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A parent calls the nurse in the emergency department and reports giving a tepid bath to decrease temperature in a feverish child. The parent states the child is shivering and wants to know if this means the bath was effective. What is the best response by the nurse? You should pour more hot water in the tub so the child will not shiver." "Shivering means the child is chilling, which will cause the body temperature to increase." "The child's fever is going to go down after the bath because of the shivering." "The child may be getting ready to have seizure activity."

"Shivering means the child is chilling, which will cause the body temperature to increase."

The nurse is preparing a toddler for a diagnostic test. Which nursing intervention is best? Provide a detailed explanation of the procedure an hour in advance. Ask the parents to provide information to the child to prevent fear. Prepare only the parents only because the child is too young to understand. Allow the child to role play with a doll prior to the actual procedure.

Allow the child to role play with a doll prior to the actual procedure.

The nurse is preparing a school-age child for a diagnostic procedure. What is an important nursing role in relation to obtaining informed consent for this procedure for this client? Inform the parents of all benefits and risks. Allow the child to determine the timing of the procedure. Ensure the child understands and assents to the test. Present education and preparation to the parents only.

Ensure the child understands and assents to the test.

A nurse is preparing to insert a nasogastric (NG) tube in an infant. How will the nurse determine the appropriate length of tubing to use for the infant? Measure from the earlobe to the tip of the sternum. Measure from the tip of the child's nose to the earlobe down to the tip of the sternum. Measure from the lip line down to the middle of the sternum. Measure from the tip of the child's nose down to the tip of the sternum.

Measure from the tip of the child's nose to the earlobe down to the tip of the sternum.

The nurse finds an elevated temperature in a blanket-wrapped infant a mother is holding and rocking. What first temperature reduction measure will the nurse take? Encourage the mother to breastfeed the infant. Unwrap the infant and place the child in the crib. Administer the as-needed (PRN) antipyretic. Reduce the room's thermostat setting.

Unwrap the infant and place the child in the crib.

A pediatric nurse wants to determine an accurate amount of urine output for a diapered baby. Which is the most effective method? Weigh a diaper before use and mark with weight, then weigh after and subtract the weight of the diaper. Count the number of wet diapers during the shift. Apply a urine collection device inside the diaper and measure urine output. It is impossible to get an accurate measurement of urine output in a diaper.

Weigh a diaper before use and mark with weight, then weigh after and subtract the weight of the diaper.

Which nursing intervention helps to meet the 2020 National Health Goal of reducing hospitalizations for children under 5 years of age with asthma? Select all that apply. Develop an action plan in case of a flare-up. Provide instruction on how to use a peak flow meter and keep a diary. Instruct and evaluate proper use of an inhaler and spacer. Identify asthma triggers and how to avoid them. Eliminate exposure to second-hand smoke. Provide instruction about daily medication usage.

all of them

The nurse is assigned to care for a child diagnosed with a chronic illness. The child has just been admitted but has been on the unit many times before. From the report the admitting nurse gives, the child is sicker than the last time she was admitted. In planning the child's care, the nurse notes that the provider has ordered a nasogastric gavage feeding, but the nurse remembers that even the last time the child was on the unit, she was unable to tolerate the nasogastric feedings. The most appropriate nursing action would be for the nurse to: begin the nasogastric gavage feeding to see if the child can tolerate it. ask the nursing supervisor to decide which type of feeding to give. talk with the health care provider and request further instruction and orders. begin an orogastric gavage in hopes the child can handle the feeding.

talk with the health care provider and request further instruction and orders.

Which of the following are situations that might warrant a restraint of a pediatric client? Select all that apply. to teach a child how to be cooperative to ensure the child's safety to keep an active child confined to bed to protect the child from injury during a procedure or examination

to ensure the child's safety to protect the child from injury during a procedure or examination

The nurse is conducting teaching with the caregivers of a child who is being discharged from the pediatric unit. The care provider has recommended the child have moist heat applications at home. In conducting teaching with this caregiver, the nurse will teach the caregiver to use which of the following to provide the moist heat? a hot water bottle towels dampened and heated in the microwave an electric heating pad towels dampened with hot water

towels dampened with hot water