SHEET FULL SOLUTIONS CORRECT ANSWERS
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◉ A nurse is assessing an infant who has acute otitis media. Which
of the following findingsshould the nurse expect (select all that
apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever.
Answer: c. Crying
d. Restlessness
e. fever
◉ a nurse is providing teaching to the parents of an infant who is to
undergo pilocarpine lontophoresis Testing for Cystic Fibrosis. Which
of the following statements should the nurse
include in the teaching?
a. We will measure the amount of protein in your baby's urine over
24 hour period
,b. The test will measure the amount of water in your baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test.
Answer: b. The test will measure the amount of water in your baby's
sweat
◉ A nurse in an urgent care clinic is prioritizing care for children.
Which of the following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous
cough
c. a preschool-age child who has diabetes mellitus and a blood
glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of
5kg mg (11 lb).
Answer: b. a preschool-age child who has a muffled voice and no
spontaneous cough
◉ A nurse is providing teaching to the parents of a toddler who is to
undergo a sweat chloride test. Which of the following statements
should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's
disease
,b. the technician will use a device to produce an electrical current
during the test
c. during the test, your child will be in a room that is cold
d. your child's sweat will be collected over 24 hours.
Answer: b. the technician will use a device to produce an electrical
current during the test
◉ A nurse in the emergency department is caring for an adolescent
who is requesting testing for STI. Which of the following action is
appropriate for the nurse to take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are present
d. obtain written consent from the client.
Answer: d. obtain written consent from the client
◉ A nurse in the emergency department is assessing the toddler
who has hyperpyrexia severe dyspnea and drooling which of the
following actions should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation.
, Answer: d. prepare the toddler for nasotracheal intubation
◉ A nurse is providing teaching to a 10 year old child with
scheduled for an arterial cardiac catheterization. Which of the
following information should the nurse include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
c. you will be on a clear liquid diet for 24 hours following the
procedure
d. you will be on bed rest for 2 days after the procedure.
Answer: b. you will need to keep your legs straight for 8 hours
following the
procedure
◉ A nurse is caring for a preschooler who is post-operative
following a tonsillectomy. The child is now ready to resume oral
intake which of the following dietary choices should the nurse offer
the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop.
Answer: d. lime flavored ice pop