Exam 3- PrepU Questions
A 9-month-old girl is brought to the emergency room with what appears to be bouts of intense abdominal pain 15 minutes apart in which she draws up her legs and cries, often accompanied by vomiting. In between the bouts, the child recovers and appears to be without symptoms. Blood is found in the stool. What condition should the nurse suspect in this case? A. Intussusception B. Volvulus with malrotation C. Necrotizing enterocolitis D. Short-bowel/short-gut syndrome
A. Intussusception
A young child has presented to the pediatric unit with a swollen abdomen, edema, thin patchy hair, and irritability with growth retardation and muscle wasting. The nurse suspects a malnutrition disorder. The nurse identifies this child to most likely have which condition? A. Kwashiorkor B. Marasmus C. vitamin D deficiency D. vitamin C deficiency
A. Kwashiorkor
The nurse is caring for a 6-week-old with symptoms of irritability, nasal stuffiness, difficulty drinking and occasional vomiting. Which assessment finding produces important information regarding the medical and nursing treatment plan? A. Obtain testing for respiratory syncytial virus. B. Screen for the "allergic salute." C. Obtain vital signs to determine an infection. D. Draw a blood count to see if the client is septic.
A. Obtain testing for respiratory syncytial virus
The caregiver of a child diagnosed with celiac disease tells the nurse that the child has large amounts of bulky stools and what looks like fat in the stools. The clinical manifestation this caregiver is describing is: A. steatorrhea. B. severe diarrhea. C. currant jelly stools. D. projectile stools.
A. steatorrhea.
The nurse is examining a 7-year-old with suspected appendicitis. Which physical findings would indicate the possibility of appendicitis? A. Tenderness that comes and goes in the lower abdomen B. Persistent, right lower quadrant pain with rebound tenderness C. Intermittent, left lower quadrant pain with rebound tenderness D. Diffuse, intermittent abdominal pain
B. Persistent, right lower quadrant pain with rebound tenderness
The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child's caregiver that the child may: A. have a painful earache around the third day postoperatively, but the earache will be gone by the fourth day. B. vomit dark, old blood, but the caregiver should call the clinic if the child has bleeding between the fifth and seventh days postoperatively. C. be given ice cream and milk the first postoperative day because these foods make swallowing easier. D. have severe throat pain for up to 2 weeks postoperatively; this is not a concern.
B. vomit dark, old blood, but the caregiver should call the clinic if the child has bleeding between the fifth and seventh days postoperatively.
The nurse is teaching an in-service program to a group of nurses on the topic of gastrointestinal disorders. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of gastroesophageal reflux? A. A partial or complete intestinal obstruction occurs. B. A thickened, elongated muscle causes an obstruction at the end of the stomach. C. There are recurrent paroxysmal bouts of abdominal pain. D. In this disorder the sphincter that leads into the stomach is relaxed.
D. In this disorder the sphincter that leads into the stomach is relaxed.
The nurse is providing care for a 13-year-old child diagnosed with iron-deficiency anemia. The client's current hemoglobin level is 11 g/dL (110 g/L). Which intervention will the nurse anticipate including in the client's care? A. giving ferrous sulfate with orange juice between meals B. packed red blood cell transfusions C. providing a high dose of intravenous immunoglobulin weekly D. increasing the daily intake of fresh fruits and vegetables
A. giving ferrous sulfate with orange juice between meals
What occurs in the gastrointestinal system of the child with Hirschsprung disease? A. There is a partial or complete mechanical obstruction in the intestine. B. There is a severe narrowing of the lumen of the pylorus. C. There is an invagination or telescoping of one portion of the bowel into a distal portion. D. There is a relaxed sphincter in the lower portion of the esophagus.
A. There is a partial or complete mechanical obstruction in the intestine
Which congenital condition leads to the infant being hungry, irritable, losing weight, and rapidly becoming dehydrated with the potential of metabolic alkalosis? A. pyloric stenosis B. aganglionic megacolon C. intussusception D. colic
A. pyloric stenosis
A child is brought to the emergency department late one evening and is diagnosed with croup. The child was noted to have a shrill, harsh respiratory sound when breathing in. This symptom is referred to as: A. stridor. B. hoarseness. C. barking cough. D. wheezing.
