Nursing Elites

1. A 2-year-old child with a diagnosis of hemophilia is admitted to the hospital. What should the nurse include in the care plan?

• A. Encourage participation in contact sports
• B. Use a soft toothbrush for oral care
• C. Administer nonsteroidal anti-inflammatory drugs
• D. Administer aspirin for pain

Correct answer: B

Rationale: Using a soft toothbrush helps to prevent bleeding in a child with hemophilia.

2. A 4-year-old child is admitted with a diagnosis of bacterial pneumonia. What is the priority nursing intervention?

• A. Administering antipyretics
• B. Administering antibiotics
• C. Monitoring fluid intake
• D. Providing nutritional support

Correct answer: B

Rationale: The priority nursing intervention for a 4-year-old child admitted with bacterial pneumonia is administering antibiotics. Antibiotics are essential to treat the infection, prevent its spread, and avoid potential complications. Administering antipyretics (Choice A) may help reduce fever but does not address the underlying cause of pneumonia, which is bacterial in this case. Monitoring fluid intake (Choice C) is important to maintain hydration but does not directly treat the infection. Providing nutritional support (Choice D) is crucial for overall health, but the immediate priority is to address the bacterial infection with antibiotics to prevent further complications and promote recovery.

3. A child with a diagnosis of sickle cell anemia is experiencing a vaso-occlusive crisis. What is the most important nursing intervention?

• A. Administering oxygen
• B. Administering pain medication
• C. Monitoring fluid intake
• D. Encouraging physical activity

Correct answer: B

Rationale: During a vaso-occlusive crisis in sickle cell anemia, the most important nursing intervention is to administer pain medication. Pain management is crucial in alleviating the intense pain experienced by the patient. Administering oxygen (Choice A) may be necessary in some cases to improve oxygenation, but pain relief takes precedence during a vaso-occlusive crisis. Monitoring fluid intake (Choice C) is important for hydration but is not the priority during a crisis. Encouraging physical activity (Choice D) is contraindicated during a vaso-occlusive crisis as it can exacerbate pain and tissue damage.

4. The nurse is implementing care for a school-age child admitted to the pediatric intensive care unit with diabetic ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?

• A. Begin 0.9% saline solution intravenously as prescribed
• B. Administer regular insulin intravenously as prescribed
• C. Place the child on a cardiac monitor
• D. Place the child on a pulse oximetry monitor

Correct answer: A

Rationale: The correct first intervention when managing a child with diabetic ketoacidosis is to begin intravenous saline solution to address dehydration and restore electrolyte balance. Rehydration is essential to improve perfusion and correct electrolyte imbalances. Administering insulin without addressing dehydration can potentially lead to further complications. Placing the child on a cardiac monitor or pulse oximetry monitor is important but not the initial priority in managing DKA.

5. When a mother confides in the nurse that she is contemplating divorce, which suggestion by the nurse would help minimize the effects on the child?

• A. Tell the child together using appropriate terms.
• B. Reassure the child that no one loves him more than his parents.
• C. Engage in special activities with the child to compensate for the divorce.
• D. Discuss your feelings with the child.

Correct answer: A

Rationale: The correct answer is A. It is essential for both parents to inform the child about the divorce together, using age-appropriate language. This approach can help minimize the negative impact on the child by providing a sense of unity and understanding. Choice B is incorrect because offering false reassurance about love may not address the child's concerns effectively, as the situation is complex. Choice C is not suitable as engaging in special activities cannot substitute for the emotional stability that the child may lose due to the divorce. Choice D is incorrect because sharing the parent's feelings may burden the child with adult emotions, which could be overwhelming and confusing for their developmental stage.

Similar Questions