School-Age Child

A school-age child has a fever, joint inflammation, and a nonpruritic rash. Knowing that these are signs of rheumatic fever, the nurse should ask the parents: "Does your child have a congenital heart defect?" "Is your child's Haemophilus influenzae vaccine up to date?" "Has your child had strep throat recently?" "Has your child recently been exposed to other children with rheumatic fever?"

"Has your child had strep throat recently?"

The nurse is teaching a 10-year-old soccer player about hygiene after sporting events or practice. Which client statement reflects an understanding of this education? "I should wear shower shoes in the locker room." "A topical cream is the only thing that will kill athlete's foot." "Fungal infections thrive in cold locations." "I will wash my socks every other time I wear them."

"I should wear shower shoes in the locker room."

Which advice should a nurse give over the phone to the parent of a 7-year-old child with right lower abdominal pain, fever, and vomiting? "Give prune juice to relieve constipation." "Seek immediate emergency medical care." "Encourage fluids to prevent dehydration." "Test for rebound tenderness in the left lower abdominal quadrant."

"Seek immediate emergency medical care."

A school-age client reports pain. After rating the pain on an age-appropriate pain scale, the nurse determines that the client's pain is minor. Which of the following drugs should the nurse administer? Acetaminophen Morphine Fentanyl Ibuprofen

Acetaminophen

The nurse is giving instructions to parents of a school-age child diagnosed with sickle cell disease. The instructions should include which of the following? Restrict the child's fluids during crisis situations. Apply cold to affected areas to reduce the child's discomfort. Avoid areas of low oxygen concentration such as high altitudes. Encourage the child to exercise to reduce the likelihood of crisis.

Avoid areas of low oxygen concentration such as high altitudes.

A parent reports that their 6-year-old daughter recently started wetting the bed and running a low-grade fever. A urinalysis is positive for bacteria and protein. A diagnosis of a urinary tract infection (UTI) is made, and the child is prescribed antibiotics. Which interventions are appropriate? Select all that apply. Assess the parent's understanding of UTI and its causes. Instruct the parent to administer the antibiotic as prescribed—even if the symptoms diminish. Discourage taking bubble baths. Provide instructions solely to the parent, not the child. Advise wiping from the back to the front after voiding and defecation. Limit fluids for the next few days to decrease the frequency of urination.

Assess the parent's understanding of UTI and its causes. Instruct the parent to administer the antibiotic as prescribed—even if the symptoms diminish. Discourage taking bubble baths.

The nurse is caring for a 10-year-old child with cystic fibrosis. The child's parents tell the nurse that they're having difficulty coping with their child's disease. Which action would be most appropriate for the nurse to take? Consulting with the social worker to help the family find appropriate resources Telling the parents to encourage their child to make friends with other chronically ill children Encouraging the parents not to visit while the child is hospitalized Encouraging the parents to limit their child's activities

Consulting with the social worker to help the family find appropriate resources

The school nurse is examining a student at an elementary school who presents with vesicular lesions that ooze, forming crusts on the face and extremities. What is the nurse's most appropriate action? Apply a topical over-the-counter antibiotic cream and cover with a Band-Aid. Contact the parents; the child requires medical treatment and cannot attend school. Take the child's temperature. Gently washed the lesions with a warm, soapy washcloth.

Contact the parents; the child requires medical treatment and cannot attend school.

A nurse is caring for a school age child with systemic lupus erythematosus (SLE). Which of the following prescribed medication should the nurse administer to combat inflammation? Diuretics Aspirin Antibiotics Corticosteroids

Corticosteroids

A school-age child with fever and joint pain has just received a diagnosis of rheumatic fever. The child's parents ask the nurse whether anything could have prevented this disorder. Which intervention is most effective in preventing rheumatic fever? Isolation of individuals with rheumatic fever Early detection and treatment of streptococcal infections Immunization with the hepatitis B vaccine Use of prophylactic antibiotics for invasive procedures

Early detection and treatment of streptococcal infections

A nurse is teaching newborn care to expectant parents. Which information about sleep should the nurse include in the teaching plan? Only use soft bedding in the crib. Infants should be placed in the prone position for sleep. Infants should be put to sleep in their own room. Infants should not sleep in a bed with another person.

Infants should not sleep in a bed with another person.

A 9-year-old child is being discharged from the hospital after severe urticaria caused by an allergy to nuts. Which instructions would be included in discharge education for the child's parents? Use emollient lotions and baths. Apply over-the-counter products such as diphenhydramine. Instruct parents and child on how to use an epinephrine administration kit. Apply topical steroids to the lesions as needed.

Instruct parents and child on how to use an epinephrine administration kit.

A 10-year-old boy falls, injures his left shoulder, and is taken to the emergency department. While the client waits to be seen by the physician, what intervention should the nurse perform first? Apply warm compresses to the injured shoulder. Ask him to demonstrate full range of motion of his left arm. Keep him in a comfortable position and apply ice to the injured shoulder. Give him a nonopioid analgesic for pain.

