NUR 280 PATHO EXAM 1 ACTUAL
EXAM 2024 COMPLETE 300
QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
The nurse is caring for a 7-year-old who has
thrombocytopenia and is on protective
precautions. Which of the following would be an
appropriate toy for the nurse to
provide to the client?
(a) finger paints and paper
(b) a rubber ball and bat
(c) a board game
(d) a stuffed toy - ....ANSWER...C. The child with
thrombocytopenia needs to be protected from injury
secondary to the risk of bleeding. Use of a board
,game, a quiet activity provides diversion and
challenges that is developmentally appropriate while
eliminating the risk of injury; finger paints is
applicable to a preschool client; the ball and bat is
avoided to prevent injury; the stuffed toy may be
offered to the toddler. Health Promotion and
Maintenance
The nurse on a pediatric unit has been informed that
the following clients are being
admitted. The nurse should first plan to assess the
client who is
(a) 2 years old, has a temperature of 100.8 F and a
blood pressure of 68/44
(b) 4 years old with a history of asthma and has a
peak expiratory flow rate (PERF) of 81%
(c) 5 years old, has a fracture of the tibia and is
reporting pain rated 7 on a pain scale of 0 (no pain)
to 10 (severe pain)
(d) 7 years old with ulcerative colitis and has had 15
bloody tinged stools today - ....ANSWER...A. The child
experiencing fever and hypotension should be seen
first, they are at the highest risk in this situation for
decompensation; the average blood pressure for a
,toddler is 92/56; the child with asthma is not acutely
ill at this time; pain is expected with a bone fracture,
management of pain is important but does not take
priority; ulcerative colitis is expected to produce 10 -
20 bloody stools per day, this is not the priority in
this situation. Safe Effective Care environment;
Management of Care
The nurse is providing discharge instructions to the
parents of an infant who has a
cleft lip. The nurse should instruct the parents to
(a) place the infant in a prone position after each
feeding
(b) encourage the parents to provide the infant rest
periods during feedings
(c) regularly offer the infant a pacifier to enhance the
sucking reflex
(d) elevate the child's head forty five degrees during
feeding - ....ANSWER...B. The parent should be taught
the ESSR (Enlarged nipple, Stimulate Suck by
rubbing the nipple on the lower lip, Rest after each
swallow to allow infant to complete swallowing)
method of feeding to decrease the risk of aspiration;
the infant should be fed in an upright position; prone
, position and pacifiers should not be used.
Physiological Integrity; Physiological Adaptation
The nurse is assessing a 3-year-old during a well-
child visit. During the visit the
boy says to his mother, "Mommy, I love you. I'm
going to marry you". The nurse
should
(a) suggest to the mother not to encourage these
types of statements
(b) explain to the child that he will not be able to
marry his mother even though he loves her
(c) tell the mother that this statement is appropriate
for his stage of development
(d) recommend that the mother provide more
opportunities for her son to play with other 3-year-
old boys - ....ANSWER...C. According to Sigmund
Freud, the phallic stage occurs between 3 - 6 years
of age. During this stage the child experiences
unconscious sexual attraction to the parent of the
opposite sex. This is called the Oedipal Complex. The
statement is reflective of this stage of development.
The other choices are not correct actions. Safe
Effective Care environment; Management of Care
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Charitywairimu. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
