Peds exam 3 practice questions

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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?

"Salty foods are very important to maintain an appropriate sodium level in the child."

The nurse is caring for a child with acquired immunodeficiency syndrome (AIDS) and notes the presence of mouth sores. The nurse provides instructions to the mother regarding maintaining adequate nutritional intake in the child. Which statement by the mother indicates a need for further teaching?

A decrease in urine output to 0.5 mL/kg/hr

The nurse is caring for a hospitalized child who is receiving a continuous infusion of intravenous potassium for the treatment of dehydration. Which assessment finding requires the need to notify the primary health care provider?

Pale skin color

The nurse is caring for an infant with gastroenteritis who is being treated for dehydration. The nurse reviews the health record and notes that the primary health care provider has documented that the infant is mildly dehydrated. Which assessment finding should the nurse expect to note in mild dehydration?

Elevating the head with the infant in the prone position

The nurse is caring for an infant with spina bifida (myelomeningocele type) who had the sac on the back containing cerebrospinal fluid, the meninges, and the nerves (gibbus) surgically removed. The nursing plan of care for the postoperative period should include which action to maintain the infant's safety?

nausea

The nurse is monitoring a 7-year-old child who sustained a head injury in a motor vehicle crash for signs of increased intracranial pressure (ICP). The nurse should assess the child frequently for which early sign of increased ICP?

Notify the primary health care provider.

The nurse is monitoring an infant for signs of increased intracranial pressure. On assessment of the fontanelles, the nurse notes that the anterior fontanelle bulges when the infant is sleeping. Based on this finding, which is the priority nursing action?

Does the child have a blank expression during these episodes?"

The nurse is performing an assessment of a 7-year-old child who is suspected of having episodes of absence seizures. Which assessment question to the mother will assist in providing information that will identify the symptoms associated with this type of seizure?

1.Decorticate posturing

The nurse is performing an assessment on a child with a head injury. The nurse notes an abnormal flexion of the upper extremities and an extension of the lower extremities. What should the nurse document that the child is experiencing?

Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics.

The nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which precautionary intervention should be included in the plan of care?

maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics

The nurse is planning care for a child with acute bacterial meningitis. Based on the node of transmission of this infection, which precautionary intervention should be included in the plan of care?

"Is the child allergic to any antibiotics?"

The nurse is preparing to administer an MMR (measles, mumps, and rubella) vaccine to a 15-month-old child. Before administering the vaccine, which question should the nurse ask the mother of the child?

Not easily arousable and limited interaction

The nurse is reviewing a chart for a child with a head injury. The nurse notes that the level of consciousness has been documented as obtunded. Which finding should the nurse expect to note on assessment of the child?

The mother is infected with the HIV virus.

The nurse is reviewing the laboratory results of studies on a 4-month-old infant and notes that the human immunodeficiency virus (HIV) antibody test is positive. How should the nurse interpret this test result?

Rigid extension and pronation of arms and legs

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse expects to note which characteristic of this type of posturing?

Rigid extension and pronation of the arms and legs

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse expects to note which characteristic of this type of posturing?

Abnormal extension of the upper and lower extremities with some internal rotation.

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. Which assessment finding should the nurse expect if this type of posturing is present?

"I will check for ketones when my child is suffering from an illness."

The nurse is talking to the parents of a child newly diagnosed with diabetes mellitus. Which statement by the parents indicates an understanding of preventing and managing hyperglycemia?

Draw the Humulin R insulin first and then the Humulin N insulin into the same syringe.

The nurse is teaching the parent of a preschool child how to administer the child's insulin injection. The child will be receiving 2 units of Humulin R insulin and 12 units of Humulin N insulin every morning. How should the nurse instruct the parents to prepare the insulin?

Meningitis

The nurse notes documentation that a child is exhibiting an inability to flex the leg when the thigh is flexed anteriorly at the hip. Which condition does the nurse suspect?

"When picking up your infant, support the infant's neck and head with the open palm of your hand."

The nurse notes that an infant with the diagnosis of hydrocephalus has a head that is heavier than that of the average infant. The nurse should determine that special safety precautions are needed when moving the infant with hydrocephalus. Which statement should the nurse plan to include in the discharge teaching with the parents to reflect this safety need?

"I can send my child to day care if he has a fever, as long as it is a low-grade fever."

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 provides home care instructions to the parent of a child with acquired immunodeficiency syndrome. Which statement by the patient indicates the need for further teaching?

We need to maintain droplet precautions and a quiet environment for at least 2 weeks

The nurse provides home care instructions to the parents of a child hospitalized with pertusis who is in the convealescent stage is being prepared for discharge. Which statement by a parent indicates a need for further instruction?

Check the blood glucose before administering insulin.

The nurse provides instructions to the adolescent regarding the administration of insulin. The nurse should include which instruction?

-give the child a teaspoon of honey -prepare to administer glucagon subcutaneously if unconsciousness occurs

The nurse should implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL

-Give the child a teaspoon of honey -Prepare to administer glucagon subcutaneously if unconsciousness occurs.

The nurse should implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)?

-Give the child a teaspoon of honey. -Prepare to administer glucagon subcutaneously if unconsciousness occurs.

The nurse should implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)?

A chronic disability characterized by impaired muscle movement and posture

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the limitations of the disorder. The nurse responds by explaining that the limitations occur as a result of which pathophysiological process?

a chronic disability characterized by impaired muscle movement and posture

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the limitations of the disorder. The nurse responds by explaining that the limitations occur as a result of which pathophysiological process?

HIV cannot be spread by hugging, holding, or touching other people.

The student nurse is presenting a clinical conference regarding human immunodeficiency virus (HIV) in children. Which information should the student include?

capillary refill is less than 2 seconds

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted?

"I need to give 4 to 6 injections in 1 area, about an inch apart, and then move to another area."

A home care nurse is teaching an adolescent with type 1 diabetes mellitus about insulin administration and rotation sites. Which statement, if made by the adolescent, would indicate effective teaching?

Cloudy CSF, elevated protein, and decreased glucose levels

A lumbar puncture is performed on a child suspected to have bacterial meningitis and cerebrospinal fluid is obtained for analysis.

Cloudy CSF, elevated protein, and decreased glucose levels

A lumbar puncture is performed on a child suspected to have bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse reviews the results of the CSF analysis and determines that which results would verify the diagnosis?

"All 50 states require routine screening of all newborn infants for phenylketonuria."

A pediatric nurse educator provides a teaching session to the nursing staff regarding phenylketonuria. Which statement should the nurse educator include in the session?

Reposition the infant frequently

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Oliguria

The clinic nurse is assessing a child for dehydration. The nurse determines that the child is moderately dehydrated if which finding is noted on assessment?

"My child's teacher mentioned that he seems to daydream a lot.

The nurse caring for a child with suspected absence seizures is collecting data from the parents on how to manage the disorder. Which statement, if made by the parents, indicates the presence of signs congruent with this disorder?

Remove excess clothing and blankets from the child.

The nurse has just administered ibuprofen to a child with a temperature of 102° F (38.8° C). The nurse should also take which action?

Remove excess clothing and blankets from the child.

The nurse has just administered ibuprofen to a child with a temperature of 102º F (38.8º C). The nurse should also take which action?

Long, narrow face with a prominent jaw

The nurse is assessing a client with fragile X syndrome. The nurse anticipates noting which physical assessment finding?

Elevated temperature

The nurse is caring for a child after surgical removal of a brain tumor. The nurse should assess the child for which sign that would indicate that brainstem involvement occurred during the surgical procedure?

Infection

The nurse is caring for a newborn infant with spina bifida (myelomeningocele) who is scheduled for surgical closure of the sac. In the preoperative period, which is the priority problem?

-Time the seizure -Stay with the child -move furniture away from the child

The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure?

1.Meningitis

The nurse notes documentation that a child is exhibiting an inability to flex the leg when the thigh is flexed anteriorly at the hip. Which condition does the nurse suspect?

Bradycardia

Which is a late sign of increased ICP?

"This test identifies the specific diagnosis of HIV infection."

A CD4+ count has been prescribed for a child with human immunodeficiency virus (HIV) infection. The nurse has explained to the mother the purpose of the blood test. Which comment by the mother indicates the need for further explanation?

-red throat -conjunctival hyperemia -enlargement of the cervical lymph nodes

A child is admitted to the pediatric unit with a diagnosis of acute stage Kawasaki disease. Which assessment findings by the nurse are characteristic of this disorder? Select all that apply.

