CORRECT ANSWERS(LATEST RELEASE).
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. -
CorreCt Answers -Demonstrate feeding strategies and infant cues that
indicate hunger and satiation.
The nurse is caring for a female client with scoliosis who had a posterior
spinal fusion and is in a body jacket cast. Which assessment finding
indicates to the nurse the client is developing cast syndrome?
Abdominal distention.
"Hot spot" felt on cast.
,Diminished pulses in the foot.
Musty, unpleasant odor to cast. - CorreCt Answers -Abdominal distention.
The nurse at the well-child clinic is advising the parents of an 8-month-old
child about health and safety. What information should the nurse provide?
Install stair guards or gates in the home.
Use of a car seat is optional if a lap/shoulder belt is in place.
Start toilet training with a child-sized potty.
Give syrup of ipecac in case of accidental ingestion or poisoning. - CorreCt
Answers -Install stair guards or gates in the home.
The nurse is caring for an irritable, lethargic 18-month-old child who
swallowed several over-the-counter (OTC)antihistamine tablets an hour
ago. What intervention should the nurse implement?
Initiate gastric lavage.
Administer naloxone.
Give a dose of ipecac syrup.
,Encourage oral intake of water or milk. - CorreCt Answers -Initiate gastric
lavage.
The mother of a 2-month-old infant who just received the first DTaP asks
the nurse what symptoms to expect. What is the best response for the nurse
to provide?
Most children do not experience any reaction.
Seizures are common and require anticonvulsant medication.
Mild reactions are common and most frequently include low-grade fever.
The most common reaction is a whole-body rash that develops into itchy
vesicles. - CorreCt Answers -Mild reactions are common and most
frequently include low-grade fever.
An infant weighs 7 lb (3.18kg)at birth. How much should the nurse expect
the infant to weigh at age 6-months?
12 lb (5.44kg).
14 lb (6.35kg)
17 lb (7.71kg).
21 lb (9.53). - CorreCt Answers -14 lb (6.35kg)
, Infancy growth spurts double the birth weight by 4 to 6 months and triple it
by one year
Which site should the nurse assess to obtain the pulse rate for a 1-year-old
child?
Radial.
Apical.
Carotid.
Femoral. - CorreCt Answers -Apical.
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. - CorreCt Answers -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?