peds exam 2
The nurse provides home care instructions to the parent of a child with acquired immunodeficiency syndrome (AIDS). Which statement by the parent indicates the need for further teaching?
"I can send my child to day care if he has a fever, as long as it is a low-grade fever."
The nurse is planning care for a preschool-age child who is intellectually disabled and is scheduled for surgery the next day. Which should the nurse consider when choosing a pain assessment tool? Select all that apply. 1. The child's language skills 2. The child's ability to understand the concept of more and less 3. The child's ability to sit for a 10-minute evaluation 4. The child's ability to perceive pain5. The child's ability to understand pain
1,2
An adolescent is seen in the health care clinic with complaints of chronic fatigue. On physical examination, the nurse notes swollen lymph nodes, and laboratory test results indicate the presence of Epstein-Barr virus (mononucleosis). The nurse provides instruction regarding care of the adolescent. Which statement made by the mother indicates an understanding of the care measures? 1. "I will call the doctor if my child has abdominal or left shoulder pain." 2. "I need to keep my child on bed rest for 3 weeks to discourage physical activity." 3. "I will notify the health care provider if my child is still feeling tired in 1 week." 4. "I need to isolate my child so that the respiratory infection is not spread to others."
1. "I will call the doctor if my child has abdominal or left shoulder pain."
The pediatric nurse would expect that patient-controlled analgesia (PCA) would be most appropriate for which client? 1. 12-year-old client who is postoperative for spinal fusion for scoliosis 2. 10-year-old client who has a fractured femur and concussion from a bike accident 3. 5-year-old client who is postoperative for tonsillectomy 4. Developmentally delayed 16-year-old client who is postoperative for bone surgery.
1. 12-year-old client who is postoperative for spinal fusion for scoliosis
A nurse is providing care for a pediatric client in the intensive care unit (ICU) who has been on opioids for an extended period of time. Which assessment finding indicates to the nurse that the child is experiencing withdrawal symptoms related to the opioid weaning process? 1. Hyperactive deep tendon reflexes, vomiting, and abdominal cramps. 2. Bradycardia and pallor. 3. Decreased blood pressure and drowsiness. 4. Voracious appetite and hypotonicity.
1. Hyperactive deep tendon reflexes, vomiting, and abdominal cramps
The nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which response by the nurse is appropriate? 1.Ten days after using the antibiotic ointment 2.One week after using the antibiotic ointment 3.As soon as the antibiotic ointment is started 4.Forty-eight hours after using the antibiotic ointment
4.Forty-eight hours after using the antibiotic ointment
To best assess the child with severe burns for adequate perfusion, the nurse monitors: a.Distal pulses. b.Urine output. c.Skin turgor. d.Mucous membranes.
B. urine output
What is the priority nursing intervention for a 6-month-old infant hospitalized with diarrhea and dehydration? a. Estimating insensible fluid loss b. Collecting urine for culture and sensitivity c. Palpating the posterior fontanel d. Measuring the infant's weight
D . measuring the infants weight
a 4 month old infant comes to the clinic for a well infant check up. immunization she should receive are dtap and IPV. She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. nursing considerations should include what? a. dTap and IPV can be safely given b. they are contraindictated c. IPV is contraindicated because her sister is immunocompromised d. they are contraindicated because her sister is immunocompromised.
a. they can safely be given
The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. What action by the nurse takes priority? a.Administer naloxone (Narcan) immediately. b.Notify the provider immediately. c.Discontinue morphine until the child is fully awake. d.Stimulate the child by calling his or her name and shaking gently.
a.Administer naloxone (Narcan) immediately.
