Peds Mastery review
nurse is preparing an adolescent for a lumbar procedure. which instructions should you provide
cream will be applied to decrease discomfort prior to the procedure
nurse is caring for an 18 month old who is admitted following surgical repair of cleft palate. postoperatively the child complains of thirst. the nurse should provide fluids using which of the following
cup
nurse is assessing a 4 year old child. which of the following developmental milestone should the nurse expect
cuts a shape using scissors
nurse is caring for a 3 year old who is in need of hypospadias repair. which of the following should the nurse recognize as a concern to this age group
damage to body integrity
nurse is assessing a toddler who has diarrhea. which of the following findings should alert the nurse to worsening dehydration
decreased tear production
nurse is admitting toddler for circumferential burns. history given and burn marks dont correlate. child abuse is suspected. whats most important thing to include in documentation
description of the burns
nurse at immunization clinic is preparing to admin injections to a 5 year old. which injection is appropriate
diptheria
a charge nurse is preparing a room assignment for a school-aged child. which of the following is the most important consideration when planning a room assignment
disease process
nurse is caring for 3 month old whose admitted for suspicion for nonorganic FTT. whats true regarding nonorganic FTT
disruption in parent-child bond
nurse is caring for a 3 year old who has persistent otitis media. when taking history from parent which is most appropriate to ake regarding the recurrent otitis media
does anyone smoke around, or in the house
nurse is caring for 3 year old with new diagnoses of DM. when writing the care plan the nurse includes this goal: child will be provided opportunities for therapeutic play. whats the most appropriate toy to meet this goal
doll and syringe with no needle
nurse is caring for a child diagnosed with glomerulonephritis. child has decreased urine output and bp is 160/78. child is receiving hydralazine. which lunch choice should you recognize as appropriate
grilled chicken on roll. pear slices. 4 oz of juice
nurse is caring for a child who is postoperative following a tonsillectomy. which of the following should the nurse recognize as a sign of hemorrhage
frequent swallowing
nurse is providing dischagre teaching to parent of school-aged kid with cystic fibrosis. what should you include in the teaching
give high protein and caloric snacks
nurse is caring for a child dx of iron deficiency anemia. which instructions are appropriate
give iron between meals with orange juice
nurse is evaluating o2 sat on infant. where should she apply the sensor
great toe
nurse is caring for a 4 year old with leukemia. child has undergone chemo and how has a fever, pallor, fatigue and petechiae. based on the info which of the following should the nurse expect to find
hemoglobin 6g/dl
nurse is caring for a 6 year old child who is receiving chemotherapy. which of the following lab values should the nurse report to the provider
hemoglobin 9.0
nurse is caring for an adolscent with DM who has been admitted twice this year with DKA. which of the following tests should the nurse recognize as the best information to evaluate the clients compliance
hemoglobin A1C
nurse is caring for toddler being seen for wcc. whats an appropriate action by the nurse. (allergy to eggs)
hold flu and contact provider
nurse is caring for a newborn with myelomeningocele. in planning care the nurse should be aware that postoperatively the child is most prone to developing which of the following
hydrocephalus
nurse is caring for a child who has nephrotic syndrome. which of the following findings is associated with this diagnosis
hyperalbuminuria
nurse is educating a parent of a 9 month old whose been diagnosed with cerebral palsy. which statement by the parent should indicate the teaching has been effective
i am hopeful that early schooling with increase my childs ability to self care
nurse is administering mmr vaccine. which statement by the parent indicates and understanding
i can give my child tylenol is fussy
nurse is caring for a child with milwaukee brase for scoliosis. after educating the child. which statement by the child indicates and understanding of the use of the brace
i can take my brace off for about an hour a day to shower
nurse is teaching parent of 18 month old about safety. what is an indication that parent understood the teaching
i have locked my medications in a cabinet
nurse is teaching a new parent about infant nutrition. teaching has been effective about food allergens when the parent idicates which of the following food choices as common allergen in infants
cows milk
child has pneumonia. listening to the breath sounds. what do you hear
crackles
nurse is performing physical assessment on 6 year old . what should prompt additional followup
sparse fine pubic hair
nurse is assessing client dx with celiac disease. whats an expected finding
steatorrhea
nurse in clinical setting performing physical exam on 3 month old. which findings should you report to the provider immediately
substernal retractions
nurse is preparing to suction child with tracheostomy. which action should you take first
suction for 5sec of less
nurse is assessing a child who returned to school following a case of mono. child has a note from provider excusing him from gym class. whats the most appropriate reason for this excuse
sustiaining abd trauma
nurse is preparing an inservice on a child maltreatment for a group of newly licensed nurses. which of the following should the nurse include as a manifestation of physical abuse
