PN nursing care of children – Flashcards
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A nurse is preparing to administer an immunization to a preschool aged child. which of the following is an appropriate action for the nurse to take?
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Have the parent hold the child during and immediately after the injection
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A nurse is collecting data from a 6 month old infant in the well child clinic. which of the following observations should concern the nurse?
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Legs stay crossed at the knees.
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A four year old female is having frequent infections (UTI). To prevent further recurrence, the nurse should instruct the child's parents to
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Teach the child to wipe from front to back after urinating.
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A nurse is caring for a child who has a diagnosis of WIlm's tumor. which of the following nursing interventions should take priority?
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Placing a sign over the bed that says "Do not palpate the abdomen"
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A nurse is caring for a 12 month old child. which of the following observations should the nurse expect to make if the child's growth and development are appropriate for the child's age? (select all that apply)
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-Is afraid of strangers -has a well developed pincer grasp -weighs approximately three times the birth weight -has six deciduous teeth.
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A nurse is caring for a 2 year old client who was admitted to for laryngotracheobronchitis. The client is placed in a crib with a cool moist tent. which of the following toys would be most suitable for the client at this time?
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A plastic fire engine
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A nurse is caring for an infant with otitis media. following teaching by the RN on the measures to prevent reoccurence, the nurse should recognize that the teaching has been effective when the parent state which of the following?
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" i will make sure my baby is sitting upright when drinking a bottle"
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A nurse is caring for a child with a periorbital cellulitis who has a rectal temp of 102.2 ^F. The child has an order for acetaminophen (tylenol) 280 mg PO. The label on the bottle reads 160 mg/5ml. how many ML should the nurse dispense to the child?
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8.8 ML
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A nurse is caring for a school-aged child with neuroblastoma who has become anorexic and has periods of nausea after receiving chemotherapy. which of the following would be the best intervention?
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allow the client to eat whatever the client wants,a at any time.
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a nurse is assisting in the care of a child who is experiencing thrombocytopenia as a side effect of chemotherapy. which of the following should the nurse include in the plan of care?
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Injury or trauma
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A nurse i s caring for a 4 year old who has been admitted to the hospital. the nurse should include providing the child with which of the following ?
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Plastic stethoscope
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A nurse is preparing a 3 year old for a lumbar puncture. In preparing the child for this procedure, which of the following strategies should the nurse plan to use?
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Describing the sensory aspects of the procedure
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A nurse is caring for a child who has been diagnosed with autism. which of the following goals should the nurse prioritize as a primary importance in the care of the child? the child will
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Be protected from self injury.
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A nurse is assisting in the care of a 6 year old child with retinoblastoma who has neutropenia. In planning the child's care, the appropriate nursing action is to do which of the following?
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Maintain protective isolation and monitor for fever.
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A nurse is caring for a child with celiac disease. WHich of the following nursing observations is consistent with celiac disease?
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Foul smelling stool
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A nurse is caring for a adolescent client with a fiberglass cast. Which of the following should the nurse reinforce to the client to prevent damage to the cast?
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Place plastic over the cast while bathing
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A nurse is caring for an adolescent client with a fiberglass cast. which of the following should the nurse reinforce to the client to prevent damage to the cast?
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Place plastic over the cast while bathing.
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A nurse is caring for a 9 month old infant. which of the following would be unsafe for the nurse to give the infant?
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Raisins
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A nurse is caring for a child who has had a tonsilectomy for recurrent strep throat infections. which of the following findings should the nurse give the most attention to 8 hr after surgery?
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Frequent swallowing
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A nurse is caring for a 4 year old child whose parent expresses concern over the child's stuttering. which of the following responses by the nurse would be least helpful in helping the parent understand the development?
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"it may help if you encourage your child to stop, an begin the word over."
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A nurse should evaluate a dehydrated infant's response to parental therapy by doing which of the following?
