The nurse is caring for a pre-adolescent client in skeletal
Dunlop traction. Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct bodyalignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child'scomfort
D) Release the traction for 15-20 minutes every 6 hours PRN. The
correct answer is A: Make certain the child is maintained incorrect
body alignment.
The nurse is assessing a healthy child at the 2 year checkup.
Which of the following
should the nurse report immediately to the health careprovider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentilesvarywidely
The parents of a 2 year-old child report that hehas
beenholding his breath whenever
he has temper tantrums. What is the best action by thenurse?
, 2
A) Teach the parents how to perform
, 3
cardiopulmonaryresuscitation
B) Recommend that the parents give in when he holds hisbreathto
prevent anoxia
C) Advise the parents to ignore breath holding because
breathingwill begin as a reflex
D) Instruct the parents on how to reason with the child
aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore
breathholding because breathing
will begin as a reflex
A nurse has just received a medication order whichis
notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have noidea ofwhat
you mean."
B) "Would you please clarify what you have written so Iam sure
Iam reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would
saveme time if you would
be more careful."
D) "Please print in the future so I do not have to spendextra
timeattempting to read your
writing."
The correct answer is B) "Would you please clarify whatyou
havewritten so I am sure I
am
reading it correctly?"
The nurse is assessing a client in the emergency room.
, 4
Whichstatement suggests that
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