In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

A 7-year-old child

A 5-month-old infant

A 4-year-old child

A 15-month-old toddler

Answer and Explanation

The Correct Answer is C

Choice A reason: A 7-year-old child may have some difficulty with separation but is typically able to understand the reason for hospitalization better than younger children.
Choice B reason: A 5-month-old infant may show signs of distress but does not have the same understanding of separation as an older child.
Choice C reason: This is the correct choice. A 4-year-old child is at a developmental stage where separation from family can cause significant distress and difficulty.
Choice D reason: A 15-month-old toddler may experience separation anxiety, but it is generally more intense in preschool-aged children.

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Correct Answer is D

Explanation

Choice A reason: Pulselessness is not a sign of normal AV fistula function; a palpable pulse should be present.
Choice B reason: An ecchymotic area suggests bruising and is not indicative of normal function.
Choice C reason: Redness may indicate inflammation or infection, not normal function.
Choice D reason: This is the correct choice. An enlarged vein is typical for an AV fistula and indicates good blood flow through the fistula.

A. Apply a warm, moist pack to the feet. B. Call the healthcare provider to report the edema. C. Elevate the legs on pillows. D. Encourage movement of the toes.

Correct Answer is C

Explanation

Choice A reason: Applying a warm, moist pack is not the most appropriate action as it may increase swelling and does not address the underlying cause of the edema.

Choice B reason: While it is important to report significant changes to the healthcare provider, mild edema post-surgery can be expected and managed with elevation.

Choice C reason: Elevating the legs on pillows can help reduce edema by promoting venous return and decreasing swelling.

Choice D reason: Encouraging movement of the toes is beneficial for circulation and preventing stiffness, but it is not the primary intervention for edema. Elevation is more effective in this scenario.

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In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?

Correct Answer is D

Explanation

After surgery for the correction of bilateral congenital clubfeet, an infant returns with bilateral long-leg casts. The toes on both feet are edematous, yet there is color, sensitivity, and movement. What is the most appropriate action by the nurse?

Correct Answer is C

Explanation

The nurse is planning care for an infant after a cleft-lip repair. Which of the following is NOT an appropriate nursing intervention for this infant?

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a new RN on the pediatric unit, cautions the new nurse to be especially alert for which condition in the child?

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For an adolescent client diagnosed with rheumatoid arthritis, which non-pharmacological measure is most appropriate to reduce joint pain?

The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?