Gennylou S.

Lumacang BSN-2b

1. a. b. c. d.

Nurse Betina should begin screening for lead poisoning when a child reaches which age? 6 months 12 months 18 months 24 months

Answer C. RATIONALE : The nurse should start screening a child for lead poisoning at age 18 months and perform repeat screening at age 24, 30, and 36 months. High-risk infants, such as premature infants and formulafed infants not receiving iron supplementation, should be screened for iron-deficiency anemia at 6 months. Regular dental visits should begin at age 24 months.

2. When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? a. A reduced white blood cell count b. A decreased platelet count c. Shallow respirations d. Tachypnea Answer D. RATIONALE: The body compensates for metabolic acidosis via the respiratory system, which tries to eliminate the buffered acids by increasing alveolar ventilation through deep, rapid respirations, altered white blood cell or platelet counts are not specific signs of metabolic imbalance.

3. After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching? a. Well follow these instructions until our childs symptoms disappear. b. Our child must maintain these dietary restrictions until adulthood. c. Our child must maintain these dietary restrictions lifelong. d. Well follow these instructions until our child has completely grown and developed. Answer C. RATIONALE: A patient with celiac disease must maintain dietary restrictions lifelong to avoid recurrence of clinical manifestations of the disease. The other options are incorrect because signs and symptoms will reappear if the patient eats prohibited foods.

4. A parent brings a toddler, age 19 months, to the clinic for a regular check-up. When palpating the toddlers fontanels, what should the nurse expects to find? a. Closed anterior fontanel and open posterior fontanel b. Open anterior and fontanel and closed posterior fontanel c. Closed anterior and posterior fontanels d. Open anterior and posterior fontanels Answer C RATIOANLE:. By age 18 months, the anterior and posterior fontanels should be closed. The diamond-shaped anterior fontanel normally closes between ages 9 and 18 months. The triangular posterior fontanel normally closes between ages 2 and 3 months. 5. Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this clients fluid intake because fluid overload may cause: a. Cerebral edema b. Dehydration c. Heart failure d. Hypovolemic shock

Answer A. RATIONALE: Because of the inflammation of the meninges, the client is vulnerable to developing cerebral edema and increase intracranial pressure. Fluid overload wont cause dehydration. It would be unusual for an adolescent to develop heart failure unless the overhydration is extreme. Hypovolemic shock would occur with an extreme loss of fluid of blood.