A nurse is teaching a caregiver of a school-age child about physical activity. Which of the following statements made by the caregiver demonstrates the teaching was effective? (Select All that Apply.)
"Physical activity can improve academic performance."
"My child should engage in physical activity four days a week."
"My child should engage in light activities such as walking."
"Climbing is a good way for my child to strengthen muscles."
"Exercise has been shown to reduce the risk of diabetes."
Correct Answer : A,B,D,E
A. Physical activity can improve academic performance, as studies show a positive correlation between physical fitness and cognitive function.
B. Engaging in physical activity four days a week is consistent with recommendations for school-age children, promoting overall health and fitness.
C. While light activities are beneficial, it is important for children to engage in moderate to vigorous activities for optimal health, so this statement may not fully reflect effective teaching.
D. Climbing is indeed a beneficial activity that helps strengthen muscles, showing an understanding of how different physical activities contribute to physical development.
E. The statement regarding exercise reducing the risk of diabetes is accurate and reflects an understanding of the long-term health benefits of physical activity.
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Correct Answer is D
Explanation
A. Preparing for immediate surgery is necessary, but the priority intervention is to ensure adequate oxygenation and blood flow through the ductus arteriosus before surgery can be performed.
B. Initiating feeding through a nasogastric tube is not a priority for an infant with this condition, as their immediate need is to address the circulatory issue rather than feeding.
C. Administering oxygen via nasal cannula may provide some relief but is not sufficient as a standalone intervention for transposition of the great vessels, which requires maintaining ductal patency to allow mixing of oxygenated and deoxygenated blood.
D. Administering prostaglandin E1 (PGE1) is the priority intervention, as it helps maintain patency of the ductus arteriosus, allowing for temporary stabilization of the infant’s condition until surgical intervention can be performed.
Correct Answer is C
Explanation
A. Clients on digoxin should actually have an adequate intake of potassium, as low potassium levels can increase the risk of digoxin toxicity.
B. If a pediatric client spits out digoxin, the dose should not be repeated automatically; instead, the nurse should assess the situation and follow the facility's protocol regarding missed doses.
C. Measuring the apical pulse for one full minute before administering digoxin is critical; if the pulse is below the established threshold (usually <60 bpm for children), the medication should be held and the provider notified.
D. While evaluating for nausea, vomiting, and anorexia is important, it is not an appropriate immediate action before administering the medication. The priority action is to assess the apical pulse.