HESI PEDS REVIEW

What are the symptoms of congenital hypothyroidism in early infancy?

-large protruding tongue -coarse hair -lethargy -sleepiness -constipation

The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which approach by the nurse is most helpful in establishing communication? a. engage the child through drawing pictures b. suggest that the parent read a book to the child c. provide paper and pencil for the child to keep a diary d. asks the parent if the child is always uncommunicative

a;

The parents of a 3 week old infant report that the child eats well but vomits after each feeding. What information is most important for the nurse to obtain? a. description of vomiting episodes in the past 24 hours b. # of wet diapers in the past 24 hours c. feeding and sleep schedule d. amount of formula consumed during the past 24 hours

a;

When assessing a child with asthma, the nurse should expect interscostal retractions during a. inspiration b. coughing c. apneic episodes d. expiration

a;

When discussing discipline for a 4 year old, the nurse should provide which guideline? a. parental control should be consistent b. children as young as 4 years rarely need reprimand or punishment c. withdrawal of approval is effective d. parents should enforce rigid rules to be followed without question

a;

When evaluating the effectiveness of interventions of an infant with GERD, which intervention is most important for the nurse to implement? a. record weight daily b. assess for s/s of anemia c. document sleeping patterns d. teach parenting skills

a;

Which menu selection by a child w/ celiac disease indicates to the nurse that the child understands necessary dietary considerations? a. oven baked potato chips and cola b. peanut butter sandwich c. oatmeal raisin cookies and milk d. graham crackers and fruit juice

a;

The clinic nurse is taking the history for a new 6 mo old Pt. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain? a. type of rxn to loud noises b. any surgeries on the ears since birth c. drainage from the infant's ear d. @ of ear infections

a; d/t ototoxicity

A 6-month-old with CHF is receiving digoxin. Which observation by the nurse warrants immediate intervention? a. apical HR of 60 b. sweating across the forehead c. doesn't suck well d. RR of 30

a; normal HR is 80-150

The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What action will the nurse take? a. pass the information on in the report b. notify the provider because the value is high c. repeat the lab study because the value is too high d. hold the next dose

a; normal range is 10-20

A 6-month-old boy is getting routine immunizations and is being recommended the flu shot. What medications should the nurse plan to administer today? a. the routine immunizations and schedule another appointment to do the flu b. all the immunization with the flu vaccine given in a separate site c. the flu shot today and give the others another date d. the flu shot and polio today and the other remaining another day

b;

A nurse provides the parents with information on health maintenance for their child with sickle cell disease. Which information reflected by the parents indicates understanding of the child's care? a. daily iron supplements should be given b. plenty of fluids should be consumed daily c. immunizations should be delayed for a few years d. protective equipment should be worn for contact sports

b;

The mother of a 6-month-old asks the nurse when her baby will get the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the Centers for Disease Control, which response is accurate? a. 3-6 months b. 12-15 months c. 18-24 months d. 4 to 6 years

b;

The nurse assigning care for 5 yr old child w/ otitis media is concerned about the child's inceasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift? a. an RN should be assigned to take temps frequently b. tympanic and oral temps are equally accurate c. the LPN should take rectal temps on this child d. the provider should decide how to assess the temp

b;

The nurse assessing a 13 yr old with suspected hyperthyroidism. Which question is most important for the nurse too asks during the admission interview? a. have you lost any weight in the last month? b. are you experiencing any type of nervousness? c. when was the last time you took your pills? d. are you having any problems with your vision?

b; this is a s/s of hyperthyroidism

What are the outcomes of untreated congenital hypothyroidism?

