A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

"We will sit the child upright and forward and apply pressure to the sides of the nose."

"We should turn the child's head to the side and press on the nasal ridge."

"We should put the child in bed, elevate the head slightly and press on the forehead,"

"We should have the child lie flat and apply pressure to the cheeks."

Answer and Explanation

The Correct Answer is A

A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.

B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.

C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.

D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.

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Correct Answer is B

Explanation

A. Promoting maternal-infant bonding is important but is secondary to addressing immediate physical concerns.

B. Maintaining the integrity of the sac is the priority in managing myelomeningocele. The sac should be protected from rupture or infection to prevent damage to the spinal cord and nerves.

C. Providing age-appropriate stimulation is important for development but is not as urgent as protecting the physical integrity of the sac.

D. Educating the parents about the defect is crucial for long-term care but does not take precedence over immediate physical needs.

A. Distended neck veins B. Ridged abdomen C. Projectile vomiting D. Red currant jelly stools

Correct Answer is C

Explanation

A. Distended neck veins are not associated with pyloric stenosis.

B. A ridged abdomen is not typical of pyloric stenosis; rather, an olive-shaped mass may be palpated in the right upper quadrant.

C. Projectile vomiting is a hallmark sign of pyloric stenosis due to the obstruction at the pylorus, preventing food from passing into the small intestine.

D. Red currant jelly stools are associated with intussusception, not pyloric stenosis.

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A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

Correct Answer is B

Explanation

A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

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