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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Free Nursing Study Resources

Correct Answer is ["5.3"]

Explanation

To calculate the dose of acetaminophen, you can use the following formula:

Dose (in mg)= Weight (in kg) × Dose (mg/kg)

First, convert the weight from pounds to kilograms:

Weight (in kg)= Weight (in lb)/ 2.2

Weight (in kg)=28 lb/ 2.2 ≈ 12.73kg

Now, calculate the dose:

Dose (in mg) =12.73 kg × 10 mg/kg ≈ 127.3 mg

Next, determine how many milliliters (mL) of the available acetaminophen solution (120 mg/5 mL) contain the calculated dose:

Volume (in mL)=Dose (in mg)/Concentration (in mg/mL)

Volume (in mL) =127.3 mg/( 120 mg/5 mL)

Volume (in mL)≈127.3 mg / 24 mg/mL ≈ 5.304 mL

Therefore, the nurse should administer approximately 5.3 mL of acetaminophen.

A. "I'll check my child's temperature." B. "I'll give medication so that my child will be comfortable." C. I’ll check my child's voiding to be sure there's no problem." D. "I’Il let my child decide when to return to play activities.

Correct Answer is C

Explanation

A. "I'll check my child's temperature."
Explanation: Monitoring the child's temperature is a general indicator of well-being and can help identify signs of infection or other postoperative concerns.
B. "I'll give medication so that my child will be comfortable."
Explanation: Administering prescribed medication for comfort is a suitable practice to manage postoperative pain or discomfort.
C. "I'll check my child's voiding to be sure there's no problem."
Explanation:
After an orchiopexy procedure, checking voiding may not be directly related to the surgical intervention. Orchiopexy is a procedure to correct cryptorchidism, which involves repositioning an undescended testicle into the scrotum. While monitoring for general signs of well-being is important, specifically checking voiding might not be directly relevant to the surgical recovery process.
D. "I'll let my child decide when to return to play activities."
Explanation: Allowing the child to gradually resume play activities based on their comfort and recovery is a reasonable approach, considering individual variations in recovery times.

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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 preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

The nurse has provided discharge instructions to the parents of a 2-year-old child who underwent an orchiopexy to correct cryptorchidism, which statement by the parents indicates a need for further instruction?

Correct Answer is C

Explanation

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