nursing care of children 1
a nurse is caring for a 15 month old toddler who requires droplet precautions. which of the following actions should the nurse take?
wear a mask when assisting the toddler with meals
a nurse in an emergency department is caring for an eight year old who is up to date with current immunizations recommendation and has a deep puncture injury. which of the following should the nurse anticipate administering?
adult tetanus booster
a nurse is assessing a 30 month old infant during a well child visit. which of the following findings requires further assessment by the nurse?
birth weight is tripled The birth weight should triple by 12 months of age. By 30 months of age, the birth weight should be quadrupled.
a nurse is caring for a two year old child who has cystic fibrosis. the nurse is planning to take the child to the playroom. which of the following activities would be appropriate for the child?
building towers of blocks
a nurse in the emergency department is caring for a two year old child who was found by his parents crying and holding a container of toilet bowl cleaner. the child's lips a edematous and inflamed, and he is drooling. which of the following is the priority action by the nurse?
check the child's respiratory status.
a nurse in a pediatric clinical is caring for a three year old child who has a blood lead level of 3mcg/dL. what should nutrition look like?
ensure the child's dietary intake of calcium and iron is adequate.
a nurse is assessing a three year old child who is 1 day postoperative following a tonsillectomy. which of the following methods should the nurse use to determine if the child is experiencing pain?
use the FACES scale
a nurse is planning to collect a specimen form the male infant using a urine collection bag. which of the following actions should the nurse take?
wash and dry the infant's genitalia and perineum thoroughly.
a nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. the nurse should identify which of the following findings as a risk factor for a stress related reaction to hospitalization
male gender
a nurse in a pediatric clinic is assessing a toddler at a well child visit. Which of the following actions should the nurse take?
minimize physical contact with the child initially
a nurse is planning care for a 10 month old infant who has suspected failure to thrive. which of the following interventions should the nurse include in the plan of care
observe the parents' actions when feeding the child, maintain a detailed record of food and fluid intake.
a nurse is preparing to administer recommend immunizations to a two month old infant. which of the following immunizations should the nurse plan to administer?
Hib and IPV
a nurse is teaching the parent of a toddler about home safety. which of the following statements by the parent indicates an understanding of the teaching?
I lock my medications in the medicine cabinet
a nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. which of the following actions should the nurse take?
rock the child in long rhythmic moments
a nurse is assessing a provider during a femoral venipuncture on a toddler. the nurse should place the child in which of the following positions?
supine
a nurse is assessing a sven year old child's psycosocial development. which of the following findings should the nurse recognize as requiring further evaluation?
the child complains daily about going to school
a nurse is caring for a preschool age child who is dying. which of the following findings is an age appropriate reaction to death by the child
the child views death as similar to sleeping, the child bellies his thought can cause death, the child thinks death is a punishment
a nurse is developing plan of care for a school age child who underwent a surgical procedure that resulted in a temporary loss of vision. which of the following interventions should the nurse include in the plan of care?
explain sounds the child is hearing
a nurse is preparing to administer a liquids medication to an infant. which of the following actions should the nurse take?
give the medication at the side of the infant's mouth.
a nurse at a pediatric clinic is assessing a five month old infant during a well child visit. which of the following findings should the nurse report to the provider?
head lags when pulled from a lying to a sitting position
a nurse is assessing a 12 month old male infant's vital signs during a well child visit. the infant is in the 90th percentile of height. which of the following findings should the nurse report to the provider?
heart rate 175/min
a nurse is assessing a nine month old infant during a well child visit. which of the following findings indicates that the infant has a developmental delay?
inability to vocalize vowel sounds
a nurse in the emergency department is caring for a 12 year old child who has ingested bleach. which of the following statements by the nurse indicates an understanding of this ingestion?
injury by a corrosive liquid is more extensive than by a corrosive solid
a nurse is teaching a parent of a 12 month old child about development during the toddler years. which of the following statements should the nurse include?
your child should be able to scribble spontaneously using a crayon at the age of 15 months.