Which activity should the nurse implement for the toddler hospitalized with a chronic illness to promote autonomy? a. Playing with a push-pull toy b. Putting together a puzzle c. Playing a simple card game d. Watching cartoons on television
a. Playing with a push-pull toy
which assessment indicates to a nurse that a 2-year old child is in need of pain medication? a. child is lying rigidly in bed and not moving b. the Childs current vital signs are consistent with previous vitals c. the child becomes quiet when held and cuddled d. the child has just returned from the recovery room
a. child is lying rigidly in bed and not moving
which is usually the only symptom of pediculosis capitis? a. lice b. vesicles c. scalp rash d. localized inflammatory response
a. itching
When giving instructions to a parent whose child has scabies, what should the nurse include? a. Treat all family members if symptoms develop. b. Be prepared for symptoms to last 2 to 3 weeks. c. Carefully treat only areas where there is a rash. d. Notify practitioner so an antibiotic can be prescribed.
b. Be prepared for symptoms to last 2 to 3 weeks.
which should the nurse teach parents to expect to observe in the prodromal phase of rubeola? a. macular rash on the face b. kopliks spots c. petechiae on the soft palate d. crops of vesicles on the trunk
b. kopliks spots
Which drug is usually the best choice for PCA for a child in the immediate postoperative period? a.Codeine b.Morphine c.Methadone d.Meperidine
b. morphine
What is the hourly maintenance fluid rate for an intravenous infusion in a child weighing 19.3 kg? a. 19 mL b. 45 mL c. 61 mL d. 95 mL
c 61mL
Identify the most appropriate response for the nurse when parents say, "Living with this disease is really hard; it's not fair." a. "Tell me about what is hard for you." b. "I know exactly how you must feel." c. "I know a local support group for families." d. "I am going to ask the grief counselor to meet with you."
d. I am going to ask the grief counselor to meet with you."
what discharge information should the nurse give to the parents of an adolescent who has been diagnosed with Epstein-Barr virus? a. it is particularly important to protect the adolescents head during physical activities b. the teen will feel like himself and be back to his usual routine in a week. c. the treatment is prolonged bed rest usually lasting several months d. fatigue may be present and the adolescent may need to increases school activities gradually.
d. fatigue may be present and the adolescent may need to increases school activities gradually.
Which symptom should be reported to the primary care provider if it occurs when a child with an infectious disease is febrile?a.Anorexia b.Fatigue c.Itching d.Headache
d. headache
which symptom would be reported to the primary care provider if it occurs when a child with an infectious disease is febrile? a. anorexia b. fatigue c. itching d. headache
d. headache
After the acute stage and during the healing process, the primary complication from burn injury is: a.Asphyxia. b.Renal shutdown. c .Shock. d.Infection.
d. infection
A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?
the buttocks is elevated slightly off the bed
The nurse should provide which information to parents about the prevention of parasiticinfections? Select all that apply. a. Perform good handwashing. b. Diaper a child when swimming. c. Avoid cleaning the bathroom facilities with bleach. d. Shoes should be worn outside. e. Fruits and vegetables should be washed before eating.
ADE
the nurse is conducting discharge teaching to an adolescent with an MRSA infection. what should the nurse include in the instructions? select all that apply a. avoid sharing of towels and washcloths b. launder clothes and bedding in cold water c. use bleach when laundering towels and washcloths d. take a daily bath or shower with an antibacterial soap e. apply mupirocin to the nares twice a day for 2-4 weeks
ADE
the nurse is planning care for a child with chickenpox. which prescribed supportive measueres should the nurse plan to implement? select all that apply a. administer acyclovir b. administer azithromycin c. administer vitamin A d. administer acetaminophen for fever e. Administer diphenhydramine for itching
ADE
the nurse is planning care for an infant with candidiasis (moniliasis) diaper dermatitis. which topical ointment may be prescribed for the patient? select all that apply a. nystatin b. bactrobban c. neosporin d. miconazole e. clotrimazole
ADE
A 12-month-old child with human immunodeficiency virus infection is currently immunocompromised. The nurse determines that the immunization needs of this child include which action? 1. Withholding the inactivated polio vaccine 2. Recommending against any influenza vaccinations 3. Administering the measles-mumps-rubella (MMR) vaccine 4. Delaying the administration of the varicella virus vaccine until the child is not immunocompromised
4. Delaying the administration of the varicella virus vaccine until the child is not immunocompromised
