Peds Exam 1
The nurse is providing anticipatory guidance to parents of a 4-month-old infant on preventing an aspiration injury. What should the nurse include in the teaching? (Select all that apply.) A Keep baby powder out of reach. B Inspect toys for removable parts. C Allow the infant to take a bottle to bed. D Teething biscuits can be used for teething discomfort. E The infant should not be fed hard candy, nuts, or foods with pits.
A B E
The nurse is planning care for an infant with eczema. Which interventions should the nurse include in the care plan? (Select all that apply.) A Avoid giving the infant a bubble bath. B Avoid the use of a humidifier in the infant's room. C Avoid overdressing the infant. D Avoid the use of topical steroids on the infant's skin. E Avoid wet compresses on the infant's most affected areas.
A C
The nurse is assessing a family's use of complementary medicine practices. What practices are classified as mind-body control therapies? (Select all that apply.) A Relaxation B Acupuncture C Prayer therapy D Guided imagery E Herbal medicine
A C D
The nurse understands that blocks to therapeutic communication include what? (Select all that apply.) A Socializing B Use of silence C Using clichés D Defending a situation E Using open-ended questions
A C D
Parents tell the nurse that siblings of their hospitalized child are feeling "left out." What suggestions should the nurse make to the parents to assist the siblings to adjust to the hospitalization of their brother or sister? (Select all that apply.) A Arrange for visits to the hospital. B Limit information given to the siblings. C Encourage phone calls to the hospitalized child. D Make or buy inexpensive toys or trinkets for the siblings. E Identify an extended family member to be their support system.
A C D E
The nurse is providing anticipatory guidance to parents of an 8-month-old infant on preventing a drowning injury. Which should the nurse include in the teaching? (Select all that apply.) A Fence swimming pools. B Keep bathroom doors open. C Eliminate unnecessary pools of water. D Keep one hand on the child while in the tub. E Supervise the child when near any source of water
A C D E
The nurse is assessing heart sounds on a school-age child. Which should the nurse document as abnormal findings if found on the assessment? (Select all that apply.) A S4 heart sound B S3 heart sound C Grade II murmur D S1 louder at the apex of the heart E S2 louder than S1 in the aortic area
A C E
The nurse is providing anticipatory guidance to the parents of a 1-month-old infant on preventing a suffocation injury. Which should the nurse include in the teaching? (Select all that apply.) A Do not place pillows in the infant's crib. B Crib slats should be 4 inches or less apart. C Keep all plastic bags stored out of the infant's reach. D Plastic over the mattress is acceptable if it is covered with a sheet. E A pacifier should not be tied on a string around the infant's neck.
A C E
The nurse is teaching parents about foods that are hyperallergenic. Which foods should the nurse include? (Select all that apply.) A Peanuts B Bananas C Potatoes D Egg noodles E Tomato juic
A D E
The nurse is teaching parents about potential causes of colic in infancy. Which should the nurse include in the teaching session? (Select all that apply.) A Overeating B Understimulation C Frequent burping D Parental smoking E Swallowing excessive air
A D E
A bottle-fed infant has been diagnosed with cow's milk allergy. Which formula should the nurse expect to be prescribed for the infant? A Similac B Pregestimil C Enfamil with iron D Gerber Good Start
B
A parent brings a 12-month-old infant into the emergency department and tells the nurse that the infant is allergic to peanuts and was accidentally given a cookie with peanuts in it. The infant is dyspneic, wheezing, and cyanotic. The health care provider has prescribed a dose of epinephrine to be administered. The infant weighs 24 lb. How many milligrams of epinephrine should be administered? A 0.11 to 0.33 mg B 0.011 to 0.3 mg C 1.1 to 3.3 mg D 11 to 33 mg
B
At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli? A 1 month B 2 months C 3 months D 4 months
B
Rectal temperatures are indicated in which situation? A In the newborn period B Whenever accuracy is essential C Rectal temperatures are never indicated D When rapid temperature changes are occurring
B
The clinic nurse is teaching parents about physiologic anemia that occurs in infants. What statement should the nurse include about the cause of physiologic anemia? A Maternally derived iron stores are depleted in the first 2 months. B Fetal hemoglobin results in a shortened survival of red blood cells. C The production of adult hemoglobin decreases in the first year of life. D Low levels of fetal hemoglobin depress the production of erythropoietin.
