Care of Children 2019 B

52. 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?

"Award your child with a sticker when they sit on the potty chair."

A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflect.

Correct answer is A

A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

Difficulty concentrating; irritability, inability to follow commands, and difficulty concentrating are manifestations of increased intracranial pressure due to decreased blood flow within the brain and pressure on the brainstem.

A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.)

Vomiting; due to the obstruction that occurs when a segment of the bowel telescopes within another segment of the bowel. Lethargy; due to episodes of severe pain during which the infant cries inconsolably, leading to exhaustion and decreased nutritional intake.

A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following?

Wheezes

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by parent indicates an understanding the teaching?

"Mononucleosis is caused by an infection with the Epstein-Barr virus."; a mildly contagious illness that occurs sporadically or in groups, and is primarily caused by the Epstein-Barr virus.

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

Serum potassium level 4.1 mEq/L; The nurse should monitor the adolescent's serum potassium level following the administration of sodium polystyrene sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine. Therefore, a potassium level within the expected reference range of 3.4 to 4.7 mEq/L indicates the effectiveness of the medication.

A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?

"Your baby might pull at their ears when they are teething."

A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose?

2 mL

A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply.)

Increased temperature; an acute illness associated with a fever that is unresponsive to antipyretics or antibiotics. Xerophthalmia; Ophthalmic manifestations of Kawasaki disease include reddening of the conjunctiva and dryness of the eyes, or xerophthalmia. Cervical lymphadenopathy; A child who has Kawasaki disease can develop enlarged cervical nodes on one side of the neck that are nontender and greater than 1.5 cm in size.

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the childs respirations, which of the following actions should the nurse take next?

Initiate IV access.

A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include?

Initiate airborne precautions for the child.

A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the following actions should the nurse take?

Place the infant in a knee-chest position; decrease the return of desaturated venous blood from the legs and to direct more blood into the pulmonary artery by increasing systemic vascular resistance.

A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?

Potassium Chloride

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?

Provide the child with a book about adventure.

A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include?

The child should be able to stand on the balls of their feet when sitting on the bike.; To decrease the risk for injury, parents should ensure that the bike is the correct size for the child

A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include?

Ensure the oxygen source is functioning in the childs room