question

A nurse is caring for a child who has nephrotic syndrome. Which of the Following findings is associated with this diagnosis?

answer

Hyperalbuminuria

question

A nurse is planning care for a child who has glomerulonephritis and is edematous. Which of the following activities should be part of the plan of care?

answer

Restrict sodium intake.

question

A charge nurse is preparing a room assignment for a school-age child. Which of the following is the most important consideration when planning a room assignment?

answer

Disease Process

question

A nurse is caring for a school age child Who is admitted with a poorly controlled seizure disorder. Which of the following should the nurse include in the plan of care?

answer

Have oxygen available.

question

A nurse is admitting a four-month old infant who has heart failure to the cardiac unit. Which of the following findings is the highest priority?

answer

Three episodes of vomiting

question

A nurse is assessing a three-year-old child at a well child visit. Which of the following findings should the nurse report to the provider?

answer

Respirations 30/min

question

A nurse is teaching a parent of a child who has pediculosis. Which of the following statements from the parent indicates an understanding of the teaching?

answer

"I will need to remove the nets after treatment."

question

A hospice nurse is visiting a parent on the one-year anniversary of the death of his child from leukemia. Which of the following reactions by the parent would indicate to the nurse they need it for breve meant counseling referral?

answer

The parent has not returned to work.

question

A nurse is caring for a child who has partial thickness burns on more than 40% of his body. Which of the following fluids prescribed by the provider should the nurse administer to the child in the first 24 hours?

answer

Lactated Ringer's

question

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. which of the following is an appropriate action for the nurse to take

answer

Schedule the topper for yearly rescreening.

question

A nurse is providing education to the family of a child who has juvenile idiopathic arthritis. Which of the following should the nurse include in the teaching?

answer

Encourage the child to perform independent self care.

question

The mother of an adolescent tells a nurse that she are used frequently with her daughter about playing music while studying. Which of the following is an appropriate response for the nurse to make?

answer

Consider letting her make her own choice about listening to music while studying.

question

A nurse is caring for a school age child who was diagnosed with asthma and reports chest pain. Which of the following actions should the nurse take first?

answer

Auscultate breath sounds.

question

A nurse is performing a urine dipstick test on a child who has nephrotic syndrome. Which of the following results should the nurse expect?

answer

4+ protein

question

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following should the nurse recognized as a sign of hemorrhage?

answer

Frequent swallowing

question

During observation of children playing on a pediatric unit, a nurse notes a child begins to stare into space and grunt. The child's extremities then begin to extend stiffly. In what order should the nurse perform the steps listed below?

answer

Lower the child to the floor. Place a pillow under the child's head. Loosen restrictive closing. Assess the child's mouth for injuries.

question

A nurse is assessing a four-year-old child. Which of the following developmental milestones should the nurse expect?

answer

Cuts a shape using scissors

question

A nurse is providing teaching about growth hormone injections to a mother of a child who has growth hormone deficiency. Which of the following should the nurse include in the teaching?

answer

Have serum calcium levels drawn periodically.

question

A nurse is providing post offered of care to a 13-month-old toddler following cleft palate repair. Which of the following interventions is appropriate for the nurse to take?

answer

Prevent the client from using a pacifier.

question

A nurse is caring for a child who has a diagnosis of Lyme disease. Which of the following findings is a manifestation of stage one of this disease?

answer

Skin rash

question

A nurse is caring for a child who has epiglottitis. Which of the following action should the nurse take?

answer

Monitor oxygen saturation.

question

A nurse is discussing food choices with the parent of a child who has celiac disease. Which of the following foods offered to the child by the parents is appropriate?

answer

Rice pudding

question

A nurse is assisting a seven month old infant. Which of the following findings should the nurse report to the provider?

answer

Inability to babel one syllable sounds

question

A nurse is planning care for a child following the application of a halo brace. Which of the following intervention should the nurse include in the plan of care?

answer

Provide Penn State care.

question

A nurse is caring for an infant who is post operative pyloric stenosis repair. Which of the following is an appropriate action for the nurse to take?

answer

Monitor the infant following feedings for vomiting.

question

A nurse is caring for a toddler who has a foreign body aspiration. Which of the following is an appropriate action for the nurse to take?

answer

Prepare for an endoscopy.

question

A nurse is teaching adolescent about how to manage tinea pedis. Which of the following statements from the client indicates an understanding of the teaching?

answer

I should wear sandals as much as possible.

question

A nurse is providing teaching to the parent of a child who has impetigo. Which of the following instruction should the nurse include in the teaching?

answer

Remove crossed after soaking with 1:20 Burow's solution.

question

A nurse is caring for an adolescent undergoing a lumbar puncture. Which of the following results would confirm a diagnosis of bacterial meningitis?

