Nursing care of children practice A

Sign of diabetes insipidus in a 10 year old following a head Injury

Sodium 155 mEq/L

Improving education for students with ADHD

Teach challenging academic subjects in the morning

Order to discontinue IV fluids and catheter

Turn off IV pump Occlude IV tubing Remove tape securing the catheter Apply pressure over the catheter insertion site

Signs and symptoms of intussusception

Vomiting and lethargy

School-age child with a minor superficial burn from fireworks on their forearm. What should the nurse do? Administer the tetanus toxoid vaccine if more than one year since the prior dose apply antimicrobial appointment to the affected area leave the barn open to air place an ice pack on the affected area

apply antimicrobial appointment to the affected area

Discharge teaching for the parents of a three month old infant following cheiloplasty Do you know baby sutures daily with a mixture of chlorhexidine and water expect your baby to swallow more than usual over the next few days inspect babies tongue for white patches using a tongue depressor every eight hours apply thin layer of anabiotic ointment on your babysitter line daily for the next three days

apply thin layer of anabiotic ointment on your babysitter line daily for the next three days Cheiloplasty= surgical lip restoration

How long do you keep bacterial meningitis on droplet precautions Until the adolescent is afebrile for seven days following admission to the facility until the adolescent has a negative blood culture for 24 hours following initiation of antimicrobial therapy

for 24 hours following initiation of antimicrobial therapy

Discharge teaching for school-age child with moderate persistent asthma Give salmeterol inhaler every four hours when they're having an acute episode of wheezing monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy pulmonary function test will be performed every 12 to 24 months to evaluate how old is responding to therapy when using the peak expiratory flow meter record your child's average of three readings

pulmonary function test will be performed every 12 to 24 months to evaluate how old is responding to therapy

A nurse is assessing the vitals of a 10 year old following a burn injury. Which of the following is an indication of early septic shock? Blood pressure 130/90 mmHg heart rate 60 per minute temperature 39.1°C (102.4°F ) urinary output 100 mL/hr

temperature 39.1°C (102.4°F )

A nurse is planning care for a school age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? Use sterile scissors to remove the dressing from the site irrigate each lumen weekly with 10 mills of .9% sodium chloride solution when not in use access the site using a noncoring angled needle use a semi permeable transparent dressing to cover the site

use a semi permeable transparent dressing to cover the site

School-age child with Marisela. The parent ask the nurse when their child will no longer be contagious When your child no longer has an increased temperature Three days after you first noticed the rash appear on your child when your child lesions are crusted, usually six days after they appear 2 to 3 weeks when your child lesions completely disappear

when your child lesions are crusted, usually six days after they appear

Manifestations of increased intracranial pressure Hypotension reports insomnia difficulty concentrating tachycardia

Difficulty concentrating

Toddler with a cute otitis media has a temperature of 40°C 104°F. After administering a cinnamon offend which of the following actions should the nurse plan to take to reduce the toddlers temperature Apply a cooling blanket to the toddler Dress the toddler in minimal clothing give the toddler a tepid bath administer diphenhydramine to the toddler

Dress the toddler in minimal clothing

Nutritional nursing intervention for cystic fibrosis

Increase fat content to 40% of total calories

Signs and symptoms of Kawasaki disease

Increase temperature xerophthalmia cervical lymphadenopathy NOT bradycardia or gingival hyperplasia

Child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider Nuchal rigidity headache six out of 10 positive Kernig's sign

Nuchal rigidty

Menu item with the most nonheme iron

Raisins

Medication for hypopituitarism

Recombinant growth hormone

Child has experienced a tonic Clonic seizure. Nurse action in immediate postictal state?

I said give child a high carbohydrate snack Other options : place child in side lying position, admin oral sedative

Symptoms of spastic cerebral palsy in the toddler Negative Babinski reflex ankle clonus exaggerated stretch reflexes uncontrollable movements of the face contractures

I said: ankle clonus exaggerated stretch reflexes uncontrollable movements of the face

Varicella

Airborne precautions

Hypospadia's repair with stent placement

Allow the stent to drain directly into your infants diaper

How to manage tinea pedis

Wear sandals as much as possible

Signs of teething Your baby my pulled her ears when they're teething rub your babies gums with an aspirin to decrease discomfort place a beaded teething necklace around your babies neck Your babies upper middle teeth will irrupt first

