The physician of a child with juvenile idiopathic arthritis asks the nurse to telephone the school to arrange a new activity program for her. A change the nurse would anticipate arranging for the child is to:

be excused from all extracurricular activities.

modify her physical exercise program.

begin school earlier in the day than other children.

be excused from all swimming classes.

Answer and Explanation

The Correct Answer is B

A. Full exclusion from extracurricular activities is unnecessary and may limit social engagement.

B. Modifying physical activity can accommodate joint health and reduce strain, promoting physical and social well-being.

C. Early school hours are not indicated for this condition and may increase fatigue.

D. Swimming is often recommended as it is gentle on joints and provides exercise without excessive stress.

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Correct Answer is ["A","E"]

Explanation

A. Offering fluids with carbohydrates when solid foods aren’t tolerated helps maintain blood sugar levels.

B. Testing urine for protein is not a standard recommendation during illness; ketone testing is more relevant.

C. Sugary fluids can help prevent hypoglycemia during illness, so limiting sugar might not be appropriate.

D. Carbohydrate intake should not be limited during illness, as it is needed to maintain blood glucose levels.

E. Testing for ketones helps identify diabetic ketoacidosis risk during illness.

F. Insulin should not be withheld during illness, as insulin needs may actually increase.

A. Paralytic ileus B. Fluid imbalance C. Airway obstruction D. Infection

Correct Answer is C

Explanation

A. Paralytic ileus may occur due to shock or stress but is not the immediate priority.

B. Fluid imbalance is critical but is secondary to airway patency in this case.

C. Airway obstruction is the most immediate concern due to the location of the burns, which can cause swelling and compromise breathing.

D. Infection risk is high with burns but is less immediate than airway maintenance.

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The physician of a child with juvenile idiopathic arthritis asks the nurse to telephone the school to arrange a new activity program for her. A change the nurse would anticipate arranging for the child is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a school-age child who has type 1 diabetes mellitus and their parents about management during an illness. Which of the following instructions should the nurse include? (Select All that Apply.)

Correct Answer is ["A","E"]

Explanation

A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Correct Answer is C

Explanation

Clinical manifestations of acromegaly include: Choose all that applies: (Select All that Apply.)

Which of the following topics should be included in patient teaching for a child with type 2 diabetes? SATA

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?

The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best?

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?