A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

"We will sit the child upright and forward and apply pressure to the sides of the nose."

"We should turn the child's head to the side and press on the nasal ridge."

"We should put the child in bed, elevate the head slightly and press on the forehead,"

"We should have the child lie flat and apply pressure to the cheeks."

Answer and Explanation

The Correct Answer is A

A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.

B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.

C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.

D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.

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Correct Answer is C

Explanation

A. Imitating animal sounds is typically expected by around 12 months, so it is not unusual for a 10-month-old to not yet do this.

B. Building a tower of three or four cubes is usually expected around 15-18 months, so it is not concerning at 10 months.

C. By 9-10 months, infants are generally able to sit steadily without support. Difficulty in doing so might indicate developmental delay and should be reported.

D. Turning pages in a book is a skill typically developed around 12 months, so it is not unusual for a 10-month-old to not yet do this.

A. Assessing the client's erythematous rash B. Auscultating the rate and characteristics of the child's heart sounds C. Using a pain-rating tool to determine the severity of the joint pain D. Identifying the degree of parental anxiety related to the diagnosis

Correct Answer is B

Explanation

Assessing the erythematous rash is important, as it can indicate the presence of erythema marginatum, a common symptom of rheumatic fever, but it is not the priority.

B. Auscultating the rate and characteristics of the child's heart sounds is the priority assessment because acute rheumatic fever can cause carditis, which affects the heart valves and can lead to serious complications. Early detection of any cardiac involvement is crucial for timely intervention and management.

C. Assessing joint pain is necessary for comfort and symptom management but does not take precedence over potential cardiac complications.

D. Identifying parental anxiety is important for providing emotional support but is not the immediate priority in managing the child's acute condition.

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A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

Correct Answer is B

Explanation

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