The nurse prepares to administer an intramuscular injection to a four month old infant. The nurse selects which best site to administer the injection? 1. Ventrogluteal 2. Lateral deltoid 3. Rectus femoris 4. Vastus lateralis
4. Vastus lateralis
A mother brings her 4-month-old infant to the well-baby clinic for immunizations. Which immunizations should be administered to this infant? 1.Diphtheria, tetanus, acellular pertussis (DTaP), Measles, mumps, rubella (MMR), inactivated poliovirus vaccine (IPV) 2.Varicella and hepatitis B vaccines 3.MMR, Hib, DTaP 4.DTaP, Hib, IPV, pneumococcal vaccine (PCV)
4.DTaP, Hib, IPV, pneumococcal vaccine (PCV)
which home care instructions should the nurse provide to the parents of a child with AIDS? select all that apply a. give supplemental vitamins as prescribed b. yearly influenza vaccines should be avoided c. administer trimethoprim-sulfamethoxazole (bactrim) as prescribed d. notify the physician if the child develops a cough or congestion e. missed doses of antiretroviral medications do not need to be recorded
ACD
Which assessment findings indicate to the nurse that a child has excess fluid volume?Select all that apply .a. Weight gain b. Decreased blood pressure c. Moist breath sounds d. Poor skin turgor e. Rapid bounding pulse
ACE
The nurse is caring for a toddler client in the postoperative period. Which pain assessment tool is most appropriate for this client? 1. FLACC Behavioral Pain Assessment Scale 2. FACES pain scale 3. Oucher scale 4. Poker-chip tool
1. flacc
An infant is brought to the clinic for his third diphtheria-tetanus toxoid-acellular pertussis vaccination (DTaP). The mother reports that the infant developed a 99.4°F (37.4°C) temperature after the last DTaP. Which action is most appropriate? 1. Withhold the vaccination. 2. Administer the vaccination. 3. Draw blood for a pertussis titer. 4. Notify the health care provider.
2. Administer the vaccination.
A 5-year-old child is hospitalized with a fractured femur. Which tool should the nurse use to assess this child's pain? 1. CRIES Scale 2. Faces Pain Rating Scale 3. SUN Scale 4. PIPP Scale
2. Faces Pain Rating Scale
A child is scheduled to receive immunizations. The child's mother reports to the nurse that the child has been receiving long-term immunosuppressive therapy. The nurse prepares the scheduled immunizations knowing that which vaccine is contraindicated? 1. Hepatitis B 2. MMR (measles-mumps-rubella) 3. Hib (Haemophilus influenzae type b) 4. DTaP (diphtheria-tetanus-acellular pertussis)
2. MMR
The home care nurse provides instructions regarding basic infection control to the parent of an infant with human immunodeficiency virus (HIV) infection. Which statement, if made by the parent, indicates the need for further instruction? 1. I will clean up any spills from the diaper with diluted alcohol." 2. "I will wash baby bottles, nipples, and pacifiers in the dishwasher." 3. "I will be sure to prepare foods that are high in calories and high in protein." 4. "I will be sure to wash my hands carefully before and after caring for my infant."
1. I will clean up any spills from the diaper with diluted alcohol."
Which home care instructions should the nurse provide to the parent of a child with acquired immunodeficiency syndrome (AIDS)? Select all that apply. 1. Monitor the child's weight. 2. Frequent hand washing is important. 3. The child should avoid exposure to other illnesses. 4. The child's immunization schedule will need revision. 5. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach). 6. Fever, malaise, fatigue, weight loss, vomiting, and diarrhea are expected to occur and do not require special intervention.
1. Monitor the child's weight. 2. Frequent hand washing is important. 3. The child should avoid exposure to other illnesses. 5. Clean up body fluid spills with bleach solution (10:1 ratio of water to bleach).
What does impetigo ordinarily results in? a. No scarring b. Pigmented spots c. Atrophic white scars d. Slightly depressed scars
A. No scarring
A hospitalized child has developed a methicillin-resistant Staphylococcus aureus (MRSA)infection. The nurse plans which interventions when caring for this child? Select all thatapply. a. Airborne isolation b. Administration of vancomycin (Vancocin) c. Contact isolation d. Administration of mupirocin (Bactroban) ointment to the nares e. Administration of cefotaxime (Cefotetan)
BCD
a hospitalized child has developed MRSA. the nurse plans which interventions when caring for this child. select all that apply. a. airborne precautions b. administer vancomycin c. contact isolation' d. administer mupirocin ointment to the nares e. administer cefotaxime
BCD
Which statement best describes why infants are at greater risk for dehydration than olderchildren? a. Infants have an increased ability to concentrate urine. b. Infants have a greater volume of intracellular fluid. c. Infants have a smaller body surface area. d. Infants have an increased extracellular fluid volume.
