The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:

Place him in knee-chest position

Have him lie prone, being sure he can breathe easily

Have him lie supine with the head turned to one side

Place him in semi-fowler's position in an infant seat

Answer and Explanation

The Correct Answer is A

A. The knee-chest position increases systemic vascular resistance, which helps to divert more blood to the pulmonary circulation, improving oxygenation in a child experiencing a "tet spell" or hypercyanotic episode.

B. The prone position does not help in relieving cyanosis and dyspnea in Tetralogy of Fallot.

C. The supine position with the head turned does not assist in improving oxygenation during a cyanotic episode.

D. The semi-Fowler's position may aid breathing but is less effective than the knee-chest position in managing cyanotic spells.

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Free Nursing Study Resources

Correct Answer is ["5.6"]

Explanation

To calculate the dosage of amoxicillin for the toddler, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The toddler weighs 33 lb, which is approximately 15 kg (33 ÷ 2.2). The prescribed dose is 30 mg/kg/day, so for a 15 kg toddler, the total daily dose is 450 mg (15 kg × 30 mg/kg). This total daily dose should be divided into two doses to be given every 12 hours, resulting in 225 mg per dose (450 mg ÷ 2). Now, using the concentration of the amoxicillin suspension available, which is 200 mg/5 mL, calculate the volume of suspension needed for each dose. For a dose of 225 mg, the volume required is 5.625 mL (225 mg × 5 mL / 200 mg). Rounded to the nearest tenth, the nurse should administer 5.6 mL for each dose.

A. Regular activity level should be encouraged as soon as possible. B. Be aware that the infection may spread and cause a tooth abscess. C. Complete the entire course of antibiotics to prevent rheumatic fever. D. Expect the lymph nodes to swell and obstruct the airway.

Correct Answer is C

Explanation

A. Rest is recommended until the child recovers, as exertion can worsen symptoms and delay healing.

B. While streptococcal infections can lead to complications, a tooth abscess is not a typical concern.

C. Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.

D. Swollen lymph nodes are common, but they typically do not obstruct the airway in streptococcal pharyngitis.

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The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["5.6"]

Explanation

A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

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A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)