner was in the
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bottle
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D.
Insert an IV for morphine
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administrationE.
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Apply a pulse oximeter
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The nurse should ask the parent or guardian about the size of the container,
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itscontents prior to ingestion, and its contents remaining following ingestion.This
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, information provides an estimate of the amount of cleaner the child ingested and can tk tk tk tk tk tk tk tk tk tk tk tk tk
assist the provider in directing treatment. A child who ingests a corrosive agentis likely
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to have intense pain due to burns in the gastrointestinal system. The nurseshould
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administer morphine as prescribed via IV to provide pain relief.The child
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is also at risk for airway occlusion due to edema following ingestion of a corrosive
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agent.Monitoring the child's oxygen saturation level will help the nurse recognize
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ifthe child's airway is becoming obscured.
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Incorrect Answers: B. Activated charcoal is contraindicated for the treatment of tk tk tk tk tk tk tk tk tk tk
poisoning with a corrosive agent because these substances can burn tissue, whichthe
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charcoal could then infiltrate.
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C. Gastric lavage is contraindicated for the treatment of poisoning with a
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corrosiveagent because this could re-expose the upper gastrointestinal system to
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the corro-sive substance, which can result in further injury.
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3. A nurse is assessing the visual acuity of a group of school-aged
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children.Which of the following actions should the nurse take?
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A. Position each child with their heels at a line that is 6 m (20 ft) away from tk tk tk tk tk tk tk tk tk tk tk tk tk tk tk tk
theSnellen chart
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B. Allow each child to wear his or her glasses during the exam tk tk tk tk tk tk tk tk tk tk tk
C. Start the screening by covering each child's right eye tk tk tk tk tk tk tk tk
D. Begin by having each child read the largest line of letters at the top of tk tk tk tk tk tk tk tk tk tk tk tk tk tk
theSnellen chart: Correct Answer: B.
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Allow each child to wear his or her glasses during the exam
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The nurse should allow each child to wear his or her glasses during a screening
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forvisual acuity.
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Incorrect Answers:A.The nurse should position each child so that the heels are ata tk tk tk tk tk tk tk tk tk tk tk tk tk tk
line that is 3 m (10 ft) away from the Snellen chart.
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C.The nurse should start the screening by testing each child's right eye first.
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D. The nurse should start the screening by having each child read the 20/20 line
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ofletters on the chart.If they are unable to do so, the nurse should move up to the
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nextlarger line of letters on the chart until the child can read at least 4 out of 6 letters
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correctly.
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4. A nurse in the emergency department is caring for a 12-year-old child
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who has ingested bleach. Which of the following statements by the nurse
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indicatesan understanding of this ingestion?
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