Care of Children A

a school nurse is preparing to administer atomoxetine 1.2mg/kg/day PO to a school-age child who weighs 75lb. available to atomoxetine 40mg/capsule. how many capsules should the nurse administer per day?

1 capsule

a nurse is reviewing the laboratory report of a 7 year old child who is receiving chemotherapy. which of the following lab values should the nurse report to the provider?

Hgb 8.5 g/dL

a nurse is teaching the guardian of a 6 month old infant about car seat use. which of the following statements by the guardian indicates an understanding of the teaching?

I should secure the car seat using lower anchors and tethers instead of the seat belt

a nurse in an emergency department is caring a school-age child who is experiencing an anaphylactic reaction. which of the following is the priority action by the nurse?

administer epinephrine IM to the child

a nurse is preparing to administer an immunization to a 4 year old child. which of the following actions should the nurse plan to take?

administer the immunization using a 24 gauge needle

after reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider?

arterial blood gas, WBC count, oxygen saturation, respiratory assessment

a nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hr ago. which of the following actions should the nurse take?

assess peripheral pulses once every 4 hr

a nurse is assessing a 4 year old child at a well-child visit. which of the following developmental milestone should the nurse expect to observe?

cuts an outlined shape using scissors

a nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. the child suddenly develops diffuse flushing of the skin and angioedema. after discontinuing the medication infusion, which of the following medications should the nurse administer first?

epinephrine

a nurse is caring for a school-age child who is receiving a blood transfusion. which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?

flank pain

a nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. which of the following interventions should the nurse plan to include?

implement seizure precautions for the infant

a nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. which of the following nutritional items should the nurse offer to the toddler?

oral rehydration solution

the nurse should identify that which of the following findings require immediate follow-up?

partial and full thickness burns to left upper anterior chest and anterior neck, SaO2 89% on room air, heart rate 150/min,

a nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. which of the following the following findings should the nurse expect?

ankle clonus, exaggerated stretch reflexes, contractures

after examining the child during hydrotherapy, the provider enters prescriptions into the child's medical record.

anticipated; change the morphine route to family-controlled analgesia via a PCA pump, obtain wound culture, place child on a pressure-reduction mattress contraindicated; limit daily protein intake

which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?

anticipated; insert urinary catheter, provide 100% oxygen via face mask, weigh the child contraindicated; apply sterile gauze

a nurse is providing teaching about play activities for social development to the parents of a preschooler. which of the following play activities should the nurse recommend for the child?

playing dress up

which of the following statements by a guardian indicate that the discharge teaching effective?

we should apply a skin emollient immediately after bathing our child, we should keep our child's fingernails trimmed short, we should use a mild detergent for our laundry

a nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. the nurse should recommend that the parent offer which of the following foods to the child?

white rice

a nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. which of the following actions should the nurse plan to take?

withhold the measles, mumps and rubella (MMR) vaccine

a nurse is caring for a 15 year old client who is married and scheduled for a surgical procedure. the client asks, "who should sign my surgical consent?" which of the following responses should the nurse make?

you can sign the consent form because you are married

a nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. which of the following actions should the nurse plan to take?

perform a finger stick

a nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. when preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take?

turn off IV pump, occlude the IV tubing, remove the tape securing the catheter, apply pressure over the catheter insertion site

a nurse is caring for a school-age child who has experienced a tonic-clonic seizure. which of the following actions should the nurse take during the immediate postictal period?

place the child in a side-lying position

a nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. the nurse should identify that which of the following lab values indicates effectiveness of the current treatment

sodium 140mEq/L

a charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses about the manifestations of child maltreatment. which of the following manifestations should the charge nurse include as a potential indication of physical abuse?

symmetric burns of the lower extremities

a nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. which of the following findings is the nurse's priority?

tachypnea

a nurse is auscultating the lungs of an adolescent who has asthma. the nurse should identify the sound as which of the following?

tachypnea

a nurse is caring for an infant who has respiratory syncytial virus (RSV). which of the following actions should the nurse implement for infection control?

have a designated stethoscope in the infant's room

a nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. which of the following interventions should the nurse include in the plan?

provide small, frequent meals for the child

a nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. which of the following actions should the nurse plan to take?

