Nursing Care of Children Final

A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hr to a school-age child who weighs 50lb. Available is diphenhydramine oral solution 12.5 mg/5mL. How many mL should the nurse administer per dose?

15 mL

A nurse at a clinic is preparing to administer highlight immunizations to a 5 year old child. Which of the following immunizations should the nurse plan to give? A. Diphtheria, tetanus, and pertussis (DTaP) B. Pneumococcal (PCV) C. Haemophilus influenza type B (Hib) D. Hepatitis B (Hep B)

A. Diphtheria, tetanus, and pertussis (DTaP)

A nurse is preparing to administer an highlight intramuscular injection to a 2 month old infant. In which of the following sites should the nurse plan to administer the injection? A. Vastus lateralis B. Dorsogluteal C. Deltoid D. Abdomen 5 cm (2 in) from the umbilicus

A. Vastus lateralis

A nurse is caring for a 10 year old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest? A. A hot dog on a whole wheat bun B. 3 oz of baked chicken on a whole wheat roll C. 1/2 cup diced potatoes with scrambled eggs. D. A medium blueberry muffin.

B. 3 oz of baked chicken on a whole wheat roll

A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child has allergies to insect stings. Which of the following findings should the nurse expect if the child develops anaphlyaxis? (Select all that apply) A. Bradycardia B. Nausea C. Hypertension D. Urticaria E. Stridor

B. Nausea D. Urticaria E. Stridor

A nurse is caring for a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect? A. Platelet count 500,000/mm3 B. RBC 2.5 million/uL C. WBC 4,000/mm3 D. Hct 60%

B. RBC 2.5 million/uL

A nurse is reinforcing postoperative teaching with the parent of a 3 month old infant who is recovering from an umbilical hernia repair. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will expect to see bulging at the site with crying." B. "I will place a belly band around my child's abdomen." C. "I will fold my baby's diaper away from the incision." D. "I will bathe my child in the bath tub daily."

C. "I will fold my baby's diaper away from the incision."

A nurse is reinforcing teaching with a school age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make? A. "If you take too much insulin, drink a sugar-free cola." B. "You will need to decrease your insulin dosage when you become a teenager." C. "You can use a vial of insulin for up to 30 days." D. "Stop taking your insulin if you are vomiting."

C. "You can use a vial of insulin for up to 30 days."

A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety? A. Provide privacy B. Give the child a thorough explanation before providing care. C. Encourage rooming-in. D. Tell the child you will help fix her.

C. Encourage rooming-in.

A nurse is reinforcing teaching about preventing poisoning with a group of parents who have toddlers. Which of the following statements should the nurse make? A. Keep medications on a counter that is out of reach of the toddler B. Do not allow live plants in the house C. Put all cleaning supplies in a locked cabinet D. Allow your child to eat from his favorite ceramic bowls.

C. Put all cleaning supplies in a locked cabinet

A nurse is caring for a child who has Tetralogy of Fallot. Which of the following laboratory values should the nurse expect? A. Platelet count of 20,000/mm3 B. WBC 4,000/mm3 C. Thyroid stimulating hormone (TSH) 7.0 microunits/mL D. RBC 6.8 million/uL

D. RBC 6.8 million/uL

A nurse is planning care for a preschool age child who has autism and is being admitted tot he facility. Which of the following actions should the nurse plan to take? A. Encourage the parents to bring in the child's stuffed animal B. Give the child choices when planning daily activities. C. Administer phenytoin three times per day D. Provide a shared room with another child his age.

A. Encourage the parents to bring in the child's stuffed animal

A nurse is caring for a 2 day old infant who has a myelomeningocele. Which of the following actions should the nurse take? A. Monitor the infant's head circumference. B. Position the infant supine C. Place the child under a radiant warmer. D. Tape a piece of plastic over the protruding membranes.