Keep him in a comfortable position and apply ice to the injured shoulder.

An 8-year-old is admitted to a health care facility. During data collection, the nurse discovers that the child is experiencing the anxiety of separation from the caregivers. Which nursing intervention is most likely to help the child cope with the fear of separation? Explain to the child that it is normal to have fear when in a health care facility. Let the caregivers stay with the child and participate in the child's care. Ask the caregivers what approaches are used to calm the child at home. Calmly explain to the child why staying in the health care facility is necessary.

Let the caregivers stay with the child and participate in the child's care.

The mother of a school-age child reports that her child is having some problems in school. Which of the following would be the priority action? Obtain more information from the mother and the child. Refer the child to the school psychologist for testing. Talk to the child's health care provider to understand the child better. Talk to the child's teacher to gain a perspective on the situation.

Obtain more information from the mother and the child.

In the parents of a chronically ill child, which behavior may indicate feelings of guilt about the child's illness? Overindulgence Sadness Shock Anger

Overindulgence

An 8-year-old client with Down syndrome is admitted to the hospital with pneumonia. Which nursing intervention is most appropriate for this child? Performing ongoing respiratory assessments to monitor for signs of distress Providing a low-calorie diet Instructing the child to increase his fluid intake Encouraging the child to ambulate in the hallway frequently

Performing ongoing respiratory assessments to monitor for signs of distress

In providing psychosocial care to a 6-year-old child who has had abdominal surgery for Wilms tumor, which activity initiated by the nurse would be most appropriate? Give the child a puzzle with five pieces to encourage the child to move while in bed. Tell the child that medication can be given so that there is no pain. Allow the child to watch a 2-hour movie without interruptions. Provide the child with supplies and ask the child to draw how he or she feels.

Provide the child with supplies and ask the child to draw how he or she feels.

The nurse is planning care for a 10-year-old child in the acute phase of rheumatic fever. Which activity would be most appropriate for the nurse to schedule in the care plan? Climbing on play equipment in the playroom Unrestricted ambulation Playing cards in the playroom Reading books

Reading books

A newer nurse is assigned to care for several children with advanced cancer. The nurse finds the assignment extremely challenging due to a lack of experience and is considering requesting a different assignment. What is the best course of action by the nurse to resolve the situation? Notify the nurse manager that the assignment will be refused. Pretend to be ill and leave the unit as soon as possible. Suggest a shared assignment with a senior staff nurse. Bring reference materials to the room when providing care.

Suggest a shared assignment with a senior staff nurse.

A 10-year-old child presents to the emergency department with dehydration. A physician orders 1 L of normal saline solution be administered at a rate of 60 ml/hour. While preparing the infusion, a nurse notices that the I.V. pump's safety inspection sticker has expired. Which action should the nurse take next? Take the pump out of commission and locate a pump with a valid inspection sticker. After starting the fluids, contact the maintenance department and request a pump inspection. Hang the fluids without the pump, carefully calculating the drip rate by visual inspection. Begin the infusion of the fluids while looking for a pump with a valid inspection sticker.

Take the pump out of commission and locate a pump with a valid inspection sticker.

The parents of a school-age child with asthma express concern about letting the child participate in sports. What should the nurse tell the parents about the relationship between exercise and asthma? The child should avoid exercise because it may trigger asthma attacks. Asthma attacks are triggered by allergens, not exercise. Taking prophylactic drugs before the activity can prevent asthma attacks and enable the child to engage in most sports. Continuous activities such as jogging are less likely to trigger asthma than intermittent activities such as baseball.

Taking prophylactic drugs before the activity can prevent asthma attacks and enable the child to engage in most sports.

The nurse is developing a plan of care for a 10-year-old child who has recently been diagnosed with type 1 diabetes mellitus. Which of the following would be inappropriate to include in a teaching plan focusing on proper hygiene? Encourage regular dental care. Teach care of cuts and scratches. Teach blood glucose monitoring. Teach proper foot care.

Teach blood glucose monitoring.

Where should the nurse instill an ophthalmic medication in a 6-year-old child? The sclera The outer canthus The upper conjunctival sac The lower conjunctival sac

The lower conjunctival sac

A 10-year-old child is in the hospital for the first time. The nurse has provided support and teaching to help the family and child adjust and to reduce their anxiety related to the child's hospitalization. Which of the following would the nurse view as unexpected? The parents choose to leave to let the child build a relationship with the staff. The parents relate readily with the staff and calmly with the child. The child accepts and responds positively to comforting measures. The child discusses procedures and activities without evidence of anxiety.

The parents choose to leave to let the child build a relationship with the staff.

