Unit 6 Review
The nurse should recognize which laboratory value as being abnormal? A. pH: 4 B. specific gravity 1.020 C. protein level: absent D, glucose level: absent
A
A nurse is developing an educational program about viral and bacterial meningitis/ The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? SATA A.inactivated polio vaccine (IPV) B. pneumococcal conjugate vaccine (PCV) C. DTaP D. Hib E. TIV
B, D
A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are expected findings? SATA A. increase in hunger B. irritability C. decrease in urination D. vomiting E. fever
B, D, E
A nurse is caring for a child who has ICP. Which of the following actions should the nurse take? SATA A. suction of the endotracheal tube every 2 hour B. maintain a quiet environment C. use two pillows to elevate the head D. administer a stool softener E. maintain body alignment
B, D, E
A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? SATA A. decreased urine flow B. urinary tract infection C. intrauterine polyhydraminos D. concentrated urine E. hydronephrosis
B, E
The nurse is discharging a 10-year-old patient admitted to the hospital in diabetic ketoacidosis. The child has been newly diagnosed with type 1 diabetes mellitus on this admission. The nurse should teach the child and parents which signs of type 1? SATA A. weight gain B. Nocturia C. Irritability D. Cool, clammy skin E. Blurred vision
B,C,E
A nurse is teaching a group of caregivers about fractures. Which of the following information should the nurse include in the teaching? A. "Children need a longer time to heal from a fracture than an adult." B. "Epiphyseal plate injuries can result in altered bone growth." C. "A greenstick fracture is a complete break in the bone." D. "Bones are unable to bend, so they break."
B.
A nurse is caing for achild who is in skeletal traction. Which of the following actions should the nurse take? SATA A. Remove the weights to reposition the client B. Assess the chil's position frequently C. Assess pin sites every 4 hours D. Ensure the weights are hanging freely E. Ensure the rope's knot is in contact with the pulley
B. C. D.
A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? SATA A. Place a heat pack on the site of injury B. Elevate the affected limb. C. Assess neurovascular status frequently D. Encourage ROM of the affected limb E. Stabilize the injury
B. C. E.
During the summer, many children are more physically active. What changes in the management of the child with diabetes should be expected as a result of more exercise? A. Increased food intake B. Decreased food intake C. Increased risk of hyperglycemia D. Decreased risk of insulin shock
A
In a non-potty-trained child with nephrotic syndrome, the best way to detect fluid retention is to: A. weigh the child daily B. test the urine for hematuria C. measure the abdominal girth weekly D. count the number of wet diapers
A
The most important nursing consideration related to congenital hypothyroidism is: A. Early identification of the disorder B. Facilitation if parent infant attachment C. Initiating referrals for cognitive impairment D. Helping parents deal with future prospects for the child.
A
The nurse is caring for a child hospitalized with acute adrenocortical insufficiency. Which treatment option should be implemented to restore fluid volume? A. Provide hypertonic saline dextrose solution (5%) with parenteral hydrocortisone B. Increase rate of intravenous fluids. C. Restrict intake of fluids for 8 hours. D. Provide isotonic fluids as needed to restore fluid balance
A
The nurse is caring for a child with Wilms' tumor. The MOST important nursing intervention before surgery is to: A. avoid abdominal palpation B. closely monitor arterial blood gases C. prepare child/family for long-term dialysis D. prepare child/family for renal transplantation
A
The nurse is caring for a toddler who has had surgery for a brain tumor. During an assessment, the nurse notes that the child is becoming irritable and pupils are unequal and sluggish. The MOST appropriate nursing action is to: A. notify the health care provider immediately B. document level of consciousness C. observe closely for signs of increased intracranial pressure (ICP) D. administer pain medication and assess for response
A
The nurse is doing a neurologic assessment on a 2-month-old infant following a car accident. Moro, tonic neck, and withdrawal reflexes are present. The nurse should recognize that these reflexes suggest: A. neurologic health B. severe brain damage C. decorticate posturing D. decerebrate posturing
A
The nurse is doing a neurologic assessment on a child whose level of consciousness has been variable since sustaining a cervical neck injury 12 hours ago. The MOST appropriate nursing assessment in this case is: A. reactivity of pupils B. doll's head maneuver C. oculovestibular response D. funduscopic examination to identify papilledema
A
The nurse is exposing that the destruction of pancreatic beta-cells is the cause of which disorder? A. Type 1 diabetes B. Type 2 diabetes C. Impaired glucose tolerance D. Gestational diabetes
A
A nurse is caring for a child who has a fracture. Whcih of the following are manifestations of a fracture? SATA A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis
A. B. C. E.
Major goals of the therapeutic management of juvenile idiopathic arthritis are to: A. Prevent joint discomfort and regain proper alignment B. Prevent loss of joint function and achieve cure C. Prevent physical deformity and preserve joint function D. Prevent skin breakdown and relieve symptoms
C
A nurse is assessing a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect? A. depressed anterior fontanel B. constipation C. presence of the rooting reflex D. high-pitched cry
D
A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect? A. flushed face B. hyperactivity C. weight gain D. delayed growth
D
A nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. The nurse should prepare teh child for which of the following diagnostic procedures? A. Bone bipsy B. Genetic testing C. CT scan D. Radiographs
D
A nurse is caring for an infant who has a myelomeningocele. Which of the followng actions should the nurse include in the preoperative plan of care? A. Assist the caregiver with cuddling the infant B. Assess the infants temperature rectally C. Place the infant in a supine position D. Apply a sterile moist dressing on the sac
D
A nurse is planning care of a child who has a urinary tract infection. Which of the following interventions should the nurse include? A. administer an antidiuretic B. restrict fluids C. evaluate the child's self-esteem D. encourage frequent voiding
D
A nurse is planning to perform a peripheral vision test on a child. Which of the following actions should the nurse take? A. place the child 10 feet away from a Snellen chart B. show a set of cards to the child one at a time C. cover the child's eye while performing the test on the other eye D. have the child focus on an object while performing the test
D
A toddler is hospitalized with acute renal failure secondary to severe dehydration. The nurse should assess the child for what possible complication? A. hypotension B. hypokalemia C. hypernatremia D. water intoxication
D
An important nursing consideration when caring for a child with end-stage renal disease (ESRD) is that: A. children with ESRD usually adapt well to the minor inconveniences of treatment B. children with ESRD require extensive support until they outgrow the condition C. multiple stresses are placed on children with ESRD and their families until the illness is cured D. multiple stresses are placed on children with ESRD and their families because the children's lives are maintained by drugs and artificial means
D
External defects of the GU tract such as hypospadias are usually repaired as early as possible to: A. prevent urinary complications B. prevent separation anxiety C. promote acceptance of hospitalization D. promote development of normal body image
D
Therapeutic management of the patient with systemic lupus erythematosus includes A.cold salts to suppress the inflammatory process. B.a high-protein, low-salt diet C.an exercise regimen focusing on weight training D. corticosteroids to control inflammation
D
What is an appropriate nursing intervention while the child with nephrotic syndrome is confined to bed? A. restraining child as necessary B. discouraging parents from holding child C. doing passive range-of-motion exercises once a day D. adjusting activities to child's tolerance level
D
What nursing intervention is used to prevent increased intracranial pressure (ICP) in an unconscious child? A. suctioning child frequently B. providing environmental stimulation C. turning head side to side every hour D. avoiding activities that cause pain or crying
D
Why are infants particularly vulnerable to acceleration-deceleration head injuries? A. the anterior fontanel is not yet closed B. the nervous tissue is not well developed C. the scalp of the head has extensive vacularity D. musculoskeletal support of head is insufficient
D
A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying. B. Avoid turning the child until the cast is dry. C. Assist the client with crutch walking after the cast is dry. D. Apply moleskin to the edges of the cast
D.
