ATI: Nursing Care of Children 2

question
A nurse is educating a parent on the treatment for pinworms. Which of the following statements by the parent indicate that teaching has been effective?
answer
"I will give my child mebendazole (Vermox) today and in two weeks."
question
A nurse is assessing a 4-year-old child at a well-child appointment. The parent expresses concern over the child's stuttering. The nurse provides teaching to the parent. Which of the following statements by the parent indicates a need for further teaching?
answer
"It may help if you encourage your child to stop and begin the word over."
question
A nurse is caring for a child who is diagnosed with Wilms' tumor. Which of the following interventions should the nurse do first?
answer
Place a sign over the bed that says "Do Not Palpate the Abdomen".
question
A nurse is caring for a child with dehydration. Which of the following should the nurse recognize as an appropriate assessment to determine the child's response to parenteral fluids?
answer
Weighing the child at the same time every day
question
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following should the nurse expect to find with this client?
answer
Elevated red blood cells
question
A nurse is caring for a child who has had a spinal fusion. Which of the following statements by the nurse indicates an understanding of the care of this client?
answer
"I'll log roll the client every 2 hr."
question
A nurse is caring for a 3-year-old child who is in need of a hypospadias repair. Which of the following should the nurse recognize as a concern to this age group?
answer
Damage to body integrity
question
A nurse is caring for a child with bronchiolitis. Assessment findings indicate wheezing, oxygen saturation of 100%, respiratory rate of 40/min, and a heart rate of 92/min. The child is receiving oxygen at 2 LPM. An order is written to wean oxygen maintaining oxygen saturation 95% or greater. Which of the following actions is most appropriate for the nurse to take?
answer
Lower the oxygen to 1 L/min, check the oxygen saturation, and reassess the child.
question
A nurse is caring for a 4 year old child who has a malfunctioning ventriculo peritoneal shunt. Following a new shunt placement, the nurse conducts a postoperative check. Which of the following assessments should the nurse immediately respond to?
answer
Sleepy, very difficult to arouse
question
A nurse is caring for a 6 year old child who is newly diagnosed with diabetes mellitus. The nurse is educating the child on how to do finger sticks for blood glucose checks. The nurse knows the most effective method to teach this skill will be to do which of the following?
answer
Allow the child to practice the skill on themselves or others.
question
A nurse is caring for an adolescent with diabetes mellitus who has been admitted twice this year to the hospital with diabetic ketoacidosis. Which of the following tests should the nurse recognize as the best information to evaluate the client's compliance?
answer
Hemoglobin A1C
question
A nurse observes an adolescent with celiac disease ordering a gluten free breakfast tray. The nurse should know that the client understands the diet when the client orders which of the following items?
answer
Eggs and orange juice
question
A nurse is caring for a child diagnosed with sickle cell anemia. The nurse should make which of the following recommendations to the client regarding sickle cell anemia?
answer
Increase fluid intake.
question
A nurse is caring for a preschooler diagnosed with human immunodeficiency virus who is at the clinic to receive immunizations. Which of the following statements about HIV immunizations for this child is the most appropriate?
answer
The only immunization contraindicated for this client is the oral polio.
question
A nurse is caring for a 4-year-old who is brought into the emergency room with burns to the neck and face following a house fire. Which of the following assessments should the nurse prioritize for this child at this time?
answer
Breathing pattern
question
A nurse is caring for a 2 month old infant with a ventricular septal defect. Which of the following observations should indicate to the nurse that the child's condition is worsening?
answer
Weight gain of 275 g
question
A nurse is caring for a newborn with a myelomeningocele. In planning care for the newborn, the nurse should be aware that postoperatively, the child is most prone to developing which of the following?
answer
Hydrocephalus
question
A nurse is caring for a child who has had a tonsillectomy. Which of the following findings should the nurse give the most attention to 8 hr after surgery?
answer
Frequent swallowing
question
A nurse is caring for an 18-month-old toddler who has been admitted following surgical repair of a cleft palate. Postoperatively, the child complains of thirst. The nurse should provide fluids using which of the following?
answer
Cup
question
A nurse is caring for a 4-year-old child with leukemia. The child has undergone chemotherapy and now has a fever, pallor, fatigue, and petechiae. Based on this information, which of the following should the nurse expect to find?
