Question

12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take?

a. Place the child in a side-lying position

b. Instruct the child to drink fluids through a straw

c. Offer the child ice cream when alert

d. Encourage the child to deep breath and cough

13. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?

a. Contact the client’s parents to obtain phone consent

b. Obtain written consent from the client

c. Request verbal consent from the social worker

d. Postpone the testing until the client’s parents are present

14. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

a. A toddler who has a partial-thickness burn on his right hand and requires a dressing change

b. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin

c. An adolescent who has sickle cell anemia and slurred speech

d. An adolescent who is in skin traction and reports

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

a. Unable to hold a bottle

b. Absent grasp reflex

c. Exhibits head lag when pulled to a sitting position

d. Unable to roll from back to abdomen

19. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

a. Provide a pacifier coated with an oral sucrose solution prior to the injections

b. Use a 20-gauge needle for the injections

c. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections

d. Inject the immunizations into the deltoid muscle

Answer 1

Correct option is A. Left lateral position with head low is preferred by some in spite of blood or secretions in the pharynx Because of tensillectomy anesthesia . There will be less risk of aspiration .

Why not others

B) straw can ruptur the tissue of throat that's why it shouldn't be used.

C) ice creams contains the sorbet, fruit pops , fruit ice , ice cream is non diary product ,. So it should not be given to child to prevent pain and sting.

D) just after surgery. Throat is numb because of anesthesia so during deep breath there is high risk of aspirations.

Que 2. Correct option is D . Postpone the testing without parent's. Adolescent age is 10-19 years , but in many countries if the person is above 12 years old the testing can be confidential this means tested without parent's . When person is below 12 year old there mustw be presence of parents . So As age is not provided , we can assum the age below 12 year ,that why parents presence is must.

Not others why

A) consent should be taken by phone ., Because there is high risk of false information to health care provider . So its necessary that one parents should present with. Adolescent

B) parents should be there .With adolescent not only written consent .

C) Consent should not be. Taken by any others than parents. If she is below 12 year.

Que 3. Correct option is C . As child is unable to verbalise his pain , malaise corany other problem , clearly , so we must need to be alert and Provide care Frequently . We must assess his condition after a period. . Sickle celll anemia symptoms are problematic as pain , sudden chest pain , dizziness , fatigue , low oxygen to body , malaise . Along with slurred speech . So this child must be provided priority in care.

Not others why

All others child can wait as their is less chance of COMPLICATIONS Compartively to child with slurred Speech .

Que 4 Correct option is D . 5 months child must have rolling from back to abdomen. If it is not present in Child there must be growth retardation .

Not others why

A). Child learn to hold bottle upto 6 month.

B) grasp reflex disappear upto 5-6 month of age.

C) yes, a normal child exhibits head leg when pulled to sitting position.

Que 5 correct option is A. We can provide the infant a pacifier. Coated with oral sucrose solutions. This can divert the child from injection pain. There is no harm with the use of this sugar coated Pacifier.  

Not others why

B) normally 25 gauge needle is used there is more tissue rupturing with 20guage size needle and also more pain .

C) when there is nonpharmacological management options are present we should not use the drugs . Drugs can harm the child.

D) immunization site depend on the. Vaccine which is being administered , mostly IPV are given to deltoid site. But in most IM. Case side lateralis site of injection is Used by practitioner . Because of higher fat tissue presences at thigh than shoulder of child.

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