Tiêu đề RECALLS 13 - NP2 - SC ✅

4 | Page A. A lumbar puncture B. A platelet count C. Bone marrow biopsy D. White blood cell count 47. Based on the instructions of the nurse, which of the following activities should NOT be done by the parents in monitoring possible infection on Hani? A. Taking the rectal temperature daily B. Inspecting the skin daily for redness C. Inspecting the mouth daily for lesions D. Performing proper hand washing techniques 48. What is the PRIMARY effect of leukemia on the bone marrow? A. a selective reduction in the number of neutrophils B. Leucopenia, thrombocytopenia, and anemia C. The crowding out of normal cells on the site D. Proliferation of cells producing blood components 49. The patient’s parents asked why her child has hematomas and anemia. Which of the following should be the explanation of Nurse Jean Ralffio? A. “Hematomas and anemia are related to the child’s inactivity.” B. “All blood cells are made in the bone marrow. Hematomas and anemia are due to decreased RBC and platelet count.” C. “Hematomas and anemia are indicative that the end is near.” D. “the anemia is because the child hasn’t been eating well; the hematomas are from the multiple needle sticks.” 50. Patients Hani is not expected to survive. Hani says to her mother, “Will you take care of me when I am dead the way you do now?” the child’s mother asks Nurse Jean Ralffio how to answer her child. The nurse’s response should be based on which of the following understanding of the child’s behaviour. A. “Children of this age do not understand the finality of death.” B. “The child is denying that he has a terminal illness.” C. “Most 5-year-old children have a great fear of mutilation.” D. “the child may be having visual and auditory hallucinations.” Situation 11- a 13-year-old- girl named Zelda tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She tells the nurse that her grandfather, with whom she, her younger siblings, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl if she has told this to anyone, she replies: “Yes, my mother.” 51. As the nurse’s legal responsibility, which is the APPROPRIATE agency should she notify FIRST? A. City Health Office to do a vaginal examination to confirm the pregnancy B. DSWD for notifying the girl’s mother about the pregnancy test positive result. C. Board members of Child Protective Services for proper intervention D. Philippine National Police concerning a possible sex crime 52. If Zelda is really a victim of incest and the agency opts that she be admitted in the hospital, where should she be placed? A. With an older friendly child B. In a room near the nurse’s station C. With another 5 year old D. In a private room 53. The abusive parent usually manifests one of the following characteristics EXCEPT________ A. History of severe mental illness B. History of drug abuse C. Belongs to low-income group D. Low tolerance for frustration 54. When a patient, who allegedly has been sexually abused, the nurse should be aware that legal proceedings may be necessary. Because of this possibility, which of the following actions is MOST important to be done by the nurse? A. Determining if there are other injuries such as bruises and hematomas. B. Asking the parents for their approval for diagnostic examinations for the child. C. Assessing the child’s physical, intellectual and emotional developmental levels. D. Documenting physical findings and interactions during admission. 55. What typical assessment findings are observed to a patient who is a victim of sexual abuse A. Recurrent UTI B. Fracture and bruises C. Enuresis D. Failure to thrive syndrome Situation 12- Nurse Von is assigned at the Under Five Clinic. Mostly of her patients are infants, so she took the opportunity to have a mother’s class on the care of infants. 56. Which of the following will Nurse Von EMPHASIZE regarding the importance of play during infancy? Play enhances _______ development. A. Cognitive B. Emotional C. Physical D. Social 57. Which among the infants would show signs that he/she is experiencing maternal deprivation? A. Hyperactive B. Overweight C. prone to illness D. responsive to stimuli 58. What should Nurse Von include in the accident prevention teaching plan for a mother with 4-month-old infant? A. Keep crib rails up to the highest position. B. Cover electric outlets with safety plugs. C. Remove poisonous substances from low areas. D. Remove small objects from the floor. 59. When teaching a mother how to prevent accidents while caring for her 6-month-old infant, Nurse Von should emphasize that at this age, the infant can already do which of the following developmental milestone? A. Stand while holding on to furniture. B. Crawl short distances. C. Roll over from back to abdomen. D. Sit up without assistance. 60. Nurse Von assesses the oral cavity of a 6-month-old child and finds out that the tooth that buds first is the __________. A. Upper molars B. Lower central incisor C. Canines D. Lower molars Situation 13- Nurse Karl is caring for a mother- infant dyad. The mother has just given birth to a baby boy two days ago. Today, the charge nurse us doing a chart audit to determine whether the nursing process was properly done from prenatal to postnatal periods. The laboratory results of the mother and baby boy are shown below. 61. Using the chart data, which nursing intervention was CORRECTLY done by Nurse Karl for Mrs. Gloria Lim? A. Rubella vaccination B. Rhogam injection C. Neonatal 50% glucose infusion D. Maternal blood transfusion 62. Nurse Karl charted an IMPORTANT plan of care for Mrs. Lim. He indicated in her charting that the patient should report immediately signs and symptoms of a virus-causing- disease which may affect the cardiovascular system of the fetus during which of the period of pregnancy? A. First month B. Third month C. Second Month D. Fourth Month