B
The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action? A Ask the parent when the neck was injured. B Refer for immediate medical evaluation. B Continue assessment to determine the cause of the neck pain. C Record "head lag" on the assessment record and continue the assessment of the child.
B
The nurse is discussing the management of atopic dermatitis (eczema) with a parent. What should be included? A Dress infant warmly to prevent chilling. B Keep the infant's fingernails and toenails cut short and clean. C Give bubble baths instead of washing lesions with soap. D Launder clothes in mild detergent; use fabric softener in the rinse.
B
The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active? A Ask her, "Are you sexually active?" B Ask her, "Are you having sex with anyone?" C Ask her, "Are you having sex with a boyfriend?" D Ask both the girl and her parent if she is sexually active.
B
The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is which? A Use the small cuff. B Use the large cuff. C Use either cuff using the palpation method. D Wait to take the blood pressure until a proper cuff can be located.
B
The parent of an 8.2-kg (18-lb) 9-month-old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what? A Front facing in back seat B Rear facing in back seat C Front facing in front seat with air bag on passenger side D Rear facing in front seat if an air bag is on the passenger side
B
What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)? A Discourage the parents from making a last visit with the infant. B Make a follow-up home visit to the parents as soon as possible after the child's death. C Explain how SIDS could have been predicted and prevented. D Interview the parents in depth concerning the circumstances surrounding the child's death.
B
What is the appropriate placement of a tongue blade for assessment of the mouth and throat? A On the lower jaw B Side of the tongue C Against the soft palate D Center back area of the tongue
B
What is the best age to introduce solid food into an infant's diet? A 2 to 3 months B 4 to 6 months C When birth weight has tripled D When tooth eruption has started
B
What is the earliest age at which a satisfactory radial pulse can be taken in children? A 1 year B 2 years C 3 years D 6 years
B
Which explains the importance of detecting strabismus in young children? A Color vision deficit may result. B Amblyopia, a type of blindness, may result. C Epicanthal folds may develop in the affected eye. D Corneal light reflexes may fall symmetrically within each pupil.
B
What are core principles of patient- and family-centered care? (Select all that apply.) A Collaboration B Empowering families C Providing formal and informal support D Maintaining strict policy and procedure routines E Withholding information that is likely to cause anxiety
B C
The clinic nurse is assessing a 6-month-old infant during a well-child appointment. The nurse should use which approaches to alleviate the infant's stranger anxiety? (Select all that apply.) A Talk in a loud voice. B Meet the infant at eye level. C Avoid sudden intrusive gestures. D Maintain a safe distance initially. E Pick up the infant and hold him or her closely.
B C D
The nurse is assessing a family's use of complementary medicine practices. What practices are classified as nutrition, diet, and lifestyle or behavioral health changes? (Select all that apply.) A Reflexology B Macrobiotics C Megavitamins D Health risk reduction E Chiropractic medicine
B C D
The nurse is teaching parents strategies to manage their child's refusal to go to sleep. Which should the nurse include in the teaching session? (Select all that apply.) A Keep bedtime early. B Enforce consistent limits. C Use a reward system with the child. D Have a consistent before bedtime routine.
B C D
A 12-month-old infant has been diagnosed with failure to thrive (FTT). Which assessment findings does the nurse expect to be documented with this infant? (Select all that apply.) A Fear of strangers B Minimal smiling C Avoidance of eye contact D Meeting developmental milestones E Wide-eyed gaze and continual scan of the environment
B C E
The nurse is performing an otoscopic examination on a child. Which are normal findings the nurse should expect? (Select all that apply.) A Ashen gray areas B A well-defined light reflex C A small, round, concave spot near the center of the drum D The tympanic membrane is a nontransparent grayish color E A whitish line extending from the umbo upward to the margin of the membrane
B C E
The nurse is teaching a group of parents at a community education program about introducing solid foods to their infants. Which recommendations should the nurse include? (Select all that apply.) A Spoon feeding should be introduced after an entire milk feeding. B It is best to introduce a wide variety of foods during the first year. C As solid food consumption increases, the quantity of milk should decrease. D Introduction of low-calorie milk and food should be done by the end of the first year. E Introduction of citrus fruits, meats, and eggs should be delayed until after 6 months of age. F Each new food item should be introduced at 5- to 7-day intervals.