A. stridor.
A 5-year-old girl who was already admitted to the hospital for an unrelated condition suddenly becomes irritable, restless and anxious. These may be early signs of respiratory distress in a child if accompanied by: A. tachypnea. B. retractions. C. cyanosis. D. clubbing of fingers
A. tachypnea.
The nurse is caring for a child prescribed vancomycin 15 mg/kg IV every 6 hours for peritonitis. The child weights 45 lb (20.5 kg). How many milligrams will the nurse administer to this child in 24 hours?
1230
The nurse is caring for a 10-year-old girl with cystic fibrosis who receives pancreatic enzymes. Which comment by a parent demonstrates understanding of the instructions regarding the medication? A. "I should give the enzymes before each meal or snack." B. "I should stop the enzymes if my child is taking antibiotics." C. "I should reduce the dose if she has large, malodorous stools." D. "Between meals is the best time to give the enzymes."
A. "I should give the enzymes before each meal or snack."
A 7-year-old boy has experienced severe diarrhea resulting from an intestinal virus. The nurse is concerned that the child will develop an acid-base imbalance. Which of the following blood test results would indicate that the boy is experiencing metabolic acidosis? A. pH of 7.25, HCO3 of 20 mEq/L B. pH of 7.5, HCO3 of 29 mEq/L C. pH of 7.35, HCO3 of 24 mEq/L D. pH of 7.4, HCO3 of 26 mEq/L
A. pH of 7.25, HCO3 of 20 mEq/L
The nurse is assessing a child and notices pinpoint hemorrhages appearing on several different areas of the body. The hemorrhages do not blanch on pressure. The nurse documents this finding as: A. petechiae. B. purpura. C. ecchymosis. D. poikilocytosis.
A. petechiae.
A community health nurse is conducting a parenting class on respiratory syncytial virus (RSV). What statement made by a parent indicates that the teaching has been successful? A. "RSV season occurs primarily April through September." B. "Exposure to second- or thirdhand smoke increases the risk for developing RSV." C. "Infants are less affected by RSV than older children." D. "Early initiation of antibiotics can lessen the severity of the infection."
B. "Exposure to second- or thirdhand smoke increases the risk for developing RSV."
For a toddler, what medication delivery system will the nurse choose to relieve bronchospasm of asthma? A. a dry powder inhaler B. oral liquid C. a nebulizer D. subcutaneous injection
C. a nebulizer
The nurse is caring for a child who has been admitted for a sickle cell crisis. What would the nurse do first to provide adequate pain management? A. Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered. B. Use guided imagery and therapeutic touch. C. Administer meperidine as ordered. D. Initiate pain assessment with a standardized pain scale.
D. Initiate pain assessment with a standardized pain scale.
What is the number-one treatment for hypoxemia? A. antibiotics B. fluids C. oxygen D. breathing treatment
C. oxygen
When the nurse is reinforcing teaching with the caregiver of a 3-year-old child being discharged following a tonsillectomy, the caregiver states to the nurse, "I understand why there might be bleeding in the first 24 hours, but I do not understand why there might be bleeding in 1 week or so." What is the most appropriate explanation for the nurse to give this caregiver? A. "Bleeding can occur at this time because the clots dissolve and new tissue is not yet present." B. "We do not usually do this surgery until the child is older, so postoperative bleeding is a possible complication because of the child's age." C. "By next week the child will be eating regular foods again, and the salt content may cause bleeding." D. "The child will have forgotten about the surgery by that time and might start coughing, and the pressure of coughing can cause bleeding."
A. "Bleeding can occur at this time because the clots dissolve and new tissue is not yet present."
A young child is prescribed pancreatic enzymes as part of the treatment plan for cystic fibrosis. The child has difficulty swallowing medications. After teaching the parents of a young child with cystic fibrosis about how to administer pancreatic enzymes, the parents demonstrate understanding by stating: A. "We can open the capsule and sprinkle it on his cereal." B. "We need to dissolve the capsule in water." C. "We should crush the capsule to make it smaller pieces." D. "We can puncture the capsule and pour the liquid on our child's tongue."
