A mother reports that her school-age child has been reprimanded for daydreaming during class. This is a new behavior, and the child's grades are dropping. The nurse should suspect which problem?

The child may have a learning disability and needs referral to the special education department.

The child may be having absence seizures and needs to see his primary health care provider for evaluation.

The child may have attention deficit hyperactivity disorder (ADHD) and needs medication

The child may have a hearing problem and needs to have his ears checked.

Answer and Explanation

The Correct Answer is B

A. While learning disabilities can contribute to declining academic performance, they typically present as ongoing challenges rather than sudden behavioral changes like "daydreaming" spells.

B. Absence seizures are characterized by sudden, brief periods of staring or unresponsiveness. These can be mistaken for daydreaming, especially in school-aged children, and often lead to academic difficulties if left untreated. A healthcare evaluation is necessary.

C. ADHD usually involves consistent patterns of inattention, hyperactivity, and impulsivity, rather than short, repetitive lapses in awareness seen with absence seizures.

D. Hearing loss might explain inattentiveness or poor academic performance, but it does not typically present as sudden, repeated staring episodes without awareness.

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Correct Answer is C

Explanation

A. Gentamicinis typically administered intravenously, not orally, for serious infections like meningitis due to poor oral absorption.
B. Encouraging 3,000 mL of fluidis excessive and inappropriate for a 10-month-old, risking fluid overload.
C. Wearing a maskis an essential infection control measure when caring for an infant with bacterial meningitis, especially meningococcal meningitis, which can be highly contagious and transmitted via respiratory droplets.
D. Forcing neck flexion can cause severe painand is contraindicatedin meningitis, where neck stiffness is a hallmark symptom.

A. "Apply warm compresses to the ankle for the first 24 hours." B. "Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off." C. "Keep the leg elevated when sitting D. "Wrap the ankle in an Ace bandage for support."

Correct Answer is A

Explanation

A. Warm compresses should notbe applied during the first 24 hours after a sprain, as they can increase swelling and inflammation. Cold therapy (ice) is recommended initially.
B. Ice packs should be applied for 20–30 minutes at a time with equal periods off to reduce swelling and pain.
C. Elevating the leg helps reduce swelling by promoting venous return.
D. Wrapping the ankle provides support and compression, which are part of initial sprain management.

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A mother reports that her school-age child has been reprimanded for daydreaming during class. This is a new behavior, and the child's grades are dropping. The nurse should suspect which problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 10-month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?

Correct Answer is C

Explanation

The nurse is providing instructions about how to treat a sprained ankle. What statement by the mother does the nurse recognize as indicative of a need for additional teaching?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has meningitis. When passively flexing the client's neck, the nurse notes an involuntary flexion of both legs. Which of the following conditions is the client displaying?

What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

(PHARM) A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer?

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Positioning and range-of-motion (ROM) exercises most help the immobilized patient to prevent which complication?

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