A charge nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?
"I will explain the procedure using simple diagrams."
"I will explain the long-term consequences of the procedure."
"I will start preparing the child 2 days prior to the procedure."
"I will plan for a 30-minute teaching session."
The Correct Answer is A
A. Using simple diagrams to explain the procedure to a school-age child is an effective way to help them understand. Visual aids are appropriate for this age group.
B. School-age children are not developmentally ready to understand long-term consequences of medical procedures in detail.
C. Preparing a school-age child 2 days prior to the procedure is generally appropriate for procedures, but not too far in advance.
D. A 30-minute session may be too long for a school-age child, who may have limited attention span; shorter sessions are typically more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Condition Most Likely Experiencing: C
Actions to Take: A, B
Parameters to Monitor: B, C
Rationale:
Condition Most Likely Experiencing
A. Pyloric stenosis causes projectile vomiting, dehydration, and hunger.
B. Cystic fibrosis causes chronic respiratory infections, steatorrhea, and failure to thrive.
C. The condition that the infant is most likely experiencing is congestive heart failure, which can cause poor weight gain, tachypnea, decreased appetite, and periorbital edema.
D. Respiratory syncytial virus bronchiolitis causes wheezing, coughing, and respiratory distress.
Actions to Take
A. Digoxin is a medication commonly prescribed to manage congestive heart failure in infants by improving cardiac contractility and reducing heart rate.
B. Elevating the head of the bed helps reduce venous return to the heart, thereby decreasing preload and relieving symptoms of congestion in congestive heart failure.
C. Contact precautions are not indicated for congestive heart failure, but for infections that are transmitted by direct or indirect contact.
D. Chest physiotherapy and postural drainage are not indicated for congestive heart failure, but for conditions that cause excessive mucus production and retention.
Parameters to Monitor
A. Number of steatorrhea stools is not relevant for congestive heart failure, but for cystic fibrosis or other malabsorption disorders.
B. Monitoring intake and output is crucial in assessing fluid balance, especially in congestive heart failure where fluid retention can lead to volume overload.
C. Monitoring respiratory status is essential in congestive heart failure to assess for signs of pulmonary congestion and respiratory distress, such as tachypnea, retractions, and crackles.
D. Presence of periorbital edema is not a parameter to monitor, but a sign of fluid overload.
Correct Answer is C
Explanation
A. Autism spectrum disorder is not directly associated with an increased risk for latex allergies.
B. Hypospadias may be linked to other congenital issues but is not commonly associated with latex allergies.
C. Children with a history of spina bifida are at higher risk for a latex allergy due to repeated exposure to latex-containing medical products.
D. Previous cleft palate repair is not a known risk factor for latex allergies.
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