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a nurse is caring for a child who is in skeletal traction. Which of the following actions is the nurse's priority? -perform passive ROM for unaffected joints -apply pressure-reducing overlay to child's mattress -increase child's fluid intake -encourage child to use incentive spirometer

encourage child to use an incentive spirometer

decreased urine specific gravity can indicate

excessive fluid intake

manifestations varicella

maculopapular rash, eventually ruptures and crusts over

interventions vaso-occlusive crisis

maintain child on bed rest to avoid additional oxygen needs

what to do after administering antibiotic ear-drops for otitis media

massage anterior area of infant's ear

koplik spots are a manifestation of

measles (rubeola)

Age appropriate findings for a preschooler's reaction to death

-child views death as similar to sleep -the child believes that his thoughts can cause death -the child thinks death is a punishment

when does toddler become interest in looking at pictures?

15 months

when should infant receive Hib vaccine

2 month, 4 months, 6 months, 12-18 months

when should infant receive PCV vaccine

2 months, 4 months, 6 months, 12-18 months

When can a child build block towers

2 years old

example of 10-15 g simple carbohydrates

240 mL (8 oz) of milk

When can a child ride a tricycle?

3 years old

when is cutting figures from colored paper an appropriate activity for a child?

3 years old

when should the moro reflex disappear

3-4 months

Child should be able to state first and last name by what age

30 months

toddler should have all 20 deciduous teeth by what age

30 months

when should a child refer to themselves with the appropriate pronoun

30 months

When should a toddler have daytime control of his bladder

30 months of age

when can an infant roll from back to side

4 months

when does the startle reflex disappear

4 months

when is the extrusion reflex absent

4 months

when does the stepping reflex disappear

4 weeks

the skill of hopping on one foot is not developed until what age

4 years

when can a child copy a circle

4 years

When can children draw stick figures?

4 years old

when are children more vulnerable to the stress of hospitalization

6 months to 5 years

when does the crawl reflex disappear

6 weeks

when should an infant be able to vocalize vowel sounds

7 months

when should an infant be able to creep on their hands and knees

9 months

when is an infant's dominant hand evident and when can they demonstrate a crude pincer grasp

9 months of age

Hypothyroidism

A disorder caused by a thyroid gland that is slower and less productive than normal

Hemophilia

A hereditary disease where blood does not coagulate to stop bleeding

A nurse at a clinic is preparing to administer immunizations to a 5 year old child. Which of the following immunizations should the nurse plan to give? -diphtheria, tetanus, and pertussis (DTaP) -pneumococcal PCV -haemophilus influenza type B (Hib) -hepatitis B (Hep B)

Diphtheria, tetanus, and pertussis (DTaP)

A nurse is assessing a 12-month-old infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider? -HR 175/min -RR 26/min -BP 88/40 mm Hg -Temp 37.6C (99.7F)

HR 175/min

How long can a PICC line stay in place

The PICC line can stay in your arm for as long as 12 months, although the average length is usually about 6 months, depending on your treatment requirements

A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse? -Primary dentition is complete -Unable to hop on one foot -Birth weight is tripled -Able to state first and last name

Birth weight is tripled

A nurse is caring for a 2-year old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child? -Cutting figures from colored paper -Drawing stick figures using crayons -Riding a tricycle -Building towers of blocks

Building towers of blocks

A nurse in a pediatric clinic is caring for a 3 year old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the following information is appropriate for the nurse to include in the teaching? -decrease the child's vitamin C intake until the blood lead level decreases to zero -administer a folic acid supplement to the child each day -give pancreatic enzymes to the child with meals and snacks -ensure the child's dietary intake of calcium and iron is adequate

Ensure the child's dietary intake of calcium and iron is adequate (reduces absorption and effects of the lead)

A nurse is preparing to administer recommended highlight immunization to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer? -Human papillomavirus (HPV) and hepatitis A -Measles, Mumps, Rubella (MMR), diphtheria, and acellular pertusis (TDaP) -Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) -Varicella (VAR) and live unattended influenza vaccine (LAIV)

Haemophilus influenzae type b (Hib) and inactivated polio virus (IPV)

A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? -I lock my medications in the medication cabinet -I keep my child's crib mattress at the highest level -I turn pot handles to the side of my stove while cooking -I will give my child syrup up ipecac if she swallows something poisonous