D infants have an increased extracellular fluid volume
a 6-year old child with HIV has been admitted to the hospital for pain management. The child asks the nurse if the pain will ever go away. The nurse should make what response to the child?
I know that it must hurt, but if you tell me when it does, I will try my best to make it hurt a little less.
which intervention is appropriate for a hospitalized child who has crops of lesions on the trunk that appear as macular rash and vesicles. a. place the child in strict isolation and on airborne precautions b. continue to practice standard precautions c. pregnant women should avoid contact with the child d. screen visitors for immunity to measles
a. place the child in strict isolation and on airborne precautions
the nurse is planning care for an adolescent with AIDS. The priority nursing goal is to: a. prevent infection b. prevent secondary cancers c. restore immunologic defenses d. identify source of infection
a. prevent infection
Which nursing intervention is the highest priority in the initial care of a child with a major burn injury? a.Establishing and maintaining the child's airway b.Establishing and maintaining intravenous access c.Insertion of a catheter to monitor hourly urine output d.Insertion of a nasogastric tube into the stomach to supply adequate nutrition
a.Establishing and maintaining the child's airway
an immunocompromised child is admitted to the hospital with varicella (chickenpox). the nurse should be prepared to administer which prescribed medication? a. erythromycin b. varicella vaccine c. acetylsalicylic acid (aspirin) d. acyclovir
d acyclovir
a nurse is caring for a 4-year old child with a diagnosis of HIV. in planning care to address the Childs psychosocial needs, the nurse expects that the child a. will express fear, withdrawal and denial b. begins to understand that something is wrong c. is unable to grasp the concept of illness and death d. begins to conceptualize the death process to the evolving physical harm
d. begins to conceptualize the death process to the evolving physical harm
What often causes cellulitis? a. herpes zoster b. candida albicans c. HPV d. streptococci or staphylococci
d. streptococci or staphylococci
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
muscle tremors
The nurse administers IV morphine to a 4-year-old postoperative client. Which assessment finding requires further evaluation by the nurse? 1. Pulse decreased from 136 to 104 2. Blood pressure dropped from 110/72 to 90/55 3. Respiratory rate went from 42 to 16 4. Child pulls away from nurse who wants to assess surgical site
3. Respiratory rate went from 42 to 16
The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? Select all that apply. 1. The child has symptoms of a cold. 2. The child had a previous anaphylactic reaction to the vaccine. 3. The mother reports that the child is having intermittent episodes of diarrhea. 4. The mother reports that the child has not had an appetite and has been fussy. 5. The child has a disorder that caused a severely deficient immune system. 6. The mother reports that the child has recently been exposed to an infectious disease.
2. The child had a previous anaphylactic reaction to the vaccine. 5. The child has a disorder that caused a severely deficient immune system.
The nurse reinforces instructions regarding the use of permethrin 1% to the parents of a child who has been diagnosed with pediculosis capitis. Which statements by the parents indicate they understand the instructions? Select all that apply. 1."We will need to apply another application in 48 hours." 2."The hair should not be shampooed for 24 hours after treatment." 3."The medication can be obtained over the counter in a local pharmacy." 4."The medication is applied to the hair after shampooing and left on for 24 hours." 5."The medication is applied to the hair after shampooing, left on for 5 to 10 minutes, and then rinsed out.
2."The hair should not be shampooed for 24 hours after treatment." 3."The medication can be obtained over the counter in a local pharmacy." 5."The medication is applied to the hair after shampooing, left on for 5 to 10 minutes, and then rinsed out."
A nursing student is asked to discuss human immunodeficiency virus (HIV) during a clinical conference. The nursing student should include which correct item in the discussion? 1.HIV primarily attacks the hematological system. 2.HIV virus attacks the immune system by destroying T lymphocytes. 3.Most newborns of HIV-positive women test positive for HIV virus. 4.In HIV, the B cells are depleted and cannot signal T4 cells to form protective antibodies.
2.HIV virus attacks the immune system by destroying T lymphocytes.
