Issues Related to Pediatric Health
What would be the nurse's best advice to a mother who says her 3 year old ingested Visine eye solution?
"Call the Poison Control Center."
Which instruction would be of highest priority for the mother of an infant receiving his first oral rotavirus vaccine?
"Call the physician if he develops a bloody stool or diarrhea."
Which statement from parents of a newborn diagnosed with Tay-Sachs disease indicates successful understanding of the long term prognosis?
"He will have normal development for about 6 months before progressive developmental delays occur."
The mother of a child diagnosed with erythema infectiosium (fifth disease) is crying and says, "I am afraid. Will my unborn baby die? I have a planned cesarean section next week." Which statement would be the most therapeutic response?
"I understand you are afraid. Can we talk about your concerns?"
What would be the best response if the mother of a 10 yer old on kidney dialysis tells the nurse he has no appetite and only eats bananas.
"Let's talk about your son and his diet."
When discharging a newborn, which injury prevention instruction would be of highest priority to tell the parents?
"Never leave the baby unattended on a raised, unguarded area."
Which statement by the mother would lead the nurse to suspect sexual abuse in a 4 year old?
"She has lots more temper tantrums."
What would be the most appropriate advice to give to the parent of a child with slight visual blurring after being hit in the face with a basketball?
"Take him to the emergency department to ensure that he does not have any internal eye damage."
Which statement would be most therapeutic to a child the nurse suspects has been abused?
"This is not your fault; you are not to blame for this."
Which response about safety measures is the most appropriate advice for the 2 year old's mother who had her older home remodeled to reduce the lead level?
"Wash and dry the child's hands and face before he eats."
Which would be the most therapeutic response for the mother of a 6 month old who tells the nurse she does not want her infant to have the DTaP vaccine because the infant had localized redness the last time she received the vaccine?
"Would you mind if we discussed your concerns?"
Which would be the nurse's best response if a mother asks if her baby still needs the Hib vaccine because he already had Hib?
"Yes, it is recommended that the baby still get the Hib vaccine."
Which is the most appropriate teaching to the parents of a child in the emergency department after near drowning if the child is awake, alert, and has no respiratory distress?
"You child will most likely be admitted for at least 24 hours and observed for respiratory distress or any swelling of the brain."
Which would be the most appropriate discharge instructions for a child with a right wrist sprain 3 hours ago?
"You should rest, apply ice wrapped in a towel, elevate the wrist above the heart, and use the sling when walking."
Which is the nurse's best repose to the mother of a 2 month old who is going to get IPV immunization when the mother tells the nurse the older brother is immunocompromised.
"Your baby can be immunized with IPV, he will not be contagious."
The parents of a 12 month old with HIV are concerned about his receiving routine immunizations. What will the nurse tell them about immunizations?
"Your child will not receive immunizations today."
What would be the nurse's best response if the foster mother of a 15 month old with an unknown immunization history comes to the clinic requesting immunizations?
"Your foster child will receive only the Hib and DTaP vaccines today."
Which treatment would the nurse anticipate for a 2 week old boy diagnosed with PKU?
A low-phenylalanine diet.
Which would be the best response to the mother of a 13 year old who continues to ask to ride his 16 year old cousin's all terrain vehicle?
All terrain vehicles are not recommended for those younger than 16 years of age.
Which signs and symptoms would the nurse expect to assess in a child with rheumatic fever?
Ankle and knee joint pain.
A child with a newly applied left leg cast initially feels fine, then starts to cry and tells his mother his leg hurts. Which assessment would be the nurse's first priority?
Neuromuscular integrity
Expected nursing assessments of a newborn with suspected cystic fibrosis would include:
Observe frequency and nature of stools.
Which statement by the parent of a newborn diagnosed with galactosemia demonstrates successful teaching?
Penicillin and other drugs that contain lactose as fillers need to be avoided.
After airway, breathing, and circulation have been assess and stabilized, which intervention should the nurse implement for a child diagnosed with encephalitis?
Perform initial and serial neurological assessments.
What would be the priority intervention when a 10 year old comes to the nurse's office because of a headache, and the nurse notices various stages of bruising on the inner aspects of the upper arms?
Ask the child what happened to her arms, and have her describe the headache.
Which would be the nurse's priority intervention if a 7 year old's mother tells the nurse she has noticed excessive masturbation?
Ask the mother if anyone is abusing the child.
The mother of a 6 month old states that since yesterday the infant cries when anyone touches her arm. Which would be the priority assessment after airway, breathing, and circulation had been assessed and found stable?
Ask the mother if she knows what happened.
A 10 month old is carried into the emergency department by her parents after she fell down 15 stairs in her walker. Which would be your highest priority nursing intervention?
Assess airway while simultaneously maintaining cervical spine precautions.