answer

Increase protein

question

A nurse is educating the parents of a toddler who will be discharged with a lower leg cast. The nurse should instruct a family that which of the following findings is important to report to the provider?

answer

Inability to move toes

question

A nurse is teaching adolescent who has a diagnosis of infectious mononucleosis. Which of the following client statements indicates an understanding of the teaching?

answer

I should take ibuprofen for my headache.

question

A nurse is caring for a school age child who has heart disease and has developed heart failure. Which of the following interventions with the nurse include in the plan of care?

answer

Provide small, frequent meals.

question

A nurse is planning to assess a two month old who has pulmonary stenosis where is the systolic ejection murmur heard loudest

answer

The nurse should auscultate at the second intercostal space at the left sternal border

question

A nurse is assessing a six month old infant at a well infant visit. Which of the following findings should the nurse report to the provider

answer

Presence of strabismus

question

A nurse is caring for a child who has nephrotic syndrome. Which of the following assessments should the nurse perform to confirm peripheral edema?

answer

Palpating dorsum of feet

question

A nurse is assessing a child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis?

answer

Abdominal distention

question

A nurse is preparing an in-service on child maltreatment for a group of newly licensed nurses. Which of the following should the nurse include as a manifestation of physical abuse?

answer

Symmetric burns of the lower extremities

question

A nurse is caring for a six-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?

answer

Hemoglobin 9.0 g/dL

question

A nurse is caring for a newborn who has a large sacral myelomeningocele. Prior to surgery, the nurse should prevent potential complications By

answer

Keeping the newborns legs abducted with a pad between the knees.

question

A nurse is caring for a child following surgery for an acute perforated appendix. Which of the following is an expected at finding in the immediate postoperative period?

answer

Absence of peristalsis

question

A nurse is caring for a child who is in Bryant Traction. Which of the following is an appropriate action for the nurse to take?

answer

Maintain the hips at a 90° angle to the body.

question

A nurse is working with a toddler who has cerebral palsy and is having trouble with verbal communication. Which of the following strategy should the nurse plan to use to promote effective communication?

answer

Use pictures and objects when talking to the child. Encourage the child to move his lips and tongue when eating Allow the child time to articulate at his own pace

question

A nurse is providing discharge teaching about a car seat use to a mother of a six month old infant. Which of the following actions by the mother indicates a need for further teaching?

answer

Using a blanket as padding underneath the infant while traveling

question

A nurse is caring for an infant who has respiratory syncytial virus (RSV) and is in a mist tent. Which of the following action should the nurse implement for infection control

answer

Have a designated stethoscope in the room

question

A nurse is providing discharge teaching to the parents of an 18-month-old toddler who experience dehydration. Which of the following statements by the parent should indicate to the nurse and understanding of the teaching?

answer

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

question

A nurse and a pediatric unit is caring for his preschool-age Child who has acute lymphocytic leukemia and severe stomatitis. Which of the following should the nurse include in the child's plan of care?

answer

Help a child brush her teeth gently with a soft sponge toothbrush

question

A nurse is assessing a toddler who has diarrhea. Which of the following findings should alert the nurse to worsening dehydration?

answer

Decreased cheer production

question

A nurse is performing a monthly assessment for a child who is taking methylphenidate. Which of the following is a manifestation that indicates an adverse effect of the medication?

answer

Weight loss

question

A school nurse is developing a plan of care for a student who is newly diagnosed with juvenile idiopathic arthritis. What are the following should the nurse include in the plan?

answer

Monitoring students for presence of communicable disease

question

A nurse is caring for a preschool child who has been receiving IV fluids via a prayer for all IV catheter. When preparing to remove the IV fluids and catheter, which of the following steps should the nurse perform first?

answer

Turn off the pump.

question

A nurse is teaching a parent of a child who is receiving IV famotidine. The nurse should tell the parents that which of the following is an adverse effect of famotidine?

answer

Bruising

question

A nurse is caring for a child who is newly prescribed methotrexate. Which of the following should the nurse obtained prior to administering the first dose?

answer

Liver function test's

question

A school age child who was treated for Streptococcal throat infection is being admitted to the hospital with a diagnosis of acute rheumatic fever which of the following nursing interventions as appropriate?

answer

Maintain bedrest.

question

A nurse at an urgent care clinic is performing an admission assessment on a child. Which of the following should the nurse recognize as an early manifestation of pertussis?

answer

Dry, hacking cough

question

A nurse is caring for a three-year-old child who is administered pain medication. Which of the following pain scales is appropriate for measuring the child's response to the medication?

answer

Oucher

question

A school nurse is assessing a preschool child. Which of the following findings should the nurse identify as a potential finding a physical neglect?

answer

Poor personal hygiene

question

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected areas?

answer

Zinc oxide

question

A nurse is assessing infant who has heart failure. What should the following findings should the nurse expect

answer

Peripheral Adema

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