Which snack choice by a school-aged child with gastroesophageal reflux indicates to the nurse that the child understands the dietary restrictions?

Chocolate milkshake

Sugar cookies

Tacos

Pizza

Answer and Explanation

The Correct Answer is B

Choice A rationale
Chocolate is known to trigger GERD symptoms as it contains caffeine and other stimulants which can cause acid reflux.
Choice B rationale
Sugar cookies are a safe snack choice for individuals with gastroesophageal reflux disease as they are not known to trigger GERD symptoms.
Choice C rationale
Tacos often contain spicy ingredients and high-fat meats, both of which can trigger GERD symptoms.
Choice D rationale
Pizza is typically high in fat and can contain acidic tomato sauce, both of which can trigger GERD symptoms.

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Correct Answer is D

Explanation

Choice A rationale
Flexing the knees is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. While it may provide some comfort, it does not provide the necessary support to the spine that is needed during movement.
Choice B rationale
Raising the hips is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action could potentially cause strain or damage to the surgical site.
Choice C rationale
Crossing the arms and legs is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action does not provide the necessary support to the spine during movement.
Choice D rationale
Performing a log roll is the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This technique involves the patient keeping their body in alignment while turning onto their side. It helps to maintain the integrity of the spinal fusion and prevent injury to the surgical site.

A. Chickenpox. B. Mumps. C. Sore throat. D. Influenza.

Correct Answer is C

Explanation

Choice A rationale
Chickenpox is a viral infection that can cause a fever and rash. However, it is not typically associated with the development of acute rheumatic fever. Acute rheumatic fever is an inflammatory disease that can develop when strep throat or scarlet fever isn’t properly treated.
Choice B rationale
Mumps is a viral infection that causes swelling of the salivary glands. Like chickenpox, it is not typically associated with the development of acute rheumatic fever.
Choice C rationale
A recent history of sore throat is significant because acute rheumatic fever can develop as a complication of an untreated strep throat infection. Strep throat is caused by group A Streptococcus bacteria, which can trigger an immune response leading to rheumatic fever if not treated properly.
Choice D rationale
Influenza, or the flu, is a viral infection that can cause a range of symptoms, including fever, cough, and body aches. However, it is not typically associated with the development of acute rheumatic fever.

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Which snack choice by a school-aged child with gastroesophageal reflux indicates to the nurse that the child understands the dietary restrictions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving the client?

Correct Answer is D

Explanation

A 7-year-old child has been admitted to the hospital with a diagnosis of acute rheumatic fever. When taking a health history from the child’s mother, which recent illness is of most significance?

Correct Answer is C

Explanation

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