Apply cold compresses for 24 hours for 20 minutes at a time.

A child was seen in the health care clinic and received an immunization of DPT (diphtheria, pertussis, tetanus) vaccine. One hour later, the mother calls the clinic and tells the nurse that the injection site is painful and red. Which instruction should the nurse provide to the mother?

normal saline infusion

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnoed. Anticipating the plan of care, the nurse prepares to administer which type of IV infusion?

Fruity breath odor and decreasing level of consciousness

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?

Fruity breath odor decreasing level of consciousness

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?

Before supper

An adolescent with diabetes receives 30 units of Humulin N insulin at 7:00 a.m. The nurse would monitor for a hypoglycemic episode at what time?

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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 gas?

Reposition the infant frequently.

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

-The infant's arms or legs are stiff or rigid -a high risk factor for CP is very low birth weighjt -The infant has feeding difficulties, such as poor sucking and swallowing -If the infant is able to crawl, only one side is used to propel himself or herself

Cerebral palsy (CP) is suspected in a child, and the parents ask the nurse about the potential warning signs of CP. The nurse should provide which information? Select all that apply.

A school-age child with Down's syndrome is brought to the ambulatory care center by the mother. The child has bruising all over the body. To work most effectively with this child, the nurse first addresses which complication associated with Down's syndrome?

Children with Down's syndrome are more likely to develop acute leukemia than the average child.

The inactivated influenza vaccine will be given yearly.

The clinic nurse is instructing the parent of a child with human immunodeficiency virus (HIV) infection regarding immunizations. The nurse should provide which instruction to the parent?

the inactivated influenza vaccine will be given yearly

The clinic nurse is instructing the parent of a child with human immunodeficiency virus infection regarding immunizations. The nurse should provide which instruction the parent?

nasotracheal suction as needed

The nurse is assigned to care for an 8-year-old child with a diagnosis of a basillar skull fracture. The nurse recieves the pediatrician to question which prescription?

Notify the primary health care provider.

The nurse is caring for a child with a head injury. The nurse observes decerebrate posturing. What is the nurse's best action?

Check the skin and eyes every day for a yellow discoloration.

The nurse is providing home care instructions to the mother of a child who is recovering from Reye's syndrome. Which instruction should the nurse provide to the mother?

We will make appointments for follow-up blood work and care as directed.

The nurse is providing home care instructions to the parents of a child with a seizure disorder. Which statement indicates to the nurse that the teaching regarding seizure disorders has been effective?

"Family members in the household need to receive the influenza vaccine."

The nurse is providing instructions to the mother of a child with human immunodeficiency virus infection regarding immunizations. Which statement by the mother indicates an understanding of the immunization schedule?

Call the primary health care provider if the infant has a high-pitched cry.

The nurse is providing instructions to the parents of an infant with a ventriculoperitoneal shunt. The nurse should include which instruction?

The child and the siblings will need to receive inactivated polio vaccine.

The nurse is reviewing the immunization schedule for a child with human immunodeficiency virus (HIV) infection with the mother. Which instruction should the nurse provide to the mother?

-monitor the child's weight -frequent hand washing is important -the child should avoid exposure to other illnesses -clean up body fluid spills with bleach solution (10:1 ratio of water to bleach)

Which home care instructions should the nurse provide to the parent of a child with acquired immunodeficiency syndrome

"We will rotate injection sites."

the nurse is teaching the parents of a child with growth hormone deficiency about preparing synthetic growth hormone and administering it to the child. Which statement, if made by the parents, would indicate an understanding of the procedure?

Capillary refill is less than 2 seconds.

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted?

125 mEq/L (125 mmol/L)

A nurse is caring for a hospitalized child who has hypotonic dehydration. Which serum sodium level would this student expect to observe?

an intense fiery red edernatous rash on the cheeks

The nurse is caring for a child diagnosed with erythemia infectiosum (fifth disease). Which clinical manifestation should the nurse expect to note in the child?

Glucose

The nurse is caring for a child who sustained a head injury after falling from a tree. On assessment of the child, the nurse notes the presence of a watery discharge from the child's nose. The nurse should immediately test the discharge for the presence of which substance?

-Place the child on a low-bacteria diet. -Change dressings using sterile technique. -Peel fruits and vegetables before allowing the child to eat them.

