Question

A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

Answer 1

Correct Answers:

Apply pressure to the site if bleeding occurs

Rationale :

🩸 A child on bleeding precautions is at increased risk for prolonged bleeding following even a minor injury such as a cut.

🩸 The immediate priority is to apply firm, direct pressure to the injured site to promote clot formation and control blood loss.

🩸 Pressure should be maintained continuously until bleeding stops rather than repeatedly removing the dressing to inspect the wound.

🩸 The nurse should then assess the amount of bleeding, wound severity, vital signs, and other manifestations of abnormal hemorrhage.

🩸 Controlling active bleeding takes priority because continued blood loss can progress to hemodynamic instability if not managed promptly.

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Answer 2

Correct Answers:

Nonspecific bone pain.

Rationale :

🦴 Bone pain is one of the most common early manifestations of primary bone malignancies such as osteosarcoma and Ewing sarcoma.

🦴 The pain may initially be intermittent, vague, or mistaken for a sports injury or normal growing pains.

🦴 As the tumor progresses, discomfort commonly becomes persistent, localized, and worse with activity or at night.

🦴 Swelling, tenderness, decreased range of motion, limping, or a palpable mass can develop near the affected bone.

🦴 Persistent nonspecific bone pain without a clear injury should therefore prompt further assessment and diagnostic imaging.

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Answer 3

Correct Answers:

Waddling gait

Rationale :

🚶 Duchenne muscular dystrophy causes progressive degeneration and weakness of skeletal muscles, especially the proximal muscles of the hips and thighs.

🚶 Pelvic-girdle weakness causes the child to shift the trunk from side to side when walking, producing a characteristic waddling gait.

🚶 The child may also demonstrate Gowers sign by using the hands to push upward along the thighs when rising from the floor.

🚶 Additional findings include frequent falls, difficulty climbing stairs, toe walking, and calf pseudohypertrophy.

🚶 The waddling gait becomes increasingly noticeable as proximal muscle weakness progresses during childhood.

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Answer 4

Correct Answers:

Frequent nosebleeds and petechiae

Rationale :

🧬 Myelosuppression occurs when chemotherapy suppresses bone-marrow production of red blood cells, white blood cells, and platelets.

🧬 Decreased platelet production causes thrombocytopenia, which increases the child’s risk for spontaneous or prolonged bleeding.

🧬 Petechiae are small pinpoint areas of bleeding under the skin and are a classic manifestation of a low platelet count.

🧬 Frequent epistaxis, easy bruising, bleeding gums, and prolonged bleeding after minor trauma can also occur.

🧬 The nurse should monitor platelet counts and implement bleeding precautions when thrombocytopenia develops.

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Answer 5

Correct Answers:

2.5

Rationale :

✔️Available: 500 mg in 5 mL

✔️Prescribed: 250 mg

✔️Formula

📌Desired dose ÷ available dose × volume.

📌250 mg/500 mg×5 mL

📌0.5×5

📌2.5 mL

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Answer 6

Correct Answers:

Administer nonsteroidal anti-inflammatory drugs (NSAIDs)

Rationale :

💊 Legg-Calvé-Perthes disease involves temporary disruption of blood supply to the femoral head, causing avascular necrosis and later bone remodeling.

💊 NSAIDs can decrease hip pain and inflammation, improving comfort and allowing the child to participate in prescribed therapy.

💊 Treatment also focuses on maintaining hip range of motion and keeping the femoral head properly positioned within the acetabulum.

💊 Activity may be restricted depending on disease severity, and physical therapy or bracing may be prescribed.

💊 The overall goal is to preserve the shape and function of the femoral head while healing and revascularization occur.

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Answer 7

Correct Answers:

"We will learn how to perform intermittent urinary catheterization."

Rationale :

🚻 Children with spina bifida commonly have a neurogenic bladder because spinal nerve impairment interferes with normal bladder emptying.

🚻 Clean intermittent catheterization allows regular bladder drainage and decreases urinary retention.

🚻 Effective bladder management helps reduce urinary tract infections, vesicoureteral reflux, hydronephrosis, and renal damage.

🚻 Parents and eventually the child can be taught clean catheterization technique at developmentally appropriate stages.

🚻 Long-term urinary management is essential because surgical closure of the spinal defect does not restore damaged neurological function.

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Answer 8

Correct Answers:

Remove nits with a fine-tooth comb or tweezers.