The nurse is teaching an adolescent, newly diagnosed with type 1 diabetes, ways to minimize discomfort with insulin injections. Which interventions are helpful in minimizing injection discomfort? SATA A. Do not reuse needles B. Inject insulin when it's cold C. Flex or tense the muscle during injection D. Rotate sites E. Do not move the direction of the needle-syringe during insertion or withdrawal
A,D,E
A neonate with a goiter has just been admitted to the newborn nursery. A priority nursing intervention is to: A. Position the infant on the left side B. Explain transient paralysis to parents C. Have tracheostomy set at bedside D. Suction the infant at least every 5-10 minutes
C
A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take? A. position the child in a side-lying position B. try to determine the seizure trigger C. reorient the child to the environment D. note the time of the postictal period
A
A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. Which of the following actions should the nurse take? A. place the client on NPO status B. prepare the client for a liver biopsy C. position the client dorsal recumbent D. put the client in a protective environment
A
A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the report to the provider? A. blood protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. platelet 200,000 mm3
A
A nurse is in the emergency department is assessing a child following a motor-vehicle crash. The child is unresponsive, has spontaneous respirations of 22/min, and has a laceration on the forehead that is bleeding. Which of the following actions should the nurse take first? A. stabilize the child's neck B. clean the child's laceration with soap and water C. implement seizure precautions for the child D. initiate IV access for the child
A
A nurse is providing teaching to the guardian of a child who is to have an electroencephalogram (EEG). Which of the following statements, by a guardian indicates teaching was effective? A. "My child should remain quiet and still during this procedure." B. "I cannot wash my child's hair prior to the procedure." C. "I should not give my child anything to eat prior to the procedure." D. "This procedure will be very painful for my child."
A
An infant is born with ambiguous genitalia. Tests are being done to assist in gender assignment. The parents tell the nurse that family and friends are asking what caused the baby to be this way. The nurses most appropriate action is to: A. Explain the disorder so parents can explain it to others. B. Help parents understand that no one knows how this occurs C. Suggest that parents avoid family and friends until the gender is assigned. D. Encourage parents not to worry while the tests are being done.
A
The nurse is planning care for a child recently diagnosed with diabetes insipidus. The plan should include: A. Encouraging the child to wear medical identification B. Discussing with the child and family ways to limit fluid intake C. Teaching the child and family how to do required urine testing D. Reassuring the child and family that this is usually not a chronic or life-threatening illness.
A
The nurse is planning care for a school-age child with bacterial meningitis. The plan should include: A. keeping environmental stimuli at a minimum B. avoiding giving pain medications that could dull sensorium C. measuring head circumference to assess developing complications D. having child move head side to side at least every 2 hours
A
The nurse should include which information when teaching a patient about Cushing's syndrome? A. It is caused by excessive production of cortisol B. The major clinical feature associated with this disease is exophthalmia C. Treatment involves replacement of cortisol D. Diagnosis is suspected with findings of hypotension, hyperkalemia and polyuria
A
The nurse who is concerned about increased intracranial pressure in an infant should assess for: A. irritability B. photophobia C. pulsating anterior fontanel D. vomiting and diarrhea
A
Which laboratory finding, in conjunction with the presenting symptoms, indicates nephrosis? A. hypoalbuminemia B. low specific gravity C. decreased hemoglobin D. decreased hematocrit
A
A nurse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? SATA A. Baclofen B. Diazepam C. Oxybutynin D. Methotrexate E. Prednisone
A, B
A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? SATA A. loss consciousness B. appearance of daydreaming C. dropping held objects D. falling to the floor E. having a piercing cry
A, B, C
A nurse is teaching a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in the teaching? SATA A. febrile episodes B. hypoglycemia C. sodium imbalances D. low blood lead levels E. presence of diphtheria
