NGN NUR ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM Q& As LATEST UPDATE 2022/2023 HIGHLY RATED A+ SCORE
A nurse is preparing an adolescent for a
... [Show More] lumbar puncture. Which of the following actions should the nurse take?
A- Place a cardiac monitor on the Adolescent prior to the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure
C- keep the Adolescent in a semi Fowler's position for 4 hours following the procedure
D- restrict fluids for 2 hours following the procedure
Answer- b
The nurse should apply a topical analgesic to the lumbar site 60 min prior to the procedure to decrease the adolescent's pain while the lumbar needle is inserted.
A- Cardiac monitoring is not necessary during a lumbar puncture.
C- The nurse should place the adolescent in the prone position or flat in bed for up to 12 hr to prevent post procedural spinal headache.
D- The adolescent should be encouraged to drink extra fluids following the procedure to replace the cerebrospinal fluid removed during the procedure.
A nurse is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the nurse plan to take?
A- Obtain a sputum specimen
B- perform an allen test
C- perform a finger stick
D- obtain a stool specimen
Answer- c
The nurse should perform a finger stick on a toddler as a component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease.
A- Sputum specimens are collected to identify the infectious organism in a child who has as acute respiratory tract infection. Therefore, this is not a component of the sickle-turbidity test. B- An Allen test determines adequate circulation by observing capillary refill before an arterial puncture. Therefore, this is not a component of the sickle-turbidity test.
D- Stool specimens are collected to identify organisms or parasites that cause diarrhea or to check for the presence of occult blood. Therefore, this is not a component of the sickle-turbidity test.
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged. My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful. [Show Less]