A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?

Establish a new routine for the child to follow while in the facility.

Use medical terminology when discussing procedures with the child.

Encourage the child to play with toys such as a pounding board.

Perform the morning assessments when the parent is not in the room.

Answer and Explanation

The Correct Answer is C

A. Establish a new routine for the child to follow while in the facility. This is incorrect because preschoolers find comfort in familiar routines. Maintaining their usual routines as much as possible helps reduce anxiety.
B. Use medical terminology when discussing procedures with the child. This is incorrect because preschoolers have a limited understanding of medical terms. Using simple, age-appropriate language helps them better comprehend what is happening.
C. Encourage the child to play with toys such as a pounding board. This is correct because preschoolers benefit from play to express emotions and relieve stress. Toys like a pounding board allow them to release frustration in a safe and developmentally appropriate way.
D. Perform the morning assessments when the parent is not in the room. This is incorrect because having a parent present provides comfort and security, which can help the child remain calm during assessments.

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Correct Answer is D

Explanation

A. Iron supplementation does not have a significant interaction with spironolactone.
B. Magnesium is not contraindicated with spironolactone, though excessive intake should be monitored.
C. Calcium does not pose a major risk when taken with spironolactone.
D. Potassium should be avoided because spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia, a potentially life-threatening condition characterized by cardiac arrhythmias and muscle weakness.

A. Wire cutters B. Padded clamp C. Montgomery straps D. Tracheostomy tray

Correct Answer is B

Explanation

A. Wire cutters. This is incorrect because wire cutters are used for clients with wired jaws in case of an emergency but are not needed for chest tube management.
B. Padded clamp. This is correct because a padded clamp is necessary in case the chest tube needs to be momentarily clamped for troubleshooting air leaks or before removal.
C. Montgomery straps. This is incorrect because Montgomery straps are used to secure frequent dressing changes, such as for abdominal wounds, and are not relevant to chest tube management.
D. Tracheostomy tray. This is incorrect because a tracheostomy tray is used for clients at risk for airway obstruction, which is not a routine need following a thoracotomy with chest tube placement.

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A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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