4 provide continuous cardiac monitoring 45 which

4. Provide continuous cardiac monitoring.
45. Which would be the priority nursing intervention for a child with carbon monoxide
poisoning?
1. Provide supplemental 100% oxygen.
2. Provide continuous oxygen saturation monitoring.
3. Establish intravenous access.
4. Draw blood for a STAT carbon monoxide level.
46. Which would be appropriate anticipatory guidance during the well-care visit of a
17-year-old?
1. Discuss alcohol use and potential for alcohol poisoning.
2. Discuss secondary sex characteristics that will develop.
3. Teach about anger management and safe sex.
4. Teach about peer pressure and desire for independence.
47. Which would be the best response to a 10-year-old who asks if she can take
acetaminophen (Tylenol) daily if she gets aches and pains?
1. Tell her it is better not to take medication if she gets aches and pains; she should
check with a parent before taking any medication.
2. Teach her that nonprescription drugs such as acetaminophen (Tylenol) can be a
poisoning hazard if too many are taken; it is best for her to check with a parent.
3. Encourage her to keep a log of when she takes acetaminophen (Tylenol) to try to
establish what is causing her aches and pains.
4. Sometimes it is okay to take acetaminophen (Tylenol) daily, but it depends on
why she has aches and pains.
48. What would be the nurse’ s best advice to a mother who says her 3-year-old ingested
Visine eye solution?
1. “Initiate vomiting immediately.”
2. “Call the Poison Control Center.”
3. “Call the pediatrician right away.”
4. “Dilute with milk 1 : 1 volume of suspected ingestion.”
49. What would be the best response to a mother who tells the nurse that the only way
she can get her 2-year-old to take medicine is to call it candy?
1. Tell her that is fine as long as the child takes all of the medicine.
2. Discuss the importance of not calling medicine candy to prevent accidental drug
ingestion.
3. Discuss with the mother that the child does not have to take the medicine if she
does not want it.
4. Tell the mother her child will have to go to “time-out” if she does not take her
medicine.

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51
50. Which nursing plan would be most successful if the nurse has to administer
activated charcoal to a 5-year-old?
1. Have the parents tell the child he has to drink it while providing a movie to
distract him.
2. Tell child it is candy, it tastes good, do not let him look at it, and he will get a toy
after he takes it all down.
3. Mix it with a sweet flavoring, provide a straw, and give it in an opaque cup with a
cover.
4. Have the child’s parent take some first to show the boy it does not taste too bad,
and then administer it to him quickly.
51. Which statement most accurately describes child abuse?
1. Physical abuse and neglect, usually carried out by a known adult.