A. Monitor the infant's head circumference.

A nurse is reinforcing teaching with the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching? A. My child may take aspirin for his joint pain B. My child will need a blood transfusion prior to discharge C. I will need to wear a gown when in my child's room. D. I will apply lotion to my child's peeling hands

A. My child may take aspirin for his joint pain

A school nurse is collecting data from an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for his excusal? A. Potential for sustaining abdominal trauma B. Deficient dietary intake C. Exposing peers to the illness D. Straining sore joints

A. Potential for sustaining abdominal trauma

A nurse is caring for a 2 year old child who has frequent urinary tract infections. When reinforcing teaching with the parents about the prevention of urinary tract infections, which of the following instructions should the nurse include in the teaching? A. Teach the child to wipe from front to back. B. Give the child frequent bubble baths. C. Urge the child to urinate every 6 hr. D. Administer oxybutynin daily.

A. Teach the child to wipe from front to back.

A nurse is reviewing the medical record of a 2 month old infant who has rotavirus. The nurse notes a hemoglobin level of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? A. The infant might be dehydrated B. The infant might be anemic C. The infant might have received too much fluid D. The infant might have leukemia

A. The infant might be dehydrated

A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? A. Transposition of great arteries B. Ventricular-septal defect C. Coarctation of the aorta D. Patent-ductus arteriosus

A. Transposition of great arteries

A nurse is reinforcing teaching with the parents of a 4 month old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will place my baby on her side when sleeping." B. "I will add 1 teaspoon of rice cereal per ounce to my baby's formula." C. "I will decrease the number of feedings my baby receives per day." D. "I will give my baby loperamide with each feeding."

B. "I will add 1 teaspoon of rice cereal per ounce to my baby's formula."

A nurse is reinforcing teaching with the parents of a 10 year old child who has iron deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching? A. "i will give my child an iron tablet once each day at bedtime." B. "I will administer the iron tablet with orange juice." C. "I will encourage my child to take an antacid with the iron tablet." D. "I will crush the iron tablet prior to giving it to my child."

B. "I will administer the iron tablet with orange juice."

A nurse is reinforcing teaching with the parents of a 3 year old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching? A. "My child should not play around others who have ear infections." B. "We should not smoke around our child." C. "My child should not swim this summer." D. "I will encourage my child to blow her nose forcefully when she has a cold."

B. "We should not smoke around our child."

A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications? A. Manually move the weight to the floor when the child is experiencing pain. B. Check for pulses in the affected leg every 4 hr. C. Cleanse the pins every 12 hr. D. Inform parents to discourage visitors for the child.

B. Check for pulses in the affected leg every 4 hr.

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? A. Maintain the child on strict bed rest B. Check the child's blood pressure every 4 hr. C. Administer albumin to the child every 8 hr D. Provide the child with a low carbohydrate diet.

B. Check the child's blood pressure every 4 hr.

A nurse is caring for 4 year old child who has pneumonia. The child's mother left 2 hr ago and he is currently experiencing the despair stage of separation anxiety. Which of the following findings should the nurse expect? A. Crying and screaming B. Inactive and thumb sucking C. Shows interest in toys around him D. Attempts to escape and find parent.

B. Inactive and thumb sucking

A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? A. Blood glucose 140 mg/dL B. Oxygen saturation 85% C. RBC 3.2 million/uL D. Serum sodium 156 mEq/L

B. Oxygen saturation 85%

A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. When planning for the nutritional needs of the child, which of the following actions should the nurse plan to take? A. Administer pancrelipase to the child prior to each meal. B. Supplement the child's feedings with enteral feedings C. Provide the child with a low-protein meal. D. Perform dressing changes 10 min prior to the child's meals.

