CHAPTER 16 - PEDIATRICS QUIZLET

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Call the charge nurse or surgeon immediately

The nurse is caring for a child who had a tonsillectomy this morning. The child is observed to be swallowing continuously. What is the most appropriate initial nursing action?

The doctor will place a tube through the abdomen into the baby's stomach."

The parents of an infant who has esophageal atresia ask the nurse how the baby will eat. Which response by the nurse is most accurate?

Measure abdominal girth every four hours.

A 3-month-old infant is admitted to the pediatric unit with a diagnosis of Hirschsprung's disease. What is most important when monitoring the infant's status?

Mobile with a music box

A 3-month-old infant is doing well after the repair of a cleft lip. The nurse wants to provide the client with appropriate stimulation. What is the best toy for the nurse to provide?

Replace the restraints securely

A 3-month-old infant is hospitalized for repair of a cleft lip. Following surgery, the baby returns to the unit with a Logan bow in place. The baby is awake and beginning to whimper. The baby's color is pink, and pulse is 120 with respirations of 38. An IV is ordered in the baby's right hand at 15 cc per hour. The fluid is not infusing well. Her right hand is edematous. The jacket restraint has loosened, and one arm has partially come out. What is the priority nursing action?

DTP, hepatitis B, HIB

A 6-month-old child is being seen for a well-baby visit. The child has received all immunizations as recommended so far. What immunizations does the nurse expect to give at this visit?

Severe atrial septal defect

A 6-year-old boy has tetralogy of Fallot. He is being admitted for surgery. The nurse knows that which problem is not associated with tetralogy of Fallot?

the number and location of any loose teeth

A 6-year-old child is admitted for a tonsillectomy. Considering the child's age, which of the following would be the most important to include in a preoperative physical assessment?

Apple juice

The nurse is caring for a 6-year-old child who had a tonsillectomy this morning. Once the child is fully awake and alert, which liquid is the best to offer her?

Pedialyte and glucose water

The nurse is caring for a 9-month-old infant who is allowed only clear fluids. What are the most appropriate liquids for the nurse to offer?

Brothers of children with muscular dystrophy should be evaluated for the disease.

The nurse is caring for a child who has Duchenne's muscular dystrophy. What understanding is correct about the progress of the disease?

Joint pain

The nurse is caring for a child who has Lyme disease and a child who has rheumatoid arthritis. What problem are they most likely to have in common?

This is typical of cerebral palsy. The nurse should assist the child with activities of daily living (ADLs) as needed.

The nurse is caring for a child who has cerebral palsy. The nurse notes that the child does not writhe when sleeping but is in constant motion when awake. How should the nurse interpret this observation?

Sitting upright and leaning forward, supporting self with hands

The nurse is caring for a child who has epiglottitis. What position would the child be most likely to assume?

It is caused by a deer tick bite

The nurse is caring for a child who is diagnosed as having Lyme disease. The mother asks how the child got this disease. Which explanation about Lyme disease is correct?

Endocarditis

The nurse is caring for a toddler who is six hours post cardiac catheterization. The nurse is administering antibiotics. The child's mother asks why the child needs to have antibiotics. The nurse's response should indicate that antibiotics are given to the client to prevent which type of infection?

A normal eating position and provide stabilization of the jaw

The nurse is teaching the parents of a child who has cerebral palsy to feed the child. What position is best to recommend?

With meals

The nurse is to administer pancreatic enzymes to an 8-month-old child who has cystic fibrosis. When should this medication be administered?

Give the child three crackers to eat and observe for a response

The nurse is working at a summer camp for diabetic children. A 7-year-old child comes to the nurse complaining of dizziness and nausea. It is a warm day, and the child has just returned from horseback riding, followed by a walk back from the stables. The nurse notes that the child is sweaty. Which action should the nurse take first?

Excessive drooling

The nurse makes an initial assessment of a 4-year-old child admitted with possible epiglottitis. Which observation is most suggestive of epiglottitis?

the child's mother is overprotective and allows the child few challenges to develop skills.

The nurse notes that a child who has had a serious heart condition since birth does not do the expected activities for that age. The child's mother says, "I worry constantly about my child. I don't let the older children or the neighborhood kids play with my child very much. I try to make things as easy for my child as I can." What is the best interpretation of these data?

This condition is very contagious. The child should stay out of school for the next two days.

A 6-year-old child is brought to the doctor's office with crusts on the eyelid and a very red conjunctiva. The doctor prescribes antibiotic eye drops. The child's mother asks the nurse if the child can go back to school this afternoon. How should the nurse respond?

