During the admission process of a school-age child, the child states, "I'm going to have an operation.”. Which response is best for the nurse to provide to this child?

I'm glad your mother told you why you were coming to the hospital.

Tell me what an operation is.

We're going to do everything we can to take very good care of you.

Are you scared.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Telling the child that you're glad the mother explained the procedure doesn't provide the child with an opportunity to express their understanding or concerns. It is important to engage the child directly to understand what they know and how they feel about the operation, rather than relying solely on what the parent has communicated.

Choice B rationale

Asking the child to explain what an operation is allows the nurse to gauge the child's understanding and provides an opportunity to correct any misconceptions. This approach also encourages open communication and helps the child feel more involved and informed about their own care, which can reduce anxiety.

Choice C rationale

Reassuring the child that the hospital staff will take very good care of them is comforting, but it doesn't address the child's need for information and understanding about the operation. While it's important to provide reassurance, the primary focus should be on ensuring the child comprehends what will happen.

Choice D rationale

Directly asking the child if they are scared might lead to a yes or no answer, and doesn't necessarily encourage them to share their specific fears or concerns. It is more effective to ask open-ended questions that allow the child to express their feelings in more detail, which can then be addressed by the nurse.

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Correct Answer is B

Explanation

Choice A rationale

While increasing protein intake is beneficial for overall health and pregnancy, it is not the primary factor that affects hemoglobin and hematocrit levels. These levels are more directly influenced by iron intake and the physiological changes during pregnancy. Protein intake is important for fetal growth and development, but it does not significantly alter the concentration of hemoglobin or hematocrit in the blood.

Choice B rationale

During pregnancy, plasma volume increases by approximately 50%, leading to hemodilution. This means that even though the total number of red blood cells increases, the concentration of hemoglobin and hematocrit appears lower due to the larger volume of plasma. This physiological change helps meet the increased oxygen demands of both the mother and the growing fetus and is a normal part of pregnancy.

Choice C rationale

Taking an iron supplement can help improve hemoglobin and hematocrit levels, especially if a pregnant woman has iron-deficiency anemia. Iron is essential for the production of hemoglobin, which carries oxygen in the blood. However, not all pregnant women with lower hemoglobin and hematocrit levels need to take iron supplements, as these values can be within the expected range for pregnancy. The decision to supplement should be based on individual assessment by a healthcare provider.

Choice D rationale

Not all women at 28 weeks gestation have anemia. While it is common for hemoglobin and hematocrit levels to be lower during pregnancy due to increased plasma volume, it does not mean that all pregnant women are anemic. Anemia is diagnosed based on specific thresholds for hemoglobin and hematocrit levels, and the values mentioned (hemoglobin 10.7 g/dL and hematocrit 32%) are borderline and may not necessarily indicate anemia.

A. Have the antibiotic trough level drawn within 3 days. B. Continue strict monitoring of daily wet diapers for 1 week. C. Administer antipyretic medication on a continuous basis. D. Monitor the infant for response to auditory stimuli.

Correct Answer is D

Explanation

Choice A rationale

In bacterial meningitis, monitoring antibiotic levels is critical during treatment to ensure therapeutic effectiveness and avoid toxicity. However, it is not necessary to check antibiotic levels after completing the course. The body clears the antibiotics within a few days, and monitoring is more relevant during therapy.

Choice B rationale

While monitoring wet diapers is important during illness, it's not necessary to continue strict monitoring post-treatment. Wet diapers track hydration and renal function, which should normalize after successful treatment.

Choice C rationale

Continuous use of antipyretics is unnecessary post-treatment. Fever management is more critical during active infection. Post-treatment, fevers should subside, making continuous medication redundant and possibly harmful.

Choice D rationale

Auditory monitoring is crucial after meningitis due to the risk of hearing loss, a common complication. Early detection of auditory issues allows for timely intervention and support for the child’s development.

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During the admission process of a school-age child, the child states, "I'm going to have an operation.”. Which response is best for the nurse to provide to this child?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?

Correct Answer is D

Explanation

The nurse is providing preconception counseling. Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?

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