B. Supplement the child's feedings with enteral feedings

A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority? A. A child who has asthma and a pulse oximetry of 94% B. A child who has nephrotic syndrome and 1+ protein on the urine dipstick C. A child who has sickle cell anemia and a urine specific gravity of 1.030 D. A child who has insulin-dependent diabetes mellitus and a fingerstick glucose reading of 110 mg/dL

C. A child who has sickle cell anemia and a urine specific gravity of 1.030

A nurse is caring for 4 month old child who has acute otitis media and a fever of 38.3C (101F). Which of the following medications should the nurse administer? A. Diphenhydramine B. Furosemide C. Amoxicillin D. Ibuprofen

C. Amoxicillin

A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take? A. Apply a warm cloth to the bridge of the child's nose B. Tilt the child's head back. C. Apply continuous pressure to the child's nose for at least 10 min D. Administer aspirin for the child's pain

C. Apply continuous pressure to the child's nose for at least 10 min

A nurse is assessing the pain level of a 3 year old child who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use? A. Word-graphic rating scale B. Color tool C. FACES pain rating scale D. Numeric scale

C. FACES pain rating scale

A nurse is reinforcing teaching with a parent of an infant who has colostomy. Which of the following statements by the parent indicates an understanding of the teaching? A. I will not use one-piece outfits for my child B. I need to buy diapers that are tighter than my infant usually wears. C. I need to apply paste to the back of the wafer on my child's appliance. D> I will not need to toilet train my child.

C. I need to apply paste to the back of the wafer on my child's appliance.

A nurse is reinforcing teaching with a group of parents of toddlers about growth and development. A parents asks, "why does my child's abdomen stick out?" Which of the following statements should the nurse make? A. "You should give your child a stool softener daily." B. "Toddlers gain weight at a rapid pace." C. "You should have your child assessed for a spinal deformity." D. "Toddlers do not have well-developed abdominal muscles."

D. "Toddlers do not have well-developed abdominal muscles."

A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial thickness burns. The nurse should recommend which of the following food choices as having the highest protein content? A. Medium baked potato B. Wheat bagel with 1 tbsp of apricot jam C. Large orange D. 1/2 cup of peanut butter with apple slices.

D. 1/2 cup of peanut butter with apple slices.

A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following findings is the nurse's priority? A. Blood streaking of the sputum B. Dry mucuous membranes C. Constipation D. Inability to clear secretions

D. Inability to clear secretions

A nurse is reinforcing teaching with a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further? A. My child has frequent mood swings B. My child has a very messy bedroom C. My child takes 1 to 2 showers per day. D. My child spends 4 hours per day in internet chat rooms

D. My child spends 4 hours per day in internet chat rooms

A nurse is caring for a child who has a vesicular rash. The parents of the child ask the nurse what illness can cause this rash for 6 days. The nurse should expect that the child has which of the following conditions? A. Measles B. Fifth disease C. Tetanus D. Varicella

D. Varicella

A nurse is preparing to administer acetaminophen 240 mg PO to a child who has a temperature of 38.9 C (102F). The amount available is acetaminophen oral solution 160 mg/5mL. How many mL should the nurse administer per dose?

7.5 mL

A nurse is preparing a school age child for a tonsillectomy. Which of the following actions should the nurse take? A. Schedule the child for a preoperative visit to the facility B. Inform the child she will be put to sleep during the procedure. C. Read the child a story about a cartoon character having a similar operation D. Tell the child the appointment is to have her throat checked.

A. Schedule the child for a preoperative visit to the facility

A nurse is reinforcing teaching with the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? A. "Your child will be unable to eat by mouth." B. "Your child will be unable to participate in recreational activities." C. "Your child will need a botulinum toxin A injection to help with muscle spasticity." D. "Your child will need throw rugs placed over non-carpeted areas."

C. "Your child will need a botulinum toxin A injection to help with muscle spasticity."

A nurse is collecting data from an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first? A.Give the adolescent ibuprofen B. Elevate the adolescent's leg on pillows. C. Place an ice pack on the cast. D. "Assess for manifestations of circulatory impairment."

D. "Assess for manifestations of circulatory impairment."