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A Nurse Is Providing Discharge Teaching To The Parents Of A 3 Month Old Infant Following A
Cheiloplasty. Which Of The Following Instructions Shoule The Nurse Include? Correct Ans -
Apply A Thin Layer Of Antibiotic Ointment On Your Baby's Suture Line Daily For The Next 3
Days.
The Nurse Should Instruct The Parents To Apply A Thin Layer Of Antibiotic Ointment On The
Infant's Suture Line Daily For 3 Days And Then Continue To Apply Petroleum Jelly To The Area
For Several Weeks To Promote Healing.
A Charge Nurse In An ED Is Preparing An In-Service For A Group Of Newly Licensed Nurses On
The Clinical Manifestations Of Child Maltreatment. Which Of The Following Clinical
Manifestation Should The Charge Nurse Include As Suggestive Of Potential Physical Abuse
Recurrent Urinary Tract Infections Symmetric Burns Of The Lower Extrmeties Growth Failure
Lack Of Subcutaneous Fat Correct Ans - Symmetric Burns Of The Lower Extremities
The Nurse Should Include In The Teaching That Symmetric Burns Of The Lower Extremities Are
A Suggestive Clinical Manifestation Of Physical Abuse. The Patterns Are Usually Characteristic
Of The Method Or Object Used, Such As Cigar Or Cigarette Burns, Or Burns In The Shape Of An
Iron.
A Nurse Is Providing Teaching To An Adolescent About How To Manage Tinea Pedis. Which Of
The Following Statements By The Adolescent Indicates An Understanding Of The Teaching?
I Should Buy Some Plastic Shoes To Wear At The Swimming Pool I Should
Wear Sandals As Much As Possible
I Should Place The Permethrin Cream Between My Toes Twice Daily
I Should Seal My Non-Washing Shoes In Plastic Bags For A Couple Of Weeks Correct Ans - I
Should Wear Sandals As Much As Possible
Allow Air To Circulate The Feet To Decrease Sweat In Which Bacteria Like To Grow Sandals
Allow Air To Circulate Around The Feet, Decreasing Perspiration And Eliminating The Medium
,For Bacteria And Fungus To Grow. The Nurse Should Inform The Adolescent That Wearing
Sandals, Open-Toed, Or Well-Ventilated Shoes Will Promote Healing Of His Fungal Infection.
A Nurse Is Planning Care For A Toddler Who Has A Serum Lead Level Of 4 Mcg/Dl. Which Of The
Following Actions Should The Nurse Plan To Take?
A. Instruct The Parents To Decrease The Calcium In Their Toddler's Diet
B. Prepare The Toddler For Chelation Therapy
C. Refer The Family To Child Protective Services
D. Schedule The Toddler For A Yearly Rescreening Correct Ans - Schedule The Toddler
For A Yearly Screening
The Nurse Should Schedule The Toddler For A Lead Level Rescreening In 1 Year And Educate
The Family On Ways To Prevent Exposure.
Cheliation Therapy Not Required Unless Lead Level >45mcg/Dl Could Be Initiated Once Over 10
A Nurse Is Creating A Plan Of Care For A Newly Admitted Adolescent Who Has Bacterial
Meningitis. How Long Should The Nurse Plan To Maintain The Adolescent In Droplet
Precautions?
Until The Adolescent Is Afebrile For 7 Days Following
Admission To The Facility Until The Adolescent Has A
Negative Blood Culture
For 24 Hours Following Initiation Of Antimicrobial Therapy Correct Ans - For 24 Hours
Following Initiation Of Antimicrobial Therapy
The Nurse Should Plan To Maintain The Adolescent On Droplet Precautions For At Least 24 Hr
Following Initiation Of Antimicrobial Therapy. This Practice Will Ensure That The Adolescent Is
No Longer Contagious, Which Protects Family Members And The Personnel Caring For The
Client. Prophylactic Antibiotics Might Be Prescribed To Individuals Who Were In Close Contact
With The Adolescent.
Shouldn't Be Contagious Anymore
Could Still Show A Positive Blood Culture Wihthout Being Contagious
A Nurse Is Caring For A 15 Year Old Client Following A Head Injury. Which Of The Following
Findings Should The Nurse Identify As An Indication That The Child Is Developing Syndrome Of
Inappropriate Antidiuretic Hormone Secretion ( SIADH)? Sodium 148
Urine Specific Gravity 1.020 Mental
Confusion
, Weak Peripheral Pulse Mental Confusion Correct Ans - Mental Confusion - Correct
Answer
A Child Who Has A Head Injury Can Develop SIADH As A Result Of Altered Pituitary Function,
Leading To An Oversecretion Of Antidiuretic Hormone. Oversecretion Of Antidiuretic Hormone
Leads To A Decrease In Urine Output, Hyponatremia, And Hypoosmolality Due To
Overhydration.
A Sodium Level Of 148 Meq/L Is Above The Expected Reference Range For A 15year-Old
Adolescent. SIADH Is Caused By The Secretion Of Excess Antidiuretic Hormone, Which Results In
A Decreased Serum Sodium Level Due To Increased Circulation Of Free Water.
A Urine Specific Gravity Of 1.020 Is Within The Expected Reference Range. A Child Who Has
SIADH Is More Likely To Have Concentrated Urine And Urine Specific Gravity Above The
Expected Reference Range.
A Child Who Has SIADH Is More Likely To Have Fluid Overload, Full, Bounding Pulses, Increased
Blood Pressure, And Tachycardia.
A Nurse Is Assessing The Vital Signs Of A 10 Year Old Child Following A Burn Injury. Which
Of The Following Clinical Manifestations Indicate Early Septic Shock? Blood Pressure
130/90 HR 60/Min Temp 39.1 (102.4)
Urinary Output 100ml/Hr Correct Ans - Temp 39.1 (102.4)
The Nurse Should Expect A Child Who Has Early Septic Shock To Have A Fever And Chills.
A Nurse Is Providing Teaching About Social Development To The Parents Of A Preschooler.
Which Of The Following Play Activities Should The Nurse Recommend For The Child?
Playing Pat A Cake Using A
Push-Pull Toy Creating A
Scrapbook
Playing Dress Up Correct Ans - Playing Dress Up
The Nurse Should Instruct The Parents That At The Preschool Age, Play Should Focus On Social,
Mental, And Physical Development. Therefore, Playing Dressup Is A Recommended Play Activity
For This Child.