Nursing Elites

1. During the second week of hospitalization for intravenous antibiotic therapy, a 2-year-old toddler whose family is unable to visit often smiles easily, goes to all the nurses happily, and does not express interest in the parent when the parent does visit. The parent tells the nurse, 'I am pleased about the adjustment but somewhat concerned about my child’s reaction to me.' How should the nurse respond?

• A. The child is repressing feelings towards the parent.
• B. Routines have been established, and the child feels safe.
• C. The child has given up fighting and accepts the separation.
• D. Behavior has improved because the child feels better physically.

Correct answer: C

Rationale: The correct answer is C. The child's behavior of smiling easily, interacting happily with nurses, and showing disinterest in the parent when they visit indicates that the child has emotionally withdrawn and accepted the separation. This response suggests that the child may have given up fighting against the separation from the parent due to prolonged hospitalization. Choices A, B, and D are incorrect. Choice A about the child repressing feelings towards the parent is not supported by the scenario. Choice B about routines and feeling safe does not address the emotional aspect of the child's behavior. Choice D about improved behavior due to feeling better physically does not explain the emotional dynamics at play in the child's behavior.

2. What is the typical therapeutic management treatment for children with Hirschsprung disease?

• A. Daily enemas
• B. Low-fiber diet
• C. Permanent colostomy
• D. Surgical removal of affected section of bowel

Correct answer: D

Rationale: The most common treatment for Hirschsprung disease is the surgical removal of the affected section of the bowel. This procedure entails excising the part of the colon that lacks nerve cells crucial for normal bowel function. Daily enemas (Choice A) can offer temporary relief for constipation but do not address the root cause of the condition, which is the absence of nerve cells. A low-fiber diet (Choice B) is not a primary therapy for Hirschsprung disease and may not effectively manage the disorder. A permanent colostomy (Choice C) is typically considered in severe cases where other interventions have failed and is not the standard management approach for Hirschsprung disease.

3. When a parent tells a nurse at the clinic, 'Each morning I offer my 24-month-old child juice, and all I hear is ‘No.’ What should I do because I know my child needs fluid?' What strategy should the nurse suggest?

• A. Offer the child a choice of two juices.
• B. Distract the child with a favorite food.
• C. Offer the child the glass in a firm manner.
• D. Allow the child to see the parent getting angry.

Correct answer: A

Rationale: The nurse should suggest offering the child a choice of two juices. Giving the child a choice between two options empowers them to make a decision, fostering a sense of control, and increasing the likelihood of cooperation. This approach respects the child's autonomy while addressing the parent's concern about the child's fluid intake. Choices B, C, and D are incorrect because distracting the child, offering the glass in a firm manner, or displaying anger are not effective strategies for encouraging a 24-month-old child to drink juice.

4. When caring for a child diagnosed with sickle cell anemia, what is the priority nursing intervention?

• A. Administering pain medication
• B. Ensuring adequate hydration
• C. Providing nutritional support
• D. Monitoring vital signs

Correct answer: A

Rationale: The priority nursing intervention when caring for a child with sickle cell anemia is administering pain medication. Pain management is crucial in sickle cell anemia due to vaso-occlusive crises that can cause severe pain. While ensuring adequate hydration, providing nutritional support, and monitoring vital signs are important aspects of care for a child with sickle cell anemia, addressing the pain with appropriate medication takes precedence to alleviate the child's suffering and improve their quality of life.

5. A 5-year-old child with a diagnosis of asthma is being evaluated for medication management. What is an important assessment for the nurse to perform?

• A. Assess the child's sleep patterns
• B. Assess the child's dietary intake
• C. Assess the child's academic performance
• D. Assess the child's behavior at home

Correct answer: B

Rationale: Assessing the child's dietary intake is crucial in managing asthma as certain foods can trigger symptoms or exacerbate the condition. Monitoring the child's diet can help identify triggers, ensure proper nutrition, and support the child's overall health. Assessing sleep patterns (Choice A) may be relevant but is not as directly linked to asthma management as dietary intake. Academic performance (Choice C) and behavior at home (Choice D) are important aspects of a child's well-being but are not directly related to asthma management.

Similar Questions