Question

A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?

Answer 1

Correct Answers:

Encourage physical activity as tolerated.

Rationale :

🏃‍♂️ Mild physical activity helps promote circulation and prevents blood stasis, which can trigger sickle cell crises.

🏃‍♂️ Children should avoid overexertion, dehydration, or extreme temperatures, but moderate exercise is beneficial.

🏃‍♂️ Cold compresses are avoided as they cause vasoconstriction and can worsen ischemia.

🏃‍♂️ Hydration is essential, especially overnight, to prevent sickling; fluids should not be limited.

🏃‍♂️ Surgical masks are not routinely needed unless there's an immunosuppression concern.

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Answer 2

Correct Answers:

Acknowledge the family members feelings of guilt.

Rationale :

💔 Families often experience intense guilt, confusion, and grief after an unexpected infant death like SIDS.

💔 Nurses should provide therapeutic communication, acknowledging and validating emotions to aid the grieving process.

💔 Discouraging sibling involvement or avoiding discussion of the death may hinder coping.

💔 Follow-up calls are appropriate but typically part of long-term bereavement care, not immediate action.

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Answer 3

Correct Answers:

Sausage-shaped abdominal mass.

Rationale :

🧩 Intussusception involves telescoping of the bowel, leading to a palpable, sausage-like mass, usually in the right upper quadrant.

🧩 Other signs include sudden cramping pain, currant jelly stools, and intermittent lethargy or crying.

🧩 A board-like abdomen suggests peritonitis, not intussusception.

🧩 Constipation and increased urination are not characteristic findings.

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Answer 4

Correct Answers:

Cleanse the gums with saline soaked gauze.

Rationale :

🧼 Chemotherapy-induced mucositis requires gentle oral care to reduce infection risk and discomfort.

🧼 Saline is non-irritating and helps cleanse without damaging fragile tissues.

🧼 Lemon glycerin swabs are too acidic and can worsen mucosal damage.

🧼 Viscous lidocaine is contraindicated in infants and toddlers due to risk of aspiration or altered gag reflex.

🧼 Frequent gentle cleaning, not just every 8 hours, is recommended.

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Answer 5

Correct Answers:

Lime-flavored ice pop.

Rationale :

🍋 After tonsillectomy, the priority is to provide cold, non-red, non-irritating fluids or foods.

🍋 Lime ice pops are soothing, help reduce swelling, and are easy to tolerate.

🍋 Red-colored foods (e.g., cherry gelatin) should be avoided because they may mimic blood if vomiting occurs.

🍋 Dairy products like ice cream and chocolate milk can coat the throat, increasing coughing or throat clearing, which risks dislodging clots.

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Answer 6

Correct Answers:

Exhibits head lag when pulled to a sitting position

Rationale :

🧠 By 5 months, infants should have developed enough neck strength to minimize or eliminate head lag.

🧠 Persistent head lag may indicate neuromuscular delays or developmental concerns.

🧠 It is normal for a 5-month-old to not hold a bottle or roll from back to front.

🧠 The grasp reflex should be absent by 5 months, so its absence is expected.

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Answer 7

Correct Answers:

Bradycardia.

Rationale :

❤️ Digoxin toxicity commonly presents with bradycardia in infants and children, often accompanied by nausea, vomiting, and poor feeding.

❤️ It acts by slowing AV node conduction to improve cardiac output but must be carefully dosed.

❤️ Polyuria and jaundice are not classic signs of digoxin toxicity.

❤️ Diaphoresis is less specific and may occur with other conditions but is not a hallmark symptom.

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Answer 8

Correct Answers:

Initiate droplet isolation precautions.

Rationale :

😷 Acute epiglottitis, often caused by Haemophilus influenzae type B, is a life-threatening airway emergency.

😷 Immediate droplet precautions are essential to prevent the spread of the infection.

😷 The child should be kept calm, and airway interventions deferred until emergency equipment and personnel are ready.

😷 Supine positioning or throat cultures may provoke laryngospasm, worsening obstruction.

😷 Oxygen monitoring should be continuous, not every 4 hours.

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Answer 9

Correct Answers:

Maintain a patent intravenous catheter.

Rationale :

💉 Osteomyelitis requires long-term IV antibiotics, often for 4–6 weeks.

💉 Maintaining IV access is critical for timely treatment and to prevent complications.

💉 Diet should be high in protein to support tissue healing, not low in protein.

💉 Physical activity should be limited during acute infection to reduce pain and inflammation.

💉 Contact precautions are not required, as osteomyelitis is not contagious.

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Answer 10

Correct Answers:

"l will dress my baby in lightweight clothing to sleep."

Rationale :

👶 Dressing infants in lightweight sleepwear helps prevent overheating, which is a known risk factor for SIDS.

👶 The American Academy of Pediatrics (AAP) recommends placing infants on their backs to sleep, on a firm mattress, without loose bedding or soft objects.

👶 Statements like placing stuffed animals in the crib or co-sleeping contradict safe sleep guidelines and increase the risk of suffocation or entrapment.

👶 Lightweight clothing minimizes thermal stress and helps maintain a neutral thermal environment during sleep.

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QLexNursing

1 :
A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?

2 :
A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS) Which of the following actions should the nurse take?

3 :
A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?

4 :
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?

5 :
A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?

6 :
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?

7 :
A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity?

8 :
A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?

9 :
A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?

10 :
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS) Which of the following statements by the parents indicates an understanding of the teaching?

QLexNursing

1 : A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?

2 : A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS) Which of the following actions should the nurse take?

3 : A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?

4 : A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?

5 : A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?

6 : A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?

7 : A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity?

8 : A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?

9 : A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?

10 : A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS) Which of the following statements by the parents indicates an understanding of the teaching?

1 :
A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?

2 :
A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS) Which of the following actions should the nurse take?

3 :
A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?

4 :
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?

5 :
A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?

6 :
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?

7 :
A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity?

8 :
A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?

9 :
A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?

10 :
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS) Which of the following statements by the parents indicates an understanding of the teaching?