answer
Hemoglobin 6 g/dL
question
A nurse is caring for a toddler who is exhibiting acute respiratory distress. Which of the following findings should alert the nurse to the possible diagnosis of epiglottitis?
answer
Drooling
question
A nurse is caring for a child diagnosed with nephrotic syndrome who is receiving Predisone (Deltasone). Which of the following should the nurse recognize as a therapeutic response of the medication?
answer
Weight drops 500 g
question
A nurse is caring for a child with a history of diarrhea for 24 hr. The primary care provider orders a urine specific gravity. Which of the following values should the nurse expect to see?
answer
1.030
question
A nurse is providing care to a child with a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Based on an understanding of the diagnostic evaluation for intussusception, which of the following statements should the nurse use?
answer
"A barium enema will be given to visualize the obstruction."
question
A nurse is caring for a child with acute glomerulonephritis and an ASO titer is ordered. The child's parent asks the nurse, "Why does the child need this titer?" Which of the following would be an appropriate response by the nurse?
answer
"It will tell us if the child had a recent strep infection."
question
In planning care for a child with severe reactive airway disease, the nurse knows that when chronic steroid use is indicated, inhaled steroids are preferred over oral steroids for which of the following reasons?
answer
Oral steroids can slow linear growth in children.
question
A nurse is caring for a newborn infant who is suspected of having a tracheo esophageal fistula (TEF). Which of the following nursing assessments would be consistent with this diagnosis?
answer
Copious oral secretions
question
A nurse is caring for a child with a Milwaukee brace for scoliosis. After educating the adolescent, the nurse evaluates the client understands the proper application and use of the brace. Which of the following statements should indicate to the nurse that the adolescent understands the use of the brace?
answer
"I can take my brace off for about an hour to shower daily."
question
A nurse is caring for a 2 year old child with vomiting and dehydration. Which of the following assessments should prompt the nurse to contact the primary care provider?
answer
Potassium 2.5 mEq/L
question
A nurse is caring for a 2-year-old child who has not received any immunizations. During assessment, the child is noted to have maculopapular rash and fever. The child's parent tells the nurse that the child has been exposed to rubeola. Which of the following assessment findings should the nurse expect?
answer
Koplik spot
question
A nurse is caring for a 4 month old infant with otitis media. The nurse is educating the child's parent on how to prevent reoccurrences. Which of the following statements by the parent should the nurse recognize as an understanding of the teaching?
answer
"I will make sure my baby is sitting upright when drinking a bottle."
question
A nurse is caring for a child with a ventricular septal defect. Which of the following should the nurse expect to assess in this child?
answer
Murmur best heard at the lower left sternal border
question
A nurse is caring for a 6 week old infant who is admitted to the pediatric acute care unit following pyloromyotomy. The nurse should anticipate the feeding schedule 8 hr postoperative will be which of the following?
answer
Small, frequent bottle feedings
question
A nurse is caring for a 4 month old infant who is admitted with a ventricular septal defect (VSD) and undergoing a cardiac catheterization. Post catheterization, which of the following manifestations should alert the nurse to a potential complication?
answer
Groin dressing with small amount of blood noted
question
A nurse is caring for a child with cystic fibrosis. In planning nutritional care for this child, the nurse should include which of the following actions?
answer
Increased protein intake.
question
A nurse is teaching a 12-year-old child how to use an steroid inhaler. The nurse should recognize that the teaching has been effective when the child makes which of the following statements?
answer
"I will use this medication every day even if I don't have any manifestations."
question
A nurse is caring for a child receiving chemotherapy. The white blood cell count is 1,200/mm^3. In planning the child's care, the nurse should prepare to do which of the following?
answer
Maintain protective isolation and monitor for fever.
question
A nurse is caring for a child in skeletal traction. At the change of shift, the nurse finds the client crying in pain, and the right foot is pale and pulseless. Which of the following should the nurse recognize as the appropriate explanation of this finding?
answer
This is a critically abnormal finding, and the primary care provider must be notified immediately.
question
A nurse is caring for an adolescent with a fiberglass cast. When providing education for the adolescent, which of the following should the nurse explain?
answer
Place plastic over the cast while bathing.
question
A nurse is caring for a 6-month-old infant who has been diagnosed with thalassemia major. After providing a teaching plan, the nurse should recognize that the parent understands the disease process when the parent states which of the following?
answer
"My infant will require frequent transfusions."