A, B, C
A nurse is reviewing treatment options with the guardian of a child who has worsening seizures. Which of the following treatment options should the nurse include in the discussion? SATA A. vagal nerve stimulator B. additional antiepileptic medications C. corpus callostomy D. focal resection E. radiation therapy
A, B, C, D
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? SATA A. urine dipstick +2 protein B. edema in the ankles C. hyperlipidemia D. polyuria E. anorexia
A, B, C, E
A nurse is assessing a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment? SATA A. uses monotone speech B. speaks loudly C. repeats sentences D. appears shy E. is overly attentive to the surroundings
A, B, D
A nurse is caring for an adolescent who has a closed head injury. Which of the following findings are indications of increased intracranial pressure (ICP)? SATA A. report of headache B. alteration in pupillary response C. increased motor response D. increased sleeping E. increased sensory response
A, B, D
A nurse is reviewing cerebrospinal fluid analysis for a client who has a suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis? SATA A. negative gram stain B. normal glucose content C. cloudy color D. decreased WBC count E. normal protein content
A, B, E
A nurse is caring for a male infant who has an epispadias. Which of the following findings should the nurse expect? SATA A. bladder exstrophy B. inability to retract foreskin C. widened pubic symphysis D. urethral opening on the dorsal side of the penis E. pain
A, C, D
A 3-year-old child is status postshunt revision for hydrocephaly. Part of the discharge teaching plan for the parents is signs of shunt malformation. Which signs are of shunt malformation? SATA A. personality change B. bulging anterior fontanel C. vomiting D. dizziness E. fever
A, C, E
A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect? SATA A. headaches B. photophobia C. difficulty reading D. difficulty focusing on close objects E. poor school performace
A, C, E
A nurse is caing for an infant and notices an audible click in their left hip. Which of the following diagnostic test should the nurse expect the provder to perform? SATA A. Barlow test B. Babinski sign C. Manipulation of foot and ankle D. Ortolani test E. Ponseti method
A, D
A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? SATA A. prepare the child for surgery B. test the child's infant's function C. cover the genitalias with a sterile dressing D. refer the family for genertic counseling E. explain the need for a chromosomal analysis
A, D, E
A nurse is caring for an infant with a suspected urinary tract infection (UTI). Based on the nurse's knowledge of UTIs, which clinical manifestation would be observed? SATA A. vomiting B. jaundice C. swelling of the face D. persistent diaper rash E. failure to gain weight
A, D, E
A nurse is assessing a child who has a concussion. Which of the following findings should the nurse expect? SATA A. amnesia B. systemic hypertension C. bradycardia D. respiratory depression E. confusion
A, E
A nurse is caring for a school-age child who has juvenile idiopathic arthritis. Which of the following home care instructions should the nurse include in the teaching? SATA A. Provide extra times for completion of ADLSs B. Use cold compresses for joint pain C. Take ibuprofen on an empty stomach D. Remain home during periods of exacerbation E. Perform ROM exercises
A, E
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. urinary tract infections B. emotional problems C. urosepsis D. progressive kidney disease
B
A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. BUN 8mg/dL B. blood creatinine 1.3 mg/dL C. blood pressure 100/74 mm Hg D. urine output 550 mL in 24 hr
B
A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? A. prepare the child for surgery B. explore to the parents that the issue will self-resolve C. retract the foreskin and cleanse several times daily D. refer the family for genetic counseling
B
A nurse is developing a plan of care for a toddler who has cerebral palsy. Which of the following actions should the nurse include? A. Structure interventions according to the toddler's chronological age B. Evaluate the toddler's need for an evaluation of hearing ability C. Monitor the toddler's pain level routinely usinga numeric rating scale D. Provide total care for dialy hygiene activities
B
A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should expect him to have frequent diarrhea." B. "I should place a cool mist humidifier in his room." C. "I should avoid the use of lotion on his skin." D. "I should expect him to grow faster in length than other infants."