The nurse assists with providing an instructional session to parents regarding impetigo. Which statement by a parent indicates the need for further teaching? 1."It is extremely contagious." 2."It is most common during humid weather." 3."Lesions are most often located on the arms and chest." 4."It begins in an area of broken skin, such as an insect bite."
3."Lesions are most often located on the arms and chest."
The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? 1."We need to encourage adequate fluid intake." 2."Coughing spells may be triggered by dust or smoke." 3."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." 4."Good hand-washing techniques need to be instituted to prevent spreading the disease to others."
3."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."
An infant is suspected to be human immunodeficiency virus (HIV) positive, and the nurse provides information to the parents about the care of their infant. Which indicates to the nurse that the parents need further teaching about the care of their HIV-positive infant? 1.The parents ask about a prescription for an antiretroviral medication. 2.The parents are able to verbalize signs and symptoms of failure to thrive. 3.The parents plan to use rice cereal to help with watery stools when they occur. 4.The parents state they will not allow anyone with a cold to hold and kiss the baby.
3.The parents plan to use rice cereal to help with watery stools when they occur.
A child hospitalized with pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has provided instructions to the parents for home care of the child. Which statement by a parent indicates a need for further teaching? 1. "It is important that my child drinks plenty of fluids." 2. "A quiet environment helps to prevent episodes of coughing spells." 3. "We need to teach the other members of the family how to use good hand washing techniques to prevent the spread of infection." 4. "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them."
4. "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them."
A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? 1. Eggs 2. Penicillin 3. Sulfonamides 4. A previous dose of hepatitis B vaccine or component
4. A previous dose of hepatitis B vaccine or component
An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? 1. Monitor the infant for a fever. 2. Bring the infant back to the clinic. 3. Apply a hot pack to the injection site. 4. Apply a cold pack to the injection site.
4. Apply a cold pack to the injection site.
A school-age child is seen in the health care provider's office for complaints of intense itching mostly at night. The health care provider makes a diagnosis of scabies and prescribes permethrin for treatment of the skin condition. Which at-home instruction should the nurse provide to the mother? 1. Retreatment is recommended the next day. 2. The child's bedding and clothing should be washed in cold water. 3. Leave the lotion on throughout the day and rinse off within 6 hours. 4. Apply the lotion liberally to the body and head, avoiding the eyes and mouth.
4. Apply the lotion liberally to the body and head, avoiding the eyes and mouth.
the clinic nurse reviewing the immunization guidelines for hepatitis b. which are true of the guidelines for this vaccine? select all that apply a. the hepatitis b vaccine series should be begun at work b. the adolescent not vaccinated at birth does not have a need to be vaccinated c. any child not vaccinated at birth should receive two doses at least 4 months apart d. an unimmunized 10-year old child should receive three doses administered 4 weeks apart
AD
Which are advantages of using an Electronic Medical Record System (EMR) for medication administration to children? Select all that apply. a.Eliminates the need to perform the six rights of medication administration b.Reduces medication errors c.Is a cost effective means of medication administration d.Improves communication of patient medication lists e.Improves communication of patient allergies
BDE
Which statement indicates the nurse's lack of understanding about the use of patient-controlled analgesia (PCA) therapy? a.Children as young as 3 years old can effectively and successfully use a PCA pump. b.Two registered nurses (RNs) are required to double-check the dosage and programmed administration of opioids. c.The child should be carefully monitored for signs and symptoms of overmedication with opioids. d.Naloxone (Narcan) should be readily available.
a.Children as young as 3 years old can effectively and successfully use a PCA pump.
A nurse has just initiated an intravenous piggyback of gentamicin (Garamycin). What is the best time for a trough serum level to be measured? a.Just before the next dose b.When the infusion is finished c.One hour after the medication is administered d.Depends on the specific medication
a.Just before the next dose
An infant of a mother infected with human immunodeficiency virus (HIV) is seen in the clinic each month and is being monitored for symptoms indicative of HIV infection. With knowledge of the most common opportunistic infection of children infected with HIV, the nurse assesses the infant for which sign?
cough
an immunocompromised child has been exposed to chickenpox. what should the nurse anticipate to be prescribed to the exposed child? a. acyclovir b. valacyclovir c. amantadine d. varicella-zooster immune globulin
d. varicella-zooster immune globulin
A high-protein diet for the child with major burns is ordered to: a.Promote growth. b.Improve appetite. c.Diminish risks of stress-induced hyperglycemia. d.Avoid protein breakdown.
d.Avoid protein breakdown.