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question
A nurse is educating a parent on the treatment for pinworms. Which of the following statements by the parent indicate that teaching has been effective?
answer
"I will give my child mebendazole (Vermox) today and in two weeks."
question
A nurse is assessing a 4-year-old child at a well-child appointment. The parent expresses concern over the child's stuttering. The nurse provides teaching to the parent. Which of the following statements by the parent indicates a need for further teaching?
answer
"It may help if you encourage your child to stop and begin the word over."
question
A nurse is caring for a child who is diagnosed with Wilms' tumor. Which of the following interventions should the nurse do first?
answer
Place a sign over the bed that says "Do Not Palpate the Abdomen".
question
A nurse is caring for a child with dehydration. Which of the following should the nurse recognize as an appropriate assessment to determine the child's response to parenteral fluids?
answer
Weighing the child at the same time every day
question
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following should the nurse expect to find with this client?
answer
Elevated red blood cells
question
A nurse is caring for a child who has had a spinal fusion. Which of the following statements by the nurse indicates an understanding of the care of this client?
answer
"I'll log roll the client every 2 hr."
question
A nurse is caring for a 3-year-old child who is in need of a hypospadias repair. Which of the following should the nurse recognize as a concern to this age group?
answer
Damage to body integrity
question
A nurse is caring for a child with bronchiolitis. Assessment findings indicate wheezing, oxygen saturation of 100%, respiratory rate of 40/min, and a heart rate of 92/min. The child is receiving oxygen at 2 LPM. An order is written to wean oxygen maintaining oxygen saturation 95% or greater. Which of the following actions is most appropriate for the nurse to take?
answer
Lower the oxygen to 1 L/min, check the oxygen saturation, and reassess the child.
question
A nurse is caring for a 4 year old child who has a malfunctioning ventriculo peritoneal shunt. Following a new shunt placement, the nurse conducts a postoperative check. Which of the following assessments should the nurse immediately respond to?
answer
Sleepy, very difficult to arouse
question
A nurse is caring for a 6 year old child who is newly diagnosed with diabetes mellitus. The nurse is educating the child on how to do finger sticks for blood glucose checks. The nurse knows the most effective method to teach this skill will be to do which of the following?
answer
Allow the child to practice the skill on themselves or others.
question
A nurse is caring for an adolescent with diabetes mellitus who has been admitted twice this year to the hospital with diabetic ketoacidosis. Which of the following tests should the nurse recognize as the best information to evaluate the client's compliance?
answer
Hemoglobin A1C
question
A nurse observes an adolescent with celiac disease ordering a gluten free breakfast tray. The nurse should know that the client understands the diet when the client orders which of the following items?
answer
Eggs and orange juice
question
A nurse is caring for a child diagnosed with sickle cell anemia. The nurse should make which of the following recommendations to the client regarding sickle cell anemia?
answer
Increase fluid intake.
question
A nurse is caring for a preschooler diagnosed with human immunodeficiency virus who is at the clinic to receive immunizations. Which of the following statements about HIV immunizations for this child is the most appropriate?
answer
The only immunization contraindicated for this client is the oral polio.
question
A nurse is caring for a 4-year-old who is brought into the emergency room with burns to the neck and face following a house fire. Which of the following assessments should the nurse prioritize for this child at this time?
answer
Breathing pattern
question
A nurse is caring for a 2 month old infant with a ventricular septal defect. Which of the following observations should indicate to the nurse that the child's condition is worsening?
answer
Weight gain of 275 g
question
A nurse is caring for a newborn with a myelomeningocele. In planning care for the newborn, the nurse should be aware that postoperatively, the child is most prone to developing which of the following?
answer
Hydrocephalus
question
A nurse is caring for a child who has had a tonsillectomy. Which of the following findings should the nurse give the most attention to 8 hr after surgery?
answer
Frequent swallowing
question
A nurse is caring for an 18-month-old toddler who has been admitted following surgical repair of a cleft palate. Postoperatively, the child complains of thirst. The nurse should provide fluids using which of the following?
answer
Cup
question
A nurse is caring for a 4-year-old child with leukemia. The child has undergone chemotherapy and now has a fever, pallor, fatigue, and petechiae. Based on this information, which of the following should the nurse expect to find?
