EXAM dev

- Disposable papers are used on the diaper changing surfaces - Facilities for hand hygiene are located in every classroom - Soiled diapers are discarded in covered receptacles

A parent is planning to enroll a 9 month old infant in a daycare facility. The parent asks a nurse what to look for as indicators that the facility is adhering to good infection control measures. The nurse identifies which as an indicator of meeting proper infection control standards? (select all that apply)

"Placing your child on her back when sleeping will decrease the risk of SIDS."

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Decreased stridor

A nurse is caring for a toddler who has an acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

Frequent swallowing

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

Bronchiolitis

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. This nurse should recognize these findings are associated with which of the following diagnoses?

Meningococcal polysaccharide vaccine

A nurse is performing a pre college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

"We'll discard the toothbrush and buy another."

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

Rolling Over- Feeds self with cup and spoon- IDK- Hops on one foot- Builds a tower of three to four blocks- Ages: 2 yr, 4 to 6 months, 4 years, 12 months, 5 years

Match the developmental milestones to the correct age

Body Weight

A nurse in the emergency department is caring for an infant who has a 2-day history of vomiting, diarrhea and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Place the child on droplet precautions

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

Increased crying episodes

A nurse is caring for a 6-month-old infant. Which of the following findings would indicate to the nurse that the client is experiencing pain following the procedure?

Prepare for nasotracheal intubation

A nurse in an emergency department is assessing a 3-year-old child who has high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?

Position the child bilaterally

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

Asthma

A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration's. This suggests which of the following?

200 mg dose

A nurse caring for an infant who weighs 8 kg and is ordered to receive ampicillin 25 mg/kg intravenously every 6 hours. How many milligrams would a nurse administer per dose?

Withhold fluids until the client demonstrates a gag reflex

A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?

Dilate the bronchioles

B2 agonists such as Albuterol are often prescribed for a child with a severe asthma attack. What is their action?

Provide fluids that the child likes and use a cool mist humidifier

The mother of a 20-month-old-boy tells the nurse that he has a "barking" cough at night. His temperature is 37 C(98.6 F). The nurse suspects mild croup and should recommend which of the following?

Play alongside one another but not actively with one another.

The mother of a child 2 years 6 months has arranged a play date with the neighbor and her child 2 years 9 months. During the play date the two mothers should expect that the children will do which of the following?

"We are going to use a big camera to take pictures inside your body"

The nurse is preparing a 5 year old for a radiography. Which of the following would be the best communication to prepare the child for the procedure?

Pneumothorax

The parent of a child with cystic fibrosis calls the clinic nurse to report that the child has developed tachypnea, tachycardia, dyspnea, pallor, and cyanosis. The nurse should tell the parent to bring the child in to the clinic since these are symptoms suggestive of which of the following?

Pancreatic Enzymes

To facilitate digestion and absorption of nutrients, the nurse teaches the child with cystic fibrosis that she needs to take:

- Encourage medication compliance. - Providing a high protein, high calorie diet. - Encourage exercise

What does the therapeutic management of cystic fibrosis (CF) patient include?

punishment

When a preschool child is hospitalized without adequate preparation, the nurse should recognize that the child may likely see hospitalization as:

A 12 month old who has a mild cry, is pale in color, has diminished breath sounds bilaterally with an oxygen saturation of 92%

Which child with respiratory distress should the nurse see first?

- Maintain the toddlers routine when able - Instruct parents on the regression that commonly occurs - Encourage a security object from home.

Which nursing interventions are important when caring for a hospitalized toddler? (select all that apply)

Short-acting B agonists

Which of the following drugs is usually given first in the emergency treatment of a acute, severe asthma episode?

Tachypnea

Which of the following would be a sign of respiratory distress in a 2 month old?

"My child is able to stand but is not yet taking steps independently."

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?