1. A guardian calls the clinic nurse after his child has developed symptoms of varicella and
asks when his child will no longer be contagious. Which of the following responses should
the nurse make?
a) “When your child no longer has a fever.”
b) “Three days after the rash started.”
The nurse should inform
the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
d) “When your child’s lesions disappear.”
2. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent
of a 1-month-old infant. Which of the following statements by the parent indicates an
understanding of the teaching?
a) “I will let my baby sleep with me in bed at night.”
The nurse should reinforce
with the parent that allowing the infant to fall asleep with a pacifier in his mouth
decreases the risk for SIDS.)
c) “I will place my baby on a soft mattress to sleep.”
d) “I will cover my baby with a quilt while he sleeping.”
3. A nurse is collecting date from a school-age child. The nurse should identify that which of
the following findings is a manifestation of physical abuse?
a) Multiple dental caries
b) Malnutrition
c) Recurrent urinary tract infections
The nurse should recognize that bruises
at
various stages of healing are a clinical manifestation of physical abuse.)
4. A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated
appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the
following instructions should the nurse include in the teaching?
a) “You can begin drinking fluids again 2 days after your surgery.”
b) “You will need to ask for pain medication for the first 24 hours after surgery.”
c) “You will have your vital signs monitored every 8 hours after surgery.”
The nurse
should
instruct the client that she will sit in a bedside chair at least twice a day and will be
encouraged to ambulate as soon as possible following surgery. This activity will
enhance lung function and help prevent postoperative complications.)
5. A nurse is assisting with the care of a child who is postoperative and received a transfusion
during a surgical procedure. Which of the following findings indicates the child is havig a
hemolytic reaction?
Chills and flank pain are findings that indicate an
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