PEDs Exam 2

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The nurse is providing education to the parents of a 3-year-old girl with hydrocephalus who has just had an external ventricular drainage system placed. Which question is best to begin the teaching session?

"What questions or concerns do you have about this device?"

The nurse is caring for a 6-year-old child who has a history of febrile seizures and is admitted with a temperature of 102.2°F (39°C). What is the nurse's highest priority?

Institute safety precautions.

The nurse is caring for a 13-year-old boy with acute myeloid leukemia (ALL) who is experiencing feelings of powerlessness due to the effects of chemotherapy. What intervention will best help the teen's sense of control?

Involving the boy in decisions whenever possible

While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?

Prioritization and administration of nursing care throughout the day

The nurse is preparing a discharge teaching plan for the parents of an 8-year-old girl with leukemia. Which instruction would be the priority in teaching?

Calling the doctor if the child gets a sore throat

During the physical assessment of a 2½-month-old infant, the nurse suspects the child may have hydrocephalus. Which sign or symptom was observed?

Dramatic increase in head circumference

In caring for a child with sickle cell disease, the highest priority goal is:

The child's fluid intake will improve.

A nurse is teaching the parents of a child with sickle cell disease. The nurse determines that the teaching was successful when the parents identify which conditions as factors that predispose the child to a sickle cell crisis? Select all that apply.

cold air temperature, infection, respiratory distress

The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which problem?

head trauma

Any individual taking phenobarbital for a seizure disorder should be taught:

never to discontinue the medication abruptly.


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