symmetric burns of lower extremities
nurse is auscultating lungs of an adolscent who has asthma,
tachypnea
nurse is caring for toddler who has gastroenteritis and stool culture is positive for rota. which assessment findings should you address first
tachypnea
nurse is providing teaching to 12 year old who appears apprehensive during the teaching. which action should the nurse recognize as appropriate in this situation
teach child to do own fingersticks
nurse is teaching a 12 year old how to use steroid inhaler. you should recognize the teaching has been effective when the child makes which of the following statements
i must use this medication every day even if i dont have any manifestations
nurse is teaching an adolscent who has a new diagnosis of infectious mononucleosis. which of the following client statements indicates an dunderstanding of the teaching
i should take IBU for my headaches
nurse is teaching an adolescent about how to manage tinea pedis. which of the following statements from the client indicates an understanding
i should wear sandals as much as possible
nurse is teaching an adolscent who is dx with tidm. which statement by the pt indicates and understanding of the teaching
i will check my urine for ketones when i am sick
nurse is educating a parent on treatment for pinworms. which statement indicates the teaching has been effective
i will give my child the mebendazole today and in two weeks
nurse is conducting postoperative teaching for parent of 3 month old who is recovering from umbilical hernia repair. which statement indicates an understanding of the teaching
i will keep my babies diaper aways from the incision
nurse is caring for a child receiving PE tubes. nurse is teaching the parents how to care for the tubes. which statement indicates the teaching was understood
i will keep water out of my childs ears
nurse is providing teaching for parent of preschooler who is experiencing diarrhea. what statement by the parent indicates an understanding
i will limit how much fruit juice my child drinks
nurse is caring for a 4 month old with otitis media. nurse is education the parents on how to prevent reoccurreneces. which statement indicates an understanding from the parents
i will make sure my baby is upright when drinking a bottle
nurse is providing education about administrating a new med to a parent of an infant. which statement indicates and understanding
i will mix the med with 1 tsp of flavored syrup
nurse is providing discharge teaching to the parent of an 18 month old who is experiencing dehydration. which of the following statements by the parents indicate an understanding
i will monitor my childs number of wet diapers
nurse is teaching a parent of a child who has pediculosis. which of the following statements by the parent indicates an understanding of the teaching
i will need to remove the nits after treatment
school nurse is providing an inservice about improving education for students who have adhd. which statement by the faculty member indicates a need for further teaching
i will plan to teach challenging academic subjects to student who have adhd in the afternoon
nurse is caring for a child who is undergoing bone marrow aspiration. which response from the child indicates the teaching was effective
ill have to lie on my belly while its done
nurse is caring for a child who has spinal fusion. which of the following statement by the nurse indicates an understanding of the care for this client
ill log roll the client every 2 hours
nurse is assessing a 4 year old at wcc. the parent expresses concern over the child stuttering. the nurse provides teaching to the parent. which of the following statement by the parent indicates a need for further teaching
it may help if you encourage your child to stop and begin the word over
nurse is caring for a child with acute glomerulonephritis and as aso titer is ordered. the childs parents ask the nurse " why does my child need this titer"?. which of the following is an appropriate response
it will tells us if the child had a recent strep infection
nurse is caring for child with suspected anaphylactic reaction to a med. whats an early sign
itching
nurse is assessing 8 year old with early signs of shock. after establishing an airway and maintaining resps whats your action
iv access
nurse is caring for a newborn who has a large sacral myelomeninogocele. prior to surgery the nurse should prevent potential complications by
keeping legs abducted with a pad between the legs
nurse is working at immunization clinic. which would be a contraindication to pretussis
known neurological or seizure disorder
nurse is caring for a 2 year old child who has not received any immunizations. the child has a maculopapular rash and fever. the parents tell you the child has been exposed to rubeola. which of the following assessment findings should you expect
koplik spot
nurse is conducting a yearly health assessment on a 14 year girl. what findings requires further evaluation
lateral curveture in her spine
nurse is assessing 6 month old is wcc. which assessment would indicate further evaluation
legs stay crossed at the knees
nurse caring for 3 year old and parents report toilet training. since admission to the hospital the child has been bed wetting. whats an appropriate response
lets get you cleaned up so you can go play in the playroom
nurse is teaching parents of a newborn who has congenital hypothyroidism about care. what should you recommend to the parents
lifelong admin of thyroid hormone
nurse is caring for a child who is newly prescribed methotrexate. which of the following should the nurse obtain prior to administering the first dose