A. "We can open the capsule and sprinkle it on his cereal."
The nurse is working with a child who is in sickle cell crisis. Treatment and nursing care for this child include which actions? Select all that apply. A. Administering oxygen B. Administering analgesics C. Maintaining fluid intake D. Promoting exercise and activity E. Administering platelets
A. Administering oxygen B. Administering analgesics C. Maintaining fluid intake
Which family member would be restricted from the room of an infant receiving ribavirin? A. Any pregnant female B. Any sibling under 18 years of age C. Anyone who is immunocompromised D. Anyone over the age of 65
A. Any pregnant female
The nurse is teaching the parents about medications for their 9-year-old boy who has a respiratory disorder. The nurse would be alert for an increased need for medications if the child was exposed to second-hand smoke and has which condition? A. Asthma B. Common cold C. Pneumonia D. Allergic rhinitis (hay fever)
A. Asthma
Individuals with hemophilia B have a deficiency in factor IX, which can cause excessive blood loss. What is another name for this clotting factor? A. Christmas factor B. Stuart factor C. Antihemophilic factor D. Proconvertin
A. Christmas factor
A preschooler has celiac disease. The parent is preparing a gluten-free diet. The nurse knows that the parent understands the diet when the parent prepares which breakfast foods? A. Eggs and orange juice B. Wheat toast and grape jelly C. Cheerios (oat cereal) and skim milk D. Rye toast and peanut butter
A. Eggs and orange juice
A parent brings the 2-week-old newborn to the office because the infant has been experiencing gastroesophageal reflux over the past week. Which intervention(s) should the nurse recommend to the parent at this point? Select all that apply. A. Feed the infant a formula thickened with rice cereal. B. Feed the infant while holding the infant in an upright position. C. Keep the infant upright in an infant chair/car seat for 30 minutes after feeding. D. If breastfeeding, switch to feeding the infant formula. E. Consult the heath care provider regarding having botulinum toxin injected into the lower esophageal sphincter. F. Consult a pediatric surgeon regarding having a myotomy procedure performed.
A. Feed the infant a formula thickened with rice cereal. B. Feed the infant while holding the infant in an upright position. C. Keep the infant upright in an infant chair/car seat for 30 minutes after feeding.
A child is diagnosed with sickle cell anemia. Which test will the nurse expect the primary health care provider to prescribe for this client? A. Hemoglobin level B. Leukocyte level C. Thrombocyte level D. Metabolic screening test
A. Hemoglobin level
The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis? A. Slightly yellow sclera B. Enlarged mandibular growth C. Increased growth of long bones D. Depigmented areas on the abdomen
A. Slightly yellow sclera
The mother of a 5-year-old girl brings the child to the clinic for an evaluation. The mother tells the nurse, "She seems to be so tired and irritable lately. And she looks so pale." Further assessment reveals pale conjunctiva and oral mucous membranes. The nurse suspects iron-deficiency anemia. Which additional finding would help provide additional evidence for this suspicion? A. Spooned nails B. Negative splenomegaly C. Oxygen saturation: 99% D. Bradycardia
A. Spooned nails
A nurse is teaching parents of a child with iron-deficiency anemia how to administer ferrous sulfate. The nurse determines that the teaching was successful when they make which statements? Select all that apply. A. We'll give him the medicine before he eats his meals." B. "He has to make sure that he brushes his teeth well." C. "He might get constipated, so we'll try to get him to eat some more fiber." D. "We'll have him take the liquid medicine with some orange or pineapple juice." E. "We can mix the liquid form of the drug with milk."
A. We'll give him the medicine before he eats his meals." B. "He has to make sure that he brushes his teeth well." C. "He might get constipated, so we'll try to get him to eat some more fiber." D. "We'll have him take the liquid medicine with some orange or pineapple juice."
