Chapter 15: NURS 340 Preparation For The Nclex Questions and Answers ,100% CORRECT
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Chapter 15: NURS 340
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Chapter 15: NURS 340
Chapter 15: NURS 340 Preparation For The Nclex Questions and Answers
Origin: Chapter 15, 1
1.A nurse is conducting a health history for a 1-month-old with an infectious disorder. Which segment of the health history would be most helpful for the nurse when determining if the infant developed the ...
chapter 15 nurs 340 preparation for the nclex questions and answers
a nurse is conducting a health history for a 1 month old with an infectious disorder which segment of the health history would be
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Chapter 15: NURS 340 Preparation For The Nclex Questions
and Answers
Origin: Chapter 15, 1
1.A nurse is conducting a health history for a 1-month-old with an infectious
disorder. Which segment of the health history would be most helpful for
the nurse when determining if the infant developed the infection from the
mother?
A) Family history
B) Past medical history
C) Home treatments
D) Present illness history
Ans: B
Feedback:
Past medical history will provide information about the mother's
pregnancy and delivery, giving insight into the possibility of maternal
transmission of the infection. Family history would provide information
about lack of immunizations or recent infectious or communicable
diseases. Home treatments and present illness history would provide no
information about the possibility of maternal transmission of infection.
Origin: Chapter 15, 2
2. While reviewing various studies about the use of antipyretics possibly
prolonging illness, the nurse notes that there are benefits to their use for
the child with fever. What would the nurse identify as the best explanation
related to the benefit of antipyretics?
A) They slow the growth of bacteria.
B) They increase neutrophil production.
C) They encourage T-cell proliferation.
D) They help decrease fluid requirements.
Ans: D
Feedback:
Antipyretics provide symptomatic relief by increasing comfort in the child
and decreasing fluid requirements, which helps to prevent dehydration.
Fever has been shown to slow the growth of bacteria, increase neutrophil
production, and encourage T-cell proliferation.
Page 1
, Origin: Chapter 15, 3
3. The nurse is caring for a neonate who is suspected of having sepsis.
Which assessment findings would the nurse interpret as most indicative
of sepsis?
A) Rash on face
B) Edematous neck
C) Hypothermia
D) Coughing
Ans: C
Feedback:
Hypothermia is a sign of sepsis in neonates. A rash on the face is a
symptom of scarlet fever. An edematous neck is a sign of diphtheria.
Paroxysmal coughing is a symptom of pertussis.
Page 2
, Origin: Chapter 15, 4
4. The nurse is preparing a plan of care for a 5-year-old boy with
chickenpox. Which nursing intervention should be questioned?
A) Administer antipyretics as ordered.
B) Keep the child's fingernails short.
C) Monitor fluid intake and output.
D) Provide alcohol baths as needed.
Ans: D
Feedback:
Treatments such as sponging the child with alcohol or cold water are not
appropriate interventions for fever management. Rather, the nurse would
use tepid sponge baths and cool compresses. Administering antipyretics,
keeping the child's fingernails short, and monitoring intake and output are
appropriate.
Origin: Chapter 15, 5
5. The nurse is developing a teaching plan for the mother of a 4-year-old girl
with cold and fever. What would the nurse include in this teaching plan?
A) Keeping the child covered and warm
B) Calling the doctor if the child's fever lasts more than 36 hours
C) Ensuring fluid intake to prevent dehydration
D) Observing for changes in alertness resulting from
brain damage Ans: C
Feedback:
Teaching the mother to ensure fluid intake is important because fever can
cause dehydration. The child should be dressed lightly. There is no need to
call the doctor unless the child's fever lasts more than 3 to 5 days or the
fever is greater than 105°F. A rapid rise to a high fever can cause a febrile
convulsion, but it does not lead to brain damage.
Origin: Chapter 15, 6
6. After teaching a mother how to remove a tick from her 6-year-old boy's
arm, the nurse determines that additional teaching is needed when the
mother makes what statement?
A) "I'll protect my fingers with a paper towel."
Page 3
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