liver function tests
nurse is assessing infant with ventricular septal defect. what findings should you expect to find during assessment
loud hard murmur
child begins to stare into space and grunt. their extremities then begin to extend stiffly. what actions should you perform (in correct order)
lower child to ground place pillow under head lossen clothing assess childs mouth for injury
nurse is caring for a child who is in bucks traction. which should the nurse recognize as an appropriate intervention to prevent complication
provide small meals with high fiber
nurse is planning care of school-aged child with neutropenia following chemo. which activities will meet the developmental needs for this child
providing child with book of riddles
nurse is caring for 10 year old who is obese. which menu choice is most appropriate
skim milk. fish sandwhich on while wheat with lettuce. and medium apple
nurse is caring for a child who has a new diagnosis of lyme disease. which of the following findings is a manifestation of stage 1 of this disease
skin rash
nurse is caring for a 4 year old who has a malfunctioning ventriculo peritoneal shunt. following new shunt placement the nurse conducts a postoperative check. which of the following assessments should the nurse immediately respond to
sleepy. very difficult to arouse
nurse is caring for a 6wk olf who is admitted to pediatric acute care following phyloromyotomy. the nurse should anticipate the feeding schedule 8 hour postoperative will be which of the following
small frequent bottle feedings
parent presents to clinic with 9 month old. which developmental behaviors should you expect to find
bangs two toys together
nurse is caring for child who is receiving a blood transfusion. which symptom should alert the nurse to a hemolytic reaction
flank pain
nurse is caring for a child who had a tonsillectomy. which findings should you give the most attention to after 8 hours
frequent swallowing
nurse is admitting child with pertussis. what action should you take
place client on droplet precautions
nurse is caring for infant that is crying. she plans to admin a liquid med. how should you administer it
place needless syringe in buccal cavity
nurse is caring for an adolscent with fiberglass cast. when providing education which of the following should the nurse explain
place plastic over the cast while bathing
nurse is caring for a child diagnosed with wilms tumor. which of the following interventions should the nurse do first
place sign over the bed that states " do not palpate abdomen
nurse is caring for 4 year old. whats an appropriate toy for her
plastic stethescope
school nurse is assessing preschool-aged child. which of the following findings should the nurse identify as potential finding of physical neglect
poor personal hygiene
nurse is planning care for child who has returned to unit following surgical revision of a ventriculoperitoneal shunt. whats an appropriate action for the nurse to take
position child flat
nurse is caring for a 2 year old with vomiting and dehydration. which assessment should prompt the nurse to contact the provider
potassium 2.5
nurse is caring for a toddler who has a foreign body aspiration. which of the following is an appropriate action for the nurse to take
prepare for an endoscopy
nurse is assessing a 6 month old at the wcc. which of the following findings should the nurse report to the provider
presence of strabismus
nurse is providing postoperative care to a 13 month old following cleft palate repair. which of the following interventions is appropriate for the nurse to take
prevent client from using a pacifier
mother of toddler thats admited must leave the facility to get her other kids from school. which action should you suggest to her
provide a secure item before you leave
nurse is planning care for a child following the application of a halo brace. which of the following interventions should the nurse include in the plan of care
provide pin site care
nurse is caring for a school-aged child who has a heart disease and has developed heart failure. which of the following interventions should the nurse include in the plan of care
provide small frequent meals
nurse is caring for a 6 month old who has colic and vomiting who will undergo testing to r/o intessusception. whats appropriate treatment for intussusception
barium enema
nurse is administering ranitidine 2.5mg/kg to an 11 lb infant. available is 15mg/ml how many ml should you giveq
0.8 ml
nurse is caring for a child with a history of diarrhea for 24 hours. the provider orders a urine specific gravity. what do you expect
1.030
parent calls provider and says her child has a resp infection and temp or 39. nurse instructs parent to give 240 mg of tylenol. the label reads 160/5ml. how many tsp should you give
1.5 tsp
nurse is preparing to admin cefaxolin 25mg to a child weighing 55lbs. available is 330mg/ml. how many ml should you administer
1.9ml
nurse is reviewing dietary choices for an adolescent who has iron deficiency. which food choice has the highest iron
1/2 cup raisins
charge nurse is assigning rooms. an 8 year old who is admitted for sickle cell anemia and is dehydrated. which is an appropriate room assignment
10 year old postoperatively appendectomy
nurse is teaching parent of child who has celiac disease. which grains can be included in the diet
corn
nurse is carying for dehydrated toddler. must receive 100ml of NS over 4 hours. using 60 gtt set what rate should you set iv to deliver at
25gtt/min
nurse is planning to assess a 2 month old who has pulmonary stenosis. where would the systolic ejection murmur be heard the loudest
2nd intercostal space at left sternal border.
