21108577-nclex-100-questions-and-answers-with-rationale-pediatric-nursing

21108577-nclex-100-questions-and-answers-with-rationale-pediatric-nursing

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1. A child with leukemia is being discharged after beginning chemotherapy. Which of the following instructions will the nurse include when teaching the parents of this child? a) provide a diet low in protein and high carbohydrates b) b) avoid fresh vegetables that are not cooked or peeled c) c) notify the doctor if the child's temperature exceeds 101 F (39C) d) d) increase the use of humidifiers throughout the house
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Answer B fresh fruits and vegetables harbor microorganisms, which can cause infections in immune-compromised child. Fruits and vegetables should either be peeled or cooked. The physician should be notified of a temperature above 100F, a diet low in protein is not indicated, and humidifiers harbor fungi in the water containers.
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2. A client with hemophilia has a very swollen knee after falling from bicycle riding. Which of the following is the first nursing action? a) initiate an IV site to begin administration of cryoprecipitate b) type and cross-match for possible transfusion c) monitor the client's vital signs for the first 5 minutes d) apply ice pack and compression dressings to the knee
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Answer D rest, ice, compression, and elevation (RICE) are the immediate treatments to reduce the swelling and bleeding into the joint. These are the priority actions for bleeding into the joint of a client with hemophilia.
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3. A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances of her children having sickle cell disease. Which of the following is appropriate response by the nurse? a) one of her children will have sickle cell disease b) only the male children will be affected c) each pregnancy carries a 25% chance of the child being affected d) if she had four children, one of them would have the disease
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Answer C In autosomal recessive traits, both parents are carriers. There is a 25% chance with each pregnancy that a child will have the disease.
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4. An 8 year old child has been diagnosed to have iron deficiency anemia. Which of the following activities is most appropriate for the child to decrease oxygen demands on the body? a) Dancing b) playing video games c) reading a book d) riding a bicycle
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Answer C reading a book is restful activity and can keep the child from becoming bored. Choices a, b, and d require too much energy for a child with anemia and can increase oxygen demands on the body.
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5. A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority? a) applying lotions to the hands and feet b) offering foods the toddler likes c) placing the toddler in a quiet environment d) encouraging the parents to get some rest
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Answer C One of the characteristics of children with KD is irritability. They are often inconsolable. Placing the child in a quiet environment may
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This note was uploaded on 05/16/2011 for the course NURSING 112 taught by Professor Brinley during the Spring '11 term at Pace.

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21108577-nclex-100-questions-and-answers-with-rationale-pediatric-nursing

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