Rationale :

🪮 Pediculosis capitis, or head lice, is treated with an appropriate pediculicide along with careful removal of lice and nits when indicated.

🪮 A fine-tooth nit comb can remove remaining lice and eggs that are firmly attached to the hair shaft.

🪮 Parents should comb through small sections of damp hair carefully and repeat inspections according to the treatment instructions.

🪮 Nits can remain attached after treatment, so mechanical removal can help decrease persistent infestation and improve detection of newly hatched lice.

🪮 The CDC recommends checking the hair after treatment and using a nit comb to remove lice and nits when appropriate.

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Answer 9

Correct Answers:

Provide a latex-free environment.

Rationale :

🧤 Children with spina bifida and myelomeningocele have a markedly increased risk of developing latex sensitivity because of repeated medical and surgical exposure.

🧤 A latex-free environment helps prevent allergic reactions ranging from contact dermatitis to severe anaphylaxis.

🧤 The nurse should ensure that gloves, catheters, tubing, adhesive products, and other equipment are latex-free whenever possible.

🧤 The infant should also be positioned to protect the exposed sac from pressure, contamination, and rupture before surgery.

🧤 Latex precautions remain important throughout the child's life because sensitization can become more severe with repeated exposure.

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Answer 10

Correct Answers:

100

Rationale :

💎Available: 50 mL

💎Infusion time: 30 minutes = 0.5 hr

💎Formula

💎mL/hr=Total volume (mL)/Infusion time (hr)

💎50 mL/0.5 hr

💎100 mL/hr

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QLexNursing

1 :
A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

2 :
A nurse is assessing a child for possible manifestations of bone cancer. Which of the following should the nurse recognize as potential symptoms of bone cancer in children?

3 :
Which assessment findings should the nurse expect in a school-age child with Duchenne muscular dystrophy (DMD)?

4 :
A nurse is assessing a child undergoing chemotherapy. Which findings are consistent with myelosuppression?

5 :
A nurse is preparing to administer amoxicillin 250 mg PO every 12 hr. The amount available is amoxicillin 500 mg/5 mL suspension. How many mL should the nurse administer per dose?

6 :
A nurse is caring for a child who has Legg-Calvé-Perthes disease. Which of the following nursing actions should the nurse include in the plan of care?

7 :
A nurse is teaching parents about long-term care for their child with spina bifida. Which statement by the parent indicates understanding?

8 :
What information should the nurse include when teaching parents how to manage pediculosis capitis?

9 :
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following should the nurse include in the plan of care?

QLexNursing

1 : A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

2 : A nurse is assessing a child for possible manifestations of bone cancer. Which of the following should the nurse recognize as potential symptoms of bone cancer in children?

3 : Which assessment findings should the nurse expect in a school-age child with Duchenne muscular dystrophy (DMD)?

4 : A nurse is assessing a child undergoing chemotherapy. Which findings are consistent with myelosuppression?

5 : A nurse is preparing to administer amoxicillin 250 mg PO every 12 hr. The amount available is amoxicillin 500 mg/5 mL suspension. How many mL should the nurse administer per dose?

6 : A nurse is caring for a child who has Legg-Calvé-Perthes disease. Which of the following nursing actions should the nurse include in the plan of care?

7 : A nurse is teaching parents about long-term care for their child with spina bifida. Which statement by the parent indicates understanding?

8 : What information should the nurse include when teaching parents how to manage pediculosis capitis?

9 : A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following should the nurse include in the plan of care?

1 :
A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

2 :
A nurse is assessing a child for possible manifestations of bone cancer. Which of the following should the nurse recognize as potential symptoms of bone cancer in children?

3 :
Which assessment findings should the nurse expect in a school-age child with Duchenne muscular dystrophy (DMD)?

4 :
A nurse is assessing a child undergoing chemotherapy. Which findings are consistent with myelosuppression?

5 :
A nurse is preparing to administer amoxicillin 250 mg PO every 12 hr. The amount available is amoxicillin 500 mg/5 mL suspension. How many mL should the nurse administer per dose?

6 :
A nurse is caring for a child who has Legg-Calvé-Perthes disease. Which of the following nursing actions should the nurse include in the plan of care?

7 :
A nurse is teaching parents about long-term care for their child with spina bifida. Which statement by the parent indicates understanding?

8 :
What information should the nurse include when teaching parents how to manage pediculosis capitis?

9 :
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following should the nurse include in the plan of care?