Angie is an adolescent who has seizure disorder; which of the following would not be a focus of a teaching program?

Correct Answer: A

Rationale: The correct answer is A, ability to obtain a driver's license. This would not be a focus of a teaching program for Angie with a seizure disorder since individuals with uncontrolled seizures are typically not allowed to have a driver's license due to safety concerns. It is important for Angie to understand the risks and consequences of drug and alcohol abuse, the increased risk of infections, and how to handle peer pressure effectively in relation to her condition. These topics are more relevant to managing her health and well-being with a seizure disorder.

Correct Answer: A

Rationale: In a celiac crisis, which is a severe form of reaction to gluten ingestion in individuals with celiac disease, symptoms can include severe diarrhea, vomiting, dehydration, electrolyte imbalances, and lethargy. The upper respiratory tract infection adds an additional stressor to the body, further worsening the symptoms. Lethargy is often seen in such cases due to the body's reaction to the illness and malabsorption of nutrients caused by celiac disease. While weight loss is common in celiac disease due to malabsorption, weight gain is unlikely in a celiac crisis. Respiratory distress is not a typical symptom directly related to celiac disease or its crisis. Watery diarrhea can be a common symptom of celiac disease, but specific to the question, lethargy would be the most expected assessment finding in Steve's case.

Correct Answer: C

Rationale: Pneumococcal pneumonia often presents with symptoms such as chest pain due to inflammation of the lung tissue. In children, chest pain may be a common symptom alongside other signs like fever, cough, and difficulty breathing. Since Fred has been diagnosed with pneumococcal pneumonia, Nurse Nica would expect to assess him for chest pain as part of the typical presentation of this condition in children.

Correct Answer: A

Rationale: Pain management is a crucial component in the plan of care for a preschool-age child admitted with a vasoocclusive sickle cell crisis. Sickle cell disease causes blood vessels to become blocked, leading to ischemia and pain. Managing pain promptly and effectively is necessary to improve the child's comfort level and prevent complications. Pain management strategies typically involve the use of analgesic medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids, tailored to the child's age and weight. Additionally, non-pharmacological interventions like distraction techniques and positioning can help in reducing pain and promoting relaxation in children during a sickle cell crisis.

Correct Answer: C

Rationale: Ventricular hypertrophy of endocarditis is a cardiac condition resulting from inflammation and infection of the endocardium along with hypertrophy of the ventricular walls. It requires specific treatment with appropriate antibiotics to manage the infection and inflammation. TOF (Tetralogy of Fallot) is a cyanotic heart defect characterized by four specific heart abnormalities (pulmonary valve stenosis, overriding aorta, VSD, and right ventricular hypertrophy). The question asks for an example of an acyanotic heart defect, where blood can flow through the heart without mixing poorly oxygenated and well-oxygenated blood. PDA (Patent Ductus Arteriosus), ASD (Atrial Septal Defect), and VSD (Ventricular Septal Defect) are all examples of acyanotic heart defects as they do not cause a mixing of oxygenated and deoxygenated blood.