Chapter 24 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 24  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
The nurse is caring for a young child with otitis media. The parent asks the nurse why children seem to get otitis media frequently but adults do not. The nurse would explain that younger children get otitis media more often because:
1. The eustachian tube is shorter, wider, and horizontal in younger children.
2. The eustachian tube is shorter, more narrow, and horizontal in younger children.
3. The eustachian tube is longer, wider, and vertical in younger children.
4. The eustachian tube is longer, more narrow, and vertical in younger children.
Correct Answer: 1
Rationale 1: The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and young children than in older children or adults. This promotes an increase in the incidence of ear infections.
Rationale 2: The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and younger children than in older children or adults. This promotes an increase in the incidence of ear infections.
Rationale 3: The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and younger children than in older children or adults. This promotes an increase in the incidence of ear infections.
Rationale 4: The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and younger children than in older children or adults. This promotes an increase in the incidence of ear infections.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 24-1

Question 2
Type: MCSA
The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of developing retinopathy of prematurity (ROP)?
1. 28-weeks’-gestation infant who has been on long-term oxygen and weighed 1,400 grams
2. 32-weeks’-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1,850 grams
3. 28-weeks’-gestation female infant who was on short-term oxygen, weighed 1,420 grams, and was treated with phototherapy
4. 36-weeks’-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1,800 grams
Correct Answer: 1
Rationale 1: The 28-weeks’-gestation infant on oxygen weighing 1,400 grams has the greatest risk of retinopathy of prematurity because of gestational age (28 weeks or less), weight (less than 1,600 g), and oxygen therapy.
Rationale 2: The 32-weeks’-gestation infant was not placed on oxygen, and therefore is not at risk. Risk for developing retinopathy of prematurity is lower for infants of African heritage than Caucasian infants. Congenital heart defects are not associated with ROP.
Rationale 3: The 28-weeks’-gestation infant was only placed on short-term oxygen. Phototherapy is associated with hyperbilirubinemia and is not associated with ROP.
Rationale 4: The 36-weeks’-gestation infant was on oxygen for short period of time. A small-for-gestational-age baby would be more mature than an infant of the same weight but lower gestational age.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 24-2

Question 3
Type: MCSA
The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should observe the child for which clinical manifestation?
1. Arrhythmias
2. Dehydration
3. Increased blood sugar
4. Increased urinary output
Correct Answer: 2
Rationale 1: Unless the child has a heart condition prior to surgery, arrhythmias is not a possible postoperative complication
Rationale 2: The child is at risk for dehydration due to deficient fluid volume related to inadequate intake after surgery. The child will anticipate having pain if she tries to swallow.
Rationale 3: Increased blood sugar will result only if the child is a diabetic.
Rationale 4: Increased urinary output is not an expected complication of surgery.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 24-2

Question 4
Type: MCSA
A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
1. Oral erythromycin
2. Fluoroquinolone eyedrops or ointment
3. Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
4. Intravenous penicillin
Correct Answer: 3
Rationale 1: Oral erythromycin is used to treat Chlamydial eye infections.
Rationale 2: Fluoroquinolone eyedrops are used to treat bacterial eye infections.
Rationale 3: Neonatal herpes simplex virus is treated vigorously with parenteral acyclovir for 14 days or longer and topical ophthalmic medication (trifluridine, iododeoxyuridine, or vidarabine).
Rationale 4: Intravenous penicillin treats selected bacterial infections.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 24-4

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