-mental retardation -growth failure

describe developmental factors that would impact the school-age child with diabetes

-need to be like peers - assuming care for themselves -modification of diet - snacks and exercise in school

describe the nursing care of a child with ketoacidosis

-provide care for unconscious child -administer reg insulin in NS -monitor Blood Gas levels -maintain strict I and O's

As part of the physical assessment of children, the nurse observes and palpates the fontanels. Which child's fontanel finding should be reported to the healthcare provider? a. a 6 mo with FTT that has a closed anterior fontanel b. a 24 mo with gastroenteritis that has a closed posterior fontanel c. a 2 mo with chickenpox that has an open posterior fontanel d. a 28 mo with hydrocephalus that has an open anterior fontanel

a; the anterior fontanel should be open since it closes at 18 mo of age

The nurse is teaching a 12 yr old male about taking injections of GH for idiopathic hypopituitarism. Which adverse symptoms should the nurse plan to describe to the child and his family? a. polyuria and polydipsia b. lethargy and fatigue c. increased facial hair d. facial bone structure changes

a; watch blood sugar levels and any s/s of diabetes or hyperglycemia

A 3 year old client with sickle cell anemia is admitted to the ED with abdominal pain. The nurse palates an enlarged liver, an x-ray reveals an enlarged spleen, and a CBC reveal anemia. These findings indicate which type of crisis? a. aplastic b. Sequestration c. hyperhemolytic d. vaso-occlusive

b;

A 3-year old boy is brought to the ED because he swallowed an entire bottle of vitamins. Which intervention should the nurse implement first? a. insert N/G tube b. determine the child's pulse and respirations c. assess the child's LOC d. administer an IV as prescribed

b;

The clinic nurses is reviewing the health care provider's prescription for a child who has been dx with scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is noted in the child's record? 1. The child is 18 months old 2. the child is being bottle fed 3. A sibling is using lindane for the treatment of scabies 4. The child has a hx of frequent respiratory infections

1;

The mother of a 3 year old arrives at a clinic and tells the nurse that the child has been scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's skin? 1. fine grayish lines 2. purple-colored lesions 3. think, honey-colored crusts 4. clusters of fluid-filled vesicles

1;

The nurse caring for a child who sustained a burn injury plans care based on PEDS considerations (select all that apply) 1. scarring is less severe in a child that in an adult 2. a delay in growth may occur after a burn injury 3. an immature immune system presents an increased risk of infection for infants and young children 4. fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body surface area 5. the lower proportion of body fluid to body mass in a child increases the risk of cardiovascular problems 6. Infants and young children are at increased risk for protein an calorie deficiency, because they have smaller muscle mass and less body fat than adults

2,3,6;

The nurse is monitoring a child with burns during treatment. Which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation? 1. skin turgor 2. level of edema at burn site 3. adequacy of capillary filling 4. amount of fluid tolerated in 24 hours

3;

The school nurse has provided an instructional session about impetigo to parents of the children attending the school. Which statement, if made by the parent, indicates a need for further instruction? 1. It is extremely contagious 2. it is most common in humid weather 3. lesions most often are located on the arms and chest 4. it might show up in an area of broken skin, such as an insect bite

3;

Which behavior would the nurse expect a two-year child to exhibit? 1. build a house with blocks 2. ride a tricycle 3. display possessiveness of toys 4. look at a picture book for 15 minutes

3; toddlers are egocentric and unable to share toys with other children

A topical corticosteroid is prescribed by the health care provider for a child with contact dermititis (eczema). Which instruction should the nurse give the parent about applying the cream? 1. apply the cream over the entire body 2. apply a thick layer of cream to affected areas only 3. avoid cleansing the area before application of the cream 4. apply a thin layer of cream and rub it into the area throughly

4;

Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should give which instruction to the parents regarding the use of this treatment? 1. Apply the lotion to areas of the rash only. 2. Apply the lotion and leave it on for 6 hours. 3. Avoid putting clothes on the child over the lotion. 4. Apply the lotion to cool, dry skin at least 30 minutes after bathing.

4;

The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a positive heart check for lice? 1. maculopapular lesions behind the ears 2. lesions in the scalp that extend to the hairline or neck 3. white flaky particles throughout the entire scalp region 4. white sacs attached to the hair shafts in the occipital region

4;

A 3 week old newborn is brought to the clinic, and is showing s/s of VSD. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? Select all that apply a. monitor the weight and # of wet diapers b. increase the infant's intake per feeding by 1 to 2 ounces per week c. mix the dose of prophylactic abs in a full bottle of formula d. allow the infant to rest and reseed on demand or every 2 hours e. uses a softer nipple or increase the size of the nipple opening

A,B,D,E;

A child is rescued from a burning house and brought to the emergency room with partial-thickness burns on the face and chest. Which action should the nurse implemented first?

