In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

An 8-year-old, postoperative spinal fusion for scoliosis.

A 6-year-old who is 72 hours post-op.

A 10-year-old who has a fractured femur and concussion.

A 16-year-old postoperative bone surgery with Down Syndrome.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. An 8-year-old is typically capable of understanding and using PCA effectively, especially after a major surgery like spinal fusion.
Choice B reason: A 6-year-old may not fully understand how to use PCA and could be at risk for under or overdosing.
Choice C reason: While a 10-year-old could use PCA, the presence of a concussion may impair their ability to use it properly.
Choice D reason: A 16-year-old with Down Syndrome may have cognitive impairments that could hinder the safe use of PCA.

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Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Enlarged painless, firm cervical lymph nodes are a classic sign of Hodgkin’s disease.
Choice B reason: A protuberant, firm abdomen is not a specific finding associated with Hodgkin’s disease.
Choice C reason: A soft to hard, nontender mass in the pelvic area could indicate various conditions but is not specific to Hodgkin’s disease.
Choice D reason: Painful lymph nodes are more commonly associated with infections, not Hodgkin’s disease.

A. 8 oz of apple or orange juice, three times per day. B. 24-32 oz of whole cow's milk per day. C. Meats, eggs, and green vegetables. D. Fruits, whole grains, and rice.

Correct Answer is C

Explanation

Choice A reason: While vitamin C in juices can enhance iron absorption, they are not sufficient sources of iron by themselves.
Choice B reason: Cow's milk can interfere with iron absorption and is not recommended in high quantities for a child with anemia.
Choice C reason: This is the correct choice. These foods are rich in iron, which is essential for treating anemia.
Choice D reason: These are healthy options but do not provide the necessary iron content to effectively address anemia.

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In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin’s disease?

Correct Answer is A

Explanation

Which foods would the nurse recommend to the mother of a 2-year-old with anemia?

Correct Answer is C

Explanation

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