nurse is caring for 14 month old dx with cerebral palsy. which assessment finding should you anticipate
fine and gross motor skill problems
nurse is performing a urine dip on child who has nephrotic syndrome. which of the following results should the nurse expect
4+ protein
nurse is caring for a child who has cellulitis and rectal temp is 102.2 the child has an order for tylenol 280 mg po. label reads 160mg/5ml how many ml would you give the child
8.8ml
nurse is caring for a child who has partial thickness burns on more than 40% of his body. which of the following fluids prescribed by the provider should the nurse admister to the child in the first 24 hours
LR
nurse is caring for child experiencing resp depression after administering morphine. whats the antidote
Naloxone
nurse is performing physical assessmet on 6 month old. which reflexes should you expect to find at this age
babinski
nurse is providing caring for child with possible intessusception. the parent asks how this diagnosis is made. which of the following statements should the nurse use
a barium enema will be given to visualize the obstruction
nurse is assessing a child who has appendicitis with possible perforation. the nurse should indentify which of the following as a manifestation of peritonitis
abd distention
nurse is caring for a child following surgery for an acute perforated appendix. which of the following is an expected finding in the immediate postoperative period
absence of peristalsis
nurse is caring for a child who has been brought to ER after ingesting a bottle of tylenol. which medication should you administer
acetylcysteine. Mucomyst
nurse is caring for infant who has a prescription of digoxin 25 mcg. infants apical hr is 124. which action should you take
admin 25 mcg of the med
nurse is caring for a preschooler who has mucositis. whats an appropriate action to take
admin NS oral rinses
nurse is caring for school age child whose admitted to burn unit with partial thickeness of trunk and face. which nursing intervention should you use to help increase childs self esteem
allow child to be active participant in self care
nurse is caring for school age kid following burn injury. which interventions should the nurse use to maximize nutritional intake
allow child to choose from menu of high calorie/protein foods
nurse is caring for child who is receiving chemo with anorexia and nausea. which intervention should the nurse recognize as the most appropriate for the child experienceing these symptoms
allow the child to eat what ever they want at any time
nurse is caring for a 6 year old who is newly diagnosed with DM. the nurse is educatin gthe child on how to do a finger stick. the nurse knows the most effective method to teach this skill will be to do which of the following
allow the child to practice the skill on themselves and others
nurse is caring for child who was just admitted from er with head injury. child had two episodes of vomiting, responds to name but easily falls back asleep. what are appropriate interventions
apply 02 at 2l/min admin 0.45% sodium chloride iv at 50ml/hr maintain NPO
nurse caring for a child who has epistaxis. what action is appropriate
apply cold cloth to bridge of nose
child has returned following cardiac catheterization. when assessing insertion site you note the dressing is saturated with blood. what action should you take first
apply direct pressure 1 in above the site
nurse is caring for 18 month old whose admitted for lead poisoning. urine specific gravity was ordered. whats an appropriate way for the nurse to obtain the specimen
apply pediatric urine collector
nurse is planning care for infant who is postoperative following cleft palate repair. whats an appropriate action for the nurse to take
apply petroleum jelly to operative site
nurse is assessing an adolscent who sustained a broken tibia. following application of fiberglass cast the client complains of pain and tingling in the limb. which is most appropriate action
assess signs for circulatory impairment and swelling
nurse is caring for a 10 year old who is postopertive abd surgery and medicated 6 hours ago. when assessing- the child is quiet and not interacting. which action is appropriate
assess the child for need of pain meds
nurse is caring for preschooler who has partial thickenss burns and is scheduled for hydrotherapy. whats your priority prior to hydrotherapy
assessing need for pain meds
nurse is taking childs bp while he is sitting in a chair. child starts to have a tonic clonic seizure. which action should you take first
assist child to lying position
nurse is caring for a school-aged child who was diagnosed with asthma and reports chest pain. which of the following actions should the nurse take first
auscultate breath sounds
nurse is reviewing preoperative care for preschooler dx with wilms tumor. which intervention is appropriate for the nurse to use
avoid abd pressure when bathing the child
nurse is performing a physical assessment on a 30 month old. what should you not expect to find
birth weight is trippled
nurse is admitting a child with possible leukemia. which test is appropriate to confirm leukemia
bone marrow aspriation
nurse is caring for a 4 year old who is brought into the emerengy with burns to the neck and face following a house fire. which of the following assessments whould the nurse prioritize for the child at this time
breathing pattern
nurse is teaching a parent of a child who is receiving iv famotidine. the nurse should tell the parent that which of the following is an adverse effect
bruising
nurse is caring for 2 year old with cystic fibrosis. nurse is planning care for child in the play room. whats an appropriate activity for the child
builing block towers
nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. which is an appropriate teaching for the nurse to give
call poison control center
nurse is teaching a parent of a child who has asthma. what should you include in your teaching
check peak expiratory flow rate at same time each day
school nurse is caring for child with no hx of seizure disorder that just experiences a tonic clonic seizure. which is the priority in the assessment
checking childs resp rate
nurse is providing d/c teaching to parent of school-aged kid following cardiac catherterization. which statement by the nurse should be included in the teachin
child should take showers instead of bathes for 1 wk
nurse is educating a parent of toddler on development. whats an appropriate response
child will begin to scribble at 18 months
mother of an adolescent tells a nurse that she argues frequently with her daughter about playing music while studying. which of the following is an appropriate response for the nurse to take
considered letting her make her own choice about listening to music while studying
nurse is caring for preschooler after tonsillectomy. which assessment finding requires immediate attention
continuous swallowing
the nurse is caring for a newborn who is suspected of having a tracheo esophageal fistula. which of the following nursing assessments would be consistent with this diagnosis
copious oral secretions
nurse is providing education for a group of parents. a parent is concerned about her 4 year olds fine motor skills. the nurse should explain what is expected skills for this age group
copying a square and circle
nurse is caring for 3 year old whose lead level is 15g. when teaching about nutrition and correlation with lead posioning which suggestion is appropriate for the nurse
drink milk
nurse is caring for a toddler who is exhibiting acute respiratory distress. which of the following findings should alert the nurse to possible diagnosis of epiglottitis
drooling
nurse at an urgent care is performing an admission assess on a child. which of the following should the nurse recognize as an early mainfestation of pertussis
dry hacking cough
nurse is caring for 2 month old who is brought for vaccines. what should the nurse administer
dtap, hib, ipv, hbv
nurse observes an adolscent with celiac disease ordering a gluten free breakfast tray. nurse knowns client understands the diet when they order
eggs and orange juice
nurse is caring for an 8 year old who has glomerulonephritis. which of the following should the nurse expect to find with this client
elevated RBC
nurse is caring for 6 year old who is receiving chemo. platelet count is 20000. what should you recognize as appropriate intervention for a child with this lab value
encourage quiet play
nurse is carinf for toddler who has asthma. parents are concerned about the reaction of the toddler to hospitals. what action should you perform to decrease stress experienced by toddler
encourage rooming in
nurse is providing education to the family of a child who has juvenile idiopathic arthritis. which of the following should th enurse include in the teaching
encourage the child to perform independent self care
nurse is taking history during routine physical exam. what would be appropriate to tell the parent
establish a set bet time and follow nightly routine
10 month old is hospitalized 4 times for 42 days. infant doesnt seem upset when parent leaves. which of the following should you recognize as an appropriate explanation
experiencing detatchment
nurse is caring for a 3 year old who is scheduled for a nephrectomy. which action should the nurse recognize as appropriate when preparing preoperatively
explain procedure to child in simple sentences just before administering peroperative sedation
nurse is interacting with family of terminaly ill child. whats the nurses highest priority in facilitating the parents decision making
explore the families wishes
nurse is caring for child who has cerebral palsy who is scheduled for orthopedic surgery. what strategy should the nurse include in the plan of care
facilitate communication with the child by their usual means
nurse is caring for a 4 month old who is admitted with VSD and undergoing cardiac catheterization. post catheterization which of the following manifestations should alert the nurse to a potential complication
groin dressing with small amount of blood
nurse is providing teaching to parent of a child with hypopituitarism. what should you instruct the parent to give
growth hormone injections
nurse is performing assessment on child. what should the nurse do while assessing the child
have child sit in parents lap. listen to heart and lungs first, then examine ears and throat
nurse is caring for an infant who has respiratory syncytial virus (RSV) and is in a mist tent. which of the following actions should the nurse implement for infection control
have designated stethescope in the room
nurse is caring for 8 year old whose fractured their femur. child is in skeletal fraction. to assist with development needs whats an appropriate action for the nurse to take
