Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

Prepare for seizures.

Expect the skin to turn yellow.

Encourage progressive activity.

Prevent dehydration

Answer and Explanation

The Correct Answer is D

A. Seizures are not a typical complication of polycythemia, though they may occur if the condition progresses to severe levels of blood viscosity.

B. Yellowing of the skin (jaundice) is not associated with polycythemia but with liver conditions.

C. While activity is important, preventing dehydration is more critical in managing polycythemia because dehydration increases blood viscosity, exacerbating the condition.

D. Preventing dehydration is essential as it helps maintain adequate blood flow and reduces the risk of thrombotic events in a child with polycythemia.

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Correct Answer is D

Explanation

A. A storybook may provide comfort and information but is less interactive in helping the child process the experience of injections.

B. Playing in the playroom is beneficial for normalizing hospital stays but does not directly address the child’s distress regarding injections.

C. A video game can be a good distraction but does not provide therapeutic engagement with the fear or anxiety related to injections.

D. Allowing the child to play with a needleless syringe and a doll is therapeutic as it gives the child a sense of control and understanding of the injection process, helping to reduce fear and anxiety.

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.

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Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?

Correct Answer is D

Explanation

Correct Answer is ["5.6"]

Explanation

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