Which diagnostic test is the most useful when a child has respiratory distress? A. arterial blood gas B. complete blood count C. EEG D. venous blood gas
A. arterial blood gas
The nurse will select which meal as the best choice for a child with iron-deficiency anemia? A. cheeseburger, broccoli, and fresh strawberries B. chicken breast, French fries, and sweetened tea C. peanut butter sandwich, cheese stick, and applesauce D. two slices of pepperoni pizza and a glass of skim milk
A. cheeseburger, broccoli, and fresh strawberries
The nurse is caring for a 3-year-old with repeated diarrhea. The client is listless and clings to the parent. The nurse reviews the lab work, which reports a pH- 7.33, HCO3- 21, PaCO2- 42. Which would be documented? A. metabolic acidosis B. metabolic alkalosis C. high serum pH D. normal serum pH
A. metabolic acidosis
When assessing a child for the probable cause of acute bronchiolitis, the nurse focuses on which factor? A. Bacterial infections B. Environmental allergies C. Prenatal complications D. Viral infections
D. Viral infections
The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents. Which response indicates a need for further teaching? A. "We should avoid aspirin and drugs like ibuprofen." B. "He can resume participation in football in 2 weeks." C. "Swimming would be a great activity." D. "Our son cannot take any antihistamines."
B. "He can resume participation in football in 2 weeks."
The nurse is assessing children in an ambulatory clinic. Which child would be most likely to have iron-deficiency anemia? A. A 3-month-old infant who is totally breastfed B. A 15-year-old adolescent who has heavy menstrual periods C. An 8-year-old child who carries lunch to school D. A 7-month-old infant who has started table food
B. A 15-year-old adolescent who has heavy menstrual periods
A 15-year-old client diagnosed with von Willebrand disease has reached menarche. Based on this fact, what information is most important for the nurse to convey to the client? A. Bruising may occur in the perineal area. B. Expect menstrual bleeding to be heavy. C. Occasional skipped periods can be expected. D. The duration of each period will be short.
B. Expect menstrual bleeding to be heavy.
The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, what would the nurse most likely find? A. Sausage-shaped mass in the upper mid-abdomen B. Hard, moveable, olive-shaped mass in the right upper quadrant C. Tenderness over the McBurney point in the right lower quadrant D. Abdominal pain in the epigastric or umbilical region
B. Hard, moveable, olive-shaped mass in the right upper quadrant
A nurse is providing care to a child with idiopathic thrombocytopenic purpura with a platelet count of 18,000/mm3 μl (18,000 x 109/L). Which medication would the nurse most likely expect to be ordered? A. Folic acid B. Intravenous immune globulin C. Dimercaprol D. Deferoxamine
B. Intravenous immune globulin
What statement is the most accurate regarding the structure and function of the newborn's respiratory system? A. The diameter of the child's trachea is the same as that of adults. B. Most infants are nasal breathers rather than mouth breathers. C. The respiratory tract in the child is fully developed by age 2. D. Infants and young children have smaller tongues in proportion to their mouths.
B. Most infants are nasal breathers rather than mouth breathers.
The nurse is planning care for a child with idiopathic thrombocytopenic purpura. Which client education should be included? A. What foods are high in folic acid B. Not to pick or irritate the nose C. To use mainly cold water to wash D. To apply a soothing cream to lesions
B. Not to pick or irritate the nose
The nurse is caring for a child admitted with pyloric stenosis. Which clinical manifestation would likely have been noted in the child with this diagnosis? A. Explosive diarrhea B. Projectile vomiting C. Severe abdominal pain D. Frequent urination
B. Projectile vomiting
Which electrolyte does the client with cystic fibrosis need in abundance? A. Potassium B. Sodium C. Chlorine D. Magnesium
B. Sodium
The nurse makes the statement that if an older child inhales a foreign body, the inhaled object is more likely to be drawn into the right bronchus rather than the left. What is the basis for this statement? A. The left bronchus is shorter and wider than the right. B. The right bronchus is shorter and wider than the left. C. Both bronchi are the same size, but the left is more vertical than the right. D. The left bronchus is more vertical than the right.
