Question

1. A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures?
a. Prolonged headache
b. Lack of sleep
c. Decreased temperature
d. Exposure to secondhand smoke

2. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
a. “You can replace milk with nondairy sources of calcium”
b. “You can drink milk on an empty stomach”
c. “You should consume flavored yogurt instead of plain yogurt”
d. “You might tolerate plain milk better than chocolate milk”

3. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?
a. Respiratory rate 28/min
b. Weight loss 7%
c. Capillary refill 1 second
d. Bradycardia

4. A nurse is caring for an adolescent who is 1hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
a. Muscle rigidity
b. Heart rate 63/min
c. Temperature 36.40C (97.50F)
d. Abdominal pain

5. A nurse is planning care for an 8-month infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
a. Place the infant in a prone position
b. Provide less frequent, higher volume feedings
c. Repeat a digoxin dosage if the infant vomits within 1 hr of administration
d. Administer cool, humidified oxygen via nasal cannula

Answer 1

ANSWER.

1.

A) Prolonged headache.

This is also a symptoms of seizure disorder. This is the common trigger that increases the risk of seizures.

2.

C) "You should consume flavoured yogurt instead of plain yogurt".

Plain yogurts may have approximately 120 calories but flavoured yogurts may have upto 180 calories. So the nurse can teach him to take flavoured yogurt instead of plain yogurt.

3.

B) weight loss7%.

7% weight loss indicates the dehydration in infants. The main reason of weight loss is dehydration.

4.

D) Abdominal pain.

The nurse should report Abdominal pain to the patient. This is one of the symptoms of appendoctomy. This have mainly effect and pain on lower right abdomen

5.

C) Repeat a digoxin dosage if the infant vomits within 1 hr of administration.

Repeat the dosage if vomitted for once but if he vomitt again for 2nd dose, take him immediately to hospital.