B
A youngster has just returned from surgery in a hip spica cast. The PRIORITY nursing intervention is to: A.elevate the head of the bed. B.check circulation. C. turn the child to the right side D.offer sips of water
B
The most common cause of secondary hyperparathyroidism is: A. Diabetes mellitus B. Chronic renal disease C. Congenital heart disease D. Growth hormone deficiency
B
The nurse should recognize that when a child develops diabetic ketoacidosis, it is: A. An expected outcome B. A life-threatening situation C. Best treated at home D. Best treated at the practitioners office/clinic
B
The postoperative care of a preschool child who has had a brain tumor removed should include which information? A. clear drainage is to be expected B. close supervision is needed while the child is regaining consciousness C. positioning is on the side in the Trendelenburg position D. analgesics are contraindicated because of altered consciousness
B
A nurse is teaching a parents of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? SATA A. wear nylon underpants B. avoid bubble baths C. empty bladder completely with each void D. watch for manifestations of infection E. wipe perineal area back to front
B, C, D
A nurse is assessing a child who has Legg-Calve-Perthes disease. Which of the following findings should the nurse expect? SATA A. Longer affected lef B. Hip stiffness C. Back pain D. Limited ROM E. Limp with walking
B, C, D, E
A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? SATA A. night sweats B. swelling of the face C. pallor D. pale-colored urine E. fatigue
B, C, E
A nurse is caring for a child who has acute post-streptococcal glomerulonephritis (APSGN). Which of the following manifestations should the nurse expect? SATA A. pale urine B. periorbital edema C. ill appearance D. decreased creatinine E. hypertension
B, C, E
A 17-year-old boy with diabetes Mel lotus tells the school nurse that he has recently started drinking alcohol with his friends on weekends. The nurse should: A. Tell him not to do this B. Ask him why he is drinking alcohol C. Teach him about the effects of alcohol on diabetes and how to prevent problems associated with alcohol intake D. Provide an immediate referral for counseling so he understands the serious consequences of alcohol consumption
C
A 3-year-old child is scheduled for surgery to remove a Wilms' tumor from one kidney. The parents ask the nurse about what treatments, if any, will be necessary after recovery from surgery. The nurse's best response is: A. "No additional treatments are usually necessary." B. "Chemotherapy may be necessary." C. "Chemotherapy with or without radiation therapy is indicated." D. "Kidney transplant is indicated eventually."
C
A 5-year-old female child has been sent to the school nurse for urinary incontinence 3 times in the past 2 days. The nurse should recommend to her parent that the FIRST action is to have the child evaluated for: A. school phobia B. emotional causes C. possible urinary tract infection D. possible structural defects of the urinary tract
C
A 6-year-old child with acute renal failure is being transferred out of the intensive care unit. Considering their diagnoses, which child would be the MOST appropriate roommate for this child? A. 6-year-old child with pneumonia B. 4-year-old child with gastronenteritis C. 5-year-old child who has a fractured femur D. 7-year-old child who had surgery for a ruptured appendix
C
A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the following should the nurse monitor for as an adverse effect of mannitol? A. bradycardia B. weight loss C. confusion D. constipation
C
A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive a spinal instrumentation for scoliosis. Which of the following information should the nures include in the teaching? A. You will go home the same day of surgery B. You will have minimal pain C.You will need to receive blood D. You will not be able to eat until the day after surgery
C
A nurse is reviewing the medical record of a client who has Reye syndrome. Which of the following findings should the nurse identify as a risk factor for Reye syndrome? A. recent history of infectious cystitis caused by Candida B. recent history of bacterial otitis media C. recent episode of gastroenteritis D recent episode of Haemophilus influenzae meningitis
C
A school-age chid recently diagnosed with type 1 diabetes mellitus asks the nurse if he can still play soccer, baseball, and swim. The nurses response should be based on knowledge that: A. Exercise is contraindicated B. Soccer and baseball are too strenuous, but swimming is acceptable C. Exercise is not restricted unless indicated by other health conditions D. The level of activity depends on the type of insulin required.