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Weighing the child at the same time every day
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A nurse on a hospital pediatric unit is caring for a toddler. Which of the following is the best nursing action to prevent accidental poisoning of a toddler?
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Put all cleaning supplies in a locked cabinet
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A nurse is caring for a client who is schedueld for surgery. the parent asks the nurse for advice on how to prepare the child for hospitalization. the nurse suggests the parent do which of the following
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read books to the child about hospitalization
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A nurse is providing anticipatory guidance to the parent of a toddler. regarding accidental ingestion of a poison, the nurse should instruct the parent to first fo which of the following?
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call the poison control center
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A nurse is caring for a child who is receiving prednisonse (deltasone) for nephrotic syndrome. the nurse should confirm the effectiveness of the prednisone therapy when the child exhibits which of the following?
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weight drops 500 G
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A nurse is preparing a 6 year old child for surgery. which of the following findings should the nurse recognize as the most important report to the surgeon?
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A loose lower front tooth
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A nurse is caring for a 3 year old with a serum lead level of 15 g/dl. which of the following dietary modifications should the clinic nurse understand will help prevent development of lead poisoning?
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"make sure your child drinks milk"
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A nurse is caringfor a child wiht cystic fibrosis. to meet the goal of adequate nutritional intake for a child with cystic fibrosis the nurse should include which of the following implementations in the clients care?
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Increase protein intake
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A nurse is caring for a child who has been placed in skeletal traction. according to erikson's theory, which of the following nursing actions will meet the developmental needs of an 8 year old client in skeletal tractions?
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have the hospital tutor visit daily to assist the client with homework
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A nurse is caring for a hospitalized 3 year old child who had been completely toilet trained prior to admission but is now having some accidents. when the nurse wakes the child up after a nap, the child's bed is soaking wet. the appropriate response by the nurse at this time should be which of the following?
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"lets go get you cleaned up so you can go to the playroom
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A nurse is caring for a newborn with a surgical repair of a myelomeningocele. the nurse should be aware that the postoperatively child is most prone to developing which of the following?
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hydrocephalus
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A nurse is caring for a 3 year old child who has been diagnosed with diabetes mellitus. the child is apprehensive about the injections. the nurse should know that the appropriate way to reinforce teaching is to use which of the following?
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doll and a syringe no needle
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A nurse is caring for a toddler with acquired immune deficiency syndrome (AIDS). The nurse carefully checks out the child's mouth. which of the following common manifestations of opportunistic infection should the nurse expect to find?
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Candidiasis
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A nurse is caring for a child who has reactive airway disease (Asthma) immediately after the child receives an albuterol treatment. The nurse should evaluate that the treatment was effective when the observations reveal an increase in which of the following?
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oxygen saturation
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A nurse is caring for a 3 year old on the second postoperative day following revision of a malfunctioning venticulo peritoneal shunt. which of the following methods would be the most accurate way for the nurse to determine if the child is having pain?
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utilize a pain rating scale such as the FACES scale with the child.
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A nurse is caring for a 6 month old infant who is one day postoperative after receiving a colostomy. when the nurse positions the infant on its side, the infant stiffens and begins to cry. the inital nursing action is to do which of the following?
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check when the last pain medication was given to see if able to give it now.
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A nurse is preparing to administer an immunization to a 2 month old infant. the nurse should recognize that the preffered site for administration is which of the following?
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vastus lateralis
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A 6 week old infant is admitted to the pediatric acute care untit following a pyloromyotomy for stenosis. the nurse admitting the child should anticipate the feeding schedule in the postoperative period will be which of the following?
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Small, frequent bottle feedings
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A nurse is caring for a child who has been diagnosed with sickle cell anemia. which of the following interventions should the nurse stress to the childs family?
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increase fluid intake
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A nurse is caring for a child in the pediatric unit. Medications are dispensed according to weight and all clients are weighed in kilograms on admission. a client weighing 1,800 g is admitted. the mother asks what the clients weight would be in pounds. the nurse should respond with which of the following?
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3.9lb
