A healthcare professional is assessing a child who has a rotavirus infection. Which of the following is an expected manifestation?

Correct Answer: B

Rationale: In pediatric nursing, understanding the expected manifestations of common childhood illnesses like rotavirus infection is crucial for accurate assessment and intervention. In the case of rotavirus infection, vomiting is the expected manifestation. This is because rotavirus is a leading cause of severe diarrhea and vomiting in infants and young children. Option A, constipation, is incorrect because rotavirus infection typically presents with watery diarrhea, not constipation. Option C, jaundice, is also incorrect as jaundice is not a common symptom of rotavirus infection. Option D, abdominal pain, while possible in some cases, is not as characteristic of rotavirus infection as vomiting. Educationally, this question highlights the importance of recognizing key clinical manifestations of specific pediatric conditions. Understanding these manifestations aids in timely diagnosis, appropriate treatment, and effective patient care in pediatric nursing practice. By knowing the typical symptoms of rotavirus infection, healthcare professionals can provide targeted care and support to children affected by this common viral illness.

Correct Answer: D

Rationale: The correct statement is D because giving the child water after administering digoxin helps ensure the medication is swallowed properly. Mixing the medication with juice (choice A) may affect its absorption. Giving the medication with meals (choice B) may interfere with its effectiveness. Administering a second dose if the child vomits (choice C) is not recommended as it may lead to an overdose.

Correct Answer: C

Rationale: The correct answer is to offer the child a variety of fresh fruits. Glomerulonephritis and corticosteroid use can lead to potassium depletion. Fresh fruits are a good source of potassium, which can help counteract the depletion caused by corticosteroids. Encouraging a variety of fresh fruits can provide necessary nutrients and help maintain a balanced diet for the child.

Correct Answer: D

Rationale: In nephrotic syndrome, there is increased permeability of the glomerular filtration barrier, leading to protein loss in the urine. This results in hypoalbuminemia, causing fluid retention and edema. Therefore, weight gain due to fluid retention is a common finding in children with nephrotic syndrome.

Correct Answer: D

Rationale: In this scenario, option D, "I will use wrist splints to maintain alignment," is the correct statement indicating an understanding of the teaching for a child with cerebral palsy. Wrist splints are commonly used in cerebral palsy to help maintain proper alignment of the wrists and hands, which can improve function and prevent contractures. This intervention supports the child's musculoskeletal health and overall well-being. The incorrect options are: A) Performing range-of-motion exercises twice a day: While range-of-motion exercises are beneficial for a child with cerebral palsy, the statement lacks specificity regarding which body parts need the exercises and the frequency, which may not be sufficient for effective management. B) Applying a heating pad on the child's legs to reduce spasms: Heat application may not be the most appropriate intervention for managing spasms in cerebral palsy. Other strategies like stretching exercises, medications, or physical therapy are more commonly used. C) Allowing the child to rest in a recliner for 1 hour each day: While rest is important for a child with cerebral palsy, passive rest in a recliner may not address the specific needs of maintaining alignment and preventing contractures associated with the condition. Educationally, it is crucial for parents of children with cerebral palsy to understand the importance of therapeutic interventions like using wrist splints to support their child's physical health and function. Teaching parents the rationale behind each intervention empowers them to actively participate in their child's care and promote optimal outcomes.