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NurseDive Free Nursing Practice Question
A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following parent statements indicate understanding of the teaching?
A. "My child will be awake for this procedure."
"My child will be awake for this procedure.": Incorrect because the child will be under sedation or anesthesia for safety and to prevent distress.
B. "I can take my child home as soon as the procedure is over."
"I can take my child home as soon as the procedure is over.": Incorrect because the child must be monitored post-procedure for complications like airway swelling or sedation effects.
C. "The provider will remove the object during this procedure."
"The provider will remove the object during this procedure." A bronchoscopy allows visualization and removal of foreign objects from the airway, which is the purpose of the procedure.
D. "After this procedure, I have to wait 48 hours before I can give my child solid foods."
"After this procedure, I have to wait 48 hours before I can give my child solid foods.": Incorrect because eating is typically resumed after the child recovers from sedation and demonstrates a safe swallow reflex.
This question is an excerpt from Nurse Dive's nursing test bank - ATI nursing care of children assessment proctored exam. Take the full exam now
Full Explanation
A. "My child will be awake for this procedure.": Incorrect because the child will be under sedation or anesthesia for safety and to prevent distress.
B. "I can take my child home as soon as the procedure is over.": Incorrect because the child must be monitored post-procedure for complications like airway swelling or sedation effects.
C. "The provider will remove the object during this procedure." A bronchoscopy allows visualization and removal of foreign objects from the airway, which is the purpose of the procedure.
D. "After this procedure, I have to wait 48 hours before I can give my child solid foods.": Incorrect because eating is typically resumed after the child recovers from sedation and demonstrates a safe swallow reflex.
Similar Questions
A nurse is caring for a child who has bacterial meningitis. Which of the following actions should the nurse take first?
A. Administer IV antibiotics.
Administer IV antibiotics: While urgent, antibiotics can be administered after precautions are in place to ensure safety.
B. Monitor vital signs.
Monitor vital signs: Important but not the first action. Vital signs can be monitored after precautions are initiated.
C. Encourage oral fluids.
Encourage oral fluids: Incorrect because IV fluids are usually required due to the severity of the illness and risk of shock.
D. Initiate droplet precautions.
Initiate droplet precautions. Protecting others from transmission is the highest priority in managing bacterial meningitis, a highly contagious condition.
Full Explanation
A. Administer IV antibiotics: While urgent, antibiotics can be administered after precautions are in place to ensure safety.
B. Monitor vital signs: Important but not the first action. Vital signs can be monitored after precautions are initiated.
C. Encourage oral fluids: Incorrect because IV fluids are usually required due to the severity of the illness and risk of shock.
D. Initiate droplet precautions. Protecting others from transmission is the highest priority in managing bacterial meningitis, a highly contagious condition.
A nurse is caring for a 4-month-old infant in the outpatient setting.
Which of the following should the nurse identify as unexpected findings? Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again.
|
Body system |
Findings |
|
Vital Signs |
Temperature 36.9°C (98.4° F) Heart rate 162/min Respiratory rate 28/min Oxygen saturation 97% on room air |
|
Gastrointestinal |
Also spits up after every feeding, sometimes forcefully. Infant is formula fed and recently began refusing some feedings. Bowel sounds normoactive. Small, soft, midline bulge observed on abdomen between xyphoid process and umbilicus. Weight 5,925 g (13 lb 1 oz). Parents report birth weight was 4,196 g (9 lb 4 oz). |
A. Temperature 36.9°C (98.4° F)
B. Heart rate 162/min
C. Respiratory rate 28/min
D. Also spits up after every feeding, sometimes forcefully
E. Small, soft, midline bulge observed on abdomen between xyphoid process and umbilicus
F. Weight 5,925 g (13 lb 1 oz). Parents report birth weight was 4,196 g (9 lb 4 oz)
Full Explanation
Heart rate 162/min: Elevated for a 4-month-old at rest; tachycardia can indicate dehydration, fever, or stress.
Spits up forcefully after feedings: Forceful vomiting can suggest gastroesophageal reflux disease (GERD) or pyloric stenosis.
Small, soft midline bulge: Likely an umbilical hernia; may need monitoring or intervention if persistent or large.
A nurse is caring for a 4-month-old infant in the outpatient setting.
For each assessment finding, click to specify if the finding is consistent with hypertrophic pyloric stenosis or gastroesophageal reflux. Each finding may support more than one disease process.
A. Cough
B. Recurrent emesis
C. Inadequate weight gain
D. Irritability
Full Explanation
Cough
- Hypertrophic Pyloric Stenosis: Pyloric stenosis typically causes forceful vomiting but does not cause coughing.
- Gastroesophageal Reflux: Coughing can occur due to aspiration or irritation of the esophagus.
Recurrent Emesis
- Hypertrophic Pyloric Stenosis: Projectile vomiting after feedings is a hallmark sign of pyloric stenosis.
- Gastroesophageal Reflux: GER can also cause recurrent vomiting, though it is usually less forceful than in pyloric stenosis.
Inadequate Weight Gain
- Hypertrophic Pyloric Stenosis: The inability to retain feedings can lead to poor weight gain.
- Gastroesophageal Reflux: Reflux can also result in poor weight gain if feedings are frequently vomited.
Irritability
- Hypertrophic Pyloric Stenosis: Hunger due to inadequate feeding can cause irritability.
- Gastroesophageal Reflux: Discomfort from esophageal irritation can lead to irritability.