Nursing Elites

1. When conducting an initial feeding evaluation, the therapist asks the caregiver to bring the utensils, food, and high chair that they typically use. Which statement best reflects the therapist's reasoning for this?

• A. Using the child's actual materials will give the therapist an accurate picture
• B. The therapist wants to be sensitive to the child's culture
• C. The center has limited funds for food and materials
• D. The therapist would like to know if the caregiver can follow directions

Correct answer: A

Rationale: By having the caregiver bring the child's familiar utensils, food, and high chair, the therapist can observe the child's typical eating behaviors and challenges accurately. This provides valuable insights that help in tailoring appropriate interventions to address feeding issues effectively.

2. Which type of play involves actions such as looking and touching the mother's face, putting hands in one's mouth, and responding to familiar people?

• A. Exploratory
• B. Functional or relational
• C. Pretend
• D. Symbolic or imaginary

Correct answer: A

Rationale: Exploratory play is characterized by exploring sensory experiences and learning about the environment. In this type of play, infants engage in activities like looking, touching, and responding to familiar stimuli to understand the world around them.

3. Which statement regarding the human papillomavirus vaccine (Gardasil) is true?

• A. Gardasil is administered in a two-dose series.
• B. Gardasil provides protection against chlamydia.
• C. Gardasil is recommended for males and females.
• D. Gardasil becomes effective after the first dose.

Correct answer: C

Rationale: Gardasil is recommended for both males and females to protect against HPV and related conditions such as genital warts and certain cancers. It is essential for both genders to receive the vaccine to prevent the spread of HPV and its associated health risks.

4. What is the most appropriate nursing consideration for a patient who is prescribed verapamil and digoxin?

• A. Restrict intake of oral fluids and high-fiber foods
• B. Take an apical pulse for 30 seconds before administration
• C. Notify the healthcare provider of nausea, vomiting, and visual changes
• D. Hold the medications if the heart rate is greater than 110 bpm

Correct answer: C

Rationale: When a patient is prescribed verapamil and digoxin, it is crucial to monitor for signs of digoxin toxicity due to the potential interaction between these medications. Verapamil can elevate digoxin blood serum levels, increasing the risk of toxicity. Symptoms of digoxin toxicity include nausea, vomiting, and visual changes. Therefore, the most appropriate nursing consideration is to notify the healthcare provider of these symptoms. Restricting intake of oral fluids and high-fiber foods is not a specific consideration related to this medication combination. Before administering digoxin, it is essential to take an apical pulse for a full minute, not just 30 seconds, to ensure accuracy. Additionally, holding the medications if the heart rate exceeds 110 bpm is not a typical response to the combination of verapamil and digoxin, which can cause bradycardia rather than tachycardia.

5. A healthcare professional is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the professional have on hand for the delivery?

• A. Bag-valve-mask system
• B. Sterile gauze and saline
• C. Soft arm restraints
• D. Endotracheal tube

Correct answer: D

Rationale: An endotracheal tube is crucial for managing the airway of a newborn with a diaphragmatic hernia. In this condition, there may be respiratory distress due to incomplete development of the diaphragm, allowing abdominal organs to move into the chest cavity and compress the lungs. The endotracheal tube helps in securing the airway and providing respiratory support if needed until definitive treatment can be initiated.

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