Mouth open with a protruding tongue; inspiratory stridor

The nurse is assessing a child who has epiglottitis and is having respiratory difficulty. Which of the following is the nurse most likely to assess in the child?

Difficulty arousing the baby from a nap

The nurse is caring for a 5-month-old infant who had a craniotomy following a head injury. Which observation the LPN/LVN makes should be reported to the charge nurse?

Perform chest physiotherapy every four hours

The nurse is caring for a 5-year-old child who has cystic fibrosis. What should the nurse do to help the child manage secretions and avoid respiratory distress?

change the child's clothing

The nurse is caring for a 6-month-old infant who is in a croup tent. The child's mother calls and tells the nurse that the child's clothes are all wet. What is the best action for the nurse to take?

In the conjunctival sac

The nurse is administering eye drops to a child who has conjunctivitis. Where the eye drops should be placed?

Visible waves of peristalsis

Which assessment finding would the nurse expect in an infant diagnosed with pyloric stenosis?

Head circumference

Which assessment regularly performed on newborns and infants will do most to help with early identification of infants who might have hydrocephalus?

A game of peek-a-boo

Which diversion would be appropriate for the nurse to plan to use with an 8-month-old infant?

exposure to Haemophilus influenzae, type B

Which factor would most likely be a cause of epiglottitis?

Soft, washable toys

Which toys would be best for a 5-month-old infant who has infantile eczema?

String of large snap beads and a large plastic bowl

Which activity would best occupy a 12-month- old child while the nurse is interviewing the parents?

The child weighs less.

Which assessment by the nurse would best indicate that a child with nephrotic syndrome is responding appropriately to treatment?

Examining the child's throat with a tongue blade

Which nursing action could be life-threatening for a child with epiglottitis?

A 9-year-old who has no permanent teeth

Which of the following children would most likely be diagnosed with pituitary dwarfism?

Maintaining a patent airway

Which of the following is the most important goal of nursing care in the management of a child with epiglottitis?

Cardiac monitoring

Which of the following is the most important nursing action when caring for a child with epiglottitis?

Riding a tricycle

A 3-year-old child has all of the following abilities. Which did he acquire most recently?

Broth

A 5-year-old child has cystic fibrosis. What is best to offer the child on a hot summer day?

Prone with a pillow under the legs

An infant is born with a meningomyelocele. How should the nurse position the infant before surgery?

Sitting up in an infant seat

How should the nurse position a 4-month-old infant who has hydrocephalus?

ringworm is caused by a fungus, not a worm.

The mother of a child who has ringworm asks what kind of worm the child has. How should the nurse respond?

"Why does he eat paint off the window sills?"

A 2-year-old child is in for an annual examination. Which comment by the mother alerts the nurse to a risk for lead poisoning?

Your child will need to take medication for life but has a good chance of normal development because of the early detection.

A 1-month-old infant is seen in the clinic and is diagnosed as having congenital hypothyroidism (cretinism). Her parents ask the nurse if their child will be normal. What is the best response for the nurse?

A private room with no roommates

A 1-year-old child is admitted to the pediatric unit with the diagnosis of bacterial meningitis. Which room should the nurse assign to this child?

Explain to the parents that they must give the child all of the prescribed antibiotic therapy

A 10-month-old child is being treated for otitis media. What is the most important nursing action to prevent recurrence of the infection?

When someone is holding the baby

A 10-month-old infant is hospitalized with severe eczema. The child has elbow restraints applied. When should the elbow restraints be removed?

Tell his mother that he may have a contagious disease and should be seen by his doctor today.

A 10-year-old boy tells his neighbor, a nurse, that his eyes were "stuck together" this morning when he woke up. The nurse notes that his eyes are red, and the conjunctiva is inflamed. What should the nurse neighbor recommend to the boy's mother?

Pounding clay

A 10-year-old boy who is immobilized in a cast following an accident has been squirting other children and the staff with a syringe filled with water. The nurse wants to provide other activities to help him express his aggression. Which activity would be most appropriate?

Expiratory wheezing

A 10-year-old child has had diagnosed bronchial asthma for three years. The child has been admitted to the pediatric unit in acute respiratory distress. Which of the following would be most characteristic of the child's asthmatic attack upon admission?

Making craft items from felt

A 10-year-old girl is being treated for rheumatic fever. Which would be an appropriate activity while she is on bed rest?