C
A young child is diagnosed with vesicoureteral reflux. The nurse should know that this usually is associated with: A. incontinence B. urinary obstruction C. recurrent kidney infections D. infarction of renal vessels
C
A young child is having a seizure that has lasted 35 minutes. There is a loss of consciousness. The nurse should recognize that this is: A. absence seizure B. generalized seizure C. status epilepticus D. simple partial seizure
C
An advantage of continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal dialysis (CAPD) for adolescents that require dialysis is that: A. hospitalization is only required several nights per week B. dietary restrictions are not longer necessary C. adolescents can carry out procedures themselves D. insertion of catheter does not require surgical placement
C
The mother of a child with type 1 diabetes mellitus asks why her child cannot avoid all those "shots" and take pills as an uncle does. The nurse's best reply is: A. The pills work with an adult pancreas only B. The drugs affect fat and protein metabolism, not sugar C. Your child needs insulin replaced and the oral hypoglycemics only add to an existing supply of insulin D. Perhaps when your child is older the pancreas will produce its own insulin and then your child can take oral hypoglycemics
C
The nurse is admitting a young child to the hospital because bacterial meningitis is suspected. The PRIORITY of nursing care is to: A. initiate isolation precautions as soon as the diagnosis is confirmed B. initiate isolation precautions as soon as the causative agent is identified C. administer antibiotic therapy as soon as it is ordered D. administer sedatives/analgesics on a preventive schedule to manage pain
C
The nurse is caring for a 2-year-old girl who is unconscious but stable following a car accident. Her parents are staying at the bedside most of the time. An appropriate nursing intervention is to: A. suggest that the parents go home until she is alert enough to know that they are present B. use ointment on her lips but do not attempt to cleanse her teeth until swallowing returns C. encourage the parents to hold, talk, and sing to her as they usually would D. position her with proper body alignment and head of bed lowered 15 degrees
C
The nurse is caring for a child with multiple injuries who is comatose. The nurse should recognize that pain: A. cannot occur if the child is comatose B. may occur if the child regains consciousness C. require astute nursing assessment and management D. is best assessed by family members who are familiar with the child child
C
The nurse is discussing long-term care with the parents of a child who has a ventriculoperitoneal shunt to correct hydrocephalus. In that discussion the nurse should include that: A. parental protection is essential until the child reaches adulthood B. cognitive impairment is to be expected with hydrocephalus C. shunt malfunction or infection requires immediate treatment D. most usual childhood activities must be restricted
C
The parent of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. The nurse's BEST reply is: A. "Blood pressure changes are a common side effect of antibiotic therapy." B. "Blood pressure changes are a sign that the condition has become chronic." C. "Acute hypertension, or high blood pressure, must be anticipated and identified." D. "Hypotension, or low blood pressure, leading to sudden shock can develop at any time."
C
The temperature of an adolescent who is unconscious is 105 F. The PRIORITY nursing action is to: A. continue to monitor temperature B. initiate a pain assessment C. apply a hypothermia blanket D. administer acetaminophen or ibuprofen
C
When discussing a child's precocious puberty with the parents, the nurse should tell them that: A. The child is not yet fertile B. Heterosexual interest is usually advanced C. Dress and activities should be approval chronologic age D. Appearance of secondary sexual characteristics does not proceed in the usual order
C
A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? SATA A. Purposeless, involuntary abnormal movements B. Spnal defect and saclike protrusion C. Muscular weakness in lower extremities D. Unsteady wide-based or waddling gait E. Upward slant to the eyes
C, D
The MOST appropriate nursing interventions when caring for a child experiencing a seizure include: SATA A. restraining the child when a seizure occurs to prevent bodily harm B. placing a padded tongue between the teeth if they become clenched C. avoid suctioning the child during the seizure D. describing and documenting the seizure activity observed E. applying supplemental oxygen after inserting an artificial oral airway
C, D
A nurse is teaching a group of parents about possible manifestation of Down syndrome. Which of the following findings should the nurse include in the teaching? SATA A. a large head with bulging fontanels B. larger ears that are set back C. protruding abdomen D. broad, short feet and hands E. hypotonia
C, D, E
A child is receiving cyclosporine following a kidney transplant. The nurse should include which information in the teaching plan about this medication? SATA A. optimal time to take medication to decrease pain B. recommend foods to take with medication to enhance boosting of immunity C. purpose of medication is to suppress rejection D. how to palpate pulses to check for improved circulation E. frequent hand washing
C, E
A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A. " The Pavlik harness is used for chlidren with scoliosis, not hip dysplasia." B. " The Pavlik harness is used for school-aged children" C. " The Pavlik harness cannot be used fro your child because her condition is too severe" D. " The Pavlik harness is used for infants less than 6 months of age
D.