I lock my medications in the medication cabinet

A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching? -i will give my child a dose of albendazole today and again in 2 weeks -i will collect specimens immediately after my child has a bowel movement -i will give my child a tub bath twice each day -I will place my child's bed linens in a sealed plastic bag for 7 days

I will give my child a dose of albendazole today and again in 2 weeks

A nurse is assessing a 9-month old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay? -creeps on hands and knees -inability to vocalize vowel sounds -uses crude pincer grasp -stands by holding onto support

Inability to vocalize vowel sounds

vaso-occlusive crisis

Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the body.

a nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hours. Which of the following actions should the nurse take? -ask the provider to discontinue the PCA so the nurse can administer PRN pain medication -suggest the client's parent push the button for the client if the parent thinks the adolescent is having pain -reevaluate the client in 1 hour since a pain level of 5 is acceptable on a scale of 1 to 10 -reinforce teaching with the client about how to push the button to deliver the medication

Reinforce teaching with the client about how to push the button to deliver the medication

A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? -Ask the child to hold his breath and then blow it out slowly -Ask the child to describe a pleasurable event -Bounce the child gently while holding him upright -Rock the child in long rhythmic movements

Rock the child in long rhythmic movements

a nurse is assessing a 3 year old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?

Use the FACES scale

A nurse is teaching a parent of a 12-month old infant about development during the toddler years. Which of the following statements should the nurse include? -your child should be referring to himself using the appropriate pronoun by 18 months of age -a toddler's interest in looking at pictures occurs at 20 months of age -a toddler should have daytime control of his bowel and bladder by 24 months of age -your child should be able to scribble spontaneously using a crayon at the age of 15 months

Your child should be able to scribble spontaneously using a crayon at the age of 15 months

how to diagnose intussusception

abdominal ultrasound

antidote for acetaminophen overdose or poisoning

acetylcysteine

intervention for 1 month old infant with gastroesophageal reflux

add rice cereal to baby's feedings

infant is unable to pick up an object until when

age of 6 months

what precautions are N-95 respirators used for?

airborne precautions

a nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?

apply continuous pressure to the child's nose for at least 10 minutes

potassium level of 2.5 mEq/L indicated hypokalemia and can cause

arrhythmias or cardiac arrest

nursing actions for intussusception

barium enema (forces bowel to resume a normal configuration)

manifestations of tracheomalacia

barking cough stridor wheezing cyanosis apnea

when should infant receive Hep B immunization

birth 1-2 months 6-18 months

A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? -Assign an assistive personnel to feed the child -Explain sounds the child is hearing -Have the child use a cane when ambulating -Rotate nurses caring for the child

explain sounds the child is hearing

how should nurse feed infant following surgical repair of cleft palate?

feed with a cup

a nurse providing teaching about promoting sleep with the parent of a 3 year old toddler. Which of the following information should the nurse include? -follow a nightly routine and established bedtime -encourage active play prior to bedtime -let the child remain awake until tired enough to go to sleep -reward the child with a food treat just prior to sleep if the child goes to bed on time

follow a nightly routine and established bedtime

When is the numeric rating pain scale appropriate?

for children 5 years and older

A nurse on a pediatric unit is reviewing the health record of a child who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization? -age 10 -frequent hospitalizations -parent bonding with child -calm, quiet demeanor

frequent hospitalizations

A nurse is caring for an 8-year old child who has sickle cell anemia. Which of the following actions should the nurse take? -apply cool compresses to the painful area -initiate contact isolation precautions -give the child flavored popsicles -administer phytonadione

give the child flavored popsicles (maintains hydration)

a nurse is preparing to administer a liquid medication to an infant. Which of the following actions should the nurse take? -Administer the medication while the infant is supine -Give the medication at the side of the infant's mouth -Add the medication to a full bottle of the infant's formula -Administer the medication slowly while holding the nares closed

give the medication at the side of the infant's mouth

A nurse at a pediatric clinic is assessing a 5-month old infant during a well child visit. which of the following findings should the nurse report to the provider? -head lags when pulled from a lying to a sitting position -absence of startle and crawl reflexes -inability to pick up a rattle after dropping it -rolls from back to side

head lags when pulled from a lying to a sitting position

complication following myelomeningocele repair

hydrocephalus

A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory? -pneumococcal polysaccharide -meningococcal polysaccharide -rotavirus -herpes zoster

meningococcal polysaccharide

A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? -Perform the assessment in a head to toe sequence -Minimize physical contact with the child initially -Explain procedures using medical terminology -Stop the assessment if the child becomes uncooperative

minimize physical contact with the child initially

a child who has leukemia is at an increased risk for

mucositis (check for mouth sores)

heart sound of ventricular septal defect

murmur at the left sternal border

A nurse is assessing a 6 year old child at a well child visit. Which of the following findings requires further assessment by the nurse? -presence of sparse, fine pubic hair -decreased head circumference compared to full height -Increases leg length related to height -presence of a loose central incisor

presence of sparse, fine pubic hair

children with cystic fibrosis should increase which of the following -protein -fiber -salt

protein

What does the thyroid gland do?

regulates metabolism

position for gavage feeding

semi-recumbrent

Position for lumbar puncture

side-lying or flexed sitting

A nurse is caring for a 6 week infant following a pyloromyotomy. Which of the following forms of feeding should the nurse anticipate for the infant 6 hours after the procedure? -bottle formula with added protein -small, frequent bottle feedings of electrolyte solution -continuous nasoduodenal tube feedings -bolus feedings via gastrostomy tube

small frequent bottle feedings of electrolyte solution

nursing care following surgical repair of cleft lip and palate

suction infant with bulb syringe PRN

ASO titer indicates

that the child has had a recent strep infection

A nurse is teaching the parent of an infant about home safety. Which of the following information should the nurse include? (select all that apply) -use a wheeled infant walker -place soft pillows around edge of infant's crib -position car seat so it's rear-facing -secure a safety gate at top and bottom of stairs -maintain water heater temp at 49 C (120 F)

-position car seat so it's rear facing -secure a safety gate at top and bottom of stairs -maintain water heater temp at 49 C (120 F)

nutritional requirements 2 year old

1,000 calories daily 2 oz protein daily no more than 3 cups milk daily 1 cup vegetables daily

when should an infant be able to say atleast one word

10 months

when should an infant begin to stand while holding onto furnityre

10 months

giving child how many g of simple carbohydrates will elevate blood glucose level in cases of hypoglycemia

10-15g

birth weight should triple by ___ months and should be quadrupled by ____ months

12; 30

A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? -cow's milk -wheat bread -corn syrup -eggs

cow's milk

preschool play centers on what activities

imitative

A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following findings is the nurse's priority? -blood streaking of the sputum -dry mucous membranes -constipation -inability to clear secretions

inability to clear secretions (everything else is a common finding)

A nurse in the emergency department is caring for a 12-year old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? -The absence of oral burns excludes the possibility of esophageal burns -Treatment focuses on neutralization of the chemical -Injury by a corrosive liquid is more extensive than by a corrosive solid -Immediate administration of activated charcoal is warranted

injury by a corrosive liquid is more extensive than by a corrosive solid

manifestations measles

koplik spots, transient caphalocaudal rash

manifestations tetanus

lockjaw muscle rigidity

A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions? -Side-lying -Semi-recumbent -Flexed sitting -Supine

supine

A nurse is assessing a 6 month old infant who has recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration? -bulging anterior fontanel -bradycardia -tachypnea -polyuria

tachypnea

how long should the babinski reflex be present

until 1 year

A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take? -Wash and dry the infant's genitalia and the perineum thoroughly -Apply a small coating of water-soluble lubricant to the skin of the infant's perineal area -Avoid placing the scrotum inside the collection bag -Wait several hours after positioning the device before checking it

wash and dry the infant's genitalia and perineum thoroughly

antidote for digoxin toxicity

digoxin immune fab

manifestations of fifth disease

bright red cheeks "slapped cheek" appearance

when to pull ear up and back

children older than 3

when to pull ear down and back

children younger than 3

A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take? -have the toddler wear a disposable gown when in the unit's playroom -wear sterile gloves when changing the toddler's diapers -wear a mask when assisting the toddler with meals -ask visitors to wear an N-95 mask when entering the room

wear a mask when assisting the toddlers with meals


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