Use of isotonic saline enemas and a low- residue diet

A 12-month-old child who was diagnosed at birth as having Hirschsprung's disease has been maintained at home under conservative treatment. The parents have brought the child to the clinic for a well-baby examination. After interviewing the child's parents, the nurse concludes that an appropriate treatment regimen is being followed. Which of the following would indicate this?

"Put an undershirt on before putting the brace on."

A 12-year-old girl has been diagnosed with scoliosis and is placed in a Milwaukee brace. What instruction should the nurse give about the brace?

Assess and document neurovascular function at least every two hours.

A 13-month-old child has just been placed in a plaster hip spica cast to correct a congenital anomaly. Which nursing actions should be included in the plan of care?

A doll made of cotton

A 13-month-old child is diagnosed with croup and placed in a croup tent. Which toy is most appropriate for the nurse to give the child?

Assess the pain level and administer analgesics as needed

A 13-year-old child has just arrived on the nursing care unit from the post anesthesia care unit (PACU). This morning, the child underwent a surgical spinal fusion procedure that included the placement of Harrington rods for the treatment of scoliosis. After receiving a report from the PACU nurse, which action should the nurse perform first?

Surgery is an essential part of the treatment for Wilms' tumor and must be done immediately.

A 2-year-old child has just been diagnosed with a Wilms' tumor. Surgery is recommended. The parents tell the nurse that they feel they are being pushed into surgery and wonder if they should wait and get more opinions. What information

He is experiencing anxiety.

A 2-year-old child is hospitalized for a fractured femur. During his first two days in the hospital, he lies quietly, sucks his thumb, and does not cry. Which is the best interpretation of his behavior?

Bring your child's favorite teddy bear and security blanket to the hospital.

A 3-year-old child is admitted to the pediatric unit for diagnostic tests. His mother is discussing the child's hospitalization with the nurse. She

Puffy eyes and weight gain

A 3-year-old child is admitted with a diagnosis of nephrotic syndrome. Which signs and symptoms would the nurse expect the parents to report when the child is admitted?

Avoid palpating the abdomen

A 3-year-old child is admitted with a tentative diagnosis of Wilms' tumor. What nursing action is essential because of the diagnosis?

"We will teach you how to do intermittent, clean catheterization."

A 3-year-old child is being seen in the neurology clinic for a routine visit. The child had a repair of a myelomeningocele shortly after birth. The child's mother asks the nurse when she can accomplish bladder training. What is the best reply?

"These could be symptoms of a urinary tract infection. We should obtain a urine specimen for analysis."

A 3-year-old child is brought to the physician's office by the parent. The parent states that the child was completely toilet trained but has been "having accidents" recently. The parent also tells the nurse that the child is voiding more often than usual and that the urine has a strong odor. What is the best response by the nurse?

Here is your blanket. It's time to go to sleep

A 3-year-old child resists going to bed at night. Her mother asks the nurse what she should say to her. Which response should the nurse suggest to the mother as most appropriate?

Fluid volume excess related to nephrotic syndrome

A 4-year-old child has been admitted to the nursing unit with a diagnosis of nephrotic syndrome. The symptoms include generalized edema with weight gain, hypoproteinemia, hyperlipidemia, hypotension, and decreased urine output. In developing a nursing care plan for this child, which nursing diagnosis would be highest priority?

a deficiency in the secretion of insulin by the pancreas that makes the child unable to metabolize carbohydrates without insulin supplements.

A 4-year-old child has recently been diagnosed with Type 1 diabetes. The parents tell the nurse that they do not understand much about diabetes. Which is the best way to explain Type 1 diabetes to them? Type 1 diabetes is:

Position the child at a 30- to 45-degree angle after feedings.

A 5-week-old infant is seen in the physician's office for gastroesophageal reflux. What should the nurse suggest to the parents regarding feeding practices?

Tell the parents not to disturb the tension mechanism until the physician removes it in a week or 10 days

A 5-year-old child had an orchiopexy this morning. Which nursing action is essential?

Encourage the child to play house with other children

A 5-year-old child had major surgery several days ago and is allowed to be up. When planning diversional activity, which action by the nurse is most appropriate?

You will probably need to give him subcutaneous injections of human growth hormone three to seven times a week at bedtime.

A 5-year-old child has been diagnosed with congenital hypopituitarism. Which of the following should the nurse include when teaching the parents about this child's condition?

Eating fresh fruit salad

A 5-year-old child is admitted with his first asthma attack. Which of the following would have been least likely to have precipitated his asthma attack?