schedule the toddler for a yearly prescreening.

a nurse in an emergency department is performing a physical assessment on a 2 week-old male newborn. which of the following findings is the priority for the nurse to report to the provider?

substernal retractions

a nurse is receiving change-of-shift report for four children. which of the following children should the nurse see first?

a school-age child who has sickle cell anemia and reports decreased vision in the left eye

a school nursing is assessing an adolescent who has scoliosis. which of the following findings should the nurse expect?

a unilateral rib hump

a nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. which of the following actions should the nurse take?

cleanse the affected area with mild soap and water

a nurse in an emergency department is caring for a school age child who has appendicitis and rates their abdominal pain as 7 on a scale 0 to 10. which of the following actions should the nurse take?

give morphine 0.05mg/kg IV

a nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). which of the following instructions should the nurse include?

give the infant a pacifier at bedtime

a nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. which of the following actions should the nurse take?

screen the child's visitors for indications of infection

a nurse is caring for an adolescent who is received a kidney transplant. which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?

serum creatinine 3.0mg/dL

select 6 statements by the parent that indicate an understanding of the discharge teaching?

I should apply a moisturizer to the scar tissue, I will use a measured spoon or medicine cup to give my child hydroxyzine every 6 hours as needed. puppy play can be helpful for my child. I need to assess for any redness or open skin areas before applying my child's left arm splint. my child will need to use a compression garment to decreased blood supply to scarred tissue.

a nurse is teaching a school age child who has a new diagnosis of type 1 diabetes mellitus. which of the following statements by the child indicates an understanding of the teaching?

I will give myself a shot of regular insulin 30 minutes before I eat breakfast.

a nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. the nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

I will place my infant's diapers under the harness straps

a nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. for which of the following members of the inter professional team should the nurse initiate a referral?

speech therapist

a nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. which of the following locations should the nurse identify as McBurney's point?

right lower quadrant located about two-thirds of the way between the umbilicus and the client's anterosuperior iliac spine

a hospice nurse is caring for a preschooler who has a terminal illness. one of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. which of the following statements should the nurse make?

lets talk about some of the ways you have handled previous stressors in your life

a nurse is assessing a 3 year old toddler at a well child visit. which of the following manifestations should the nurse report to the provider?

respiratory rate 45/min

a nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. which of the following instructions should the nurse include?

shake the medication prior to administration

a nurse is assessing the vital signs of a 10 year old child following a burn injury. the nurse should identify that which of the following findings is an indication of early septic shock?

temperature 39.1 C (102.4F)

after reviewing the child's assessment, which of the following findings should the nurse address first?

the nurse should address the client's temperature followed by the client's pain.

a school nurse is assessing an adolescent who has multiple burns in various stages of healing. which of the following behaviors should the nurse identify as a possible indication of physical abuse?

denies discomfort during assessment of injuries

a nurse is reviewing the lab report of a school-age child who is experiencing fatigue. which of the following findings should the nurse recognize as an indication of anemia?

hematocrit 28%

a nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. which of the following findings should the nurse identify as an indication of bacterial meningitis?

increased protein concentration

a nurse is admitting a school-age child who has pertussis. which of the following actions should the nurse take?

initiate droplet precautions for the child

a nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129mEq/L. which of the following interventions should the nurse include in the plan?

initiate seizure precautions for the child.

a nurse is interviewing the parent of an 18 month old toddler during a well-child visit. the nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss?

the toddler received tobramycin during a hospitalization 2 weeks ago

a nurse is providing teaching to the parent of an infant who has diaper dermatitis. the nurse should instruct the parent to apply which of the following to the affected area?

zinc oxide

the child has returned to the unit following the procedure. which of the following actions should the nurse take?

provide 100% oxygen via face mask, check anterior neck and chest dressing for bleeding, place warm blanket on the child, keep the child's head in a neutral position

a nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. which of the following statements should the nurse make to explain to the child when their father will return?

your daddy will be back after you eat

after reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions?

the nurse should identify that the child is at risk for developing splenomegaly as evidence by positive mononucleosis rapid test.

a nurse is assessing a school age child who has meningitis. which of the following findings is the priority for the nurse to report to the provider?

petechiae on the lower extremities