question

A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan?

answer

Implement seizure precautions for the infant.

question

Nurse is providing teaching about car seat use to the other of a six month old infant. which of the following statements by the mothers indicates an understanding of the teaching.

answer

I should sure the car seat using lower anchors and tethers instead of the seat belt.

question

A nurse is planning care for a toddler who has a serum lead level of 4mcg/dL. Which of the following actions should the nurse plan to take?

answer

Schedule the toddler for a yearly rescreening.

question

A nursing is assessing a school-age child immediately postoperative following a perforated appendix repair. Which of the following findings should the nurse expect?

answer

absence of peristalsis

question

A nurse is preparing an adolescent for a lumbar puncture. which of the following actions should the nurse take?

answer

apply topical analgesic cream to the site 1 hr prior to the procedure.

question

A nurse is providing anticipatory guidance to the mother of a toddler. which of the following expected behavior characteristics of toddlers should the nurse include in the teaching.

answer

expresses likes and dislikes

question

a nurse is providing teaching to the parents of preschooler who has heart failure and who is to begin digoxin twice daily. which of the following instructions should the nurse include in the teaching.

answer

brush the child's teeth after giving the medication

question

a nurse ina provider's office is preparing to administer immunizations to a toddler during a well-child visit. which of the following actions should the nurse plan to take?

answer

withhold the influenza vaccine

question

a school nurse is assessing a school-age child's blood pressure while he is seated in a chair. the child starts to experience a tonic-clonic seizure. which of the following actions should the nurse take first?

answer

assist the child to a side-lying position on the floor

question

a nurse is an emergency department is performing a physical assessment on a 2 week old male infant. which of the following manifestations is the priority for the nurse to report to the provider?

answer

substernal retractions

question

a nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. which of the following instructions should the nurse include in the teaching.

answer

encourage the child to perform independent self-care.

question

a nurse is caring for the hospitalized preschooler. the child's mother is going home for a few hours while another relative stays with the child. which of the following statements should the nurse make to explain to the child when her mother will return.

answer

your mommy will be back after you eat.

question

a nurse is assessing the pain level of a 3 year old toddler. which of the following pain assessment scales should the nurse use?

answer

FACES pain rating scale.

question

a nurse is creating plan of care for a newly admitted adolescent who has bacterial meningitis. how long should the nurse plan to maintain the adolescent in droplet precautions?

answer

for 24 hr following initiations of antimicrobial therapy.

question

a nurse is assessing the vital signs of a ten year old child following a run injury. which of the following clinical manifestations indicate early septic shock.

answer

temperature 39.1 degrees

question

a nurse is receiving change of shift report on a four children. which of the following children should the nurse assess first?

answer

a toddler who has a concussion and an episode of forceful vomiting.

question

a nurse is creating an educational plan to teach parents about protecting their children from sunburns. which of the following instructions should the nurse plan to include?

answer

choose a waterproof sunscreen with an SPF of at least 15

question

a nurse is providing teaching to the parents of a toddler about the administration of prescribed eye drops and eye ointment. which of the following instructions should the nurse include.

answer

administer the eye drops 3 minutes before the ointment.

question

a nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome and 3+ pitting edema. which of the following interventions should the nurse include in the plan?

answer

administer corticosteroids to the toddler.

question

a nurse is providing discharge teaching to the parent of an 18 moth old toddler who has a dehydration as a result of acute diarrhea. which of the following statements by the parent indicates an understand of the teaching?

answer

i will monitor my child's number of wet diapers.

question

a nurse is caring for a ten year old child following a head injury. which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?

answer

sodium 155 mEq/L

question

a nurse is teaching the parent of a newborn about ways to prevent sudden infant death syndrome. which of the following instructions should the nurse include?

answer

five the infant a pacifier at bedtime.

question

a nurse is assessing a client who has a new diagnosis of celiac disease. which of the following clinical manifestations should the nurse expect?

answer

steatorrhea

question

a nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. which of the following instructions should the nurse include in the teaching.

answer

award the child with sticker when he sits on the potty chair

question

a nurse is providing discharge teaching to the parents of a three month old infant following a cheiloplasty. which of the following instructions should the nurse include?

answer

apply a thin layer of antibiotic ointment on your baby's suture line daily fo rat next three days.

question

a nurse in the emergency department is caring for a toddler who has a partial thickness burns on his right arm. which of the following actions should the nurse take?

answer

the nurse should wash the affected area with mild soap and water

question

a nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. the nurse should identify that which of the following menu items has the highest amount of iron?

answer

one half cup raisins.

question

a nurse in a provider's office is caring for a school age child who has varicella. the parent asks the nurse when her child will no longer be contagious. which of the following responses should the nurse make?