"Do you have a cat or a dog that goes outdoors?"

A 5-year-old child keeps developing poison ivy. The child's mother insists that the child hasn't been near any poison ivy plants since the first outbreak several weeks ago. What question should the nurse ask the mother?

"Sponge bathe your baby until the casts are removed."

A 6-month-old baby is placed in bilateral leg casts because she has talipes equinovarus. The mother asks how to bathe the baby. What should the nurse tell the mother?

Discuss with the child the reasons for her fears

A 6-year-old child is in the terminal stage of leukemia. The child appears helpless and afraid. How can the nurse best help the child?

How to cough and deep breathe.

A 6-year-old child with tetralogy of Fallot is being admitted for surgery. What is most important to teach the child during the preoperative period?

Observe and assist if needed

A 6-year-old child with tetralogy of Fallot is being admitted for surgery. While the nurse is orienting the child to the unit, the child suddenly squats with the arms thrown over the knees and knees drawn up to the chest. What is the best immediate nursing action?

Semi-prone

A 6-year-old has just returned from having a tonsillectomy. The child's condition is stable, but the child remains quite drowsy. How should the nurse position this child?

Below the level of the bed

A 6-year-old with tetralogy of Fallot has open heart surgery. The septal defect was closed, and the pulmonic valve was replaced. When the child returns to the unit, he has oxygen, IVs, and closed chest drainage. How should the nurse position the chest drainage system?

the child had eczema as an infant and toddler.

A child is admitted with asthma. Which aspects of the health history would be most closely associated with asthma?

To relieve dyspnea

A child is having an asthma attack. The nurse places the child in an upright position for which of the following reasons?

Instruct the parents to put antibiotic ointment under the fingernails as well as on the lesions.

A child is seen in the physician's office for a crusty lesion at the corners of his mouth. The lesion has a yellow crust. The arms and legs also have similar lesions. The physician diagnoses impetigo and prescribes an antibiotic. What teaching is appropriate for the nurse who is working with the child and parents?

Administer PRN oxygen and position the child in the squat position

A child with a cyanotic heart defect has a hypoxic episode. What should the nurse do for the child at this time?

Chronic oxygen deficiency

A child with a cyanotic heart defect has an elevated hematocrit. What is the most likely cause of the elevated hematocrit?

Isoproterenol should not be given within one hour after the administration of epinephrine.

A child with an asthma attack has received epinephrine. The child is also to receive isoproterenol (Isuprel) via intermittent positive pressure breathing. When should the isoproterenol be given in relation to the epinephrine?

"She does not follow objects with her eyes."

A father has brought his 4-month-old daughter to the well-baby clinic. Which statement that he makes is the greatest cause for concern to the nurse?

This behavior is a normal response to limit setting in a child of this age.

A hospitalized 2.5-year-old child has a temper tantrum while her mother is bathing her. Her mother asks the nurse how she should handle this behavior. Which information should be included in the nurse's reply?

Apply sterile, moist, nonadherent dressings over the lesion

A newborn has a myelomeningocele. What is the most important nursing action prior to surgery?

Extra diapers will abduct the hips and help to put the hip in the socket correctly.

A newborn has been diagnosed as having mild hip dysplasia. The mother asks the nurse why the physician told her to "triple diaper" the baby. What should the nurse include when responding?

"This could be a sign of a health problem. Does your baby's skin color change while eating."

A parent brings a 3-week-old infant to the clinic. The parent states that the baby does not eat very well. She takes 45 cc of formula in 45 minutes and gets "tired and sweaty" when eating. The nurse observes the baby sleeping in the parent's arms. Her color is pink, and the child is breathing without difficulty. What is the best response for the nurse to make?

Subcutaneous

A stat dose of epinephrine is ordered for a child with asthma. How should the nurse administer the epinephrine?

Gastric lavage

A toddler who has swallowed several adult aspirin is admitted to the emergency room. When admitted, the child is breathing but is difficult to arouse. What is the immediate priority of care?

Inability to sit up without support

A10-month old child is seen in the well baby clinic. Which assessment finding by the nurse indicates a need for further neurological evaluation?

Evidence of bleeding tendencies

After having chronic sore throats and repeated absences from school over the past year, a 6-year- old has been admitted to the pediatric unit for a tonsillectomy. Which would be the most important information to obtain in a preoperative health history?

Hero worship

An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident occurred, received only minor injuries. The child tells ...

