Nursing Elites

1. A caregiver is learning about administering digoxin to a toddler. Which statement by the caregiver indicates an understanding of the teaching?

• A. I will mix the medication with a small amount of juice.
• B. I will give the medication with meals.
• C. I will give a second dose if my child vomits.
• D. I will give my child water after giving the medication.

Correct answer: D

Rationale: The correct statement is D because giving the child water after administering digoxin helps ensure the medication is swallowed properly. Mixing the medication with juice (choice A) may affect its absorption. Giving the medication with meals (choice B) may interfere with its effectiveness. Administering a second dose if the child vomits (choice C) is not recommended as it may lead to an overdose.

2. Which of the following is a common issue experienced by families of children with ASD?

• A. Financial limitations
• B. Social isolation
• C. Difficulty accessing needed services
• D. Difficulty obtaining early diagnosis

Correct answer: C

Rationale: Families of children with ASD commonly experience challenges in accessing needed services. This can include difficulties in obtaining appropriate therapies, educational support, and specialized interventions. While financial limitations and social isolation are also significant issues faced by these families, the primary concern often revolves around the challenges in accessing essential services for their children.

3. 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.

4. A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?

• A. Apply a warm compress to the infant's surgical site twice daily.
• B. Avoid giving the infant a tub bath for 1 week.
• C. Apply an antibiotic ointment to the infant's penis daily.
• D. Clamp the infant's catheter for 30 minutes every 4 hours.

Correct answer: B

Rationale: After hypospadias repair, it is essential to avoid giving the infant a tub bath for 1 week to prevent infection and promote proper healing. Submerging the surgical site in water too soon can increase the risk of infection and compromise the healing process.

5. When planning care for a newborn with esophageal atresia and tracheoesophageal fistula, which is the priority nursing diagnosis?

• A. Ineffective Tissue Perfusion
• B. Ineffective Infant Feeding Pattern
• C. Acute Pain
• D. Risk for Aspiration

Correct answer: D

Rationale: The priority nursing diagnosis for a newborn with esophageal atresia and tracheoesophageal fistula is 'Risk for Aspiration' because of the potential respiratory complications associated with these conditions. The newborn is at a higher risk of aspirating oral or gastric contents due to the abnormal connections between the esophagus and trachea, posing a serious threat to the airway and lungs. Addressing this risk is crucial to prevent respiratory distress and maintain the airway's patency, making it the priority nursing diagnosis in this scenario. 'Ineffective Tissue Perfusion' is not the priority as respiratory compromise takes precedence over perfusion concerns. 'Ineffective Infant Feeding Pattern' may be relevant but addressing the risk of aspiration is more critical. 'Acute Pain' is not the priority compared to the life-threatening risk of aspiration.

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