A 2yearold is admitted to the hospital with possib

Question 1 of 5

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

A. Describe the side-lying, knees-to-chest position that must be assumed during the procedure. B. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

What is the nurse's best response when a 2-year-old boy begins to cry as the mother starts to leave?

A. Let me read this book to you. B. Two-year-olds usually stop crying the minute the parent leaves. C. Now be a big boy. Mommy will be back soon. D. Let's wave bye-bye to mommy.

Correct Answer: D

Rationale: The best response for the nurse in this situation is to help the child understand that the separation is temporary. Waving bye-bye to mommy can be reassuring to the child and make the separation process easier. It acknowledges the child's feelings while providing a positive and comforting interaction.

Question 3 of 5

The caregiver discovers a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the infant is still not breathing, what action should the caregiver take?

A. Palpate femoral pulse and check for regularity. B. Deliver cycles of 30 chest compressions and 2 breaths. C. Give two breaths that make the chest rise. D. Feel the carotid pulse and check for adequate breathing.

Correct Answer: C

Rationale: Providing two breaths that make the chest rise is the correct action in this situation. This helps to deliver oxygen to the infant's lungs and body, which is crucial in a situation where the infant is not breathing. Chest rise indicates successful ventilation, and it is an essential step in pediatric resuscitation, especially for infants.

Question 4 of 5

The infant scheduled for reduction of intussusception passes a soft-formed brown stool the day before the scheduled procedure. Which intervention should the nurse implement?

A. Instruct the parents that the infant needs to be NPO. B. Notify the healthcare provider of the passage of brown stool. C. Obtain a stool specimen for laboratory analysis. D. Ask the parents about recent changes in the infant's diet.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

A. Describe the side-lying, knees to chest position that must be assumed during the procedure. B. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

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