RICCI CHAPTER 44 - TEST BANK - 4TH EDITION
QUIZZES AND ANSWERS 2024 - 2025
1., The, nurse, is, teaching, the, mother, of, a, 5-year-old, boy, with, a, myelomeningocele, who, has
developed, a, sensitivity, to, latex., Which, response, from, his, mother, indicates, a, need, for, further
teaching?
A., "He, needs, to, get, a, medical, alert, identification."
B., "I, will, need, to, discuss, this, with, his, caregivers."
C., "A, product's, label, indicates, whether, it, is, latex-free."
D., "He, must, avoid, all, contact, with, latex.", , ANS, -, , 1., The, nurse, is, teaching, the, mother, of, a, 5-year-
old, boy, with, a, myelomeningocele, who, has
developed, a, sensitivity, to, latex., Which, response, from, his, mother, indicates, a, need, for, further
teaching?
A., "He, needs, to, get, a, medical, alert, identification."
B., "I, will, need, to, discuss, this, with, his, caregivers."
C., "A, product's, label, indicates, whether, it, is, latex-free."
D., "He, must, avoid, all, contact, with, latex."
2., The, nurse, is, providing, postoperative, care, for, a, 14-month-old, girl, who, has, undergone, a
myelomeningocele, repair., The, girl's, mother, is, extremely, anxious, and, tells, the, nurse, she, is, afraid
she, will, never, learn, how, to, care, for, her, daughter, at, home., Which, response, by, the, nurse, would,
be
most, appropriate?
A., "I, will, help, you, become, comfortable, in, caring, for, your, daughter."
B., "You, must, learn, how, to, care, for, your, daughter, at, home."
C., "You, will, need, to, learn, to, collaborate, with, all, the, caregivers."
D., "There, is, a, lot, to, learn,, and, you, need, a, positive, attitude.", , ANS, -, , Answer:, A
Rationale:, The, nurse, needs, to, empower, families, to, become, the, experts, on, their, child's, needs, and
conditions, via, education, and, participation, in, care., The, most, positive, approach, is, to, let, the
,mother, know, the, nurse, will, support, her, and, help, her, become, an, expert, on, her, daughter's, care.
Telling, the, mother, that, she, must, learn, how, to, care, for, her, daughter, or, that, she, must, have, a
positive, attitude, is, not, helpful., Telling, her, that, she, needs, to, collaborate, with, the, caregivers, is
true,, but, does, not, address, her, fears.
3., The, nurse, is, caring, for, a, 10-year-old, with, Duchenne, muscular, dystrophy., As, part, of, the, plan
of, care,, the, nurse, focuses, on, maintaining, his, cardiopulmonary, function., Which, intervention
would, the, nurse, implement, to, best, promote, maximum, chest, expansion?
A., Deep-breathing, exercises
B., Upright, positioning
C., Coughing
D., Chest, percussion, , ANS, -, , Answer:, B
Rationale:, The, nurse, should, emphasize, that, the, child's, position, should, be, arranged, to, promote
maximum, chest, expansion., This, is, usually, in, the, upright, position., Deep-breathing, exercises, are
for, strengthening/maintaining, respiratory, muscles., Coughing, helps, clear, the, airways., Chest
percussion, helps, loosen, secretions, in, lungs.
4., A, 6-year-old, child, with, cerebral, palsy, has, been, admitted, to, the, hospital, for, some, tests., The
child's, condition, is, stable., A, parent, remains, with, the, child,, but, the, parent, is, obviously, exhausted
and, stressed., Which, response, by, the, nurse, would, be, most, appropriate?
A., "Would, you, like, me, to, bring, you, a, blanket, and, pillow?"
B., "You, are, doing, such, a, wonderful, job, with, your, child."
C., "Your, child, is, in, good, hands;, consider, going, home, to, get, some, sleep."
D., "Are, you, planning, to, spend, the, night, or, to, go, home?", , ANS, -, , Answer:, C
Rationale:, Providing, daily,, intense, care, can, be, quite, demanding, and, tiring., When, a, child, with
cerebral, palsy, is, admitted, to, the, hospital,, this, may, serve, as, a, time, of, respite, for, family, and
primary, caregivers., The, nurse, should, remind, the, parent, that, the, child, is, in, good, hands, and, urge
the, parent, to, go, home., Asking, whether, the, parent, is, planning, to, stay, might, make, the, parent, feel
obligated, to, stay., Asking, if, the, parent, wants, a, blanket, or, pillow, does, not, encourage, the, parent, to
, leave, the, hospital., Telling, the, parent, he, or, she, is, doing, a, good, job, is, nice,, but, does, not,
encourage
the, parent, to, take, a, break.
5., A, nurse, is, caring, for, a, 14-year-old, girl, following, myelography., What, is, the, priority, nursing
action?
A., Monitoring, for, a, decrease, in, spasticity
B., Observing, for, signs, of, meningeal, irritation
C., Assessing, motor, function
D., Observing, for, mental, confusion, or, hallucinations, , ANS, -, , Answer:, B
Rationale:, Following, myelography,, the, nurse, should, carefully, observe, for, signs, of, meningeal
irritation, because, of, what, is, involved, in, this, procedure., Monitoring, for, a, decrease, in, muscle
spasticity,, assessing, motor, function,, and, observing, for, mental, confusion, or, hallucinations, is
appropriate, following, an, intrathecal, test, dose, of, baclofen.
6., The, nurse, has, developed, a, plan, of, care, for, a, 6-year-old, with, muscular, dystrophy., He, was
recently, injured, when, he, fell, out, of, bed, at, home., Which, intervention, would, the, nurse, suggest, to
prevent, further, injury?
A., Recommend, the, bed's, side, rails, be, raised, throughout, the, day, and, night.
B., Suggest, a, caregiver, be, present, continuously, to, prevent, falls, from, bed.
C., Encourage, a, loose, restraint, to, be, used, when, he, is, in, bed.
D., Recommend, raising, the, bed's, side, rails, when, a, caregiver, is, not, present., , ANS, -, , Answer:, D
Rationale:, The, nurse, should, recommend, that, side, rails, on, the, bed, be, elevated, when, a, caregiver, is
not, present., The, use, of, restraints, should, be, avoided, if, at, all, possible., Suggesting, that, a, caregiver
be, present, at, all, times, places, undue, stress, on, the, family., Close, observation, is, more, appropriate.
Recommending, side, rails, be, elevated, at, all, times, may, be, upsetting, to, the, child, and, make, him
feel, like, a, "baby."
7., The, nurse, is, caring, for, a, 2-month-old, with, cerebral, palsy., The, infant, is, limp, and, flaccid, with