what play activities should the nurse implement to encourage fluid intake for a child select all that apply

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. What play activities should the nurse implement to encourage fluid intake for a child? (Select all that apply.)

A. Have a tea party.
B. Use a crazy straw.
C. Cut gelatin into fun shapes.
D. All of the above

Correct answer: D

Rationale: Encouraging fluid intake can be fun and engaging through activities like having a tea party, using a crazy

2. The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?

A. Ask the parent when the neck was injured
B. Refer for immediate medical evaluation
C. Continue assessment to determine the cause of the neck pain
D. Record head lag on the assessment record and continue the assessment of the child

Correct answer: B

Rationale: Opisthotonos with pain on flexion is a sign of possible meningitis or other serious neurological conditions, requiring immediate medical evaluation.

3. Which congenital heart defect causes a "boot-shaped" heart on a chest x-ray?

A. Tetralogy of Fallot
B. Coarctation of the aorta
C. Transposition of the great arteries
D. Ventricular septal defect

Correct answer: A

Rationale: The correct answer is A: Tetralogy of Fallot. Tetralogy of Fallot, a congenital heart defect with four distinct abnormalities, often presents with a "boot-shaped" heart on chest x-ray due to right ventricular hypertrophy. This characteristic finding is due to the specific combination of defects in this condition. Coarctation of the aorta (choice B), Transposition of the great arteries (choice C), and Ventricular septal defect (choice D) do not typically result in a "boot-shaped" heart on a chest x-ray like Tetralogy of Fallot does.

4. Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)

A. All below
B. Considering alternative actions
C. Using formal and informal thinking to gather data
D. Giving deliberate thought to a patient's problem

Correct answer: A

Rationale: Clinical reasoning involves deliberate and thoughtful decision-making, considering alternatives, and using both formal and informal data gathering methods to provide optimum care.

5. Which is an accurate description of homosexual (or gay-lesbian) families?

A. A nurturing environment is lacking.
B. The children become homosexual like their parents.
C. The stability needed to raise healthy children is lacking.
D. The quality of parenting is equivalent to that of nongay parents.

Correct answer: D

Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.