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"Akmotherktellsktheknursekthatkherkchildkdoesknotkwantkanythingktokdokwithktoiletk tr
ainingk andk yellsk "NO!"k consistentlykwhenkshektriesktok toiletk train.kThek childk isk 2
yearskold.kAccordingktokErikson,ktheknursekinterpretskthatkthekchildkiskexperiencin
gk whichkpsychosocialkcrisis?"
a. autonomykvskshamekandkdoubt
kb.initiativekvskguilt
c. industryk vsk inferiority
d. trustkvsk mistrustk(answer)k Autonomykvskshamekandk doubt
Ak2-year-
oldkchildkiskadmittedktokthekhospitalkwithkjuvenilekrheumatoidk arthritisk(J
RA).kDuringkthekfocusedkassessment,ktheknursekmakeskitkakpriorityk tao.k not
ekthekpresencekofkwhichkofkthekfollowing?"
increasedkirritabilityk andkthekchild'skinsistencek tokbekcarried
b. outkcomplaintskofkjointkstiffness
c. historyk ofk dailyk temperaturek elevations
d.
descriptionkofk howk difficultk itkisk tokmovek aroundk afterk periodsk ofk inactivk k ity
(answer)kincreasedkirritabilitykandkthekchild'skinsistencektokbekcarried
k out
Akmotherkofkaktoddlerkwhokiskhospitalizedkwithkmildkdehydrationkmustklea
vek herkchildktokgoktokwork.kWhichkbehaviorkwouldktheknursekexpectktokob
servek inkthektoddlerkimmediatelykafterkthekmother'skdeparture?ka.ksilentlyk
curledkink bedkwithkakblanket
b. loudlykcryingkandkkickingkbothklegs
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c. playingk quietlyk withk ak favoritek toy
d. suckingkthumbkandkrockingkbackkandkforthk(answer)kloudlykcryingkandkkicki
ngk bothklegs
"Aknewbornkinfantkiskdiagnosedkwithkhypospadias,kandkthekmotherkasksktheknur
sek aboutkthekdisorder.kTheknursekbaseskthekresponsekonkwhichkofkthekfollowin
g?"
a. itkiskakcongenitalkanomalykinkwhichkthekactualkopeningkofkthekurethrakmeatuskis
belocwcuthek normalk plabcoetmhketnestteosnftahiletogldaensscepnedntihskroughk thek inguinalk canalk intok th
scrotalksac
b. itkiskakcongenitalk anomalykinkwhichkthekactualkopeningkofk thekurethralkmeatusk isk k
e
dorsalktok thekurethralkopening
c.
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d. itkiskakcongentialkanomalykcharacterizedkbykthekextrusionkofkthekurinarykblad
derk tokthekoutsidekofkthekbodyk(answer)kitkiskakcongenitalkanomalykinkwhic
hkthek actualkopeningkofkthekurethrakmeatuskiskbelowktheknormalkplacement
konkthek glanskpenis
Akhomekcareknursekiskprovidingkinstructionsktokakchildkwithkcystickfibrosiskabou
tk howktokperformkthek"huff"kmaneuver;kthekchildkasksktheknursekaboutkthekpurp
ose
a. "thisk typek ofkbreathingk iskusedk tok mobilizek secretionsk sok thatktheyk cank bek easily
ofkthisktypekofkbreathing.kTheknursekmakeskwhichkresponsektokthekchild?
coughedk oukt"
b. "thisk typek ofk breathingk prolongsk inspirationk time"
c.
d. "thisktypekofkbreathingkmoveskairkoutkofktheklowerklungs"
"thisktypek ofk breathingk movesk airk throughk thek lungs"k (answer)k "thisk typek of
breathingkiskusedktokmobilizeksecretionsksokthatktheykcankbekeasilykcoughedkout"
Akhomekcareknursekiskinstructingkthekmotherkofkakchildkwithkcystickfibrosisk(CF
)k aboutk thek appropriatek dietaryk measures.k Thek nursek tellsk thek motherk thatk
the
childkneedsktoloconsumeka:highkcalorie, proteinkdiet
b. high
c.k lowkcalorie,klowkproteinkdiet
d.khighkcalorie,krestrictedk fatk(answer)khighkcalorie,khighkproteink diet
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Breathingkexerciseskandkposturalkdrainagekiskprescribedkforkakchildkwithk
cystickfibrosis.kAknursekimplementskthesekprocedureskbyktellingkthekchildkto:
a. performk thek posturalk drainage,k thenk thek breathingk exercises
b. performk thek breathingk exercises,k thenk thek posturalk drainage
c. schedulekthekproceduresksoktheykarek4khourskapart
d.
performk posturalk drainagek ink thek morningk andk breathingk exercisesk ink t
hek eveningk (answer)k performk thek posturalk drainage,k thenk thek brea
thing
Ak nursekiskreviewingkthekresultskofkaksweatk testkperformedkon
exercises
akchildkwithk cy
fibrosisk (CF).kTheknursekwouldkexpectktoknotekwhich
kf stickinding?ka.kaksweatk
sodium
b.
c.k
ak sweatkpotassium
concentration kconcentration
klesskthank40kmEq/ k gr
L
aksweatkpotassiumkconcentrationklesskthank40kmEq/L
eaterkthank40kmEq/L
d.kaksweatksodiumkconcentrationkgreaterkthank60kmEq/Lk(answer)kaksweat
concentrationk greaterk thank 60k mEq/L
sodium
ethylphenidatek(Ritalin)kiskprescribedkforkakchildkwithkakdiagnosiskofk att
entionk deficitk hyperactivityk disorderk (ADHD).k Thek nursek provides
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