Which suggestion by the nurse would be most helpful in relieving the t

NCLEX Pediatric Questions

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Question 1 of 5.

Which suggestion by the nurse would be most helpful in relieving the teenager's menstrual pain and discomfort?

A. Stay in bed until cramping is relieved, increase your fluid intake, and eat a low-fat diet.

B. Drink plenty of cold liquids, add extra salt to your diet, and take a nap in the afternoon.

C. Apply ice packs to the abdomen, eat a high-calorie diet, and have your largest meal at noon.

D. Get at least 8 hours of sleep, eat a well-balanced diet, and apply heat to your abdomen.

Explanation: Applying heat to the abdomen relaxes uterine muscles, reducing cramping, while adequate sleep and a balanced diet support overall health, alleviating dysmenorrhea symptoms.

Question 2 of 5.

Which finding documented by the nurse is most indicative of a client with rheumatic fever?

A. Slow, irregular heartbeat

B. Blotchy, diffuse erythema

C. Decreased antistreptolysin O titer (ASO titer)

D. Generalized migrating joint tenderness

Explanation: Generalized migrating joint tenderness (polyarthritis) is a hallmark symptom of rheumatic fever, reflecting the inflammatory process affecting multiple joints. An elevated ASO titer (not decreased) would indicate a recent streptococcal infection, and the other options are less specific.

Question 3 of 5.

Which statement by the parents best indicates that the nurse's teaching has been effective?

A. We'll give our child the penicillin for the full 10 days.

B. We will keep our child at home until fully recovered.

C. We will make sure that our child stays out of the sun with being treated.

D. We'll notify the physician if our child has a sore throat.

Explanation: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.

Question 4 of 5.

When is the correct time for the nurse to administer the child's morning dose of a combination regular and NPH insulin?

A. 30 minutes before breakfast is served

B. 15 minutes before breakfast is served

C. 30 minutes after breakfast is served

D. 15 minutes after breakfast is served

Explanation: Regular insulin peaks in 2-4 hours, and NPH peaks in 4-12 hours. Administering the combination 30 minutes before breakfast aligns insulin onset with food intake, controlling postprandial glucose levels effectively.

Question 5 of 5.

Which clinical manifestation of the client's full-thickness burns would the nurse detect during an assessment?

A. Moderate level of pain due to exposed nerve endings

B. Eschar formation throughout the area of the burn

C. The appearance of blister formation throughout the area of the burn

D. Noted tissue destruction extending to the subcutaneous layer

Explanation: Full-thickness burns involve destruction of all skin layers, including the subcutaneous layer, resulting in a leathery or charred appearance. Pain is minimal due to nerve destruction, and blisters are characteristic of partial-thickness burns.