Nursing Elites

1. A parent calls the clinic because their child has ingested a small amount of household bleach. What should the nurse advise?

• A. Administer activated charcoal
• B. Induce vomiting immediately
• C. Call the poison control center
• D. Take the child to the emergency department

Correct answer: C

Rationale: In the case of a child ingesting household bleach, the primary advice should be to call the poison control center (Choice C). The poison control center can provide specific guidance on how to manage the ingestion, including whether any immediate interventions are necessary. Administering activated charcoal (Choice A) or inducing vomiting immediately (Choice B) can worsen the situation as they are not recommended treatments for bleach ingestion. Taking the child to the emergency department (Choice D) may be necessary depending on the advice given by the poison control center, but the initial step should be to seek guidance from the experts at the poison control center.

2. What is the priority intervention for a child with acute laryngotracheobronchitis upon admission?

• A. Pad the side rails of the crib.
• B. Arrange for a quiet, cool room.
• C. Place a tracheotomy set at the bedside.
• D. Obtain a recliner for a parent to stay.

Correct answer: C

Rationale: The correct priority intervention for a child with acute laryngotracheobronchitis is to place a tracheotomy set at the bedside. Acute laryngotracheobronchitis can lead to airway obstruction, making it essential to have the equipment readily available in case of emergency. Padding the side rails, arranging for a quiet room, or obtaining a recliner for a parent are not the immediate priorities in managing a child with this condition.

3. What is the priority intervention for a 10-year-old girl in a foster family?

• A. Determining if the child is being bullied at school
• B. Dealing with mixed parental expectations
• C. Establishing the child's primary caretaker
• D. Performing a comprehensive health assessment

Correct answer: D

Rationale: In a foster family setup, the priority intervention for a 10-year-old girl is to perform a comprehensive health assessment. This is crucial as children in foster care may have moved between different homes, leading to incomplete medical records. A comprehensive health assessment helps identify any health issues, track the child's growth and development, and ensure appropriate medical care. While addressing bullying at school, managing parental expectations, and establishing the primary caretaker are important considerations, the immediate priority for the child's well-being and holistic care is to conduct a thorough health assessment.

4. A child with a diagnosis of hemophilia is admitted to the hospital with a bleeding episode. What is the priority nursing intervention?

• A. Administering pain medication
• B. Monitoring for signs of infection
• C. Administering factor VIII
• D. Ensuring a safe environment

Correct answer: C

Rationale: The priority nursing intervention for a child with hemophilia experiencing a bleeding episode is administering factor VIII. Hemophilia is a genetic disorder characterized by a deficiency in clotting factors, such as factor VIII. Administering factor VIII replacement therapy is crucial to stop or control bleeding in individuals with hemophilia. Options A, B, and D are important aspects of patient care but do not take precedence over addressing the underlying cause of the bleeding in a child with hemophilia, which is the deficiency of factor VIII.

5. A child with a diagnosis of pyloric stenosis is scheduled for surgery. What preoperative intervention is important for the nurse to perform?

• A. Administering intravenous fluids
• B. Monitoring for signs of infection
• C. Monitoring for signs of dehydration
• D. Monitoring for signs of pain

Correct answer: C

Rationale: The correct preoperative intervention for a child with pyloric stenosis is to monitor for signs of dehydration. Pyloric stenosis involves the obstruction of the pyloric sphincter, leading to projectile vomiting, which can result in dehydration and electrolyte imbalances. Monitoring for signs of dehydration is crucial to assess the child's fluid status and prevent complications. Administering intravenous fluids, although important in managing dehydration, is not typically a preoperative intervention but rather a treatment during or after surgery. Monitoring for signs of infection and pain may also be important but are not the priority preoperative interventions in a child with pyloric stenosis.

Similar Questions