have hospital tutor assist child with homework daily
nurse is providing teaching abouth growth hormone injections to the mother of a child who has growth hormone deficiency. which of the following should the nurse include in the teaching
have serum calcium levels drawn periodically
nurse is caring for a school-aged child who is admitted with poorly controlled seizure disorder. which of the following should the nurse include in the plan of care
having o2 available
nurse is caring for a child who has tetraolgy of fallot preoperatively, which lab values should you expect
hct 58%
nurse is performing a yearly physical on an adolescent. parent asks about developmental needs for child. which of the following statement by parent should investigate further
he spends several hours on the internet a day
nurse is assessing 4 month old in wcc. which assessment should prompt nurse for further evaluation
head lag when pulled from lying to sitting position
nurse in pediatric unit is caring for a preschool-aged child who has acute lymphocytic leukemia and sever stomatitis. which of the following should the nurse include in the childs plan of care
help child brush her teeth with soft sponge toothbrush
nurse is assessing 7 month old. which of the following findings should the nurse report to the provider
inability to babble one syllable sounds
nurse is caring for a child who has cystic fibrosis. which assessment finding should the nurse recognize as a priority to report to the provider
inability to clear secretions
nurse is educating the parents of a toddler who will be discharged with a lower leg cast. the nurse should instruct the family that which of the following findings is important to report to the provider
inability to feel toes
nurse is assessing 9 month old for potential developmental delay. what observation should the nurse expect to find to support this condition
inability to sit without support
nurse is caring for a child diagnosed with sickle cell anemia. the nurse should make which of the following recommendations to the client regarding sickle cell anemia
increase fluid intake
nurse is caring for a child with cystic fibrosis. in planning nutritional care for this child. the nurse should include which of the following actions
increase protein intake
nurse is caring for an adolescent undergoing a lumbar puncture. which of the following results would confirm a diagnosis of bacterial meningitis
increased protein
nurse received labs on a 2 month old who has cyanotic heart disease. results are hgb 17. hct 51%. which statement reflects appropriate interpretation of these values
infants body is compensating for tissue hypoxia by decreasing RBC production
nurse is assessing child with acute spinal cord injury following sport injury 1 wk ago. where should the nurse tap to elicit the triceps reflex.
inside arm in elbow crease
nurse is admitting an adolescent who has meningitis. what should you include in plan of care
isolate client for 24 hours after starting antibiotics
nurse is caring for a child who is admitted for swollen, painful joints and DX with rheumatic fever. when educating the parents which statement would be appropriate
it is preceded by strep infection
nurse is caring for a child with bronchiolitis. assessment findings indicate wheezing, o2 100%, resps 40/min. and hr 92/min. child is receiving o2 at 2lpm. order is written to wean o2 if saturation is 95% or greater. whats the appropriate action
lower o2 to 1 lpm. check o2 saturation and reassess child
school-aged child who was treated for strep throat infection is being admitted to the hospital with a diagnosis of rheumatic fever. which of the following nursing intervention is appropriate
maintain bedrest
nurse is caring for a child who is in bryant traction. which of the following is an appropriate action for the nurse to take
maintain hips at 90 degree angle to body
nurse is planning care for newborn who is scheduled for a myelomeningocele repair. preoperative nursing care should include
maintain newborns legs in abduction
nurse is caring for a child receiving chemotherapy. the white blood cell count is 1200. in planning care the nurse should prepare to do which of the following
maintain protective isolation and monitor fever
nurse is planning care for a 2 day old who has myelomeningocele. which should take highest priority immediate postoperative period
measure head circumference every shift
nurse is caring for 18 year old going to college. which vaccine would you give
meningoccocal polysaccharide
nurse is caring for child who has acute glomerulonephritis. which action is appropriate
monitor bp every 4 hours
nurse is caring for an infant who is postoperative pyloric stenosis repair. which of the following is an appropriate action for the nurse to take
monitor infant following feedings for vomiting
nurse is caring for a child who has epiglottitis. which of the following actions should the nurse take
monitor o2 saturation
nurse is caring for 2 year old who was found by parents holding toilet bowel cleaner and crying. their lips are peeling and oozy and he is drooling. whats your highest priority
monitor resp status on child
school nurse is developing a plan of care for a student who is newly diagnosed with JIA. which of the following should the nurse include in the teaching
monitor student for presence of communicable disease
