Cp Case Study Questions
NCLEX QUESTION
1. What is the recommended treatment for scabies in a child who is under 1 year old?
a. lindane (Kwell)
b. tolnaftate (Tinactin)
c. thiabendazole (Mintezol)
d. permethrin (Elimite)
2. When a preschooler’s family is exhibiting high levels of mistrust, checks everyone’s performance, asks to change rules and demands high level of information, which action or strategy is inappropriate?
a. Ask their opinion and use their suggestions
b. Be positive about building a trusting relationship
c. Be flexible regarding rules.
d. Show support while controlling the child care.
3. The Nurse is performing CPR on an infant. Where should the nurse assess for pulse?
a. Brachial Pulse
b. Carotid Pulse
c. Radial Pulse
d. femoral …show more content…
ANSWER: DRATIONALE: Permethrin is supplied as a cream. It should be massaged into the skin from the head to the soles. Although lindane is also a treatment for scabies, it is not recommended for children younger than age 1 and it should not be used on clients older than age 1 without supervision. Remember that the hands and feet should be covered during treatment to prevent the child from sucking the cream or lotion. 2. ANSWER: D RATIONALE: When a family is exhibiting high levels of mistrust, checks everyone's performance, asks to change rules and demands high level of information, the nurse should attempt to build a partnership with the family to reach the goal of mutually caring for the child. Attempting to control care will alienate the family, stress the relationship and will be counter productive for the child. 3. ANSWER: ARATIONALE: Brachial pulse should be used to assess for pulse when performing CPR to infant. Carotid pulse is difficult to locate in infants because of their short neck. 4. ANSWER: ARATIONALE: For this child, the safe drug dosage is 90.8 mg (9.08 kg x 10mg/kg = 90.8mg) Therefore the prescribed dose is not safe. 5. ANSWER: ARATIONALE: Initial fluid bolus is administered at 20 ml/kg. If there is no improvement in the child's fluid status, another 20 mg/kg bolus should be given. …show more content…
Because of the nature of the injury, there is a high risk of secondary infection and the probability of the catheter entering the brain through the fracture. Fluid balance is monitored closely by daily weight, intake and output measurement, and serum osmolality, determination to detect early signs of water retention, excessive dehydration, and states of hypertonicity or hypotonicity. The child is maintained on an NPO status or restricted to clear fluids until it is determined that vomiting will not occur. An intravenous line is maintained to administer fluids or medications if necessary.
1. What is the recommended treatment for scabies in a child who is under 1 year old?
a. lindane (Kwell)
b. tolnaftate (Tinactin)
c. thiabendazole (Mintezol)
d. permethrin (Elimite)
2. When a preschooler’s family is exhibiting high levels of mistrust, checks everyone’s performance, asks to change rules and demands high level of information, which action or strategy is inappropriate?
a. Ask their opinion and use their suggestions
b. Be positive about building a trusting relationship
c. Be flexible regarding rules.
d. Show support while controlling the child care.
3. The Nurse is performing CPR on an infant. Where should the nurse assess for pulse?
a. Brachial Pulse
b. Carotid Pulse
c. Radial Pulse
d. femoral …show more content…
ANSWER: DRATIONALE: Permethrin is supplied as a cream. It should be massaged into the skin from the head to the soles. Although lindane is also a treatment for scabies, it is not recommended for children younger than age 1 and it should not be used on clients older than age 1 without supervision. Remember that the hands and feet should be covered during treatment to prevent the child from sucking the cream or lotion. 2. ANSWER: D RATIONALE: When a family is exhibiting high levels of mistrust, checks everyone's performance, asks to change rules and demands high level of information, the nurse should attempt to build a partnership with the family to reach the goal of mutually caring for the child. Attempting to control care will alienate the family, stress the relationship and will be counter productive for the child. 3. ANSWER: ARATIONALE: Brachial pulse should be used to assess for pulse when performing CPR to infant. Carotid pulse is difficult to locate in infants because of their short neck. 4. ANSWER: ARATIONALE: For this child, the safe drug dosage is 90.8 mg (9.08 kg x 10mg/kg = 90.8mg) Therefore the prescribed dose is not safe. 5. ANSWER: ARATIONALE: Initial fluid bolus is administered at 20 ml/kg. If there is no improvement in the child's fluid status, another 20 mg/kg bolus should be given. …show more content…
Because of the nature of the injury, there is a high risk of secondary infection and the probability of the catheter entering the brain through the fracture. Fluid balance is monitored closely by daily weight, intake and output measurement, and serum osmolality, determination to detect early signs of water retention, excessive dehydration, and states of hypertonicity or hypotonicity. The child is maintained on an NPO status or restricted to clear fluids until it is determined that vomiting will not occur. An intravenous line is maintained to administer fluids or medications if necessary.