B C E F
The community health nurse is reviewing risk factors for vitamin D deficiency. Which children are at high risk for vitamin D deficiency? (Select all that apply.) A Children with fair pigmentation B Children who are overweight or obese C Children who are exclusively bottle fed D Children with diets low in sources of vitamin D E Children of families who use milk products not supplemented with vitamin D
B D E
What nursing interventions should the nurse plan for a hospitalized toddler to minimize fear of bodily injury? (Select all that apply.) A Perform procedures slowly. B Maintain parent-child contact. C Use progressively smaller dressings on surgical incisions. D Tell the child bleeding will stop after the needle is removed. E Remove a dressing as quickly as possible from surgical incisions
BC
A 1-year-old child is on a pure vegetarian (vegan) diet. This diet requires supplementation with what? A Niacin B Folic acid C Vitamins D and B12 D Vitamins C and E
C
A 6-year-old is being discharged home, which is 90 miles from the hospital, after an outpatient hernia repair. In addition to explicit discharge instructions, what should the nurse provide? A An ambulance for transport home B Verbal information about follow-up care C Prescribed pain medication before discharge D Driving instructions for a route with less traffic
C
A new parent relates to the nurse that the family has many known food allergies. Which is considered a primary strategy for feeding the infant with many family food allergies? A Using soy formula for feeding B Maternal avoidance of cow's milk protein C Exclusive breastfeeding for 4 to 6 months D Delaying the introduction of highly allergenic foods past 6 months
C
According to Piaget, a 6-month-old infant should be in which developmental stage? A Use of reflexes B Primary circular reactions C Secondary circular reactions D Coordination of secondary schemata
C
An infant has been diagnosed with failure to thrive (FTT) classified according to the pathophysiology of defective utilization. The nurse understands that the reason for the FTT is most likely related to what? A Cystic fibrosis B Hyperthyroidism C Congenital infection D Breastfeeding problems
C
An infant weighed 8 lb at birth and was 18 inches in length. What weight and length should the infant be at 5 months of age? A 12 lb, 20 inches B 14 lb, 21.5 inches C 16 lb, 23 inches D 18 lb, 24.5 inches
C
At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection? A Developmentally appropriate toys B Nutritious snacks served to the children C Handwashing by providers after diaper changes D Certified caregivers for each of the age groups at the facility
C
At what age is it safe to give infants whole milk instead of commercial infant formula? A 6 months B 9 months C 12 months D 18 months
C
At which age can most infants sit steadily unsupported? A 4 months B 6 months C 8 months D 12 months
C
At which age do most infants begin to fear strangers? A 2 months B 4 months C 6 months D 12 months
C
At which age does an infant start to recognize familiar faces and objects, such as his or her own hand? A 1 month B 2 months C 3 months D 4 months
C
At which age should the nurse expect most infants to begin to say "mama" and "dada" with meaning? A 4 months B 6 months C 10 months D 14 months
C
By which age should the nurse expect that an infant will be able to pull to a standing position? A 5 to 6 months B 7 to 8 months C 11 to 12 months D 14 to 15 months
C
During the 2-month well-child checkup, the nurse expects the infant to respond to sound in which manner? A Respond to name. B React to loud noise with Moro reflex. C Turn his or her head to side when sound is at ear level. D Locate sound by turning his or her head in a curving arc.
