The nurse is caring for a 5-year-old who has just returned from an appendectomy. Which is the optimal way to manage pain?

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Question 1 of 5

The nurse is caring for a 5-year-old who has just returned from an appendectomy. Which is the optimal way to manage pain?

A. Intravenous morphine as needed. B. Liquid Tylenol (acetaminophen) with codeine as needed. C. Morphine administered through a PCA pump. D. Intramuscular morphine as needed.

Correct Answer: C

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

Question 2 of 5

The nurse is caring for an infant diagnosed with Hirschsprung disease. The mother states she is pregnant with a boy and wants to know if her new baby will likely have the disorder. Select the nurse's best response.

A. Genetics play a small role in Hirschsprung disease, so there is a chance the baby will develop it as well. B. There is no evidence to support a genetic link, so it is very unlikely the baby will also have it. C. It is rarely seen in boys, so it is not likely your new baby will have Hirschsprung disease. D. Hirschsprung disease is seen only in girls, so your new baby will not be at risk.

Correct Answer: A

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

Question 3 of 5

The nurse is giving discharge instructions to the parent of a 1-month-old infant with tracheoesophageal fistula and a gastrostomy tube (GT). The nurse knows the mother understands the discharge teaching when she states:

A. I will give my baby feedings through the GT but place liquid medications in the corner of the mouth to be absorbed. B. I will flush the GT with 2 ounces of water after each feeding to prevent it from clogging. C. I will clean the area around the GT with soap and water every day. D. I will place petroleum jelly around the GT if any redness develops.

Correct Answer: B

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

Question 4 of 5

The nurse is to receive a 4-year-old from the recovery room after an appendectomy. The parents have not seen the child since surgery and ask what to expect. Select the nurse's best response.

A. Your child will be very sleepy, have an intravenous line in the hand, and have a nasal tube to help drain the stomach. If your child needs pain medication, it will be given intravenously. B. Your child will be very sleepy, have an intravenous line in the hand, and have white stockings to help prevent blood clots. If your child needs pain medication, we will give it intravenously or provide a liquid to swallow. C. Your child will be wide awake and will have an intravenous line in the hand. If your child needs pain medication, we will give it intravenously or provide a liquid to swallow. D. Your child will be very sleepy and have an intravenous line in the hand. If your child needs pain medication, we will give it intravenously.

Correct Answer: D

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

Question 5 of 5

The parent of a 5-year-old states that the child has been having diarrhea for 24 hours, vomited twice 2 hours ago, and now claims to be thirsty. The parent asks what to offer the child because the child is refusing Pedialyte. Select the nurse's most appropriate response.

A. You can offer clear diet soda such as Sprite and ginger ale. B. Pedialyte is really the best thing for your child; if thirsty enough, he will eventually drink it. C. Pedialyte is best. You might offer it in a spoon, medicine cup, or syringe to give your child a choice, which may help him take it. D. It doesn't matter what your child drinks as long as it is kept down; try offering small amounts in a medicine cup.

Correct Answer: C

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

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