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A nurse is planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

Request a prescription for a whisper test.

Refer the preschooler for an audiology evaluation.

Visually inspect the ear for cerumen impaction.

Ask the parents to keep a log of the hearing difficulty.

Answer and Explanation

The Correct Answer is B

A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.

B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.

C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.

D. Keeping a log may be helpful, but it is not sufficient as a primary action.

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Correct Answer is C

Explanation

A. Twisting of the intestine describes volvulus, not intussusception.

B. Weakened abdominal muscles and bulging describe hernias, not intussusception.

C. Intussusception occurs when a part of the intestine telescopes into another part, leading to obstruction and potential ischemia.

D. Intussusception is not a congenital defect related to improper intestinal wall formation.

A. Administer albuterol prior to CPT B. Perform CPT immediately after the child eats. C. Perform vibration during the client's inspirations. D. Percuss each lung segment for 15 min

Correct Answer is A

Explanation

A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.

B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.

C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.

D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.

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A nurse is planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

Correct Answer is C

Explanation

A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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