The nurse is caring for a child with a diagnosis of neutropenia. Which nursing interventions are most appropriate for a child placed in protective isolation for neutropenia?

bradychardia

A mother arrives at the emergency department with her 5-year-old child and states that the child fell off a bunk bed. A head injury is suspected. The nurse checks the child's airway status and assesses the child for early and late signs of increased intracranial pressure (ICP). Which is a late sign of increase ICP?

it is negative

A mother brings her 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this result and makes which interpretation?

To bring the child to the clinic to be seen by the pediatrician

A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction should the nurse give to the mother?

Monitor body weight.

A nurse is caring for an infant with a respiratory infection and is monitoring the infant for signs of dehydration. What is the nurse's best action to determine fluid loss in the infant?

Abnormal lateral curvature of the spine

A nursing student is assisting a school nurse in performing scoliosis screening on the children in the school. The nurse assesses the student's preparation for conducting the screening. The nurse determines that the student demonstrates understanding of the disorder when the student states that scoliosis is characterized by which finding?

Checks the amount of urine output

A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription?

p24 antigen assay

A pediatrician prescribes laboratory studies for an infant of a woman positive for human immunodeficiency virus (HIV). The nurse anticipates that which laboratory study will be prescribed for the infant?

Checks the amount of urine output

A primary health care provider prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription?

Eat a small box of raisins or drink a cup of orange juice before soccer practice.

A school-age child with type 1 diabetes mellitus has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do?

Eat a small box of raisins or drink a cup of OJ before soccer practice

A school-aged child with type 1 diabetes mellitus has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do?

Eat six graham crackers or drink a cup of orange juice prior to practice or game time.

An adolescent with type 1 diabetes mellitus has been chosen for the school's cheerleading squad. The adolescent visits the school nurse to obtain information regarding adjustments needed in the treatment plan for diabetes. What should the school nurse instruct the student to do?

Give the child ½ cup (120 ml) of a sugar-sweetened carbonated beverage.

An adolescent with type 1 diabetes mellitus is attending a dance in the school gym. The adolescent suddenly becomes flushed and complains of hunger and dizziness. The school nurse, who is present at the dance, takes the child to the nurse's office and performs a blood glucose level test that shows 60 mg/dL (3.4 mmol/L). Which is the initial nursing intervention?

has any family member had a sore throat within the past few weeks

The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child's parent during the assessment?

Deteriorating neurological function

The nurse is assessing a child with increased intracranial pressure. On assessment, the nurse notes that the child is now exhibiting decerebrate posturing. The nurse should modify the client's plan of care based on which interpretation of the client's change?

Raise the child's leg with the knee flexed and then extend the leg at the knee and assess for pain.

The nurse is assessing for Kernig's sign in a child with a suspected diagnosis of meningitis. Which action should the nurse perform for this test?

"I should discard any unused food and formula immediately."

A 3-year-old child with human immunodeficiency virus infection is being discharged from the hospital. The nurse is providing discharge instructions to the mother regarding home care and infection control measures. Which statement by the mother indicates a need for further teaching?

Glycosylated hemoglobin (hemoglobin A1c)

A 6-year-old child with diabetes mellitus and the child's mother come to the health care clinic for a routine examination. The nurse evaluates the data collected during this visit to determine if the child has been euglycemic since the last visit. Which information is the most significant indicator of euglycemia?

"I know it must hurt, but if you tell me when it does, I will try to make it hurt a little less."

A 6-year-old child with human immunodeficiency virus (HIV) infection 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 which best response to the child?

I know It must hurt, but if you tell me when ti does, I will try to make it hurt a little less

A 6-year-old child with human immunodeficiency virus (HIV) infection has been admitted to the hospital. The child asks the nurse if the pain will ever go away. The nurse should make which best reponse to the child?

Providing a quiet atmosphere with dimmed lighting

A child is diagnosed with Reye's syndrome. The nurse creates a nursing care plan for the child and should include which intervention in the plan?

Normal saline infusion

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?

