1. After a tonsillectomy and adenoidectomy, Answer: a. drooling of bright
which finding should alert the nurse to red secretions
suspect early hemorrhage in a 5-year-
old child?
a. drooling of bright red secretions
b. pulse rate of 95 bpm
c. vomiting of 25 mL of dark brown emesis
d. BP of 95/56 mm HG
Answer: c. 7-10 days post-op
2. A nurse is teaching the parents of a pre-
school- er about the possibility of
postoperative hemor- rhage after a
tonsillectomy and adenoidectomy. When
should the nurse explain that the risk of
bleeding is the greatest?
a. 1-3 days post-op
b. 4-6 days post-op
c. 7-10 days post-op
d. 11-14 days post-op
3. Which assessment findings should lead the nurse Answers:
to suspect that a toddler is experiencing a. coughing
respira- tory distress? Select all that b. respiratory rate
apply. of 35 breaths/min
d. restlessness
a. coughing
f. diaphoresis
b. respiratory rate of 35 breaths/min
c. heart rate of 95 beats/min
d. restlessness
e. malaise
f. diaphoresis
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4. A child with cystic fibrosis is receiving gentamicin. Answer: a. monitoring
intake and
Which nursing action is most appropriate? output
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a. monitoring intake and output
b. obtaining daily weights
c. monitoring the client for indications of
consti- pation
d. obtaining stool samples for hemoccult testing
5. What type of diet should the nurse teach the par- Answer: d. high-calorie
diet
ents to give an older infant with cystic fibrosis?
a. low-protein diet
b. high-fat diet
c. low-carbohydrate diet
d. high-calorie diet
6. At a follow-up appointment after being b. use a wedge
hospital- ized, an adolescent with a history for side-lying
of cystic fibrosis describes his stool to the positions
nurse. Which descrip- tion should the
nurse interpret as indicative of continued
problems with malabsorption?
a. soft with little odor
b. large and foul-smelling
c. loose with bits of food
d. hard with streaks of blood
7. When explaining to parents how to reduce
the risk of sudden infant death syndrome
(SIDS), the nurse should teach about
which measures? Se- lect all that apply.
a. maintain a smoke-free environment
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Answer: b. large and foul-smelling
Answer:
a. maintain a smoke-free environ- ment
c. breast-feed the baby
d. place the baby on his or her back to sleep
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