Which would be the most appropriate intervention for a 4 year old brought to the emergency department after ingesting a small watch battery?
Assess and monitor airway, breathing, circulation, and abdominal pain; anticipate admission and prepare for surgical intervention.
Which would be the priority intervention for a child diagnosed with chickenpox (varicella) who was prescribed diphenhydramine (Benadryl) for itching?
Avoid Caladryl lotion while taking diphenhydramine (Benadryl).
Which teaching would be most important to discuss with the family of a newborn with PKU?
Consumption of decreased amounts of protein and dairy products is advised.
Which would be the priority intervention for a child suspected of having varicella (chickenpox)?
Contact and droplet respiratory precautions.
Which would be the priority nursing intervention for a newly admitted child with Kawasaki disease?
Continous cardiovascular and oxygen saturation monitoring.
Which families would be appropriate to refer for genetic counseling?
Couple with a history of multiple miscarriages.
Which teaching is most important for a child with PKU?
Diet soda or anything with the sweeter aspartame should be avoided.
Which would be appropriate anticipatory guidance during the well care visit of a 17 year old?
Discuss alcohol use and potential for alcohol poisoning.
What would be the best response to a mother who tells the nurse that the only way she can get her 2 year old to take medicine is to call it candy?
Discuss the importance of not calling medicine candy to prevent accidental drug ingestion.
What would be the priority nursing action on finding the varicella vaccine at room temperature on the shelf in the medication room?
Do not administer this batch of vaccine.
Which is the most appropriate nursing intervention when caring for a child newly admitted with a mild head concussion and no cervical spine injury?
Elevate head of bed flat, side rails up, and safety measures in place.
Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
Eliminate all milk and lactose containing foods.
Which medication is most important to have available in all clinics and offices if immunizations are administered?
Epinephrine 1:1000 injection
What would be the best plan of care for a newborn whose mother's hepatitis B antigen status is unknown?
Give the infant the hepatitis B vaccine and hepatitis B immune globulin within 12 hours of birth.
The mother of a 3 week old tells the nurse she is residing in a homeless shelter and is concerned about his mild cough, poor appetite, low grade fever, weight loss, and fussiness over the last 2 weeks. Which nursing intervention would be the nurse's highest priority?
Immediately initiate droplet face mask precautions, and isolate the infant.
Which intervention would be most appropriate for a 3 year old who has just ingested dish detergent?
Inquire about the circumstances of the ingestion.
Which would be the most appropriate injury prevention/safety teaching for an adolescent?
Inquire which are the favorite sports, discuss the teen's knowledge and application of appropriate safety principles.
Which statement most accurately describes child abuse?
Intentional physical, emotional, and sexual abuse and neglect.
Which intervention might the nurse anticipate in a 2 day old infant diagnosed with maple syrup urine disease?
Low protein, limited amino acid diet.
Which nursing plan would be most successful if the nurse has to administer activated charcoal to a 5 year old?
Mix it with a sweetening flavor, provide a straw, and give it in an opaque cup with a cover.
What is the most likely cause of a child's illness if it is unexplained, prolonged, recurrent, and extremely rare, and usually occurs when the mother is present?
Munchausen syndrome by proxy.
Which signs and symptoms would the nurse expect to assess in a newborn with congenital hypothyroidism?
Post term, constipation, and bradycardia.
Which nursing intervention would be of highest priority for a 2 year old suspected of ingestion of digoxin?
Provide continuous cardiac monitoring.
Which would be the priority nursing intervention for a child with carbon monoxide poisoning.
Provide supplemental 100% oxygen.
Which nursing intervention should take place prior to all vaccination administration?
Provide the vaccine information statement handout, and answer all questions.
Which clinical assessment of a neonate with bacterial meningitis would warrant immediate intervention?
Respiratory rate of 24 breaths per minute.
Which assessment is most important after any injury in a child?
Serial assessments of level of consciousness.
Which would be the best response to a 10 year old who asks if she can take acetaminophen daily if she gets aches and pains?
Sometimes it is okay to take acetaminophen daily, but it depends on why she has aches and pains.
Which assessment of an 18 month old with burns on his feet would cause suspicion of chid abuse?
Symmetrical burns on both feet.
An 18 month old is discharged from the hospital after having a febrile seizure secondary to exanthema sibutum (roseola). On discharge, the mother asks the nurse if her 6 year old twins will get sick. Which teaching about the transmission of roseola would be most accurate?
The child does not need to be isolated from the older siblings.
Which would be the priority intervention for the newborn of a mother positive for hepatitis antigen?
The newborn should receive the hepatitis B vaccine and hepatitis B immune globulin within 12 hours of birth.
Which statement is true of shaken baby syndrome?
There may be an absence of external signs of injury.
Which statement is true of abused children?
They will repeat the same story that their parents tell.