Assess respiratory status

What are the metabolic effects of PKU?

CNS damage, mental retardation, and decreased melanin

A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? a. CHD b. fragile X chromosome c. trisomy 13 d. pyloric stenosis

Congenital heart disease

Preoperative nursing care for a child with Wilm's tumor should include which intervention?

DO NOT PALPATE ABDOMEN

To assess the effectiveness of an analgesic administered to a 4-yr old, what intervention is best for the nurse to implement?

FACES SCALE

A 16 year old is brought to the ED with a crushed leg after falling off a horse. The adolescent's last tetanus shot was 8 years ago. What action should the nurse take?

Give a booster shot

To take the vital signs of a 4-month-old child, which order provides the most accurate results?

RR, HR, then rectal temp

Hirschsprung disease bowel habits

Ribbon like stool and brown color

The nurse reviews the latest laboratory results for a child who received chemotherapy last week and identifies a reduced neutrophil count. Which nursing dx has the highest priority for this child?

Risk of infection

A child with cystic fibrosis is having stools that float and are foul smelling. Which descriptive term should the nurse use to document the finding?

Steatorrhea

During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement?

Stop the infusion immediately

A 17 year old male student reports to the school nurse after having football practice and has these finals T 100F, P 80, RR 20, BP 122/82. What is the best action for the nurse to take? a. tell the student to proceed directly to his regularly schedule class b. call the parents c. give the student a glass of cold fluids and retake temp d. send the student to class, but then call back later to get new vitals

a;

A 3-month-old infant develops oral thrush. What med should be prepared to give? a. nystatin b. nitrofurantoin c. norfloxacin d. neomycin sulfate

a;

A 4 year old boy was admitted to the ED with a fractured and short arm cast was applied. When preparing the parents to take the child home, which discharge instruction should have the highest priority? a. call the provider asap if his nail beds appear blue b. check his fingers hourly for the first 48 hours and see if he can move them w/o pain c. be sure your child's arm remains above his heart for the first 24 hours d. take his temperature every four hours for the next two days and call if an elevated is noted

a;

A 4 yr old girl continues to interrupt her mother during a routine clinic visit. Is this normal behavior, the mother asks? The nurse's response should be bases on which information? a. children need to retain a senses of initiative without impinging not the rights and privileges of others b. negative feelings of doubt and shame are characteristic of 4 yr olds c. role conflict is a common problem of children this age, and she is wondering where she fits into society d. at this age, children compete and like to produce and carry through with tasks

a;

A burned child is brought to the emergency room. In estimating the percentage of the body burned, the nurse uses modified "Rule of Nines". Which part of a child's body is calculated as a larger percentage of total body surface than an adult's? a. head and neck b. arms and chest c. legs and abdomen d. back and abdomen

a;

A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to include in this client's teaching plan? a. use sunscreen when lying by the pool b. cleanse the skin at least 4 time a day c. take the medication with a glass of milk d. menstrual periods may become irregular

a;

A full-term infant is admitted to the newborn nursery and, after careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited? a. chocking, coughing, and cyanosis b. projectile vomiting and cyanosis c. apneic spells and grunting d. scaphoid abdomen and anorexia

a;

The nurse is assessing the neuromuscular status of a child in Russell's traction. Which finding should the nurse report to the healthcare provider? a. pale bluish coloration of the toes b. skin is warm and dry to the touch c. toes are wiggled upon command d. capillary refill less than 3 seconds

a;

The nurse is giving liquid iron to a 3 yr old. Which technique should the nurse implement to engage the child's cooperation? a. use a colorful straw b. mix the med in water c. administer med using an oral syringe d. ask the pharmacy to provide an enteric tab

a;

