Evolve: School-Age Childern (Lvl 3)

A school nurse is teaching a class of school-aged children about bicycle safety. The nurse determines that a child needs further teaching when the child makes which statement?

1 "I will always wear a helmet and ride with traffic facing me."

A parent of a 7-year-old child asks a nurse how to tell the difference between measles (rubeola) and German measles (rubella). What should the nurse tell the parent differentiates rubeola from rubella?

1 High fever and Koplik spots

A 10-year-old child with recently diagnosed type 2 diabetes attends the Center for Diabetic Teaching with the parents. The nurse interviews the child before the class begins. What is the priority concern diabetic children usually have?

1 How much school might be missed

A nurse is reviewing previous education with the parents and a 12-year-old child with cystic fibrosis (CF). The disease was diagnosed when the child was 3 years old and has resulted in one hospitalization for a respiratory infection. For which potential complications of CF should the family be alert? Select all that apply.

1 Diabetes 3 Nasal polyps 4 Prolapsed rectum 5 Pulmonary infections

What should a nurse incorporate into the plan of care for a school-aged child hospitalized with acute glomerulonephritis (AGN)? Select all that apply.

1 Weighing daily 2 Restricting fluids

A 13-year-old child is hospitalized with an exacerbation of chronic bronchitis. What action should a nurse take to decrease retained secretions?

2 Increase fluid intake to at least 2000 mL/day.

A nurse is assessing a school-aged child with cystic fibrosis. Which complication related to frequent stools and tenacious mucus should the nurse assess for?

2 Rectal prolapse

A nurse is caring for a school-aged child with type 1 diabetes and determines that the child is experiencing an episode of hyperglycemia. What assessments led the nurse to this conclusion? Select all that apply.

2 Dry skin 4 Increased thirst 5 Deep, rapid breathing

A nurse teaches the parents of a 5-year-old boy with type 1 diabetes about blood glucose monitoring at home. What statement by the parents indicates that the teaching has been effective?

3 "We'll notify the clinic if the blood sugar is higher than 200 (11.1 mmol/L)."

A nurse is caring for a 9-year-old child in the postanesthesia care unit after craniotomy for the removal of an astrocytoma. Suddenly the child's right pupil dilates. What is the priority nursing intervention?

3 Notify the healthcare provider.

After treatment for Lyme disease, a child expresses fear of going camping again because of the ticks. What is the best response by the nurse?

4 "I understand you are afraid. Frequently checking for ticks can help prevent re-infection."

A 9-year-old child who has cerebral palsy and scoliosis also is mentally challenged and blind. The child is incontinent, has contractures of the elbows and wrists, and sits in a customized wheelchair most of the day. One goal of nursing care is for the child's skin integrity to remain intact. Which nursing action will best achieve this goal?

4 Changing disposable diapers every 2 to 3 hours