C
In terms of gross motor development, what should the nurse expect an infant age 5 months to do? A Sit erect without support. B Roll from the back to the abdomen. C Turn from the abdomen to the back. D Move from a prone to a sitting position
C
The nurse is performing an assessment on a 12-month-old infant. Which fine or gross motor developmental skill demonstrates the proximodistal acquisition of skills? A Standing B Sitting without assistance C Fully developed pincer grasp D Taking a few steps holding onto something
C
The nurse is testing an infant's visual acuity. By which age should the infant be able to fix on and follow a target? A 1 month B 1 to 2 months C 3 to 4 months D 6 months
C
The parent of 2-week-old infant asks the nurse if fluoride supplements are necessary because the infant is exclusively breastfed. What is the nurse's best response? A "The infant needs to begin taking them now." B "Supplements are not needed if you drink fluoridated water." C "The infant may need to begin taking them at age 6 months." D "The infant can have infant cereal mixed with fluoridated water instead of supplements."
C
The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What should the nurse recommend? A Heat only 8 oz or more. B Do not heat a plastic bottle in a microwave oven. C Leave the bottle top uncovered to allow heat to escape. D Shake the bottle vigorously for at least 30 seconds after heating.
C
Two hospitalized adolescents are playing pool in the activity room. Neither of them seems enthusiastic about the game. How should the nurse interpret this situation? A Playing pool requires too much concentration for this age group. B Pool is an activity better suited for younger children. C The adolescents may be enjoying themselves but have lower energy levels than healthy children. D The adolescents' lack of enthusiasm is one of the signs of depression.
C
What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child? A Rinne test B Weber test C Pure tone audiometry D Eliciting the startle reflex
C
What is marasmus? A Deficiency of protein with an adequate supply of calories B Syndrome that results solely from vitamin deficiencies C Not confined to geographic areas where food supplies are inadequate D Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)
C
When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet is which? A Lacking in protein B Indicating they live in poverty C Providing sufficient amino acids D Needing enrichment with meat and milk
C
Which heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood? A S1 and S2 B S3 and S4 C Murmur D Physiologic splitting
C
With the National Center for Health Statistics criteria, which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight? A 10th percentile B 75th percentile C 85th percentile D 95th percentile
C
The nurse is assessing breath sounds on a child. Which are expected auscultated breath sounds? (Select all that apply.) A Wheezes B Crackles C Vesicular D Bronchial E Bronchovesicular
C D E
The nurse is providing anticipatory guidance to parents of a 6-month-old on preventing an accidental poisoning injury. Which should the nurse include in the teaching? (Select all that apply.) A Place plants on the floor. B Place medications in a cupboard. C Discard used containers of poisonous substances. D Keep cosmetic and personal products out of the child's reach. E Make sure that paint for furniture or toys does not contain lead
C D E
What are risk factors for sudden infant death syndrome? (Select all that apply.) A Postterm B Female gender C Low Apgar scores D Recent viral illness E Native American infants
C D E
Which are effective auscultation techniques? (Select all that apply.) A Ask the child to breathe shallowly. B Apply light pressure on the chest piece. C Use a symmetric and orderly approach. D Place the stethoscope over one layer of clothing. E Warm the stethoscope before placing it on the skin.
C E
A 6-year-old child is admitted to the pediatric unit and requires bed rest. Having art supplies available meets which purpose? A Allows the child to create gifts for parents B Provides developmentally appropriate activities C Is essential for play therapy so the child can work on past problems D Lets the child express thoughts and feelings through pictures rather than words
D
A 9-year-old boy has an unplanned admission to the intensive care unit (ICU) after abdominal surgery. The nursing staff has completed the admission process, and his condition is beginning to stabilize. When speaking with the parents, the nurse should expect what additional stressor to be evident? A Usual day-night routine B Calming influence of staff C Adequate privacy and support D Insufficient remembering of his condition and routine
D
A spinal tap must be done on a 9-year-old boy. While he is waiting in the treatment room, the nurse observes that he seems composed. When the nurse asks him if he wants his mother to stay with him, he says, "I am fine." How should the nurse interpret this situation? A This child is unusually brave. B He has learned that support does not help. C Nine-year-old boys do not usually want a parent present during the procedure. D Children in this age group often do not request support even though they need and want it.