The nurse is assigning care for a 4-year with otitis media and is concerned about the child's increasing temperature over the past 24 hours. When planning care for this child, it is important for the nurse to consider that... a. only an RN should be assigned to monitor the temp b. a tympanic measurement of the temp will provide the most accurate reading c. the LPN should be instructed to obtain rectal temps d. the provider should be asked to prescribe the method for measure of the child's temps

b;

The nurse is planning care for school-aged children at a care center. Which activity is best for the children? a. building model airplanes b. play follow the leader c. stringing large and small beads d. playing with play dough and clay

b;

The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction? a. tell children they should not taste anything but food b. store all toxic agents and medicines in locked cabinets c. provide special plans areas in the house and restrict play in other areas d. punish children if they open cabinets that contain household chemicals

b;

The nurse is teaching a mother to give 4 ml of abx to a 10 mo old. Which statement by the parents shows a need for further teaching? a. I will give this abx to my child until it is finished b. using a tsp will help measure this correctly c. I will call the clinic if my child develops a rash or itching d. my baby should begin to feel better within a few days

b;

The vital signs of a 4 year old child with polyuria are BP 80/40, pulse 118, and respirations 24. the child's pedal pulses are present with a volume of +1 and no edema is observed. What action should the nurse implement first? A. insert an indwelling urinary catheter B. start an IV infusion of normal saline C. send a specimen to the lab for urinalysis D. document the child's vital signs and pulses

b;

Which action by the nurse is most helpful in communicating with a preschool-aged child? a. speak clearly and directly b. use a doll to play and communicate c. approach when a parent is not present d. play a board game with the child

b;

Which class of anti-infective drugs is contraindicated for use in children under 8 years of age? a. aminoglycosides b. tetracyclines c. penicillins d. quinolones

b;

Which growth and developmental characteristic should the nurses consider when monitoring the effects of a topical medication for an infant? a. a lower sensitivity reactions to skin irritants b. a thin stratum corneum that increases topical absorption c. a smaller percentage of muscle mass d. a greater body surface area that requires larger dosages

b;

A 5-month-old is admitted to the hospital with V and D. The provider orders an infusion with dextrose/NS and KCI to be infused at 25 ml/hr. Prior to starting the infusion, the nurse should obtain which assessment finding? a. frequency of emesis in the last eight hours b. serum BUN and creatinine levels c. current blood sugar level d. appearance of the stool

b; adequate renal function must be present before adding K to the IV fluids

During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should stress to the parents the importance of obtaining which diagnostic testing? a. hearing tests b. eye exams c. chest x-rays d. fasting blood glucose test

b; as blindness can occur

The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he "has a tummy ache." After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question? a. if the child's tongue darkens, discontinue the Pesto Bismol immediately b. do not give if the child has chickenpox, the flu, or any other viral illnesses c. avoid the use of Pesto Bismol until the child is at least 16 years old d. Pesto Bismol may cause a rebound hyperacidity, worsening the tummy ache

b; could cause Reye's syndrome

The nurse is caring for a 12-year-old with SIADH. This child should be carefully assessed for which complication? a. poor skin turgor resulting from dehydration b. changes in LOC c. premature aging as the disease progresses d. severe edema from an excess of water and sodium

b; d/t hyponatremia which can cause changes in LOC, seizure, and coma

A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the nursery and ask to hold her. Which response should the nurse provide to the parents? a. handling a sick newborn is not good for the baby b. the oxygen hood is holdings the O2 levels, you may stroke and talk to her c. I can let you hold the baby without oxygen d. you can hold the baby with the oxygen blowing at the baby's face

b; do not move the baby or hold

All of the following interventions can be used to evaluate the effectiveness of nursing and medical interventions used to treat diarrhea. Which intervention is LEAST useful in the nurse's evaluation of a 20-month-old child a. weighing diapers b. assessing fontanels c. checking skin turgor d. observing mucous membranes for moisture

b; fontanels are closed at this age

A six-month-old returns from surgery with elbow restraints in place. What nursing care should be included when caring for any restrained child? A. keep restraints on at all times. B. remove restraints one at a time and provide range of motion exercises C. Remove all restraints simultaneously and provide lay activities D. renew the healthcare provider's prescription for restraints every 72 hours.

