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A nurse in the emergency department is preparing to discharge a 3-year- old child.

Nurses' Notes

The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child

scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis.
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply.)

"You should apply a thick layer of pimecrolimus cream to your child's lesions."

"You can apply gloves to your child's hands."

"You should cut and file your child's fingernails frequently."

"Your child will experience occasional flare-ups of this condition."

"You should apply emollients to your child's skin after bathing."

"Your child's condition is contagious when lesions are present."

Answer and Explanation

Correct Answer : A,B,C,D,E,F

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Correct Answer is A

Explanation

A. Teaching the client about ostomy care is important if the Meckel diverticulum was removed and an ostomy was created as part of the surgical procedure.

B. Total parenteral nutrition is not typically indicated following the repair of Meckel diverticulum. Most clients can resume oral intake shortly after surgery.

C. Long-term antibiotic therapy is not typically necessary after the repair of Meckel diverticulum unless there are specific indications for ongoing treatment.

D. Maintaining an NG (nasogastric) tube for decompression is not typically indicated after the repair of Meckel diverticulum. It may be used temporarily if there are concerns about bowel obstruction or ileus, but it is not a long-term intervention.

A. Administer an antidepressant to the client. B. Assist the client in completing his ADLs. C. Ask the client if he is considering harming himself. D. Encourage the client to attend a group therapy session.

Correct Answer is C

Explanation

A. Administering an antidepressant is an important intervention for a client with major depressive disorder. However, before initiating any treatment, it is crucial to assess the client's risk for self-harm or suicidal ideation.

B. Assisting the client in completing activities of daily living (ADLs) is important for their overall well-being, but the most immediate concern for a client with major depressive disorder is to assess their safety and risk for self-harm.

C. Correct. Assessing the client's risk for self-harm or suicidal ideation is the first priority.
This information will help determine the level of intervention and support needed.

D. Encouraging the client to attend group therapy is a valuable intervention, but it is not the first priority. Safety concerns must be addressed before implementing other
therapeutic interventions.

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for an adolescent following the repair of the Meckel diverticulum. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is caring for an adolescent who has a major depressive disorder. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?

A nurse is teaching the guardian of a 5-year-old child who has encopresis about the management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching?

A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings is an indication that the therapy has been effective.

A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take

A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescence?