Unit One

A nurse is assessing a three-year-old child for manifestations of autism spectrum disorder. Which of the following manifestations reported by the child's parents are indications of autism? Select all that apply. A. Nonverbal behavior B. Repetitive counting C. Fixation with objects D. Somatic problems E. Wide range of interest

a, b, c

The 8-year-old child is newly diagnosed with attention deficit-hyperactivity disorder (ADHD) and is prescribed methylphenidate (Ritalin), a central nervous stimulant. Which assessment data should the nurse anticipate the HCP obtaining prior to the child starting the medication? 1. A x-ray of the epiphyseal plate. 2. The child's height and weight. 3. An electrocardiogram (EKG). 4. The child's head circumference.

2

The nurse is doing a follow-up assessment of a 9-month-old. The infant rolls both ways, sits with some support, pushes food out of the mouth, and pushes away when held. The parent asks about the infant ' s development. The nurse responds by saying which of the following? 1. "Your child is developing normally." 2. "Your child needs to see the primary care provider." 3. "You need to help your child learn to sit unassisted." 4. "Push the food back when your child pushes food out."

2

The parent brings the growth record along with the 21-month-old child to a new clinic for a well-child visit. The record shows a birth weight of 8 lb; the 6-month weight was 16 lb; the 12-month weight was 18 lb; and the 15-month weight was 19 lb. With the record showing that the toddler ' s weight-for-age has been decreasing, the nurse should do what initially? 1. Omit plotting the previous weight-for-age on the new growth chart. 2. Point out the growth chart to the new health-care provider (HCP). 3. Consider the toddler a child with failure to thrive. 4. Weigh the child and plot on a new growth chart.

2

The parent of a toddler newly diagnosed with CP asks the nurse what caused it. The nurse should answer with which of the following? 1. Most cases are caused by unknown prenatal factors. 2. It is commonly caused by perinatal factors. 3. The exact cause is not known. 4. The exact cause is known in every instance.

2

The parents of a seven-year-old child with ADHD you have been taught to utilize her behavior modification plan to encourage completion of tasks such as homework. The nurse determines the parents understand appropriate behavior modification techniques when they do which of the following? 1.Punish him by taking away outside play privileges 2. Utilize the reward system for accomplishments 3. Allow him to choose what tasks he wants to complete 4. Increase the medication when he does not complete his tasks

2

Which child is at increased risk for cerebral palsy (CP)? 1. An infant born at 34 weeks with an Apgar score of 6 at 5 minutes. 2. A 17-day-old infant with group B Streptococcus meningitis. 3. A 24-month-old child who has experienced a febrile seizure. 4. A 5-year-old with a closed-head injury after falling off a bike.

2

Which medication is used for the treatment of spasticity in cerebral palsy (CP)? 1. Dexamethasone (Decadron). 2. Baclofen (Lioresal) 3. Diclofenac (Voltaren). 4. Carbamazepine (Tegretol).

2

Which of the following actions is NOT appropriate in the care of a 2-month-old infant? 1. Place the infant on her back for naps and bedtime. 2. Allow the infant to cry for 5 minutes before responding if she wakes during the night as she may fall back asleep. 3. Talk to the infant frequently and make eye contact to encourage language development. 4. Wait until at least 4 months to add infant cereals and strained fruits to the diet

2

Which child requires continued follow-up because of behaviors suspicious of cerebral palsy (CP)? 1. A 1-month-old who demonstrates the startle refl ex when a loud noise is heard. 2. A 6-month-old who always reaches for toys with the right hand. 3. A 14-month-old who has not begun to walk. 4. A 2-year-old who has not yet achieved bladder control during waking hours.

2 3 is incorrect because although many children walk before the age of 14 months, it is not considered a Moto delay not to have achieved this milestone at this point

Hey three-year-old child has been diagnosed with autism. The child has all of the following symptoms. Which symptoms are related to the diagnosis of autism? Select all that apply. 1. The child only eat a few preferred foods 2. the child refuses to make eye contact 3. the child's speech consists entirely of echolalia 4. the child is a poor sleeper 5. the child does not smile

2,3,5

A patient who is pregnant for the first time is concerned about gaining too much weight during the pregnancy.Which statement about pregnancy and delivery should the nurse associate to the assessment of failure to thrive (FTT) in an infant? A. Maternal lifestyle during pregnancy can impact FTT. B. Hormonal changes during pregnancy have little impact on FTT. C. Exercising more will prevent weight gain during pregnancy. D. The mother's BMI can impact FTT.

A

The nurse is planning care for a newborn with a cleft palate. For which health problem should the nurse plan interventions for this​ client? A. Organic failure to thrive​ (OFTT) B. Nonorganic failure to thrive​ (NFTT) C. Sleep deprivation D. Colic

A

The nurse is talking to the family of a child diagnosed with failure to thrive (FTT).Which intervention should the nurse use to address the family's psychosocial needs?A. Referring to community resources B. Maintaining a food diary C. Assessing weight D. Measuring height

A

Which observation should demonstrate an improved parent-child relationship after care for failure to thrive (FTT) has been implemented? A. The mother is able to soothe the child. B. The child is fidgety during cuddling. C. The child has poor eye contact during feeding. D. The mother is able to watch TV while feeding.

A

The nurse is conducting an educational session for the staff about failure to thrive​ (FTT). Which type of family should the nurse identify as being at risk for this health​ problem? (Select all that​ apply.) A. Low-income​ B. Single-parent C. Abuse substances D. History of depression E. Experience mental retardation

A, C, D, E

A nurse is developing a plan of care for a four-year-old child who has cerebral palsy. Which of the following actions should the nurse include? A. Structure interventions according to the child chronological age B. Evaluate the child's need for a referral to a speech language therapist C. Monitor the child's pain level routinely using a numeric pain rating scale D. Provide total care for daily hygiene activities

B

A patient is diagnosed with failure to thrive (FTT).Which item should the nurse review prior to beginning the nursing assessment of this patient? A. Current activity level B. Percentiles on growth chart for previous visits C. Caregiver interactions with the child D. Height and weight for current visit

B

A breastfeeding mother refuses to place her unclothed baby face down on her chest because "babies are always supposed to be put on their backs. Babies who are on their stomachs die from SIDS." The nurse's action should be based on which of the following? 1. Skin-to-skin contact facilitates breastfeeding and helps to maintain neonatal temperature. 2. The risk of SIDS increases whenever unsupervised babies are placed in the supine position. 3. SIDS rarely occurs before the completion of the neonatal period. 4. Back-to-sleep guidelines have been modifi ed for breastfeeding babies.

1

An 11-year-old child with ADHD being treated with methylphenidate(Ritilan) twice a day reports that he is having difficulty falling asleep at night. Upon questioning him, the nurse discovers he takes the morning dose before leaving for school in the evening dose after supper. Based on the information provided, the nurse should make which recommendation? 1. Continue taking the morning dose as previously, but take the evening dose earlier in the afternoon 2. Stop taking the medication until he can be evaluated by this physician 3. Take both doses of the medication in the morning before leaving for school 4. Reduce the evening dose of medication to half the prescribed dose

1

The mother of a 7-year-old child taking methylphenidate (Ritalin), a central nervous stimulant, for attention deficit-hyperactivity disorder (ADHD) calls the pediatric clinic and tells the nurse her daughter has lost 4 pounds in the last 2 weeks. Which action should the nurse implement? 1. Make an appointment for the child to see the HCP. 2. Instruct the mother to discontinue the Ritalin. 3. Explain that this is normal response to the medication. 4. Tell the mother to increase the child's caloric intake.

1

The nurse tells a family of a child with cerebral palsy (CP) that since the 1960s the incidence of CP has: 1. Increased. 2. Decreased. 3. Remained the same. 4. Has decreased because of early misdiagnosis.

1

The nursing diagnosis—Risk for suffocation—is included in a standard care plan in the neonatal nursery. Which of the following outcome goals should be included in relation to this diagnosis? 1. Baby will be placed supine for sleep. 2. Baby will be breastfed in the side-lying position. 3. Baby will be swaddled when in the open crib. 4. Baby will be strapped when seated in a car seat.

1

The parents of a 12-month-old with cerebral palsy (CP) ask the nurse if they should teach their child sign language because he has not begun to vocalize. The nurse bases the response on the knowledge that sign language: 1. May be a very beneficial way to help children with CP communicate. 2. May cause confusion and further delay vocalization. 3. Is diffi cult to learn for most children with CP. 4. Is beneficial to learn, but it would be best to wait until the child is older.

1

The parents of a child with cerebral palsy (CP) are learning how to feed their child and avoid aspiration. The nurse would question which of the following when reviewing the teaching plan? 1. Place the food on the tip of the tongue. 2. Place the child in an upright position during feedings. 3. Feed the child soft and blended foods. 4. Feed the child slowly.

1

Which developmental milestone should the nurse be concerned about if a 10-month-old cannot do it? 1. Crawl. 2. Cruise. 3. Walk. 4. Have a pincer grasp.

1

Which diagnostic test would the nurse expect the HCP to monitor for the child diagnosed with attention deficit-hyperactivity disorder (ADHD) who is prescribed methylphenidate (Ritalin), a central nervous stimulant? 1. Complete blood cell count (CBC). 2. Serum potassium and sodium levels. 3. An annual bone density test. 4. Serum methylphenidate level.

1 can cause leukopenia or anemia, metabolized by liver and excreted by kidneys. Organ dysfunction can increase serum drug levels

Which would the nurse expect a child with spastic CP to demonstrate? Select all that apply. 1. Increased deep tendon reflexes. 2. Decreased muscle tone. 3. Scoliosis. 4. Contractures. 5. Scissoring. 6. Good control of posture. 7. Good fine motor skills.

1, 3, 4, 5

Which applies to cerebral palsy? Select all that apply. 1. It is the most common chronic disorder of childhood. 2. Hyperbilirubinemia increases the risk of cerebral palsy. 3. It is a progressive chronic disorder. 4. Most children do not experience any learning disabilities. 5. There is a familial tendency seen in children with cerebral palsy.

1, 2

The 14-year-old adolescent with attention deficit-hyperactivity disorder (ADHD) is taking methylphenidate (Ritalin), a central nervous stimulant. Which statement indi- cates to the nurse that the adolescent understands the medication teaching? 1. "I can carry my medication in a personal pill container with me at school." 2. "I hate that I have to go to the school nurse to take my medication." 3. "I just take my medication on days that I have important tests." 4. "A friend of mine has ADHD and I gave him one of my pills."

2

A 3-year-old child with CP is admitted for dehydration following an episode of diarrhea. The nurse ' s assessment follows: awake; pale, thin child lying in bed; multiple contractures; drooling; coughing spells noted when parent feeds. T 97.8°F (36.5°C), P 75, R 25, weight 7.2 kg, no diarrheal stool for 48 hours. Which nursing diagnosis is most important? 1. Potential for skin breakdown: lying in one position. 2. Alteration in nutrition: less than body requirements. 3. Potential for impaired social support: parent sole caretaker. 4. Alteration in elimination: diarrhea.

2

A child with cerebral palsy (CP) has been fi tted for braces and is beginning physical therapy to assist with ambulation. The parents ask why he needs the braces when he was crawling without any assistive devices. Select the nurse ' s best response. 1. "The CP has progressed, and he now needs more assistance to ambulate." 2. "As your child grows, different muscle groups may need more assistance." 3. "Most children with CP need braces to help with ambulation." 4. "We have found that when children with CP use braces, they are less likely to fall."

2

A young child has just been diagnosed with spastic cerebral palsy. The nurse is teaching the parents how to meet their child's dietary needs. The nurse would explain that children with cerebral palsy frequently have special dietary needs or feeding challenges for what reason? 1. The paralysis of their muscles decreases their caloric need 2. The spasticity of their muscles increases their caloric need 3. They hypertonic muscles make eating difficult 4. The child in activity increases the risk of obesity

2

During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief as a method of coping with stressful life events? 1. Avoidance of stress is an important goal for living. 2. Control over one's response to stress is possible. 3. Most people have no control over their level of stress. 4. Significant others are important to provide care and concern

2

Parents confide to the nurse that their child, who is 35 months old, does not talk and spends hours sitting on the fl oor watching the ceiling fan go around. They are concerned their child may have autism. The nurse should ask the parents which question? 1. "Does your child have brothers or sisters?" 2. "Does your child seek you out for comfort and love?" 3. "Do you have trouble getting babysitters for your child?" 4. "Does your child receive speech therapy?"

2

Parents who have just experienced the death of an infant from SIDS request time alone with the infant. The nurse should take which action? 1. Discourage the parents from seeing the infant because it will be too painful 2. Allow the parents as much time alone with the infant as they need 3. Allow the parents to view the infant, but remain in the room with them 4. Deny the parents request because they are emotionally distraught

2

Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely? 1. At 1 to 2 years of age. 2. At 1 week to 1 year of age, peaking at 2 to 4 months. 3. At 6 months to 1 year of age, peaking at 10 months. 4. At 6 to 8 weeks of age.

2

The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS) the best position to place the baby after nursing is (select all that apply): 1. Prone. 2. Side-lying. 3. Supine. 4. Fowler's

2, 3 research demonstrate that the occurrence of SIDS is reduced with. these two options

A child with spastic CP had an intrathecal dose of baclofen (Lioresal) in the early afternoon. What is the expected result 31⁄2 hours post-dose that suggests the child would benefi t from a baclofen pump? 1. The ability to self-feed. 2. The ability to walk with little assistance. 3. Decreased spasticity. 4. Increased spasticity.

3

A mother confi des to a nurse that she has no crib at home for her baby. The mother asks the nurse which of the following places would be best for the baby to sleep. Of the following choices, which location should the nurse suggest? 1. In bed with his 5-year-old brother. 2. In a waterbed with his mother and father. 3. In a large empty dresser drawer. 4. In the living room on a pull-out sofa.

3

The 6-year-old child with attention deficit-hyperactivity disorder (ADHD) is admit- ted to the pediatric department after having an emergency appendectomy. Which intervention should the nurse implement when administering methylphenidate (Ritalin), a central nervous stimulant to the child? 1. Check the child's glucose level. 2. Administer with a full glass of water. 3. Monitor the child's vital signs. 4. Assess the child's incisional wound.

3

The mother of a male child with attention deficit-hyperactivity disorder (ADHD) tells the school nurse she does not want her son to take Ritalin and wants to know if there is any other medication her son could take. Which statement is the nurse's best response? 1. "There are no other medications that work as well as Ritalin." 2. "Why are you worried about your child taking Ritalin?" 3. "There is a nonstimulant medication called Strattera that your child could take." 4. "I think that is something you should discuss with your child's doctor."

3

The nurse is caring for a 2-month-old infant who is at risk for cerebral palsy (CP) due to extreme low birth weight and prematurity. His parents ask why a speech therapist is involved in his care. Select the nurse ' s best response. 1. "Your baby is likely to have speech problems because of his early birth. Involving the speech therapist now will ensure vocalization at a developmentally appropriate age." 2. "The speech therapist will help with tongue and jaw movements to assist with babbling." 3. "The speech therapist will help with tongue and jaw movements to assist with feeding." 4. "Many members of the health-care team are involved in your child ' s care so that we will know if there are any unmet needs."

3

The nurse is developing a plan of care for a child recently diagnosed with cerebral palsy (CP). Which should be the nurse ' s priority goal? 1. Ensure the ingestion of suffi cient calories for growth. 2. Decrease intracranial pressure. 3. Teach appropriate parenting strategies for a special-needs child. 4. Ensure that the child reaches full potential.

3

The nurse is providing education for a family whose child has cerebral palsy and is receiving baclofen epidural therapy to control spasticity. Which of the following is most important for the nurse to include in the discussion? 1. The drug asked to inhibit the neurotransmitter GABA 2. The child should be able to run with normal gait after insertion of the pump 3. Parents must bring the child back to the clinic on a regular basis to have more medicine added to the pump 4. Parents can be taught to regulate the dosage on a sliding scale

3

The nurse prepares baclofen for a child with cerebral palsy (CP) who just had her hamstrings surgically released. The child ' s parents ask what the medication is for. Select the nurse ' s best response. 1. "It is a medication that will help decrease the pain from her surgery." 2. "It is a medication that will prevent her from having seizures." 3. "It is a medication that will help control her spasms." 4. "It is a medication that will help with bladder control."

3

The parent of a young child with CP brings the child to the clinic for a checkup. Which parent ' s statement indicates an understanding of the child ' s long-term needs? 1. "My child will need all my attention for the next 10 years." 2. "Once in school, my child will catch up and be like the other children." 3. "My child will grow up and need to learn to do things independently." 4. "I ' m the one who knows the most about my child and can do the most for my child."

3

The parent of an infant with CP asks the nurse if the infant will be mentally retarded. Which is the nurse ' s best response? 1. "Children with CP have some amount of mental retardation." 2. "Approximately 20% of children with CP have normal intelligence." 3. "Many children with CP have normal intelligence." 4. "Mental retardation is expected if motor and sensory defi cits are severe."

3

The parents of a child with meningitis and multiple seizures ask if the child will likely develop cerebral palsy (CP). Select the nurse ' s best response. 1. "When your child is stable, she ' ll undergo computed tomography (CT) and magnetic resolution imaging (MRI). The physicians will be able to let you know if she has CP." 2. "Most children do not develop CP at this late age." 3. "Your child will be closely monitored after discharge, and a developmental specialist will be able to make the diagnosis." 4. "Most children who have had complications following meningitis develop some amount of CP."

3

When offering support to the family of a five month old infant who died from sudden infant death syndrome, the nurse anticipates the infants older siblings may experience which of the following? 1. Lack of concern about where the infant is 2. Acceptance of the infants death 3. Guilt that he or she may have caused the infants death 4. an understanding that the infant is dead

3

Which assessment data indicate the central nervous stimulant methylphenidate (Ritalin) has been effective for the 8-year-old child diagnosed with attention deficit-hyperactivity disorder (ADHD)? 1. The child has two notes from the school for inappropriate behavior in 1 week. 2. The child sleeps 8 hours a night and falls asleep during the day. 3. The child is able to sit and play a game for 30 minutes with a friend. 4. The child has difficulty following verbal instructions from the teacher.

3

Upon performing a physical assessment of a seven month old child, the nurse notes the following findings. The nurse concludes that which of the finding is abnormal and could suggest cerebral palsy? 1. No head lag when pulled to a sitting position 2. No Moro or startle reflex 3. Positive tonic neck reflex 4. Absence of tongue extrusion

3 The moro or startle reflex, tongue extrusion, and tonic neck reflexes should have disappeared at this age. Presence of neonatal clues are early indicators of CP

A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be? 1. 16 lb 4 oz 2. 20 lb 5 oz 3. 24 lb 6 oz 4. 32 lb 8 oz

3 children should triple their birth weight by 12 months of age

The 10-year-old child diagnosed with attention deficit-hyperactivity disorder (ADHD) is taking methylphenidate (Ritalin), a central nervous stimulant. Which assessment data would warrant intervention from the pediatric clinic nurse? 1. The child has gained 3 kg in the last month. 2. The child's pulse is 98 and B/P is 100/70. 3. The child has multiple bruises on the arm. 4. The child sits quietly in the examination room.

3 could be adverse effect caused by leukopenia, anemia or birth, or child abuse

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse ' s best response is: 1. "At 6 months, his weight should be approximately three times his birth weight." 2. "Each child gains weight at his or her own pace." 3. "At 6 months, his weight should be approximately twice his birth weight." 4. "At 6 months, a child should weigh about 10 lb more than his or her birth weight."

3 infants should double their birth weight by 4 to 6 months

The client with chronic low back pain has been taking baclofen (Lioresal), a muscle relaxant. Which instructions should the nurse review with the client? 1. The medication can cause gastric ulcer formation. 2. The client may consume no more than one glass of wine per day. 3. The medication must be tapered off when discontinued. 4. The client should not take the medication before bedtime.

3 withdrawal can cause anxiety, agitation, hallucinations, spasticity, seizures

The 8-year-old child newly diagnosed with attention deficit-hyperactivity disorder (ADHD) is prescribed methylphenidate (Ritalin), a central nervous stimulant. Which statement by the mother indicates the medication teaching has not been effective? 1. "I will keep the medication in a safe place." 2. "I will schedule regular drug holidays for my child." 3. "It may cause my child to have growth restriction." 4. "My child will probably experience insomnia."

4

The nurse enters a Spanish-speaking woman's postpartum room and notes that her neonate is wearing a hat and is covered in three blankets. The room temperature is 70°F. The nurse's action should be based on which of the following? 1. Overdressing babies is common in some cultures and should be ignored. 2. The mother has dressed the baby appropriately for the room temperature. 3. The nurse should drop the room temperature because the baby is overdressed. 4. Overheating is dangerous for neonates and the extra clothing should be removed.

4

The nurse evaluates teaching of parents of a child newly diagnosed with CP as successful when the parents state that CP is which of the following? 1. Inability to speak and uncontrolled drooling. 2. Involuntary movements of lower extremities only. 3. Involuntary movements of upper extremities only. 4. An increase in muscle tone and deep tendon refl exes.

4

The nurse is caring for a child with cerebral palsy (CP) whose weight is in the fi fth percentile and who has been hospitalized for aspiration pneumonia. His parents are anxious and state that they do not want a G-tube placed. Which would be the nurse ' s best response? 1. "A G-tube will help your son gain weight and reduce his risk for future hospitalizations due to pneumonia." 2. "G-tubes are very easy to care for and will make feeding time easier for your family." 3. "Are you concerned that you will not be able to care for his G-tube?" 4. "Tell me your thoughts about G-tubes."

4

The parent of an infant asks the nurse what to watch for to determine whether the infant has CP. Which is the nurse ' s best response? 1. "If the infant cannot sit up without support before 8 months." 2. "If the infant demonstrates tongue thrust before 4 months." 3. "If the infant has poor head control after 2 months." 4. "If the infant has clenched fi sts after 3 months."

4

Which of the following infants is least probable to develop sudden infant death syndrome (SIDS)? 1. Baby Angela who was premature. 2. A sibling of Baby Angie who died of SIDS. 3. Baby Gabriel with prenatal drug exposure. 4. Baby Gabby who sleeps on his back

4

The 7-year-old child newly diagnosed with attention deficit-hyperactivity disorder (ADHD) is prescribed methylphenidate (Ritalin), a central nervous stimulant. Which information should the nurse discuss with the parents? 1. Take the medication on an empty stomach. 2. Weigh your child daily in the morning. 3. Administer the medication at night. 4. Keep a behavior diary on your child.

4 weights should be taken weekly

The nurse is planning care for a newborn with a cleft palate. For which health problem should the nurse plan interventions for this​ client? A. Organic failure to thrive​ (OFTT) B. Nonorganic failure to thrive​ (NFTT) C. Sleep deprivation D. Colic

a

The nurse is concerned about the number of pediatric patients with failure to thrive (FTT) in one community.Which action should the nurse take? A. Teach the proper method of tube feeding. B. Advocate for genetic testing. C. Insist caregivers feed only with breast milk. D. Educate infant caregivers.

D

A 3-month-old baby is diagnosed with inorganic FTT.Which should the nurse expect to assess in this patient? A. Lack of eye contact B. Playfulness C. Fitful sleep D. Alertness

a

A nurse is providing teaching for the parents of an infant with cerebral palsy. How will the nurse advise the parents to carry the infant in a sitting position to prevent scissoring of the legs? A. A stride one of her hips B. Strapped in an infant seat C. Wrapped tightly in a blanket D. Under the arm using a football hold

a

Autism can usually be diagnosed when the child is approximately A. Two years of age B. Six years of age C. Six months of age D. 1 to 3 months of age

a

A nurse is teaching the guardian of a school age child who has a new prescription for amphetamine to treat ADHD. Which of the following information should the nurse include in the teaching? Select all that apply. A. An adverse effect of this medication is central nervous system stimulation B. You should administer the medication before bedtime C. You should monitor the child's blood pressure while taking this medication D. You should limit your child intake of caffeine containing products E. You should give the morning dose after break

a, c, d, e

The nurse suspects an infant has failure to thrive​ (FTT). For which reason should the nurse anticipate this client being​ hospitalized? (Select all that​ apply.) A. Teach the caregivers how to identify physiologic hunger cues B. Protect the child from the caregivers C. Promote growth and development D. Provide adequate caloric and nutritional intake E. Assist in establishing a feeding routine

a, c, d, e

A nurse is caring for a school age child who has a new prescription for atomoxetine to treat ADHD. The nurse should monitor the client for which of the following adverse effects? A. Nephrotoxicity B. Liver damage C. Seizure activity D. Bradycardia

b

The nurse is providing care to a patient with failure to thrive (FTT).Which intervention should the nurse complete at each visit for this patient? A. Suggesting the use of herbal supplements B. Plotting weight on the growth chart C. Assessing entries in the food journal D. Referring the family to counseling

b

T your client, a new mother, has stated that she "does not want my baby to get immunizations because they cause autism" how should you respond to her fears and concerns? A. The chances of your baby getting autism from immunizations are quite low B. The benefits of immunizations greatly outweigh the risk of getting autism C. There is no accepted scientific research that supports the idea that autism is a consequence of vaccinations D. Most vaccines now have thimerosal, so the risk of autism is limited to the polio vaccine

c

The nurse is providing care for a patient diagnosed with failure to thrive (FTT).Which finding should the nurse identify that supports the diagnosis for this patient? A. The patient is above the 5th percentile for height on the standard growth chart. B. The patient experiences frequent diarrhea. C. The patient is below the 5th percentile for weight on the standardized growth chart. D. The patient has inadequate sleep.

c

What is the most important intervention when admitting a child with autism spectrum disorder to an acute care unit? A. Placement near the nurses station in a semi private room B. Placement with another child with autism spectrum disorder in a semi private room C. Placement in a private room down the Corridor from the nurses station D. Placement in a private room adjacent to the play room

c

A 13-year-old boy with ADHD has been taking atomoxetine (Strattera) for a month. What is the most important nursing assessment? A. Progress with schoolwork B. Attention span and level admin activity C. Sweating an increase diastolic blood pressure D. Suicidal ideation's

d

A nurse is assessing an infant who has failure to thrive. Which of the following findings should the nurse anticipate in the infant? A. The infants movements will be highly coordinated B. The infant muscles will be tense with increased tone C. The infant world exhibit increased crying episodes D. The infant will avoid making eye contact

d

The nurse assesses a baby who is not gaining weight, has poor eye contact, lacks anticipated stranger danger, and appears older than the chronological age.Which type of failure to thrive (FTT) should the nurse suspect in this baby? A. Organic B. Feeding C. Geriatric D. Nonorganic

d

The nurse is providing care to a patient diagnosed with failure to thrive (FTT).The nurse anticipates which treatment to be prescribed? A. Proton pump inhibitors B. Beta blockers C. Formula feeding by gastric tube D. Nutritional supplements

d