Talk with the parents to assess their knowledge and how they can help with the child's care.

An 18-month-old child is admitted for a repeat cardiac catheterization. The parents are continuously present and do everything for the child—dress him, feed him, and even play for him. The nurse wants to prepare the child and the parents for the procedure. Which of the following should be included in the care plan?

"Will it hurt me when I die?"

An 8-year-old child is terminally ill. Considering the child's age, which statement would you most expect the child to make?

Deficient fluid volume related to frequent, loose stools

An infant has had frequent episodes of green, mucus-containing stools. The nursing assessment reveals that the infant has dry mucus membranes, poor skin turgor, and an absence of tearing. Based on these data, what is the most appropriate nursing diagnosis?

The baby will have a temporary colostomy to allow the bowel time to heal.

An infant who has Hirschsprung's disease is scheduled for surgery. Which explanation should the nurse include when discussing the upcoming surgery with the parents?

Restoration of intravascular volume

An infant who has severe diarrhea and dehydration is hospitalized and is NPO. Intravenous fluids are ordered. What is the immediate goal of care?

Stop the infusion immediately and notify the physician or charge nurse because the symptoms are suggestive of an adverse response to aminophylline.

During aminophylline infusion, a child becomes restless and nauseated, and his blood pressure drops. What is the appropriate nursing response to these findings?

When the infant is able to retain clear liquids

Following surgery for pyloric stenosis, a 5-week- old infant is started on glucose water. When will infant formula be started?

Ask the baby's mother to stay and hold the child.

Following surgery for repair of a cleft lip, it is important to prevent excessive crying by the infant. What should the nurse do to accomplish this?

feed himself and drink from a cup

In planning care for an 18-month-old child, the nurse would expect him to be able to do which of the following?

It provides for an extended expiratory phase of respiration.

It is important to teach the parents of a child with asthma about the disease and its long-term management. Teaching the child a play technique such as blowing cotton balls or ping pong balls across a table is good for him. Which is the best explanation for this play technique?

Tinnitus and nausea

Sodium salicylate is prescribed for a child with rheumatic fever. What should the nurse assess the child for because the child is on this medication?

1)A 3-month-old infant is admitted. Upon admission, the nurse assesses her developmental status as appropriate for age. Which of the following is the child least likely to be able to do?

Sit with slight support

Reassess the parent's needs and concerns

Ten days after cardiac surgery, an 18-month-old child is recovering well. The child is alert and fairly active and is playing well with the parents. Discharge is planned soon. The nurse notes that the parents are still very reluctant to allow the child to do anything without help. What is the best initial action for the nurse to take?

Bring the baby into the clinic for evaluation. The symptoms suggest ear infection.

The mother of a 2-month-old infant with a cleft lip and palate calls the clinic. She tells the nurse that the baby has a temperature of 102°F, has been turning her head from side to side, and has been eating poorly. What should the nurse advise?

As long as the child is safe, ignore him during the tantrum.

The mother of a 2-year-old child asks the nurse how to cope with the child's frequent temper tantrums when he does not get what he wants immediately. What information should the nurse include when responding?

Hyperventilation and hyperpyrexia

The mother of a 2-year-old child calls the doctor's office because her child swallowed "the rest of the bottle of adult aspirin" about a half hour ago. The nurse determines that there were about 15 tablets left in the bottle. What initial assessment findings are consistent with aspirin ingestion?

as long as there are fluid-filled vesicles.

The mother of a 6-year-old child who has chickenpox asks the nurse when the child can go back to school. What information should be included in the nurse's response? The child is contagious:

"Kerosene can cause serious injury to your child. Try using the shampoos that are not dangerous."

The mother of a child who has pediculosis says that she plans to use kerosene to wash the child's hair just like her grandmother did for her. What is the best response for the nurse to make?

Activities scheduled for the day include a hike in the woods, swim time, and tennis.

The nurse at a summer camp for diabetics is assisting a 15-year-old girl with adjusting her daily insulin dosage. Which factor will have the greatest impact on insulin needs?

Junior high students

The nurse has been asked to set up a program to screen children for scoliosis. What age group should the nurse screen?

The child may be going into heart block due to digoxin toxicity.

The nurse is administering the daily digoxin dose of 0.035 mg to a 10-month-old child. Before administering the dose, the nurse takes the child's apical pulse, and it is 85. Which of the following interpretations of these data is most accurate?