Your baby my pulled her ears when they're teething

Which of the following indicates SIADH Sodium 148 mill equivalents per liter Do you want specific gravity 1.02 mental confusion Weak peripheral pulses

I said urine specific gravity

A nurse is assessing an eight-year-old child who is early indications of shock. After establishing an airway and stabilizing the child's respirations which of the following actions should the nurse take next? Measure height and weight initiate IV access maintain ECG monitoring

Initiate IV access

How to tell Sodium polystyrene sulfonate enema is effective

Potassium level 4.1 mEq/L NOT Presence of loose stools within 15 minutes of administration

A nurse in NED is performing a physical assessment on a two week old male newborn. Which of the following findings is the priority for the nurse to report to the provider Multiple capillary hemangiomas depressed posterior fontanelle sub sternal retractions

I said sub sternal retractions

What should a parent applied to an infant with diaper dermatitis I think upside, talcum powder, anti-septic solution, or abx

I said talcum powder

A nurse is caring for a emancipated adolescent who has an STI and is on accompanied by a guardian. Which of the following action should the nurse take? Have the adolescent sign a consent form for treatment instruct adolescent to return with a guardian obtain consent from the adolescence guardian over the phone treat the adolescent without a consent form

Have the adolescent sign a consent form for treatment

A nurse is reviewing the laboratory results of a school age child who has one week postop following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? Erythrocyte sedimentation rate 18 MM per hour WBC count 6200/mm3 CRP 1.4 mg/L RBC 4.7 million/mm3

I said ESR 18, because google said normal for child is 0-10

child with pertussis Place them in a room with positive airflow place them in a room with negative airflow initiate contact precautions Initiate droplet precautions

I said Initiate droplet precautions

A nurse is planning care for a toddler who has a serum lead level of 4 µg per decaliter. Which of the following action should the nurse plan to take Prepare the toddler for chelation therapy or scheduled a toddler for a yearly rescreening

I said Prepare the toddler for chelation therapy

Child has a new prescription for oral nice Staten for the treatment of oral candidiasis. Which of the following instruction should the nurse include Shake the medication prior to admin provide the medication through a straw Rinse the child's mouth of water immediately after giving it mix medication with applesauce if the child dislikes the taste

I said Shake the medication prior to admin

Which patients are the nurse see first child who has sickle cell anemia and vision in the left eye or an adolescent with meningitis and reports a sensitivity to light and noise

I said an adolescent with meningitis and reports a sensitivity to light and noise

Which of the following manifestations should the charge nurse include as a potential indication of physical abuse Recurrent UTI symmetric burns of the lower extremities failure to thrive lack of sub Q fat

I said failure to thrive

How to confirm peripheral edema in school age child

Palpate the dorsum of the child's feet

Nurse is teaching guardian of 6 month old about car seat use. Which statement reflects understanding of teaching? "I should position the car seat harness 1 inch above my baby shoulders" " I will make sure the car seat is placed at a 90° angle" "my babies car seat with a blanket for traveling long distances"

I said "I should position the car seat harness 1 inch above my baby shoulders"

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? Apply topical analgesic cream to the site one hour prior to the procedure Keep the adolescent in a semi Fowler's position for four hours following the procedure Placed a client on the cardiac monitor prior Restrict fluids for two hours following the procedure

I said apply topical analgesic

School-age child has an appendicitis with abdominal pain seven out of 10. What should the nurse do? Give morphine IV or apply a heating pad to the abdomen

I said give morphine

A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. what intervention should be included Perform a Nuro assessment every four hours implement seizure precautions position the infant side lying with their head at a 0 to 5° angle

I said implement seizure precautions

Which is an indication of bacterial meningitis on a lumbar puncture Decreased CSF pressure decreased wbc count increased protein concentration increased glucose level

I said increased protein concentration

A toddler has acute diarrhea and moderate dehydration. Which of the following nutritional items at the nurse offer Apple juice peanut butter chicken broth oral rehydration solution

I said oral rehydration solution

Which of the following play activities should the nurse recommend for the preschooler Playing patty cake using a push poll toy creating a scrapbook playing dress up

I said playing dress up

Cleft palate repair referral - speech therapist or occupational therapist

I said speech therapist

A nurse is caring for 15 year-old who is married and is scheduled for a surgical procedure. The client asks who should sign my surgical consent which of the following responses should the nurse make?

I said they can sign for themselves