answer
Hemoglobin 6 g/dL
question
A nurse is caring for a toddler who is exhibiting acute respiratory distress. Which of the following findings should alert the nurse to the possible diagnosis of epiglottitis?
answer
Drooling
question
A nurse is caring for a child diagnosed with nephrotic syndrome who is receiving Predisone (Deltasone). Which of the following should the nurse recognize as a therapeutic response of the medication?
answer
Weight drops 500 g
question
A nurse is caring for a child with a history of diarrhea for 24 hr. The primary care provider orders a urine specific gravity. Which of the following values should the nurse expect to see?
answer
1.030
question
A nurse is providing care to a child with a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Based on an understanding of the diagnostic evaluation for intussusception, which of the following statements should the nurse use?
answer
"A barium enema will be given to visualize the obstruction."
question
A nurse is caring for a child with acute glomerulonephritis and an ASO titer is ordered. The child's parent asks the nurse, "Why does the child need this titer?" Which of the following would be an appropriate response by the nurse?
answer
"It will tell us if the child had a recent strep infection."
question
In planning care for a child with severe reactive airway disease, the nurse knows that when chronic steroid use is indicated, inhaled steroids are preferred over oral steroids for which of the following reasons?
answer
Oral steroids can slow linear growth in children.
question
A nurse is caring for a newborn infant who is suspected of having a tracheo esophageal fistula (TEF). Which of the following nursing assessments would be consistent with this diagnosis?
answer
Copious oral secretions
question
A nurse is caring for a child with a Milwaukee brace for scoliosis. After educating the adolescent, the nurse evaluates the client understands the proper application and use of the brace. Which of the following statements should indicate to the nurse that the adolescent understands the use of the brace?
answer
"I can take my brace off for about an hour to shower daily."
question
A nurse is caring for a 2 year old child with vomiting and dehydration. Which of the following assessments should prompt the nurse to contact the primary care provider?
answer
Potassium 2.5 mEq/L
question
A nurse is caring for a 2-year-old child who has not received any immunizations. During assessment, the child is noted to have maculopapular rash and fever. The child's parent tells the nurse that the child has been exposed to rubeola. Which of the following assessment findings should the nurse expect?
answer
Koplik spot
question
A nurse is caring for a 4 month old infant with otitis media. The nurse is educating the child's parent on how to prevent reoccurrences. Which of the following statements by the parent should the nurse recognize as an understanding of the teaching?
answer
"I will make sure my baby is sitting upright when drinking a bottle."
question
A nurse is caring for a child with a ventricular septal defect. Which of the following should the nurse expect to assess in this child?
answer
Murmur best heard at the lower left sternal border
question
A nurse is caring for a 6 week old infant who is admitted to the pediatric acute care unit following pyloromyotomy. The nurse should anticipate the feeding schedule 8 hr postoperative will be which of the following?
answer
Small, frequent bottle feedings
question
A nurse is caring for a 4 month old infant who is admitted with a ventricular septal defect (VSD) and undergoing a cardiac catheterization. Post catheterization, which of the following manifestations should alert the nurse to a potential complication?
answer
Groin dressing with small amount of blood noted
question
A nurse is caring for a child with cystic fibrosis. In planning nutritional care for this child, the nurse should include which of the following actions?
answer
Increased protein intake.
question
A nurse is teaching a 12-year-old child how to use an steroid inhaler. The nurse should recognize that the teaching has been effective when the child makes which of the following statements?
answer
"I will use this medication every day even if I don't have any manifestations."
question
A nurse is caring for a child receiving chemotherapy. The white blood cell count is 1,200/mm^3. In planning the child's care, the nurse should prepare to do which of the following?
answer
Maintain protective isolation and monitor for fever.
question
A nurse is caring for a child in skeletal traction. At the change of shift, the nurse finds the client crying in pain, and the right foot is pale and pulseless. Which of the following should the nurse recognize as the appropriate explanation of this finding?
answer
This is a critically abnormal finding, and the primary care provider must be notified immediately.
question
A nurse is caring for an adolescent with a fiberglass cast. When providing education for the adolescent, which of the following should the nurse explain?
answer
Place plastic over the cast while bathing.
question
A nurse is caring for a 6-month-old infant who has been diagnosed with thalassemia major. After providing a teaching plan, the nurse should recognize that the parent understands the disease process when the parent states which of the following?
answer
"My infant will require frequent transfusions."