Nursing Elites

1. The nurse is using a bulb syringe to suction a neonate after delivery. What is an important consideration?

• A. Compress the bulb before insertion.
• B. Clear the mouth and pharynx before the nasal passages.
• C. Use two bulb syringes, one for the mouth and pharynx and one for the nasal passages.
• D. Continue using a bulb syringe until secretions are removed as mechanical suction is contraindicated.

Correct answer: B

Rationale: The correct consideration when using a bulb syringe to suction a neonate after delivery is to clear the mouth and pharynx before the nasal passages to prevent aspiration of amniotic fluid. Compressing the bulb syringe before insertion is important to create suction. Using two bulb syringes is unnecessary, as one is sufficient for both the mouth/pharynx and nasal passages. It is not recommended to continue using a bulb syringe until all secretions are removed; instead, mechanical suction can be employed if more forceful removal of secretions is required.

2. The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a correct understanding of the teaching?

• A. My child needs to stay home from school for at least 1 more month.
• B. I should not add additional salt to any of my child's meals.
• C. My child will not be able to participate in contact sports while receiving corticosteroid therapy.
• D. I should measure my child's urine after each void and report the 24-hour amount to the healthcare provider.

Correct answer: B

Rationale: Avoiding additional salt is crucial to help manage edema in children with MCNS. While monitoring urine output is important, the other statements either misinterpret the need for prolonged school absence or misunderstand the risk associated with contact sports during steroid therapy.

3. A child is admitted with suspected pyloric stenosis. Which of the following should be included in the plan of care?

• A. Monitor for signs of metabolic acidosis
• B. Observe for projectile vomiting
• C. Provide large, infrequent feedings to allow for rest
• D. Place the infant in a supine position after feeding

Correct answer: B

Rationale: The correct answer is B: 'Observe for projectile vomiting.' Projectile vomiting is a classic sign of pyloric stenosis, caused by obstruction at the pylorus. Choice A is incorrect as metabolic alkalosis, not acidosis, often occurs due to the loss of hydrochloric acid from persistent vomiting. Choice C is incorrect as frequent, small feedings are preferred to prevent overloading the stomach. Choice D is incorrect as placing the infant in an upright position after feeding can help reduce reflux.

4. Which intervention is the most appropriate recommendation for relief of teething pain?

• A. Rub gums with aspirin to relieve inflammation
• B. Apply hydrogen peroxide to gums to relieve irritation
• C. Give the infant a frozen teething ring to relieve inflammation
• D. Have the infant chew on a warm teething ring to encourage tooth eruption

Correct answer: C

Rationale: A frozen teething ring is effective for relieving teething pain as the cold helps numb the gums and reduce inflammation, making it a safe and effective method for managing discomfort

5. Latex allergy is suspected in a child with spina bifida. What are appropriate nursing interventions to include in care of this patient?

• A. Avoid using any latex product.
• B. Use only non-allergenic latex products.
• C. Teach the family about long-term management of asthma.
• D. Administer medication for long-term desensitization.

Correct answer: A

Rationale: The correct answer is A: 'Avoid using any latex product.' In the case of a suspected latex allergy, it is crucial to prevent exposure to latex products to avoid allergic reactions. Choice B is incorrect because there are no truly non-allergenic latex products. Choice C is irrelevant to the situation described in the question, as the child does not have asthma. Choice D is also incorrect because desensitization is not an immediate option for managing a suspected latex allergy.

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