Nursing Elites

1. The healthcare provider discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?

• A. My daughter should wash and wipe the perineal area from front to back.
• B. I am only going to have my daughter wear cotton underwear.
• C. It is acceptable to take frequent bubble baths.
• D. She needs to drink lots of fluids and void frequently.

Correct answer: C

Rationale: The statement 'It is acceptable to take frequent bubble baths' indicates a need for further teaching. Oils in bubble bath and similar products can irritate the urethra, potentially leading to recurrent urinary tract infections. The other choices are correct: wiping from front to back helps prevent the spread of bacteria, wearing cotton underwear promotes breathability and reduces moisture, and drinking fluids and voiding frequently help flush out bacteria.

2. A child is being assessed for possible appendicitis with perforation. Which of the following findings should the nurse expect?

• A. Hyperactive bowel sounds
• B. Abdominal distension
• C. Hypoactive bowel sounds
• D. Bradycardia

Correct answer: D

Rationale: In a child with appendicitis and possible perforation, the nurse should expect bradycardia due to peritoneal irritation. Bradycardia is a common response to peritoneal inflammation or infection, indicating a possible serious complication. Hyperactive bowel sounds, abdominal distension, and hypoactive bowel sounds are more commonly associated with other gastrointestinal conditions and are less likely to be present in a child with appendicitis and perforation. Therefore, the correct answer is bradycardia (D) as it aligns with the expected physiological response in this scenario.

3. Which of the following is not considered a part of body language?

• A. Mannerisms
• B. Speech
• C. Posture
• D. Position

Correct answer: B

Rationale: Body language encompasses non-verbal communication cues such as mannerisms, posture, and position. Speech, although a form of communication, is not typically classified as part of body language. Body language mainly refers to gestures, facial expressions, and body movements, which convey messages non-verbally.

4. What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

• A. Assist the child in minimizing body movements.
• B. Change the child's position frequently.
• C. Maintain the child's bed flat.
• D. Keep edematous areas moist and covered.

Correct answer: B

Rationale: Changing the child's position frequently is essential for preventing respiratory tract infections and reducing pressure on delicate skin, which are common risks for edematous children with reduced mobility due to nephrotic syndrome. This intervention helps promote circulation and prevents complications associated with prolonged immobility.

5. 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.

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