Question

A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

Answer 1

Correct Answers:

Apply pressure to the site if bleeding occurs

Rationale :

🩸Direct pressure is the immediate priority because it promotes hemostasis at the injured site.

🛡️A child on bleeding precautions has an increased risk of prolonged bleeding, making rapid bleeding control essential.

⏱️The nurse should first address the active safety threat before performing additional assessments or teaching.

🩹Firm pressure with a clean dressing should be maintained until the bleeding stops.

📌Core Message

Immediate direct pressure is the priority intervention for controlling external bleeding in a child on bleeding precautions.

Answer 2

Correct Answers:

Nonspecific bone pain.

Rationale :

🦴Bone pain is one of the most common manifestations of primary bone cancer in children.

🌙The discomfort may initially be intermittent, nonspecific or more noticeable at night.

🚶As the tumor progresses, the child may develop localized swelling, limping or difficulty using the affected limb.

⚠️Persistent or unexplained bone discomfort requires further diagnostic evaluation.

📌Core Message

Persistent nonspecific bone pain is an important potential manifestation of bone cancer in children.

Answer 3

Correct Answers:

Waddling gait

Rationale :

🚶Duchenne muscular dystrophy causes progressive weakness of the proximal muscles, especially those surrounding the hips and pelvis.

🦆Weakness of the pelvic-girdle muscles produces the characteristic waddling or Trendelenburg gait.

🧒A school-age child may also demonstrate Gowers’ sign, difficulty climbing stairs and frequent falls.

📉The child’s motor abilities progressively decline because muscle fibers are gradually replaced by fat and connective tissue.

📌Core Message

A waddling gait is a classic finding in children with Duchenne muscular dystrophy because of proximal muscle weakness.

Answer 4

Correct Answers:

Frequent nosebleeds and petechiae

Rationale :

🧬Myelosuppression decreases the bone marrow’s production of red blood cells, white blood cells and platelets.

🩸A decreased platelet count causes thrombocytopenia, which increases the risk of abnormal bleeding.

🔴Petechiae are small pinpoint areas of bleeding beneath the skin that commonly occur with low platelet levels.

👃Frequent nosebleeds are another manifestation of impaired blood clotting caused by chemotherapy-related thrombocytopenia.

📌Core Message

Chemotherapy-induced myelosuppression can cause thrombocytopenia, producing petechiae and frequent nosebleeds.

Answer 5

Correct Answers:

2.5

Rationale :

💊The prescribed dose is 250 mg of amoxicillin.

🧴The available concentration contains 500 mg in 5 mL.

🧮The calculation is 250 mg ÷ 500 mg × 5 mL, which gives 2.5 mL.

✅The nurse should administer 2.5 mL PO every 12 hr as prescribed.

📌Core Message

A prescribed 250 mg dose from a 500 mg per 5 mL suspension requires 2.5 mL.

Answer 6

Correct Answers:

Administer nonsteroidal anti-inflammatory drugs (NSAIDs)

Rationale :

🦵Legg-Calvé-Perthes disease involves temporary disruption of blood flow to the femoral head, resulting in bone necrosis.

💊NSAIDs reduce inflammation and relieve pain within the affected hip joint.

🛑The plan of care may also include limiting high-impact activities to protect the femoral head.

💁‍♂️Crutches or another assistive device may be prescribed to reduce weight bearing on the affected extremity.

📌Core Message

NSAIDs help manage pain and inflammation associated with Legg-Calvé-Perthes disease.

Answer 7

Correct Answers:

"We will learn how to perform intermittent urinary catheterization."

Rationale :

🚻Children with spina bifida frequently develop a neurogenic bladder that interferes with normal bladder emptying.

🧴Intermittent catheterization helps empty the bladder regularly and prevents prolonged urinary retention.

🦠Effective bladder management reduces the risk of urinary tract infections and progressive kidney damage.

👪Parents commonly receive training to perform catheterization safely as part of the child’s long-term care.

📌Core Message

Regular intermittent urinary catheterization supports bladder emptying and protects kidney function in children with spina bifida.

Answer 8

Correct Answers:

Remove nits with a fine-tooth comb or tweezers.

Rationale :

👉A fine-tooth nit comb mechanically removes lice and attached nits from the hair shafts.

🔎The hair should be inspected systematically, especially behind the ears and near the nape of the neck.

