Nursing care of a 9 month old who has recently undergone cleft palate lip repair can be expected to include feeding with a(n):
a. Plastic spoon
b. Open cup
c. Pigeon bottle
d. Special needs feeder
B.
A 3 month old infant is seen in the clinic with the following symptoms: irritability, c...
Nursing care of a 9 month old who has recently undergone cleft palate lip repair can be
expected to include feeding with a(n):
a. Plastic spoon
b. Open cup
c. Pigeon bottle
d. Special needs feeder - ANSWER- B.
A 3 month old infant is seen in the clinic with the following symptoms: irritability, crying,
refusal to nurse for more than 2-3min, rhinitis, and a rectal temperature of 101.8F
(38.8). The labor, delivery and postpartum history for this term infant is unremarkable.
The nurse anticipates a diagnosis of:
a. Acute Otitis Media
b. Otitis Media with effusion (OME)
c. Otitis externa
d. Respiratory syncitial virus (RSV) - ANSWER- a.
A child with Croup is placed in a cool mist tent. The mother becomes concerned
because the child is frightened, consistently crying and trying to climb out of the tent.
Which is the most appropriate nursing action?
1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more comfortable
3. Call the health care provider and obtain a prescription for a mild sedative
4. Let the mother gold the child and direct the cool mist over the child's face - ANSWER-
4.
The mother of a hospitalized 2 year old child with Croup asks the nurse why the health
care provider did not prescribe antibiotics. Which response should the nurse make?
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
,3. Antibiotics are not indicated unless a bacterial infection is present
4. The child still has the maternal antibodies from birth and does not need antibiotics. -
ANSWER- 3.
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the
right side. The nurse should place the infant in which best position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position - ANSWER- 3.
Which of the following statements about the inheritance of CF is most accurate?
1. CF is an autosomal-dominant trait that is passed on from the child's mother.
2. CF is an autosomal-dominant trait that is passed on from the child's father.
3. The child of parents who are both carriers of the gene for CF has a 50% chance of
acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of the gene for CF
has a 50% chance of acquiring CF - ANSWER- 4. If the child is born to a mother with
CF and a father who is a carrier, the child has a 50% chance of acquiring the disease
and a 50% chance of being a carrier of the disease.
The parent of a 4-month-old with CF asks the nurse what time to begin the child's first
CPT each day. Which is the nurse's best response?
1. "You should do the first CPT 30 minutes before feeding the child breakfast."
2. "You should do the first CPT after deep-suctioning the child each morning."
3. "You should do the first CPT 30 minutes after feeding the child breakfast."
4. "You should do the first CPT only when the child has congestion or coughing." -
ANSWER- 1. CPT should be done in the morning prior to feeding to avoid the risk of the
child vomiting
The parent of a 10-month-old with CF asks the nurse how to meet the child's increased
nutritional needs. Which is the nurse's best suggestion?
1. "You may need to increase the number of fresh fruits and vegetables you give your
child each day."
2. "You may need to advance your child's diet to whole cow's milk because it is higher in
fat than formula."
3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake each day." - ANSWER-
3. Often infants with CF need to have a higher-calorie formula to meet their nutritional
needs. Infants may also be placed on hydrolysate formulas that contain added medium-
chain triglycerides.
, The parent of an 18-year-old with CF is excited about the possibility of the child
receiving a double lung transplant. What should the parent understand?
1. The transplant will cure the child of CF and allow the child to lead a long and healthy
life.
2. The transplant will not cure the child of CF but will allow the child to have a longer life.
3. The transplant will help to reverse the multisystem damage that has already been
caused by CF.
4. The transplant will be the child's only chance at surviving long enough to graduate
college. - ANSWER- 2. A lung transplant does not cure CF, but it does offer the patient
an opportunity to live a longer life. The concerns are that, after the lung transplant, the
child is at risk for rejection of the new organ and for development of secondary
infections because of the immunosuppressive therapy.
A 2-year-old has just been diagnosed with CF. The parents ask the nurse what early
respiratory symptoms they should expect to see in their child. Which is the nurse's best
response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing respirations." - ANSWER- 4.
Wheezing respirations and a dry nonproductive cough are common early symptoms in
CF.
A female child with CF is hospitalized with constipation. The parent asks the nurse what
will need to be done to relieve the child's constipation. Which is the nurse's best
response?
1. "Your child likely has an obstruction and will require surgery."
2. "Your child will likely be given IV fluids to relieve her constipation."
3. "Your child will likely be given GoLYTELY to relieve her constipation."
4. "Your child will be placed on a clear liquid diet to relieve her constipation." -
ANSWER- 3. CF patients with constipation commonly receive a stool softener or an
osmotic solution orally to relieve their constipation.
The parents of a 5-week-old have just been told that their child has CF. The mother had
a sister who died of CF when she was 19 years of age. The parents are sad and ask the
nurse several questions about CF and the current projected life expectancy. What is the
nurse's best initial intervention?
1. The nurse should tell the parents that the life expectancy for CF patients has
improved significantly in recent years.
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