Nursing Elites

1. A nurse is teaching a parent of a child who has type 1 diabetes mellitus. Which of the following statements by the parent indicates an understanding of the teaching?

• A. I will notify my child's school about his condition.
• B. I will encourage my child to eat a carbohydrate snack if his blood glucose is low.
• C. I will rotate injection sites each time I give my child insulin.
• D. I will ensure my child receives the flu vaccine every year.

Correct answer: C

Rationale: The nurse should instruct the parent to rotate injection sites to prevent tissue damage and improve insulin absorption.

2. A patient taking sildenafil (Viagra) asks a nurse what action to take if priapism occurs. Which response should the nurse provide?

• A. Take an additional half-strength dose of sildenafil
• B. The condition usually resolves in 12 hours or less
• C. Wait until the following day and notify the doctor
• D. Seek emergency help, because permanent damage can occur

Correct answer: D

Rationale: Patients experiencing priapism from sildenafil should seek immediate medical attention. Priapism is a serious condition where an erection lasts longer than 4 hours, and if left untreated, it can lead to irreversible damage to the penile tissue, potentially causing permanent erectile dysfunction. Therefore, prompt intervention is crucial to prevent long-term complications.

3. A parent of a child with cerebral palsy is being taught about home care by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?

• A. I will perform range-of-motion exercises twice a day.
• B. I will apply a heating pad on my child's legs to reduce spasms.
• C. I will allow my child to rest in a recliner for 1 hour each day.
• D. I will use wrist splints to maintain alignment.

Correct answer: D

Rationale: Using wrist splints can help maintain alignment and prevent contractures in a child with cerebral palsy. This intervention is crucial in managing the condition and supporting the child's mobility and function.

4. A nurse is teaching a group of parents about preventing childhood obesity. Which of the following instructions should the nurse include?

• A. Serve your child 1 to 2 cups of fruit juice daily
• B. Feed your child whole milk until 2 years of age
• C. Eat at least one fruit or vegetable with each meal
• D. Limit your child's TV watching to 1 to 2 hr per day

Correct answer: D

Rationale: The nurse should instruct parents to limit their child’s TV watching to 1 to 2 hours per day to prevent childhood obesity.

5. What is the goal of pharmacologic therapy in the treatment of Parkinson’s disease?

• A. To increase the amount of acetylcholine at the pre-synaptic neurons
• B. To reduce the amount of dopamine available in the substantia nigra
• C. To balance cholinergic and dopaminergic activity in the brain
• D. To block dopamine receptors in pre-synaptic and post-synaptic neurons

Correct answer: C

Rationale: Parkinson’s disease results from a decrease in dopaminergic (inhibitory) activity, leaving an imbalance with too much cholinergic (excitatory) activity. With an increase in dopamine, the neurotransmitter activity becomes more balanced, and symptoms are controlled.

Similar Questions