A nurse is preparing to start a continuous IV infusion on a child. The nurse selects a Buretrol (volume-control) attachment as part of the IV tubing set-up. The main purpose for selecting a Buretrol attachment is to: a.avoid fluid overload. b.aid in measuring intake.
a.avoid fluid overload.
A 6-month-old infant is due for routine immunizations. The parent reports the infant was exposed to pertussis 2 days ago. The nurse should: a.give the 6 month immunizations as scheduled. b.hold the 6 month immunizations until the next visit. c.hold the 6 month immunizations for 3 weeks. d.notify the physician.
a.give the 6 month immunizations as scheduled.
which food choice is appropriate to mix with medication a. formula or milk b. applesauce c. syrup d orange juice
b applesauce
what is the appropriate nursing response to a parent who asks "what should i do if my child can not take a tablet?" a. you can crush the tablet and put it in some food b. find out if the medication is available in a liquid form c. if the child can not swallow the tablet tell them to chew it d. let me show you how to get your child to swallow tablets
b find out if the medication is available in a liquid form
what is most important in the management of cellulitis? a. burrow solution compresses b. oral or parenteral antibiotics c. topical application of an antibiotic d. incision and drainage of several lesions
b. oral or parenteral antibiotics
The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which statement made by a parent indicates a correct understanding of the teaching? a."I should wash my infant's buttocks with soap and water every time I change the diaper." b."I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement." c."I should wash my infant's buttocks with soap before applying a thin layer of oil." d."I will apply baby oil and powder to the creases in my infant's buttocks."
b."I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement."
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
body weight
Which physiologic change causes the edema formation that occurs with burns? a.Vasoconstriction b.Decreased capillary permeability c.Increased capillary permeability d.Decreased hydrostatic pressure within capillaries
c.Increased capillary permeability
An adolescent girl is cooking on a gas stove when her bathrobe catches fire. Her father smothers the flames with a rug and calls an ambulance. She has sustained major burns over much of her body. What is important in her immediate care? a.Wrap her in a blanket until help arrives b.Encourage her to drink clear liquids c.Place her in a tub of cool water d.Remove her burned clothing and jewelry
d.Remove her burned clothing and jewelry
a 6 month old infant is due for routine immunization. The parent reports that the infant was exposed to pertussis 2 days ago. The nurse should a. give the immunization as scheduled b. hold the immunization until the next visit c. hold the immunization for 3 weeks d. notify the physician
a. give the immunization
a child has been diagnosed with scabies. which statement by the parent indicates understanding of the nurse teaching about scabies? a. the itching will stop after the cream is applied b. we will complete extensive aggressive housecleaning c. we will apply the cream to only the affected areas as directed d. everyone who has been in close contact with my child will need to be treated
d. everyone who has been in close contact with my child will need to be treated
an 18-month-old-child has been diagnosed with lice. which prescription should the nurse question if ordered a. malathion b. permethrin 1% c. Benzyl alcohol d. pyrethrin with piperonyl butoxide
a. malathion
A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should explain that a. This will help the child cope effectively by denial. b. This attitude is helpful to give parents time to cope. c. Terminally ill children know when they are seriously ill. d. Terminally ill children usually choose not to discuss the seriousness of their illness.
c. Terminally ill children know when they are seriously ill.
which intervention is appropriate for a child receiving high dose steroids? a. limit activity and receive home schooling b. decrease the amount of potassium in the diet c. substitute a killed virus vaccine for a live virus vaccine d. monitor for seizure activity
c. substitute a killed virus vaccine for a live virus vaccine
the school reviewed the pediculosis capitis policy and removed the "no nit" requirement. the nurse now explains that now when a child is found to have nits, the parents must do which before the child can return to school? a. no treatment is necessary with the policy change b. shampoo and then trim the child's hair to prevent reinfestation c. the child can remain in school with treatment done at home d. treat the child with a shampoo to treat lice and comb with a fine-tooth comb every day until nits are eliminated
c. the child can remain in school with treatment done at home