b; safer intervention

During routine screening at a school clinic an otoscope examination of a child's ear reveals a tympanic membrane that is pearly grey, slightly bulging, and not moveable. What action should the nurse take? a. no action required, this is an expected finding b. ask the child if they have a recent cold, runny nose, or any ear pain lately c. send a note home advising the parents to have a child evaluated by a healthcare provider asap d. call the parents and have them take the child home from school for the rest of the day

b; since not all of the findings are normal, the nurse will need to assess for more

At 8 am the CNA informs the charge nurse that an adolescent pt with AGN has a BP of 210/110. The BP at 4 am was 170/88. The client reports to the CNA that she is upset with BF. What action should the nurse take first? a. give the client her oral diuretic early b. administer PRN prescription of nifedipine sublingually c. notify the provider and inform the nursing supervisor of the Pt's condition d. attempt to calm the Pt and retake BP in 30 minutes

b; will help to lower BP quickly

A 14-year-old female client tells the nurse she is concerned about the acne she has recently developed. Which recommendation should the nurse provide? a. remove all blackheads and follow with an alcohol scrub b. use medicated cosmetics to hide them c. wash the hair and skin frequently with soap and hot water d. encourage her to see a dermatologist asap

c;

A hospitalized 16 yr old male refuses all visits from his classmates because he is concerned about his distorted appearance. To increase the clients social interaction, what intervention is best for the nurse to initiate? a. encourage the client to use a video game that is popular with his friends b. assign a 25 year old female nursing student to offer support c. arrange for an internet connection so the Pt can email d. encourage the Pt's mother to arrange a surprise get together in the cafeteria

c;

A preschool-age child who is hospitalized for hypospadias repair is most strongly influenced by which behavior? A. ability to communicate verbally B. response to separation from family C. concern for body integrity D. socialization with other children

c;

An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome? a. stop the flow of unoxygenated blood into systemic circulation b. increases the flow of unoxygenated blood to the lungs c. prevent the return of oxygenated blood to the lungs d. reduce peripheral tissue hypoxia and nailed clubbing

c;

In developing a teaching plan for a 5 year old child w/ diabetes, which component of diabetic management should the nurse plan for the child to manage first? a. food planning and selection b. administering insulin injections c. process of glucose testing d. drawing up the correct insulin dose

c;

Surgery is delayed for an infant with undescended testes. In collaboration with the provider and the family which prescription should the nurse anticipate? a. a trial of adrenocorticotropic hormone injections b. frequent stimulation of cremasteric reflex c. a trial of human chorionic gonadotropic hormone (growth hormone) d. frequent warm baths to gently dilate the scrotal area

c;

The nurse is assessing a 2 yr old. What behavior indicates that the child's language development is WNL? a. is able to name four colors b. can count five blocks c. is capable of making a three word sentence d. half a child's speech is understandable

c;

The nurse is developing a plan of care for a 3 yr old who is scheduled for a cardiac Cath. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement? a. reassure the parents that 3 yr olds are cooperative and therefore less likely to be anxious b. obtain a video film of a cardiac cath to show prior to surgery c. give the child a ride on a gurney to visit the cardiac Cath lab and meet a nurse who works there d. obtain a cardiac Cath and demonstrate by pretending to put the catheter in a doll or stuffed animal

c;

The nurse is teaching the parents of a 5 year old with cystic fibrosis about respiratory treatments. Which statement indicates to the nurse that the parents understand? a. perform postural drainage before starting the aerosol therapy b. give respiratory treatments when the child is coughing a lot c. administer aerosol therapy followed by postural drainage before meals d. ensure respiratory therapy is done daily during respiratory infection

c;