Insulin doses are appropriate for food ingested and activity level

A child's fasting blood glucose levels range between 100 and 120 mg/dL (5.7 and 6.9 mmol/L) daily. The before-dinner blood glucose levels are between 120 and 130 mg/dL (6.9 and 7.4 mmol/L), with no reported episodes of hypoglycemia. Mixed insulin is administered before breakfast and before dinner. The nurse should make which interpretation about these findings?

checks the amount of urine output

A. pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription?

pH 7.29, Pco2 29 mm Hg, HCO3 19 mEq/L (19 mmol/L)

An adolescent is examined in the hospital emergency department after taking an overdose of acetylsalicylic acid. The adolescent has rapid breathing, nausea and vomiting, and lethargy. The primary health care provider prescribes arterial blood specimens for blood gas analysis to be drawn. Aspirin toxicity is suspected when the blood gas results are reported as which value?

-Flaccid paralysis -Ipsilateral pupil dilation -Shifting of the temporal lobe laterally across the tentorial notch

The nurse is assigned to care for a child with a brain injury who has a temporal lobe herniation and increasing intracranial pressure. Which signs should the nurse identify as indicative of this type of injury? Select all that apply.

Nasotracheal suction as needed.

The nurse is assigned to care for an 8-year-old child with a diagnosis of a basilar skull fracture. The nurse reviews the pediatrician's prescriptions and should contact the pediatrician to question which prescription?

Nasotracheal suction as needed.

The nurse is assigned to care for an 8-year-old child with a diagnosis of a basilar skull fracture. The nurse reviews the primary health care provider's (PHCP's) prescriptions and should contact the PHCP to question which prescription?

Severe headache, fever, and a change in the level of consciousness

The community health nurse is providing information to parents of children in a local school regarding the signs of meningitis. The nurse informs the parents that the classic signs/symptoms of meningitis include which findings?

Moderate to severe intellectual disability and linkage to an extra chromosome 21, group G

The nurse is caring for a child diagnosed with Down's syndrome. Which explanation of this syndrome should the nurse provide the parents?

Carry hard candies whenever leaving home in case a hypoglycemic reaction occurs.

The home care nurse is visiting a child newly diagnosed with diabetes mellitus. The nurse is instructing the child and parents regarding actions to take if hypoglycemic reactions occur. The nurse should tell the child to take which action?

I will clean up any spills from the diaper with diluted alcohol

The home care nurse provides instructions regarding basic infection control to the parent of an infant with HIV infection. Which statement if made by the parent, indicates the need for further instruction

encourage the child to drink liquids

The mother of a 6 year old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action?

Encourage the child to drink liquids.

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action?

"Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old."

The mother with human immunodeficiency virus (HIV) infection brings her 10-month-old infant to the clinic for a routine checkup. The primary health care provider has documented that the infant is asymptomatic for HIV infection. After the checkup, the mother tells the nurse that she is so pleased that the infant will not get HIV infection. The nurse should make which most appropriate response to the mother?

Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old

The mother with human immunodeficiency virus infection brings her 10 month old infant to the clinic for a routine checkup. The pediatrician has documented that the infant is asymptomatic for HIV infection.

Lateral recumbent position with the knees flexed and chin resting on the chest

The nurse assists a primary health care provider in performing a lumbar puncture on a 3-year-old child with leukemia in whom central nervous system disease is suspected. In which position will the nurse place the child during this procedure?

small, blue-white spots with a red base found on the buccal mucosa

The nurse caring for a child diagnosed with rubeola (measels)notes that the pediatrician has documented the presence of Koplik's spots. On the basis of this documentation,which observation is expected?

Changes in level of consciousness

The nurse caring for a child who has sustained a head injury in an automobile crash is monitoring the child for signs of increased intracranial pressure (ICP). For which early sign of increased ICP should the nurse monitor?

suctioning equipment and oxygen

The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item (s) need to be placed at the child's bedside?

Suctioning equipment and oxygen

The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item(s) need to be placed at the child's bedside?

Monitor for signs of increased intracranial pressure.

The nurse creates a plan of care for a child with Reye's syndrome. Which priority intervention should the nurse include in the plan of care?

3. Turn the child on her side. 4.Loosen any restrictive clothing. 5.Check the child's respiratory status.

The nurse enters a child's room and discovers that the child is having a seizure. Which actions should the nurse take? Select all that apply.

remove excess clothing and blankets from the child

The nurse has just administered ibuprofen to a child with temperature of 102. The nurse should also take which action?