D
An infant, age 6 months, has six teeth. The nurse should recognize that this is what? A Normal tooth eruption B Delayed tooth eruption C Unusual and dangerous D Earlier than expected tooth eruption
D
At an 8-month-old well-baby visit, the parent tells the nurse that her infant falls asleep at night during the last bottle feeding but wakes up when moved to the infant's crib. What is the most appropriate response for the nurse to make? A "You should put your baby to sleep 1 hour earlier without the nighttime feeding but with a pacifier for soothing." B "You could place rice cereal in the last bottle feeding of the day to ensure a longer sleep pattern." C "You should have your partner give the last bottle of the day and observe whether your infant stays awake for your partner." D "You could increase daytime feeding intervals to every 4 hours and put your baby in the crib while the baby is still awake."
D
Because of their striving for independence and productivity, which age group of children is particularly vulnerable to events that may lessen their feeling of control and power? A Infants B Toddlers C Preschoolers D School-age children
D
Cognitive development influences response to pain. What age group is most concerned with the fear of losing control during a painful experience? A Toddlers B Preschoolers C School-age children D Adolescents
D
During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is which? A Abnormal and requires further investigation B Abnormal unless it occurs in conjunction with knock-knee C Normal if the condition is unilateral or asymmetric D Normal because the lower back and leg muscles are not yet well developed
D
Rickets is caused by a deficiency in what? A Vitamin A B Vitamin C C Folic acid and iron D Vitamin D and calcium
D
Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation? A Palpate another area simultaneously. B Ask the child not to laugh or move if it tickles. C Begin with deeper palpation and gradually progress to superficial palpation. D Have the child "help" with palpation by placing his or her hand over the palpating hand.
D
The nurse is teaching parents about caring for their infant with seborrheic dermatitis (cradle cap). Which statement by the parents indicates understanding of the teaching? A "We will rinse off the shampoo quickly and dry the scalp thoroughly." B "We will shampoo the hair every other day with antiseborrheic shampoo." C "We will be sure to shampoo the hair without removing any of the crusts." D "We will use a fine-tooth comb to help remove the loosened crusts from the strands of hair."
D
The nurse needs to assess a 15-month-old child who is sitting quietly on his father's lap. What initial action by the nurse would be most appropriate? A Ask the father to place the child on the exam table. B Undress the child while he is still sitting on his father's lap. C Talk softly to the child while taking him from his father. D Begin the assessment while the child is in his father's lap.
D
The psychosexual conflicts of preschool children make them extremely vulnerable to which threat? A Loss of control B Loss of identity C Separation anxiety D Bodily injury and pain
D
What choice of words or phrases would be inappropriate to use with a child? A "Rolling bed" for "stretcher" B "Special medicine" for "dye" C "Make sleepy" for "deaden" D "Catheter" for "intravenous"
D
When assessing a preschooler's chest, what should the nurse expect? A Respiratory movements to be chiefly thoracic B Anteroposterior diameter to be equal to the transverse diameter C Retraction of the muscles between the ribs on respiratory movement D Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
D
Where do eczematous lesions most commonly occur in an infant? A Abdomen, cheeks, and scalp B Buttocks, abdomen, and scalp C Back and flexor surfaces of the arms and legs D Cheeks and extensor surfaces of the arms and legs
D
Which characteristic best describes the fine motor skills of an infant at age 5 months? A Neat pincer grasp B Strong grasp reflex C Builds a tower of two cubes D Able to grasp object voluntarily
D
Which term refers to the relative lactase deficiency observed in preterm infants of less than 34 weeks of gestation? A Congenital lactase deficiency B Primary lactase deficiency C Secondary lactase deficiency D Developmental lactase deficiency
D
The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT). Which actions should the nurse plan to implement? (Select all that apply.) A Be persistent. B Introduce new foods slowly. C Provide a stimulating atmosphere. D Maintain a calm, even temperament. E Feed the infant only when signs of hunger are exhibited.
