A community nurse will perform chest physiotherapy for Mrs. Dy every 3 hours. It is important for the nurse to:

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Burns Pediatric Primary Care 7th Edition Test Bank Questions

Question 1 of 5

A community nurse will perform chest physiotherapy for Mrs. Dy every 3 hours. It is important for the nurse to:

Correct Answer: C

Rationale: Performing chest physiotherapy (CPT) at least two hours after meals is important to prevent potential risks such as vomiting and aspiration. This timing allows for better tolerance of the procedure and decreases the likelihood of complications. By waiting at least two hours after meals, the nurse ensures that the patient's stomach is not full, reducing the risk of regurgitation during the chest physiotherapy session. This practice promotes the safety and well-being of the patient while undergoing this treatment.

Question 2 of 5

Which of the following terms indicates that the patient has a hearing loss caused by aging?

Correct Answer: B

Rationale: Presbycusis is the term that indicates that the patient has a hearing loss caused by aging. It is a type of sensorineural hearing loss that occurs gradually as a result of aging and affects the ability to hear high-pitched sounds. Otoplasty is a surgical procedure to correct the shape or position of the ears. Otalgia refers to ear pain. Tinnitus is the perception of ringing or buzzing sounds in the ears.

Question 3 of 5

Which of the following BP changes alerts the nurse to increasing ICP, and should be reported immediately?

Correct Answer: B

Rationale: Widening pulse pressure is indicative of increasing intracranial pressure (ICP) and must be reported immediately. Pulse pressure is calculated by subtracting the diastolic blood pressure from the systolic blood pressure. An increasing pulse pressure can suggest a rise in ICP due to factors like cerebral edema or hemorrhage. This change indicates increased pressure exerted on blood vessels within the brain, potentially leading to serious consequences like brain herniation. Thus, recognizing and promptly reporting a widening pulse pressure is crucial to prevent further complications and enable appropriate interventions for the patient.

Question 4 of 5

What is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?

Correct Answer: D

Rationale: For infants who are not toilet-trained, an in-and-out catheterization is the most reliable method for obtaining a sterile urine sample.

Question 5 of 5

Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?

Correct Answer: D

Rationale: Diffuse intrinsic pontine gliomas (DIPG) have the worst prognosis among brainstem tumors.

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