answer

When your child's lesions are crested, six days after they appear.

question

a nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. which of the following locations should the nurse identify as McBurney's point?

answer

lower right quadrant

question

a nurse is providing dietary teaching to the parent of a school age child who has cystic fibrosis. which of the following statements should the nurse make?

answer

you should offer your child high protein meals and snacks throughout the day.

question

a nurse is preparing to collect a sample from a toddler for a sickle turbidity test. which of the following actions should the nurse plan to take?

answer

perform a finger stick

question

a nurse is providing teaching about social development to the parents of a preschooler. which of the following play activities should the nurse recommended for the child?

answer

playing dress-up

question

a charge nurse in an emergency department is preparing an in service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. which of the following clinical manifestations should the charge nurse include as suggestive of potential physical abuse?

answer

symmetric burns of the lower extremities

question

a nurse is teaching the parents of a school age child who has a new diagnosis of osteomyelitis of the tibia. the nurse should identify that which of the following statements indicates an understand of the teaching.

answer

my child will receive antibiotics for several weeks.

question

a nurse is caring for a 15 year old client following a head injury. which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion?

answer

mental confusion

question

a nurse is assessing an infant who has pneumonia. which of the following findings is the priority for the nurse to report to the provider?

answer

nasal flaring

question

a nurse is performing hearing screenings for children at a community health fair. which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?

answer

an infant who is 8 months old and not yet making babbling sounds.

question

a nurse is planning developmental activities for a newly admitted 10 year old child who has neutropenia. which of the following actions should the nurse plan to take?

answer

provide the child with a book about adventure

question

a nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. which of the following findings indicates effectiveness of the medication?

answer

the adolescent's serum potassium level is 4.1 mEq/L

question

a nurse in an emergency department is caring for a school age child who is experiencing an anaphylactic reaction. which of the following is the priority action by the nurse?

answer

administer IM epinephrine to the child

question

a nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. the nurse should identify that which the following laboratory values indicates effectiveness of the current treatment?

answer

sodium 140 mEq/L

question

a nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. which of the following actions should the nurse take prior to the procedure.

answer

administer an analgesic to the child

question

a nurse is caring for a toddler who has spastic cerebral palsy. which f the following clinical manifestations should the nurse expect?

answer

ankle clonus, exaggerated stretch reflexes, and contractures

question

a nurse in an emergency department is assessing a three month old infant who has rotavirus and is experiencing acute vomiting and diarrhea. which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration.

answer

sunken anterior fontanel

question

a nurse is caring for a school age child who has peripheral edema. which of the following assessments should the nurse perform to confirm peripheral edema?

answer

palpate the dorsum of the child's feet.

question

a nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. which of the following instructions should the nurse include?

answer

pulmonary function test will be performed every 12 to 24 months to evaluate how your child is responding to therapy.

question

a nurse at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. which of the following findings should the nurse recognize as a manifestation of pertussis?

answer

dry, hacking cough

question

a nurse in the emergency department is caring for a school age child who has epiglottis. which of the following actions should the nurse take?

answer

monitor the child's oxygen saturation

question

a nurse is reviewing the lab report of a school age child who is experiencing fatigue. which of the following findings should the nurse recognize as an indication of anemia?

answer

hematocrit 28%

question

a nurse in an emergency department is caring for an adolescent who reports painful urination. which of the following behaviors should the nurse identify as suggestive of possible child maltreatment?

answer

uses mood-elevated substances

question

a nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. which of the following interventions should the nurse include?

answer

avoid palpating the abdomen when bathing the child before surgery

question

a nurse is assessing a three year old toddler at a well child visit. which of the following manifestations should the nurse report to the provider?

answer

respiratory rate 45/min

question

a nurse is caring for a school age child who has primary nephrotic syndrome and is taking prednisone. following 1 week of treatment, which of the following clinical manifestations indicates to the nurse that the medication is effective.

answer

decreased edema.

question

a nurse is providing dietary teaching to the parent of a school age child who has celiac disease. the nurse should recommend that the parent offer which of the following foods to the child?

answer

rice pudding

question

a nurse is providing teaching to an adolescent about how to manage tine pedis. which of the following statements by the adolescent indicates an understand of the teaching?

answer

I should wear sandals as much as possible

question

a nurse is preparing to administer an immunization to a four year old child. which of the following actions should the nurse plan to take?

answer

administer the immunization using a 24 gauge needle

question

a nurse is providing teaching to the parent of a school age child who has oral candidiasis and is to begin taking oral nystatin. which of the following instructions should the nurse include?

answer

shake the medication prior to administration

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