Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?- Nurselytic

Question 1 of 5

Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?

A. We will change the colostomy bag with each wet diaper. B. We will expect a moderate amount of bleeding after cleansing the area around the stoma. C. We will watch for skin irritation around the stoma. D. We will use adhesive enhancers when we change the bag.

Correct Answer: C

Rationale: Watching for skin irritation indicates awareness of potential complications and proper colostomy care.

Question 2 of 5

A caregiver is providing teaching about car seat use to the mother of a six-month-old infant. Which of the following statements by the mother indicates an understanding of the teaching?

A. I should secure the car seat using lower anchors and tethers instead of the seat belt B. I should position the car seat harness one inch above my baby's shoulders C. I will make sure that the car seat is placed at a 90-degree angle D. I will pad my baby's car seat with a blanket for traveling long distances

Correct Answer: A

Rationale: The correct answer is A. Lower anchors and tethers, known as the LATCH child safety seat system, should be used to secure an infant's car seat in the vehicle. This system provides a safer and more secure way of installing the car seat compared to using the seat belt alone. Using the lower anchors and tethers ensures proper installation and reduces the risk of car seat movement during travel, providing optimal protection for the infant.

Question 3 of 5

An adolescent client reports recurrent abdominal pain with diarrhea and bloody stools. Which type of inflammatory bowel disease does the nurse suspect based on these data?

A. Necrotizing enterocolitis (NEC) B. Ulcerative colitis (UC) C. Crohn's disease D. Appendicitis

Correct Answer: B

Rationale: Ulcerative colitis is a type of inflammatory bowel disease characterized by recurrent abdominal pain, diarrhea, and bloody stools. The symptoms described align with the clinical presentation of ulcerative colitis, making it the most likely diagnosis in this scenario. Necrotizing enterocolitis primarily affects premature infants, Crohn's disease typically presents with non-bloody diarrhea, and appendicitis is characterized by right lower quadrant abdominal pain. Therefore, based on the symptoms provided, ulcerative colitis is the most appropriate suspicion.

Question 4 of 5

A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?

A. Urinary tract infection B. Nephrotic syndrome C. Acute glomerulonephritis D. Vesicoureteral reflux

Correct Answer: A

Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.

Question 5 of 5

A patient is prescribed Lisinopril as part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?

A. #ERROR! B. Potassium level of 3.5mEq/L C. Crackles in the lungs are no longer heard D. Jugular vein distention

Correct Answer: C

Rationale: Because ACE inhibitors promote venous dilation, they provide the therapeutic effect of reducing pulmonary congestion and peripheral edema. Absence of previously heard crackles would be an indicator of effectiveness. Edema and jugular vein distention are manifestations of heart failure. A potassium level of 3.5 is a normal value.

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Nurselytic

ATI RN