📅After treatment, caregivers should continue checking the hair and removing visible lice or nits every few days.

🧼Combining an approved pediculicide treatment with careful combing helps manage the infestation effectively.

📌Core Message

A fine-tooth comb or tweezers can remove nits attached firmly to the hair in pediculosis capitis.

Answer 9

Correct Answers:

Provide a latex-free environment.

Rationale :

🎈Children with spina bifida have a significantly increased risk of developing latex sensitivity.

🏥Repeated exposure to latex-containing gloves, urinary catheters and surgical equipment can trigger serious allergic reactions.

🧤A latex-free environment should therefore be maintained during preoperative care and surgical closure.

🚨Preventing latex exposure protects the infant from reactions ranging from skin irritation to potentially severe respiratory compromise.

📌Core Message

Infants with spina bifida require a latex-free environment because of their high risk for latex allergy.

Answer 10

Correct Answers:

100

Rationale :

🧮The prescribed 50 mL volume must infuse over 30 minutes.

⏳Thirty minutes converts to 0.5 hr for the pump-rate calculation.

💧The calculation is 50 mL ÷ 0.5 hr, which produces 100 mL/hr.

✅The nurse should program the IV infusion pump to deliver 100 mL/hr.

📌Core Message

A 50 mL infusion delivered over 30 minutes requires an IV pump rate of 100 mL/hr.

1 :
A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

2 :
A nurse is assessing a child for possible manifestations of bone cancer. Which of the following should the nurse recognize as potential symptoms of bone cancer in children?

3 :
Which assessment findings should the nurse expect in a school-age child with Duchenne muscular dystrophy (DMD)?

4 :
A nurse is assessing a child undergoing chemotherapy. Which findings are consistent with myelosuppression?

5 :
A nurse is preparing to administer amoxicillin 250 mg PO every 12 hr. The amount available is amoxicillin 500 mg/5 mL suspension. How many mL should the nurse administer per dose?

6 :
A nurse is caring for a child who has Legg-Calvé-Perthes disease. Which of the following nursing actions should the nurse include in the plan of care?

7 :
A nurse is teaching parents about long-term care for their child with spina bifida. Which statement by the parent indicates understanding?

8 :
What information should the nurse include when teaching parents how to manage pediculosis capitis?

9 :
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following should the nurse include in the plan of care?

1 : A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

2 : A nurse is assessing a child for possible manifestations of bone cancer. Which of the following should the nurse recognize as potential symptoms of bone cancer in children?

3 : Which assessment findings should the nurse expect in a school-age child with Duchenne muscular dystrophy (DMD)?

4 : A nurse is assessing a child undergoing chemotherapy. Which findings are consistent with myelosuppression?

5 : A nurse is preparing to administer amoxicillin 250 mg PO every 12 hr. The amount available is amoxicillin 500 mg/5 mL suspension. How many mL should the nurse administer per dose?

6 : A nurse is caring for a child who has Legg-Calvé-Perthes disease. Which of the following nursing actions should the nurse include in the plan of care?

7 : A nurse is teaching parents about long-term care for their child with spina bifida. Which statement by the parent indicates understanding?

8 : What information should the nurse include when teaching parents how to manage pediculosis capitis?

9 : A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following should the nurse include in the plan of care?

1 :
A child with thrombolytic (bleeding) precautions is participating in arts and crafts. The child cuts their hand while participating. Which of the following actions prioritizes the client's safety?

2 :
A nurse is assessing a child for possible manifestations of bone cancer. Which of the following should the nurse recognize as potential symptoms of bone cancer in children?

3 :
Which assessment findings should the nurse expect in a school-age child with Duchenne muscular dystrophy (DMD)?

4 :
A nurse is assessing a child undergoing chemotherapy. Which findings are consistent with myelosuppression?

5 :
A nurse is preparing to administer amoxicillin 250 mg PO every 12 hr. The amount available is amoxicillin 500 mg/5 mL suspension. How many mL should the nurse administer per dose?

6 :
A nurse is caring for a child who has Legg-Calvé-Perthes disease. Which of the following nursing actions should the nurse include in the plan of care?

7 :
A nurse is teaching parents about long-term care for their child with spina bifida. Which statement by the parent indicates understanding?

8 :
What information should the nurse include when teaching parents how to manage pediculosis capitis?

9 :
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following should the nurse include in the plan of care?