nurse is educating teenage mom about newborn. when giving safety info what should you provide
move glass objects to higher shelf put a safety gate at top of stairs keep small objects out of reach
nurse is caring for a child with ventricular spetal defect. which of the following should the nurse expect to assess in the child
murmur best heard at the lower sternal border
parent of toddler asks nurse why the abdomen protrudes. which statement would be appropriate
muscles of abdomen are weak and therefore it protrudes
nurse is teaching parent of 12 month old about nutrition. which statement by parent indicates further teaching is needed
my infant should drink 2qt of skim milk a day
nurse is caring for a 6 month old who has been diagnosed with thalassemia major. after providing a teaching plan the nurse should recognize that the parent understands the disease process when the parent states which of the following
my infant will require frequent transfusions
school nurse is assisting child who was stung by a bee. the hand is swelling and notes the child is allergic to insect stings. which manifestations are with anaphylaxis
nausea urticaria stridor
nurse is admitting a child who has an exacerbation of cystic fibrosis. you should expect what findings on assessment
o2 85%
nurse is observing 8 month old and parent playing peek a boo. does this game have any developmental significance
object permanence
nurse is providing education to a parent whose child has a colostomy. whats an appropriate method to determine the understanding of the teaching
observe the parents while the perform the procedure
nurse is providing anticipatory guidance to parent of a 2 month old. which instructions should you include
offer iron fortified cereals at 4-6 months
nurse is caring for a preschooler diagnosed with HIV who is at the clinic receiving immunizations. which of the following statments about HIV immunizations for this child is the most appropriate
oral polio is contraindicated
planning care for a child with severe reactive airway disease the nurse knows when the chronic steroid use is indicated, inhaled steroids are preferred over oral steroids because
oral steroids can slow linear growth in children
nurse is caring for a 3 year old who was administered pain medication. which of the following pain scales is appropriate to use
oucher
nurse is caring for a child who has nephrotic syndrome. which of the following assessments should the nurse perform to confirm peripheral edema
palpating dorsum of feet
nurse is caring for a child who is vegetarian and has sustained superficial partial-thickness burns to her legs. which diet would be appropriate
pb&j
nurse is performing screening for sickle cell anemia on toddler. what action should the nurse take when performing the sickledex
perform a fingerstick
nurse is caring for infant who has heart failure. which is appropriate action for the nurse to take
perform daily weights
nurse is caring for a child who has superficial partial thickeness burns over 50% of body. in planning of nutrional care which is an appropriate intervention
perform dressing changes at least 1 hour before and after meals
nurse is assessing an infant who has heart failure. which of the following findings should the nurse expect
peripheral edema
nurse is caring for school aged kid who is immunocompromised which action is appropriate by the nurse
place child in private room
nurse is providing education on poisoning prevention to parents with toddlers. which would be an appropriate statement from the nurse
put all cleaners in a locker cabinet
nurse is caring for toddler who is scheduled for surgery. the parent asks nurse for suggestions on how to prepare her child. whats an appropriate statement
read books to child about being hospitalized
nurse in provider office is assessing child with fever and experiencing fatigue. which finding is a manifestation of fifth disease
red rash on face
nurse is preparing to admin a morning dose of insulin to a child with DM. which med would you expect to peak in 2-4 hours
regular insulin
nurse is caring for an adolscent who is receiving pain meds via PCA pump. at 8 am pain is a level 3. at 10 pain is a level 5. nurse discovers the button has not been pushed. what should she do
reinforce teaching on how to push the button to deliver the medication
nurse is providing teaching to a parent of a child who has impetigo. which of the following instructions should the nurse include in the teaching
remove crusts after soaking with 1:20 burrows solution
nurse is preparing to admin K to school-aged kid admitted for DKA. which function should the nurse assess before give the med
renal
nurse is assessing a 3year old at a wcc. which of the following findings should the nurse report to the provider
resps 30/min
nurse is planning care for a child who has glomerulonephritis and is edematous. which of the following activities should be part of the plan of care
restrict NA+ intake
nurse is discussing food choices with the parent of a child who has celiac disease. which of the following foods offered to the child by the parent is appropriate
rice pudding
nurse is caring for a child who is dying. childs 4 year old sibling is visiting. whats a 4 year olds perception of death
same as going to sleep magical thinking result of a wish death is a punishment
nurse is preparing 7 year old for tonsillectomy. which action would be appropriate
schedule the child for a preoperative visit to the hospital