B. The right bronchus is shorter and wider than the left.
The nurse is caring for a child admitted with asthma. Which clinical manifestations would likely have been noted in the child with this diagnosis? A. Elevated temperature B. Wheezing C. Circumoral cyanosis D. Clubbed fingers
B. Wheezing
The nurse is reinforcing teaching with a group of caregivers of children diagnosed with iron-deficiency anemia. One of the caregivers tells the group, "I give my child ferrous sulfate." Which statement made by the caregivers is correct regarding giving ferrous sulfate? A. "When I give my son ferrous sulfate I know he also needs potassium supplements." B. "I always give the ferrous sulfate with meals." C. "My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C." D. "We watch closely for any diarrhea since that usually happens when he takes ferrous sulfate."
C. "My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C."
A nurse is conducting a class to a group of parents on sickle cell anemia. Which statement by a parent indicates teaching has been effective? A. "This is a hereditary disease that is transmitted by one affected gene." B. "Sickle cell anemia is common in people of Asian descent." C. "The sickle shape of red blood cells decreases oxygen to tissues." D. "Fluid restriction is necessary to control sickle cell anemia."
C. "The sickle shape of red blood cells decreases oxygen to tissues."
The nurse is caring for a pediatric client with idiopathic celiac disease. Which meal will the nurse select for this client? A. Ham and cheese sandwich, orange slices, chips, and whole milk B. Whole wheat pasta, meatballs, carrot sticks, apple, and water C. Baked salmon, potato slices, vanilla ice cream, and apple juice D. Meatloaf, green beans, peanut butter cookie, and fat-free milk
C. Baked salmon, potato slices, vanilla ice cream, and apple juice
The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would most likely document the stool's appearance as having what quality? A. Greasy B. Clay-colored C. Currant jelly-like D. Bloody
C. Currant jelly-like
The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching? A. Suggest the child participate in sports activities without restriction. B. Treat upper respiratory infections with over-the-counter medication. C. Ensure a consistent and daily intake of adequate fluids to prevent dehydration. D. Remind parents that the child should avoid immunizations to prevent the introduction of bacteria into the body.
C. Ensure a consistent and daily intake of adequate fluids to prevent dehydration.
A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease? A. Gastroenteritis B. Ulcerative colitis (UC) C. Hirschsprung disease D. Short bowel syndrome (SBS)
C. Hirschsprung disease
The nurse is performing a respiratory assessment on a child. The nurse includes five steps in her assessing technique: observation, inspection, palpation, and percussion. Which step was left out of her techniques? A. Touching B. Playing with the child C. Listening to the lung sounds D. Feeding the child
C. Listening to the lung sounds
A 9-month-old infant with iron-deficiency anemia is given ferrous sulfate therapy. Which assessment would best help the nurse determine that the infant is actually taking it daily? A. The reticulocyte count will have decreased. B. The infant will develop diarrhea. C. The stools will appear black. D. The infant will be more irritable than at the last visit.
C. The stools will appear black.
In understanding the disease of marasmus when seen in children, the nurse recognizes that the disease is caused because of which of the following? A. deficiency of vitamin C and iron B. excess of vitamin C and iron C. deficiency of protein and calories D. excess of protein and calories
C. deficiency of protein and calories
The caregivers of a child report that their child had a cold and complained of a sore throat. When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse recognizes these symptoms as those seen with which disorder? A. Spasmodic laryngitis B. Tonsillitis C. Laryngotracheobronchitis D. Epiglottitis
D. Epiglottitis
What is a definitive test for cystic fibrosis? A. Complete blood count B. Blood gas C. Blood culture D. Sweat chloride
D. Sweat chloride
A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described? A. Refusal to eat B. Vomiting about 2 hours after feeding C. Chronic diarrhea D. Vomiting immediately after feeding
D. Vomiting immediately after feeding
After teaching a group of students about hemophilia, the instructor determines that the students have understood the information when they identify hemophilia A as involving a problem with: A. platelets. B. factor IX. C. plasmin. D. factor VIII.
D. factor VIII.
Some children with iron-deficiency anemia may be prescribed iron dextran by injection. This should be injected: A. intradermally. B. subcutaneously. C. intramuscularly. D. via Z-track technique.
