Peds #1

The nurse is taking a health history from a family of a 3-year-old child. Which statement by the nurse would most likely establish rapport and elicit an accurate response from the family?

"Tell me about the concerns that brought you to the clinic today."

The nurse is preparing to assess a toddler client. Which activities would gain cooperation from the toddler? Select all that apply.

- Allowing the client to sit in the parent's lap - Handing the client a stethoscope while taking the health history

The school nurse is trying to prevent the spread of a flu virus through the school. Which infection-control strategies can be employed to prevent the spread of the flu virus? Select all that apply.

- Sanitizing toys, telephones, and door knobs to kill pathogens - Separating children with infections from children who are well - Teaching children to wash their hands after using the bathroom

The nurse is admitting a school-age Vietnamese client who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit. The child is stoic and denies pain. Which nursing actions are most appropriate in this situation? Select all that apply.

-Use the FLACC scale to determine the child's pain level. -Administer pain medication now and continue on a regular basis. -Ask the child's parents to notify the nurse if the child complains of pain.

A new mother is worried about a "soft spot" on the top of her newborn infant's head. The nurse informs her that this is a normal physical finding called the anterior fontanel. At what age will the nurse educate the mother that the soft spot will close? 1. 2 to 3 months of age 2. 6 to 9 months of age 3. 12 to 18 months of age 4. Approximately 2 years of age

12 to 18 months

Which statement is true of abused children? 1. They will tell the truth if asked about their injuries. 2. They will repeat the same story that their parents tell. 3. They usually are not noted to have any changes in behavior. 4. They will have outgoing personalities and be active in school activities.

2. They will repeat the same story that their parents tell.

Which statement would be most therapeutic to a child the nurse suspects has been abused? 1. "Who did this to you? This is not right." 2. "This is wrong that your mother did not protect you." 3. "This is not your fault; you are not to blame for this." 4. "I will not tell anyone."

3. "This is not your fault; you are not to blame for this."

A mother refuses to have her child be immunized with measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which response by the nurse is most appropriate?

Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases.

A parent reports that her school-age child, who has had all recommended immunizations, had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. Which disease process does the nurse suspect based on the parent's description?

Fifth disease (erythema infectiosum)

A toddler client with a fever is prescribed amoxicillin clavulanate three times daily by mouth × 10 days for otitis media. Which teaching point will guard against antibiotic resistance to the disease processes

Give the antibiotic for the full 10 days.

Which nursing intervention should take place prior to all vaccination administrations? 1. Document the vaccination to be administered on the immunization record and medical record. 2. Provide the vaccine information statement handout, and answer all questions. 3. Administer the most painful vaccination first, and then alternate injection sites. 4. Refer to the vaccination as "baby shots" so the parent understands the baby will be receiving an injection.

Provide the vaccine information statement handout, and answer all questions.

The nurse must assess each of the 2-year-olds listed below. Which one should be evaluated first?

Stridor

Complications of Scarlet Fever?

myocarditis, glomerulonephritis, polyarthritis, rheumatic fever