The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me 'down there'? What is the nurse's best response?

Correct Answer: C

Rationale: The nurse should encourage the child to express his thoughts and feelings about the upcoming surgery. This approach helps the child feel heard and understood while providing an opportunity to address any misconceptions or fears. By asking the child what he thinks the doctor will do, the nurse engages the child in a conversation that can help alleviate anxiety and build trust. School-age children often have fears related to bodily harm, and open communication can help alleviate such concerns.

Correct Answer: B

Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.

Correct Answer: D

Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. Establishing an intravenous line and performing other assessments are important but maintaining a patent airway takes precedence to prevent hypoxia and ensure the child's safety.

Correct Answer: D

Rationale: The correct answer is D) Positioning the newborn in a prone position. In the case of a neonate with a meningomyelocele scheduled for surgery, positioning the newborn in a prone position is crucial. Placing the newborn in a prone position helps to prevent pressure on the sac, reducing the risk of rupture or damage to the exposed spinal cord. This position also facilitates optimal surgical access and minimizes the risk of complications during and after the procedure. Option A) Applying a diaper to prevent contamination of the sac is incorrect because covering the sac with a diaper can increase pressure on the sac and lead to complications. Option B) Positioning the newborn in a side-lying position is incorrect as it does not provide the necessary support and protection for the exposed spinal cord. Option C) Encouraging the mother to hold the newborn because she will not be able to pick him up after surgery is incorrect as holding the newborn may put pressure on the sac and is not the recommended positioning for this condition. This educational context is essential for pediatric nurses to understand the rationale behind the appropriate positioning of neonates with meningomyelocele to provide safe and effective care before and after surgery. By following evidence-based practices, nurses can contribute to better outcomes for these vulnerable patients.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) The child is experiencing absence seizures. Absence seizures are a type of generalized seizure characterized by brief episodes of staring or lack of responsiveness, often lasting for a few seconds. By selecting this option, the nurse can guide the teacher to consider a potential medical explanation for the child's behavior, prompting further evaluation by a healthcare provider. Option A) The child has a crush on the teacher is incorrect as it does not address the medical aspect of the child's behavior and is not a typical response in a healthcare context. Option B) The child has increased intracranial pressure is unlikely in this case as it typically presents with more severe symptoms. Option C) The child may have had a head injury is less likely as the behavior described is more indicative of absence seizures than a head injury. In an educational context, it is crucial for healthcare professionals working in pediatrics to have a broad understanding of various conditions that can affect children's health and behavior. By recognizing the signs of absence seizures, nurses and teachers can collaborate effectively to support the child's well-being and academic success. This case highlights the importance of considering medical conditions when addressing behavioral concerns in children.