Nursing Elites

1. Which law provides for infants and toddlers aged 0-2 who are in need of comprehensive early intervention services?

• A. IDEA- Part B
• B. IDEA- Part A
• C. IFSP
• D. IDEA- Part C

Correct answer: D

Rationale: The correct answer is D, IDEA Part C. IDEA Part C specifically focuses on providing early intervention services to infants and toddlers with disabilities. This law ensures that children aged 0-2 receive the necessary support and services to aid in their development and address any disabilities or developmental delays early on. Choices A, B, and C are incorrect. IDEA Part B pertains to services for school-aged children with disabilities, IDEA Part A does not exist in the context of the Individuals with Disabilities Education Act (IDEA), and IFSP stands for Individualized Family Service Plan, which is a document outlining services for children from birth to age 3 who are experiencing developmental delays or disabilities, but it is not a law in itself.

2. What is the most important statement to include when teaching a patient who is prescribed metronidazole (Flagyl)?

• A. Take the medication with food.
• B. Avoid alcohol consumption.
• C. If you experience a metallic taste in your mouth, call your doctor.
• D. You can stop taking the medication once you feel better.

Correct answer: B

Rationale: The most crucial statement to include when teaching a patient prescribed metronidazole (Flagyl) is to avoid alcohol consumption. Mixing metronidazole and alcohol can lead to a disulfiram-like reaction, causing severe symptoms such as nausea, vomiting, and headache. Therefore, it is essential to emphasize to the patient the importance of abstaining from alcohol while taking this medication to prevent adverse reactions.

3. The healthcare provider is caring for a child on bed rest who has severe edema in the left lower extremity due to blocked lymphatic drainage. Which nursing diagnosis would take priority?

• A. Risk for Impaired Skin Integrity
• B. Risk for Altered Body Image
• C. Risk for Imbalanced Nutrition: Less Than Body Requirements
• D. Risk for Activity Intolerance

Correct answer: A

Rationale: The priority nursing diagnosis in this scenario is 'Risk for Impaired Skin Integrity' because severe edema in the left lower extremity can lead to compromised circulation and pressure ulcers, increasing the risk of skin breakdown and infection. Addressing and preventing impaired skin integrity is crucial for the child's overall health and well-being.

4. A parent of an infant with gastroesophageal reflux is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?

• A. Offer the infant feedings every 2 hours.
• B. Position the infant upright after feedings.
• C. Feed the infant thickened formula.
• D. Place the infant in a prone position after feedings.

Correct answer: B

Rationale: Correct posture after feedings is crucial for an infant with gastroesophageal reflux to reduce the risk of regurgitation. Placing the infant upright helps prevent the backflow of stomach contents into the esophagus, minimizing symptoms of reflux.

5. When providing teaching to the family of a school-age child with juvenile idiopathic arthritis, which instruction should the nurse include?

• A. Limit the child's movement of the large joints.
• B. Encourage the child to perform independent self-care.
• C. Provide the child with a soft mattress for sleeping.
• D. Schedule a 2-hour daily nap for the child in the afternoon.

Correct answer: B

Rationale: Encouraging the child to perform independent self-care is essential when managing juvenile idiopathic arthritis. This instruction helps minimize pain and stiffness in the child's joints while promoting mobility and independence. It is crucial for the child to learn self-management skills early to cope better with the condition in the long term.

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