The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?

That lethargy and vomiting are normal with mumps

To continue to monitor the child

To bring the child to the clinic to be seen by the pediatrician

That there is nothing to be concerned about as long as there is no fever

Answer and Explanation

The Correct Answer is C

A. That lethargy and vomiting are normal with mumps:
Incorrect: Lethargy and vomiting are not typical symptoms of mumps. These symptoms could indicate a separate issue that requires medical attention.
B. To continue to monitor the child:
Incorrect: Given the reported symptoms of lethargy and vomiting, a passive approach of continuing to monitor may delay necessary medical intervention. The child should be assessed promptly.
C. To bring the child to the clinic to be seen by the pediatrician:
Correct Answer: Lethargy and vomiting are not typical symptoms of uncomplicated mumps. These symptoms could be indicative of other issues, and it's important for the pediatrician to evaluate the child to determine the cause and provide appropriate care.
D. That there is nothing to be concerned about as long as there is no fever:
Incorrect: While fever is a common symptom of mumps, the absence of fever does not negate the need for further evaluation when there are concerning symptoms like lethargy and vomiting. The child should be seen by a healthcare provider to determine the cause of these symptoms.

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Correct Answer is B

Explanation

A. Cranberry juice
Explanation: Acidic and citrus juices, including cranberry and orange juice, should be avoided in the immediate postoperative period as they can be irritating to the surgical site and may increase the risk of bleeding.
B. Crushed ice
Explanation:
After a tonsillectomy, it's important to provide cold and clear fluids to soothe the throat and prevent bleeding. Crushed ice is a suitable option as it helps keep the throat cool and provides hydration without irritating the surgical site. Cold liquids can help minimize swelling and provide comfort.
C. Vanilla milkshake
Explanation: While milkshakes may be appealing, dairy products can coat the throat and may not be recommended immediately after surgery. Additionally, it's crucial to avoid using straws, as sucking can increase the risk of bleeding.
D. Orange juice
Explanation: As mentioned earlier, citrus juices like orange juice can be irritating to the surgical site and are not recommended in the early postoperative period after a tonsillectomy. It's essential to choose clear and non-acidic fluids to support healing and prevent complications.

A. Rye toast B. Rice C. wheat bread D. Oatmeal

Correct Answer is B

Explanation

A. Rye toast
Explanation: Rye contains gluten, so it is not appropriate for individuals with celiac disease. Rye, like wheat and barley, should be avoided.
B. Rice
Explanation:
Celiac disease is a condition characterized by an immune reaction to gluten, a protein found in wheat, barley, and rye. Therefore, individuals with celiac disease need to avoid gluten-containing foods. Rice is naturally gluten-free, making it a suitable and safe option for individuals with celiac disease.
C. Wheat bread
Explanation: Wheat contains gluten, and products made from wheat, including wheat bread, should be strictly avoided by individuals with celiac disease.
D. Oatmeal
Explanation: Oats themselves are gluten-free, but they are often contaminated with gluten during processing. Some individuals with celiac disease can tolerate pure, uncontaminated oats, while others may need to avoid oats altogether. It is important to choose certified gluten-free oats if including them in the diet.

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The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

Correct Answer is B

Explanation

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse would teach the parents to include which food item in the child's diet?

Correct Answer is B

Explanation

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