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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Correct Answer is D

Explanation

A. Children with sickle cell anemia should receive all recommended immunizations to protect against infections, which can trigger a sickle cell crisis.

B. Participating in sports should be done with caution, and activities that lead to dehydration or overexertion should be avoided.

C. Over-the-counter medications should be used cautiously and under the guidance of a healthcare provider, as some medications may not be suitable for children with sickle cell anemia.

D. Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.

A. Erikson's stage of initiative versus guilt B. Imaginary playmates C. Negative behaviors characterized by the need for autonomy D. Demonstrations of sexual curiosity

Correct Answer is C

Explanation

A. Erikson's stage of initiative versus guilt typically occurs during the preschool years (3-6 years), not the toddler stage.

B. Imaginary playmates are more characteristic of the preschool years rather than the toddler stage.

C. Toddlers are in Erikson's stage of autonomy versus shame and doubt, characterized by negative behaviors as they assert independence and develop autonomy.

D. Demonstrations of sexual curiosity become more pronounced during the preschool years and are less typical in the toddler stage.

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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

The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?

Correct Answer is D

Explanation

A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?

Correct Answer is C

Explanation

A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

The nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?

The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?