D. via Z-track technique.
If there is a foreign body in the larynx, how will the client present? A. edematous B. speaks clearly C. quietly D. with stridor
D. with stridor
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with sickle cell disease. The nurses in the group make the following statements. Which statement is most accurate regarding this condition? A. "The trait or the disease is seen in one generation and skips the next generation." B. "If the trait is inherited from both parents the child will have the disease." C. "The disease is most often seen in individuals of Asian decent." D. "Males are much more likely to have the disease than females."
B. "If the trait is inherited from both parents the child will have the disease."
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor? A. "These children have a severe deficiency of vitamin D." B. "It is important to increase the intake of protein for these children." C. "The highest incidence of this disease is seen in children who are adolescents." D. "The cause of this disease can be treated very simply."
B. "It is important to increase the intake of protein for these children."
In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia? A. "A family's economic problems are often a cause of malnutrition." B. "Milk is a perfect food, and babies should be able to have all the milk they want." C. "Caregivers sometimes don't understand the importance of iron and proper nutrition." D. "Children have a hard time getting enough iron from food during their first few years."
B. "Milk is a perfect food, and babies should be able to have all the milk they want."
Upon providing discharge instructions home after a tonsillectomy and adenoidectomy, which is most important? A. Provide acetaminophen for pain. B. Note any frequent swallowing. C. Allow the child an age-appropriate, quiet plan. D. Stress regular fluid consumption.
B. Note any frequent swallowing.
The nurse is working with a group of caregivers of children diagnosed with asthma. Which statement made by a caregiver is most accurate regarding the triggers that may cause an asthma attack? A. "My neighbor told me that asthma attacks are caused by hot weather." B. "I always thought that a lack of exercise caused my child's asthma." C. "My sister and her family love animals, and when we go to their house my daughter always has an asthma attack." D. "One person told me that asthma is caused by using antibiotics for infection."
C. "My sister and her family love animals, and when we go to their house my daughter always has an asthma attack."
The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver's question, the nurse would explain that for the child with sickle cell disease, it is best that the child have: A. 300 to 800 ml of fluid per day. B. 1,000 to 1,200 ml of fluid per day. C. 1,500 to 2,000 ml of fluid per day. D. 2,500 to 3,200 ml of fluid per day.
C. 1,500 to 2,000 ml of fluid per day.
The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which clinical manifestation would likely be seen in this child? A. Effortless vomiting just after the child has eaten B. Forceful vomiting followed by the child being eager to eat again C. Severe constipation with occasional ribbon-like stools D. Bouts of diarrhea with failure to gain weight
A. Effortless vomiting just after the child has eaten
A 10-year-old girl with an intestinal virus has been vomiting and has become dehydrated. She says she is mildly thirsty, her skin turgor is poor, and her skin is dry and cool. Her serum sodium level is normal. The nurse recognizes that she has which type of dehydration? A. isotonic B. hypotonic C. hypertonic D. acidotic
A. isotonic
The nurse is caring for a 13-year-old girl with von Willebrand disease. After teaching the adolescent and her parents about this disorder and care, which response by the parents indicates a need for additional teaching? A. "We need to administer Stimate (desmopressin) prior to dental work." B. "We should be aware that she may suffer from menorrhagia." C. "We should administer desmopressin as often as needed." D. "We understand that she may have frequent nosebleeds."
C. "We should administer desmopressin as often as needed."
The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care? A. Encouraging consumption of fruit juice B. Offering Kool-Aid or popsicles as tolerated C. Encouraging milk products to boost caloric intake D. Maintaining the intravenous (IV) fluid rate as ordered
D. Maintaining the intravenous (IV) fluid rate as ordered
A child diagnosed with hemophilia presents with warm, swollen, painful joints. Which action will the nurse take first? A. Document the presence of hemarthrosis in the client's chart B. Notify the client's primary health care provider C. Assess the client's urine and stool for blood D. Prepare to administer factor replacement medication
D. Prepare to administer factor replacement medication
