Nursing Care of Children VATI
A nurse is providing teaching to the parent of an adolescent who has mononucleosis. Which of the following instructions should the nurse include
'Provide your child with medications in an elicit preparation"
A nurse is providing discharge teaching to the guardian of a preschooler who is receiving rehydration therapy for acute diarrhea. WHich of the following dietary recommendations would the nurse make?
Steamed broccoli
A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. WHich of the following actions should the nurse take?
Administer opioids for pain
A nurse is preparing to provide preoperative teaching to a 5-year-old client who is scheduled to undergo a surgical procedure. WHich of the following actions should the nurse plan to take?
Allow time for the child to play with surgical mask and gown
A nurse is providing nutritional teaching for an adolescent who plays several sports. Which of the following statements by the adolescent indicates an understanding of the teaching?
"I will drink water while exercising"
A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?
On the unoperative side
A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?
Congenital amnomalies
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. WHich of the following positions should the nurse identify as being contraindicated for the infant?
Trendelenburg
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Trust vs. mistrust Autonomy vs. shame and doubt Initiative vs. guilt Industry vs. inferiority Identity vs. role confusion
A nurse on a pediatric unit is caring for a child following a laparoscopic appendectomy 1 day ago.
Turn the child on their left side- urgent Restart the child's IV-nonurgent Leave the child alone to get further assistance- contraindicated Place pillow under the Child's head-urgent Check the child's pupils - nonurgent Loosen the child's tight clothing- urgent Hold the child's extremities firmly - contraindicated
A nurse is caring for a 3-year-old child sh was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?
Urine specific gravity 1.015
A nurse is teaching the guardian of a toddler about foods that will minimize the risk of aspiration. Which of the following foods should the nurse suggest?
Orange slices
A nurse is providing teaching about preventing diaper dermatitis to a group of guardians. Which of the following instructions should the nurse include in the teaching?
Change diapers as soon as they become soiled with feces, including during the night.
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Initiate the use of a PCA pump for pain control
A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Keep a thermometer in the childs room
A nurse is providing teaching to the guardian of a preschooler who has impetigo. Which of the following instructions should the nurse include?
Keep the child's towels separate from towels used by other family members.
A nurse is planning care for a toddler following a cardiac catheterization. Which of the following actions should the nurse take?
Maintain the child's affected leg in a straight position for at least 6 hr
A nurse in a well-child clinic is assessing a school-age child who has erythema on the face and a maculopapular rash on the arms and legs. The parent reports that the child has had an intermittent fever for 1 week. Which of the following actions should the nurse take?
Offer the child analgesic for comfort
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
Rice
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Separates easily form primary care giver for short periods of time
A nurse is providing discharge instructions to the parent of a child who has a prescription for carbamazepine for a seizure disorder. For which of the following adverse reactions should the nurse instruct the parent to notify the provider?
Skin rash
A nurse is assessing a female child in an area, struck by an earthquake. The child, who is crying well, can state her first name, and repeatedly says all done and go bye-bye now during the assessment. The child has 24 teeth and her anterior fontanelle is closed. Based on these observations, the nurse should estimate that the child is how many months old?
30
A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recomend
Bananas
A nurse is assessing a preschooler who was recently diagnosed with acute lymphoid leukemia.n Which of the following findings should the nurse expect?
Bruising on the arms and legs
A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)
Decreased platelet count Decreased leukocyte count Decreased erythrocyte count
A nurse is teaching a client who has a family history of hemophilia A about manifestations of the disorder. The nurse should include which of the following manifestations in the teaching?
Disabling joint pain can have disabling joint pain over time, especially of the knee and hip, because of hemorrhage into the joints.
A nurse is providing discharge teaching to the guardians of a school-age child following a tonsillectomy. Which of the following instructions should the nurse include?
Eat soft, bland foods a tolerated
A nurse is planning care for a preschooler who has been recently transferred from the pediatric intensive care unit and is experiencing anxiety. Which of the following interventions should the nurse include to help relieve the child's anxiety?
Encourage parents to stay wit the child.
