A.
Adjusting weights freely.
✓
B.
Maintaining correct alignment, ensuring weights hang freely, and performing frequent neurovascular assessments.
✓
C.
Removing traction periodically.
✓
D.
Allowing the child to move vigorously.
✓
A.
Administering rapidly without monitoring.
✓
B.
Administering the bolus slowly (e.g., over 20-30 minutes) and reassessing the infant's response frequently.
✓
C.
Administering only oral fluids.
✓
D.
Using hypertonic solutions.
✓
A.
Telling the child it won't hurt.
✓
B.
Administering conscious sedation and/or local anesthetic as prescribed, and providing distraction techniques.
✓
C.
Relying on the child's resilience.
✓
D.
Avoiding any pain medication.
✓
A.
Oral anticonvulsant.
✓
B.
Administering benzodiazepines (e.g., lorazepam, diazepam) IV to stop the seizure.
✓
C.
Non-steroidal anti-inflammatory drugs (NSAIDs).
✓
A.
Offering thin liquids.
✓
B.
Using thickened liquids and soft foods, positioning the child upright, and providing adaptive feeding equipment.
✓
C.
Force-feeding the child.
✓
D.
Feeding the child while lying flat.
✓
A.
Dismissing their feelings.
✓
B.
Acknowledging and validating their feelings, providing education in a non-judgmental way, and connecting them with support resources.
✓
C.
Telling them to just accept it.
✓
D.
Avoiding any discussion about their feelings.
✓
A.
Encouraging active play with other children.
✓
B.
Implementing stringent protective isolation measures to prevent infection due to severe immunosuppression.
✓
C.
Providing a regular diet.
✓
D.
Encouraging school attendance.
✓
A.
Oral suctioning only.
✓
B.
Nasal suctioning with a bulb syringe or suction catheter prior to feedings and as needed.
✓
C.
Administering cough suppressants.
✓
D.
Positioning the infant flat.
✓
B.
Propylthiouracil (PTU) or methimazole.
✓
A.
Assessing skin color.
✓
B.
Hourly monitoring of urine output, specific gravity, and daily weights.
✓
C.
Checking heart rate only.
✓
D.
Assessing respiratory rate only.
✓
B.
Implementing chest physiotherapy (CPT), encouraging coughing, and administering nebulized bronchodilators and mucolytics.
✓
C.
Limiting physical activity.
✓
D.
Administering oral antibiotics only.
✓
A.
Allowing unrestricted movement.
✓
B.
Providing pain management (e.g., sucrose solution, topical anesthetic), swaddling, and protecting the infant's eyes from bright lights.
✓
D.
Keeping the room brightly lit.
✓
B.
Administer 15 grams of a fast-acting carbohydrate (e.g., 4 oz fruit juice), recheck in 15 minutes.
✓
D.
Give a complex carbohydrate immediately.
✓
A.
Encouraging high-sodium foods.
✓
B.
Monitoring strict intake and output, daily weights, and assessing for skin breakdown.
✓
C.
Limiting protein intake.
✓
D.
Administering large volumes of IV fluids.
✓
B.
Cardiac arrhythmias due to hypokalemia or other electrolyte disturbances.
✓
A.
Allowing the infant to crawl immediately.
✓
B.
Maintaining the affected extremity straight for several hours, monitoring pulses distal to the site, and assessing for bleeding or hematoma.
✓
C.
Applying a warm compress to the site.
✓
D.
Encouraging active movement of the extremity.
✓
A.
Giving pain medication only when the child asks.
✓
B.
Administering scheduled pain medication and breakthrough doses, often IV opioids, to ensure adequate pain control.
✓
C.
Relying on non-pharmacological methods only.
✓
D.
Giving the lowest possible dose of pain medication.
✓
A.
Using scented wipes.
✓
B.
Frequent diaper changes and gentle cleansing to prevent skin breakdown and diaper dermatitis.
✓
C.
Allowing the diaper to remain soiled to dry out skin.
✓
D.
Using talcum powder liberally.
✓
B.
Monitor blood glucose closely, adjust insulin/carbohydrate intake as needed, and carry quick-acting carbohydrates.
✓
C.
Eat extra sugary snacks.
✓
D.
Avoid exercise entirely.
✓