A child is receiving chemotherapy for treatment of acute lymphoblastic leukemia. During discharge preparation, which topic is most important for the nurse to discuss with the child and parents? How to increase the child's interactions with peers The need to decrease the child's activity level Ways to prevent infection How to help the child adjust to an altered body image

Ways to prevent infection

A charge nurse on a pediatric unit is giving a report to a licensed practical nurse (LPN) about four clients that the LPN will be caring for this shift. Which client should the LPN see first? a 9-year-old client with a broken leg who is requesting help with toileting a 10-year-old client with asthma whose oxygen saturation levels are 89% an 8-year-old client from the post-anesthesia care unit (PACU) who is reporting pain a 7-year-old client who has a respiratory rate of 26 breaths per minute

a 10-year-old client with asthma whose oxygen saturation levels are 89%

A child with asthma is receiving theophylline. The nurse knows that theophylline is administered primarily to: dilate the bronchioles. decrease coughing induced by postnasal drip. reduce airway inflammation. eradicate the infection.

dilate the bronchioles.

When collecting data from a 6-year-old child who has a 20% deep partial-thickness (second-degree) burn of the arms and trunk, the nurse determines that the child has damage to what layer(s) of skin? epidermis and all of the dermis epidermis and part of the dermis epidermis dermis and subcutaneous tissue

epidermis and part of the dermis

An 11-year-old child contracted severe acute respiratory syndrome (SARS) when traveling abroad with the parents. The nurse knows to put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective equipment should the nurse wear? gown, gloves, mask, and eye goggles or eye shield gown, gloves, and mask gown and gloves gloves

gown, gloves, mask, and eye goggles or eye shield

A nurse is caring for a school-age child with cerebral palsy. The child has difficulty eating using regular utensils and requires a lot of assistance. Which referral is most appropriate? occupational therapist registered dietitian physical therapist nursing assistant

occupational therapist

A parent of a 9-year-old-child scheduled to have surgery expresses concern about the potential for postoperative infection. A nurse provides the parent with information about the measures taken to maintain surgical asepsis. Typical surgical asepsis involves: using sterile surgical scrubs. performing a preoperative surgical scrub for at least 3 to 5 minutes. applying bandages to cover any wounds surgical team members have. preoperative cleansing of jewelry worn by the surgical team.

performing a preoperative surgical scrub for at least 3 to 5 minutes.

When attempting to facilitate spiritual support for a school-age child with a life-threatening disease and the child's family, which action would hinder the nurse-client relationship? seeking assistance or referrals to the facility chaplain or other resources being open to the family's and the child's expressions of spiritual concerns promoting the nurse's personal values and beliefs if the nurse considers the family's to be inappropriate becoming familiar with the family's spiritual beliefs and practices

promoting the nurse's personal values and beliefs if the nurse considers the family's to be inappropriate

A nurse is caring for 10-year-old child with sickle cell anemia admitted for vaso-occlusive crisis. Which would be the most appropriate activity for the nurse to provide for the child? reading walking in the hallways finger painting exercising in the physical therapy department

reading

The nurse is planning care for a school-age client. Which action is most appropriate for the nurse to include? assigning multiple nurses to the client to help reduce boredom teaching the client about procedures and conditions using basic medical language restricting the client to quiet activities such as reading instead of playing video games asking caregivers to leave during procedures to allow privacy

teaching the client about procedures and conditions using basic medical language

Several children in a kindergarten class have been treated for pinworm. To prevent the spread of pinworm, the school nurse meets with the parents and explains that they should: have their children immunized. not let children share hairbrushes. tell the children not to bite their fingernails. tell the children to cover their mouths and noses when they cough or sneeze.

tell the children not to bite their fingernails.

A nurse is examining the progress record of a client with femur fractures who has had bilateral leg skeletal traction applied. The nurse reinforces education of the child on performing Kegel exercises. What is the most important purpose of these exercises? to strengthen the child's arms so that she can better use the trapeze to lift up for bedpan placement and removal to strengthen the child's calf muscles so that the child is less likely to get leg cramps to maintain good perineal muscle tone by tightening the pubococcygeus muscle to distract the child

to maintain good perineal muscle tone by tightening the pubococcygeus muscle

The mother of a child with chickenpox (varicella) asks the nurse when her child may return to school. The nurse responds correctly by telling the mother that the child can return: when all of the lesions are crusted over. after the child receives the first dose of diphenhydramine. when the fever has resolved. 24 hours after the appearance of the rash.

when all of the lesions are crusted over.

A school-age child experiences symptoms of excessive polyphagia, polyuria, and weight loss. The physician diagnoses type I diabetes mellitus and admits the child to the facility for insulin regulation. The physician prescribes an insulin regimen of insulin (Humulin R) and isophane insulin (Humulin N) administered subcutaneously. How soon after administration can the nurse expect the regular insulin to begin to act? 1 to 2 hours 4 to 8 hours ½ to 1 hour 8 to 10 hours

½ to 1 hour