The nurse must prevent a 2-year old with severe eczema on the face, neck and scalp from scratching the affected areas. Which nursing intervention is most effective in preventing further excoriation due to the pruritis? A. obtain gloves for the child's hands B. apply finger cots on the child's fingers C. place elbow restraints on the child's arms D. apply soft restraints to the child's wrists

c;

The nurse observes a 4-year-old boy in a daycare setting. Which behavior should the nurse consider normal for this child? a. has a temper tantrum when told he must share his toys b. plays by himself most of the day c. demonstrates aggressiveness by boasting when telling a story d. begins to cry and is fearful when separated from his parents

c; 4 year old children are aggressive in their behavior and enjoy tale telling

A three-month old boy weighing 10 lbs 15 oz. The nurse determines the daily caloric need for this child is approximately a. 400 calories/day b. 500 calories/day c. 600 calories/day d. 700 calories/day

c; an infant requires 108 calories/kg/day

A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this infant? a. give small, frequent feedings of fluids b. accurately chart observation regarding breath sounds c. have a bulb syringe readily available to remove secretions d. encourage older siblings to visit

c; keep the airway PATENT

A 2 year old child recently dx with Hemophilia A is discharged home. What information should the nurse include in a teaching plan about home care? a. minimize interactive play with other children to lessen chances for injury b. give low-dose children's chewable aspirin in orange flavor for joint discomfort c. use a firm and dry toothbrush to clean teeth at least twice per day d. apply pressure and ice for bleeding while elevating and resting the extremity

d;

A 2 year old child with GERD has developed a fear of eating. What instruction should the nurses include in the parents' teaching plan? a. invite other children home to share meals b. accept that he will eat when he is hungry c. reward the child with a nap after eating d. consistently follow a set mealtime routine

d;

The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother? a. paddle him gently b. immediately put him in time out c. quietly remind him that others are watching d. walk away from him and ignore the behavior

d;

When planning the care for a child who has had a cleft lop repair, the nurse knows that crying should be minimized because it a. increases salivation b. increases RR c. leads to vomiting d. stresses the suture line

d;

when taking the health history, the nurse knows that which finding is an early indication of hypothyroidism in children? a. hyperactive behavioral traits b. delay in the eruption of permanent teeth c. slow sexual development, but WNL d. cessation of growth in a child that had been normal

d;

The nurse is assessing an 8 month old child who has a dx of TOF. Which symptom is this child most likely to exhibit? a. bradycardia b. machinery murmur c. weak pedal pulses d. clubbed fingers

d; TOF causes clubbing of fingers and toes d/t tissue hypoxia as it is a cyanotic heart defect

What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis? A. Monitor for signs of metabolic acidosis. B. estimate the quantity of diarrhea stools. C. place in a supine position after feeding D. observe for projectile vomiting.

d; can contribute to metabolic alkalosis

The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? a. I will read all the literature you gave me before surgery b. I have had surgery before when I broke my wrist in a bike accident, so I know what to expect c. all the things people have told me will help take care of my back d. I understand that I will be in a body case and I will show you how you taught me to turn

d; verbalizing and teach back is the best response

Which restraint should be used for a toddler after a cleft palate repair?

elbow

A 6 year old is admitted to the PEDS unit after falling off a bicycle. Which intervention should the nurse implement to assist the child's adjustment to hospitalization?

explain hospital schedules to the child, such as mealtimes

Differentiate the signs of hypoglycemia and hyperglycemia

hypo: tremors, sweating, headache, hunger, nausea, lethargy, confusion, slurred speech, anxiety, tingling around mouth, and nightmares hyper: polydipsia, polyuria, blurred vision, weakness, weight loss, and syncope

List foods high in phenylalanine content

meat, milk, diary products, and eggs

How is congenital hypothyroidism diagnosed?

newborn screening revealing a low T4 and a high TSH

What are the three classic signs of diabetes?

polydipsia, polyphagia, polyuria

what is the relationship between hypoglycemia and exercise?

risk for low blood sugar

A child falls on the playground and is brought to the school nurse with a small laceration on the forearm. Which action should the nurse implement first?

wash the wound gently with mild soap and water