A nurse obtains a fingerstick glucose result of 45 mg/dL from a school-age child who has diabetes mellitus. Which of the following actins should the nurse take?
Give the child 10 to 15g of a simple carbohydrate
A nurse is providing teaching about car seat safety to the parents of an infant. Which of the following instructions should the nurse include?
Place the care seat in a rear-facing position until the child is at least 2 years old
A nurse is caring for an infant immediately following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Position the infant on their right side when sleeping
A nurse is teaching about safety recommendations for car seats with the parents of a 24-month-old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching?
Position the toddler rear-facing in the middle of the back seat
A nurse is assessing a 10-day-old client. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?
Projectile vomiting after feedings Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the duodenum, resulting in projectile vomiting.
A nurse is caring for an infant who has respiratory syncytial virus (RSV) and is experiencing respiratory distress. Which of the following actions should the nurse take?
Provide heated, high flow nasal cannula therapy
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?
Wrap the arm of the child's doll or toy prior to the procedure.
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?
5.3
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?
Administer antibiotics to the client The greatest risk to this client is bacteremia caused by the infection which can lead to septic shock; therefore, the priority intervention is antibiotic therapy. The client might require multiple antibiotics for an extended time.
The nurse is teaching a newly licensed nurse how to provide care for a child who has just been placed in skeletal traction. Which of the following information should the nurse include?
Administer prescribed opioid analgesics around the clock
A nurse is admitting a school-age child who has rubeola measles. Which of the following precautions should the nurse plan to initiate?
Airborn precautions
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect
Pain
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosus the area between the pulmonary artery and aorta remains open, allowing the blood to flow through the patent ductus arteriosus and back to the pulmonary artery and lungs.
A school nurse is performing a routine health assessment for a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis?
Pruritus of the scalp Pediculosis capitis is an infestation of head lice. Generally, the. only manifestation is scalp itchiness.
A nurse is assessing an adolescent who is recieving morphine via a patient-controlled analgesia device (PCA). Which of the following findings should the nurse identify as the priority?
Respiratory depression
A nurse is evaluating an adolescent who is postoperative and is receiving fentanyl via an epidural catheter. Which of the following findings should the nurse recognize as a complication?
Respiratory rate of 14/min normal is 16 to 20
A nurse is evaluating the effectiveness of a treatment plan for a school-age child who has ADHD. Which of the following findings should the nurse identify as an indication that the treatment plan has been effective?
The child completes homework assignments on time
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to 15-month-old toddler. Which of the following findings is a contraindication for this immunization?
The child has a congenital immunodeficiency
A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make?
"Normal bone growth can be affected"
A nurse is admitting a child who has a vesicular rash of unknown etiology. Which of the following actions should the nurse take first?
Implement transmission precautions.
A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider?
Inability to raise head when in prone position. A 3 month-old infant should be able to raise her head and shoulders from prone position; therefore, the nurse should report this finding to the provider.
A nurse is assessing an adolescent who has attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect?
Impulsivity
A nurse is planning to administer insulin aspart at 0700 to a child who has diabetes mellitus. At which of the following times should the nurse expect the medication to peak?
0800 Insulin aspart peaks 30 minutes to 2 hr following administration.
A nurse is reviewing the laboratory test results of a school-age child. Which of the following findings should the nurse report to the provider?
Creatinine 1.6 mg/dL expected reference range is 0.3 to 0.6 mg/dL
A nurse is developing a health program for the parents of a school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Growth spurts in height occur toward the end of midpuberty.
A nurse is teaching the guardian of a school-age child who has juvenile idiopathic arthritis about managing pain. Which of the following instructions should the nurse include?
Have an elevated toilet seat for use by the child
A nurse is assessing an infant who has a congenital heart defect. Which of the following findings is the priority for the nurse to report to the provider?
Hyperpnea
A nurse is preparing to perform an orogastric feeding for an infant. Which of the following actions should the nurse take to verify tube placement?
Test gastric secretions for pH
A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?
"Has your son has a sore throat recently"? Rheumatic fever typically develops 2 to 6 weeks after an untreated or ineffective treated streptococcal infection of the respiratory tract.