nurse is planning care for a toddler who has a serum lead level of 4 mcg/dl. which of the following is an appropriate action for the nurse to take
schedule toddler for yearly screenings
nurse is reviewing lab results on infant whose receiving treatment for sever dehydration. which lab results do you expect once effectiveness for treatment has happened
serum sodium 140
nurse on pediatric unit is caring for four clients. which values should you report to the provider
sickle cell anemia. with specific gravity of 1.030
nurse is assessing 8 year olds psychosocial development. which finding requires further evaluation
the child complains about going to school everyday
nurse is providing d/c teaching about dietary and med management for an adolescent who has nephrotic syndrome. which statement should the nurse include in the teaching
the med will make you more susceptible to infection
hospice nurse visiting a parent on the 1 year anniversary of the death of his child from leukemia. which of the following reactions by the parent would indicate to the nurse the need for breavement counseling referral
the parent had not returned to work
nurse is caring for 12 year old who ingested 60ml of bleach. what statement indicates and understanding by the nurse about the ingestion
the severity of alkaline burns depends on the ph of the substance
nurse is caring for a child in skeletal traction. at the change of shift, the nurse finds the client crying in pain and the right foot is pale and pulseless. which of the following should the nurse recognize as the appropriate explanation of this finding
this is a critical finding and the provider should be notified
nurse is caring for family who is grieving over death of child. whats an appropriate statement for the nurse to make
this must be very difficult for you
nurse is caring for child with bacterial endocarditis. child will receive longterm antibiotics and require PICC. which statement would be appropriate for the nurse to say to the parents
this picc will last several weeks if properly cared for
nurse is admitting a 4 month old who has heart failure to the cardiac unit. which of the following findings is the highest priority
three episodes of vomiting
nurse is planning care for a child with autism. which goal is of primary importance in care of this child
to preotect from self injury
nurse is caring for four children who have congential heart disease. which one would present with cyanosis
transposition of great vessel
nurse is caring for a preschool-aged child who has been receiving iv fluids via iv catheter. when preparing to remove the iv fluids what should the first step be from the nurse
turn off the pump
nurse is working with a toddler who has cerebral palsy and is having trouble with verbal communication. which of the following strategies should the nurse plan to use to promote effective communcation?
use pictures and objects when taking to the child encourage child to move lips and tongue while eating allow child time to articulate at his own pace.
nurse is caring for 3 year old who is postoperative following revision of malfunctioning ventriculo peritoneal shunt. whats most appropriate wait to determine if child is in pain
uses the faces scale
a nurse is providing discharge teaching about car seat use to a mother of a 6 month old infant. which of the following actions by the mother indicates a need for further teaching
using a blanket as padding underneath the infant while traveling
nurse is caring for a child who has a vesicular rash. what illness can cause the rash, your response is
varicella
nurse is preparing to admin injections to a 2 month old. whats the appropriate site
vastus lateralis
nurse is caring for child with suspiscion of rotavirus and is scheduled to undergo a stool culture. which nursing interventions should you implement to maintain standard precautions
wear gown and gloves collect stool in hat place specimen in biohazard bag
nurse is caring for infant on droplet precuations. you can prevent the spread by
wearing gown and mask when feeding the infant
nurse is caring for a child with dehydration.which of the following should the nurse recognize as an appropriate assessment to determine the childs response to parenteral fluids
weighing child at the same time every day
nurse is caring for a child diagnosed with nephrotic syndrome who is receveiving prednisone. which of the following should the nurse recognize as a therapeutic response to the medication
weight drops 500g
nurse is caring for a 2 month olf with ventricular septal defect. which of the following observations should indicate to the nurse that the childs condition is worsening
weight gain of 275 g
nurse is performing a monthly assessment for a child who is taking methylphenidate. which of the following is a manifestation that indicates an adverse effect of this medication
weight loss
nurse is caring for child who has frequent uti. when educating the parent on prevention which instructions should you include
wipe from front to back
nurse is caring for preschooler in hospital. you should recognize that an appropriate way to explain to the child when her parent will return is to state
your mommy will be back after you eat
nurse is providing teaching to the parent of an infant who has diaper dermatitis. the nurse should teach the parent to apply which of the following to the affected area
zinc oxide