Recent fluctuations in weight

The nurse is caring for a toddler with a cardiac defect who has had several episodes of congestive heart failure in the past few months. Which data would be the most useful to the nurse in assessing the child's current congestive heart failure?

Daily weight

The nurse is caring for an 8-month-old infant who has had diarrhea for two days. Which is the most useful in assessing the degree of dehydration?

Urine specific gravity 1.035

The nurse is caring for an infant admitted with diarrhea, poor skin turgor, and dry mucus membranes. Which laboratory data would cause the nurse the most concern?

Cover the exposed bladder with plastic wrap

The nurse is caring for an infant born with exstrophy of the bladder. What will be included in the care of this infant?

The infant is likely to have lower body paralysis and bowel and bladder dysfunction.

The nurse is caring for an infant who has had surgery for a meningomyelocele. When thinking of long-term care needs, which understanding is most accurate?

Administer ordered antibiotics as soon as possible.

The nurse is caring for an infant who is admitted with bacterial meningitis. What is the first priority when providing nursing care for this child?

Stop feeding the child orally

The nurse is caring for an infant who is being treated for severe diarrhea. Twenty-four hours after admission, the diet is advanced from NPO to clear liquids. After clear liquids are started, the baby has four stools in two hours. What should the nurse do?

Apricots and bananas

The nurse is discussing dietary needs of a child with a serious heart defect. The child is being treated with digoxin and hydrochlorothiazide (Hydrodiuril). The nurse should stress the importance of giving the child which of the following foods?

Promote adequate speech.

The nurse is doing discharge planning and establishing long-term goals for an infant who had a cleft lip repair. The baby also has a cleft palate. Which long-term goal is most appropriate and necessary for this child?

Oxygen levels in the chambers of the heart

The nurse is explaining cardiac catheterization to the parents of a child. The nurse explains to the parents that information about which of the following can be obtained during cardiac catheterization?

The infant chokes after taking a few sucks of water.

The nurse is feeding a newborn infant glucose water. Which finding would make the nurse suspect that the infant has esophageal atresia?

Building with popsicle sticks

The nurse is planning care for an 11-year-old child who has a fractured femur and is in traction. Which activity would be most appropriate?

Have the child practice procedures that will be performed postoperatively, such as coughing and deep breathing.

The nurse is preparing a 6-year-old child for cardiac surgery. Which preoperative teaching technique is most appropriate?

Explain to him that he must stay in bed so that his hip can heal.

The nurse is providing home care for an 8-year- old boy who has Legg-Calvé-Perthes disease. The boy asks the nurse to let him get out of bed to go to walk to the bathroom. What should the nurse do?

Place the tip of the Asepto syringe at the front of the baby's mouth so that the baby can suck.

The nurse is teaching the mother of a newborn who has a cleft lip and palate to feed the infant. Which would be least appropriate to include?

Rice cake, milk, and a banana

The nurse is teaching the parents of a child who has celiac disease about the dietary modifications that need to be made. Which foods, if selected by the parents, indicate an understanding of the child's dietary needs?

Sandbox

When planning outdoor play activities for a normal 4-year-old child, which activity is most appropriate?

The child is sensitive to light and may develop seizures.

The parents of a 2-year-old child who has meningitis ask the nurse why the lights are dim in the child's room even in the daytime. What information should the nurse include in the answer?

Cry when the parents leave

The parents of a 3-year-old child are leaving for the evening. Which behavior would the nurse expect the child to exhibit?

Do not give the child anything to drink after the evening meal.

The parents of a 5-year-old child ask the nurse in the doctor's office what they should do about their child who is still wetting the bed several nights a week. In addition to reporting this to the physician, what suggestion should be included in the nurse's discussion with the parents?

Aspirin is thought to cause Reye's syndrome, a very serious disease.

The parents of a child who has otitis media ask the nurse why the doctor told them to give the child acetaminophen instead of aspirin. What should the nurse include when answering?

There is a one-in-four chance that each pregnancy will result in a child who has the disease.

The parents of a child who is newly diagnosed with Tay-Sachs disease ask the nurse, "If we have more children, could they be affected?" Which information should be included when responding to the parents?

The foreskin will need to be used later to repair the defect.

The parents of a newborn with hypospadias ask the nurse why the doctor told them the baby could not be circumcised. What is the best response?

Place a pillow under the child's head

What should the nurse do to protect a child from injury during a seizure?

Providing supportive care until the child dies

When planning care for an infant who has Tay-Sachs disease, the nurse knows that the care is aimed at which of the following?


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