Question

470. A 17 - month - old is brought into the clinic, and the nurse notes the toddler has tooth decay on the maxillary upper incisors. The toddler is holding a bottle of juice, and the parent says the ch ild cannot seem to be weaned from the bottle. The nurse could suggest which of the following tactics to assist the parent in weaning the toddler? Select all that apply. A. Hide the bottle, and tell the toddler that it is not needed anymore B. Put only tap water in the bottle C. Give the bottle only at night D. Give the toddler a pacifier and take the bottle away

471. Parents are interested in switching their child from a booster seat to a regular seatbelt. The child is 7 years ago and weighs 51 Ib. what can the nur se tell the parents about switching the child to seat belt? Select all the apply. A. The safest place to ride in the car is in the front seat B. The child needs to weigh 60 Ib and be 8 years old to qualify legally for a seat belt C. The seat belt should be worn low on the hips D. Tether straps are optional

472. The nurse goes to kindergarten classroom to evaluate a rash. A 5 year old has patches of vesicles on the chest and face rather than on the arms and legs. The child says it is very itchy. The teacher tells th e nurse the child had a runny nose a couple of days ago. The nurse suspects that the rash is caused by which virus? A. Fifth disease (erythema infectiosum) B. Roseola (exanthema subitum) C. Scarlet fever ( group A - B hemolytic streptococcus) D. Chickenpox (varicella zoster)

473. The clinic is doing a lead something program for children in a low - income Hispanic community. The nurse working in the program wants to tell the parents the reasons to have their children screened for lead poisoning. Sel ect all the following reasons that apply. A. Young children absorb 10% of the lead to which they are exposed B. Homes built between 1900 and 1950 may contain lead - based paint C. The blood level of lead should be below 12.8 mcg/Dl D. Lead can affect any part of the b ody, but the brain and kidneys are at greatest risk E. Foods such as fruit, candy, and antacids contain level

474. Gullian - Barre’ is a progressive motor weakness secondary to an autoimmune response from a viral illness or immunizations Gullian - Barre ’shows w hich of the following symptoms? Select all that apply. A. Always fatal after 18 to 24 months B. Progresses cephalocaudally C. Complications are associated with immobility D. Respiratory support is a nursing priority E. Tube feedings or total parental nutrition may b ecome necessary

475. As a component of discharge teaching, the nurse knows that treatment regimen for a 15 year old with systemic lupus erythematosus include which of the following? Select all that apply A. High protein diet B. Low salt intake C. Exposure to t he sun D. Killed - virus vaccines E. Systemic corticosteroids F. Antimalarials 476. A 12 year old cut a hand while climbing a barb - wired fence. What should the nurse discuss with the parents regarding need for tetanus vaccine? Select all that apply. A. No tetanus vaccine is necessary; it is too soon B. Tetanus is a potentially fatal disease C. Puncture wounds are less susceptible to tetanus D. There will be mild soreness at the injection site E. Tdap should be administered F. Td should be administered

477. A paren t calls the nurse for doing information for Pepto - Bismol and aspirin for children who are 8 and 9 years old and are ill. The nurse states which of the following? Select all that apply. A. 1 tbs of Pepto - Bismol after every diarrhea stool B. 81 - mg baby aspirin ev ery 4 hours C. No medications are necessary D. Pepto - Bismol contains aspirin E. Diet as tolerated F. Reye syndrome is associated

478. The nurse is doing discharge teaching for a 3 month old with a new shunt that was placed for hydrocephalus. Which of the following are signs and symptoms of hydrocephalus that the parents may see if the shunt malfunctions? Select all that apply. A. Vomiting B. Irritability C. Poor feeding D. Headache E. Sunken fontanel F. Seizures G. Inability to wake up infant H. Hyperactivity

479. The nurse detects blood - tinged fluid leaking from the nose and ears of a head trauma client. What is the appropriate nursing action? A. Pack the nose and ears with sterile gauze B. Apply pressure to the injury site C. Apply bulky, loose dressing to nose and ears D. Apply an ice pack to the back of the n

Answer 1

470).OPTION D,A,B ARE CORRECT.

471).B,C ARE CORRECT.

472).D IS CORRECT

473).A,C,D

474).C,D

475).A,B,C

476).B,D

477).A

478).A,B,D,F

479).B,D