A B D
The nurse is evaluating a 7-month-old infant's cognitive development. Which behaviors should the nurse anticipate evaluating? (Select all that apply.) A Imitates sounds B Shows interest in a mirror image C Comprehends simple commands D Actively searches for a hidden object E Attracts attention by methods other than crying
A B E
An infant, age 5 months, is brought to the clinic by his parents for a well-baby checkup. What is the best advice that the nurse should include at this time about injury prevention? A "Keep buttons, beads, and other small objects out of his reach." B "Do not permit him to chew paint from window ledges because he might absorb too much lead." C "When he learns to roll over, you must supervise him whenever he is on a surface from which he might fall." D "Lock the crib sides securely because he may stand and lean against them and fall out of bed."
A
In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic? A Easily grasped handle B Detachable shield for cleaning C Soft, pliable material D Ribbon or string to secure to clothing
A
Lactose intolerance is diagnosed in an 11-month-old infant. Which should the nurse recommend as a milk substitute? A Yogurt B Ice cream C Fortified cereal D Cow's milk-based formula
A
The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her? A Fluids in addition to breast milk are not needed. B Water should be given if the infant seems to nurse longer than usual. C Clear juices are better than water to promote adequate fluid intake. D Water once or twice a day will make up for losses resulting from environmental temperature.
A
The mother of a 7-month-old infant newly diagnosed with cystic fibrosis is rooming in with her infant. She is breastfeeding and provides all the care except for the medication administration. What should the nurse include in the plan of care? A Ensuring that the mother has time away from the infant B Making sure the mother is providing all of the infant's care C Determining whether other family members can provide the necessary care so the mother can rest D Contacting the social worker because of the mother's interference with the nursing care
A
The nurse is checking reflexes on a 7-month-old infant. When the infant is suspended in a horizontal prone position, the head is raised and the legs and spine are extended. Which reflex is this? A Landau B Parachute C Body righting D Labyrinth righting
A
The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate? A Initiate a game of peek-a-boo. B Ask the infant's father to place the infant on the examination table. C Talk softly to the infant while taking him from his father. D Undress the infant while he is still sitting on his father's lap.
A
The nurse's approach when introducing hospital equipment to a preschooler who seems afraid should be based on which principle? A The child may think the equipment is alive. B Explaining the equipment will only increase the child's fear. C One brief explanation will be enough to reduce the child's fear. D The child is too young to understand what the equipment does.
A
The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. The nurse's response should be based on remembering what? A This is acceptable to encourage head control and turning over. B This is acceptable to encourage fine motor development. C This is unacceptable because of the risk of sudden infant death syndrome (SIDS). D This is unacceptable because it does not encourage achievement of developmental milestones.
A
What is an appropriate play activity for a 7-month-old infant to encourage visual stimulation? A Playing peek-a-boo B Playing pat-a-cake C Imitating animal sounds D Showing how to clap hands
A
What may a clinical manifestations of failure to thrive (FTT) in a 13-month-old include? A Irregularity in activities of daily living B Preferring solid food to milk or formula C Weight that is at or below the 10th percentile D Appropriate achievement of developmental landmarks
A
Which data should be included in a health history? A Review of systems B Physical assessment C Growth measurements D Record of vital signs
A
Which type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium? A Vesicular B Bronchial C Adventitious D Bronchovesicular
A
The nurse has administered a dose of epinephrine to a 12-month-old infant. For which adverse reactions of epinephrine should the nurse monitor? (Select all that apply.) A Nausea B Tremors C Irritability D Bradycardia E Hypotension
A B C
The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.) A Lightly brush the palate with a cotton swab. B Perform the examination in front of a mirror. C Let the child examine someone else's mouth first. D Have the child breathe deeply and hold his or her breath. E Use a tongue blade to help the child open his or her mouth
A B C D
The nurse relates to parents that there are some beneficial effects of hospitalization for their child. What are beneficial effects of hospitalization? (Select all that apply.) A Recovery from illness B Improve coping abilities C Opportunity to master stress D Provide a break from school E Provide new socialization experiences
A B C E
The nurse is planning play activities for a 2-month-old hospitalized infant to stimulate the auditory sense. Which activities should the nurse implement? (Select all that apply.) A Talk to the infant. B Play a music box. C Place a squeaky doll in the crib. D Give the infant a small-handled clear rattle.
A B D
