Question

61. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect?

a. Weight gain

b. Visible peristalsis

c. Rhinorrhea

62. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?

a. Start the IV in the infant’s foot

b. Cover the insertion site with an opaque dressing

c. Use a 24-gauge catheter to start the IV

d. Change the IV site every 3 days

d. Steatorrhea

63. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. Which of the following responses by the parent indicates an understanding of the teaching?

a. “I should dress my child in loose-weave clothing”

b. “My child should remain under a beach umbrella during morning hours”

c. “I should apply a 10 SPF sunscreen to my child’s entire body”

d. “My child should wear a wide-brimmed hat”

64. A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2mEq/L. Which of the following assessment findings should the nurse expect?

a. Hyporeflexia

b. Oliguria

c. Hypertension

d. Hyperactive bowel sounds

65. 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?

a. Avoid discussing details of the attempt to revive the infant

b. Provide a follow-up phone call 1 week following the infant’s death

c. Discourage the parents from allowing siblings to view the body

d. Acknowledge the family members feelings of guilt

Answer 1

61.d stetorrhea, it is the passage of fatty stool due to indigestion and malabsorption. In cystic fibrosis fat digestion will not occur dueto lack of enzyme. So it passes through stool.

In cystic fibrosis due to the fibrosis of pancreas digestive enzymes will not produce it cause indigestion and Foul-smelling, greasy stools poor weight gain and growth. So remaining options are not related to cystic fibrosis.

It cause weight loss, and constipation

Que62.b. option b. Use 24 guage catheter to start the iv. nurse should take into consideration the child’s developmental age. This will determine the correct IV insertion site, the size of the catheter to be used. It is the most important consideration. Infants have fragile and thin vein so we use small guage needle.

Most preferred site for iv is forearm, if not possible only will go for foot, iv acnnula should change every 48hrs without phlebitis. In iv insertion site.Transparent semipermeable dressings should be changed every 5-7 days and gauze dressings should be changed every 2 days.

63.option d, "My child should wear a wide-brimmed hat”.it helps to prevent sun exposure to the skin

Loose weave clothes willnot helps to reduce the sun exposure, it increase the heat

Morning hours sunlight is not harm, it is abig source of vit d.

Applying of sunscreen of atleast 30spf or more is good to prevent sun light exposure.

64.option d, hyper active bowel, it cause excess loss of fluids and electrolytes inthe body, so the kidney excretes more pottassium through urine.

Hypertension willnot show hypokalemia, it acuse hypernatremia/hyponatremia., oliguria also. Hypo reflexia may be due to dehydration.

65.d. acknowledged the family members feeling guilt, acceptance of the truth is important to cope up the the situation and their future life. It is the role of nurse to support them or be the part of their bereavement.

Avoid discussing details of the attempt to revive the infant,it is not correct, we should explain them what we are done for their child to revive, then only they will have beleif on us.remaing options are home visiting is helpful to the parents instead of making phine call.