New Fam exam 6 prepu

A client in the emergency department is being treated for a wrist fracture. The client asks why a splint is being applied instead of a cast. What is the best response by the nurse?

"A splint is applied when more swelling is expected at the site of injury."

The nurse is discussing treatment for a child diagnosed with scoliosis. Which statement indicates the parents understand the nurse's education?

"Because our child is being treated by using braces, the braces will have to be worn almost all the time."

The mother of a 16-year-old girl calls the emergency department, suspecting her daughter's abdominal pain may be appendicitis. In addition to pain, her daughter has a temperature of 100° F (37.7° C) and has vomited twice. What should the nurse tell the mother?

"Bring your daughter into the emergency department immediately before her appendix has a chance to rupture."

The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best?

"Bullying can have lifelong effects on the self-esteem of a child."

The nurse is conducting the admission assessment for the client who is to undergo an arthrogram. What is the priority question the nurse should ask?

"Do you have any allergies?"

When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate?

"Herpes zoster is a reactivation of a previous varicella zoster infection."

A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult?

"I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."

The nurse is caring for a 13-year-old girl with acne vulgaris and is teaching the girl about skin care. Which response by the girl indicates a need for further teaching?

"I should avoid eating any kind of chocolate."

client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching?

"I should use my heating pad this evening to reduce some of the pain in my knee."

A client on an in-patient psychiatric unit has been diagnosed with bulimia nervosa. The client states, "I'm going to the bathroom and will be back in a few minutes." Which response by the nurse is most appropriate?

"I will accompany you to the bathroom."

The nurse is providing education to a teenaged boy diagnosed with impetigo. Which statement by the boy indicates the need for further education?

"I will need to cover my son's skin lesions with bandages until it has healed."

A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching?

"I'll make sure to keep my ankle elevated as much as possible."

The nurse has completed client teaching with a 16-year-old female who has been prescribed Accutane (isotretinoin) for cystic acne. Which statements indicate learning has occurred? Select all that apply.

"If I am sexually active I need to let my doctor know." "This is not a drug to be used for all forms of acne. My sister has minor acne so I told her this wasn't for her." "It's important I get my CBC blood test when my doctor orders it."

After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:

"If he misbehaves, we need to punish him instead of reward him."

A nurse is explaining the difference between anorexia nervosa and bulimia nervosa. The nurse knows the teaching was effective when the parents make which statement?

"Individuals with bulimia have a normal weight or are slightly overweight."

The parent of a child diagnosed with nonbullous impetigo brings the child back to the clinic. The parent states, "I am doing what I am supposed to for my child, but the lesions have not gone away yet." The child began treatment with a topical antibiotic ointment 7 days ago. Which response by the nurse is most appropriate?

"It takes 10 to 14 days for the lesions to decrease."

A nursing instructor is teaching about infectious diseases in childhood. The teacher identifies a need for clarification when a student makes which of the following statements?

"Lesions in chickenpox progress at the same rate."

An adolescent client who has scoliosis and is wearing a Milwaukee brace tells the nurse that she is ugly and cannot wear the same clothing as her friends. Which response by the nurse best addresses this client's altered self-image?

"Let's look at some clothing that you can wear with the brace that will look like everyone else's clothes but cover it."

Which statement made by a male who has a history of abusing his partner reflects a known factor that is characteristic of this behavior?

"My classmates always called me a bully."

A client with a sports injury undergoes a diagnostic arthroscopy of the left knee. What comment by the client following the procedure will the nurse address first?

"My toes are numb."

A client has a plaster cast applied to the left leg. Which comment by the client following the procedure should the nurse address first?

"My toes are stiff."

The student nurse is preparing a presentation on celiac disease. What information should be included? Select all apply.

"Symptoms of celiac disease include diarrhea, steatorrhea, anemia, and dental disorders." "The only treatment for celiac disease is a strict gluten-free diet." "Gluten is found in most wheat products, rye, barley and possibly oats."

During a wellness health check, a 10-year-old child reports not liking school because the child is getting picked on by other children. The child's parents state a desire to know what the child did to cause the bullying. Which statement by the nurse is most therapeutic?

"The most important thing for your child to understand is that he or she is not to blame for the bullying."

The nurse is discussing the treatment of congenital aganglionic megacolon with the caregivers of a child diagnosed with this disorder. Which of the following statements is the best explanation of the treatment for this diagnosis?

"The treatment for the disorder will be a surgical procedure."

The nurse is discussing the treatment of congenital aganglionic megacolon with the caregivers of a child diagnosed with this disorder. Which statement is the best explanation of the treatment for this diagnosis?

"The treatment for the disorder will be a surgical procedure."

The nurse is caring for a child who has a hip spica cast. The child's mother asks why is there a hole cut in it. What is the best response by the nurse?

"The window allows us to assess bowel sounds and helps to prevent abdominal distention."

What will the nurse teach a mother whose child has been diagnosed with impetigo?

"Treat the area with topical mupirocin and discourage scratching of the area."

When instructing a new mom on providing skin care to her newborn, which statement should not be included in the teaching?

"Use talc powders to prevent diaper rash."

A 13-year-old adolescent is being treated for scoliosis with a brace. During the first follow-up appointment after the brace was initiated, which statement by the adolescent indicates the need for further instruction?

"When I get home from school, I look forward to taking off my brace for a few hours before I go to bed."

What should the nurse include in the teaching plan for a client with a grade 4 sprain?

"You will need to keep your joint immobilized for 4 to 6 weeks."

A nurse is explaining the difference between anorexia nervosa and bulimia nervosa. The nurse knows that the teaching was effective when the parents make which statement? -

"individuals with bulimia have a normal weight or are slightly overweight."

When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate?

- "Herpes zoster is a reactivation of a previous varicella zoster infection."

Which statement by an adolescent with anorexia nervosa would be most typical of an adolescent with this disorder?

- "I feel chubby no matter what I wear"

The nurse has completed client teaching with a 16-year-old female who has been prescribed isotretinoin for cystic acne. Which statement indicate learning has occurred?

- "If I am sexually active, I need to let my doctor know.", "This is not a drug to be used for all forms of acne. My sister has minor acne, so I told her this wasn't for her,", "It's important I get my CBC blood test when my doctor orders it."

The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a "freak" compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate?

- "Let's put you in touch with some other girls who are also having the same body changes."

A 10-year-old girl with ADHD has been on Ritalin (methylphenidate) for 6 months. The girl's mother calls and tells the nurse that the medication is ineffective and requests an immediate increase in the child's dosage. What should the nurse say?

- "Let's set up an appointment as soon as possible."

The nurse is providing for a 14-year-old girl with severe acne. The girl expresses sadness and distress about her appearance. Which response by the nurse would be most appropriate?

- "Many people feel this way; I know someone who can help."

The nurse is caring for a child with attention deficit/hyperactivity disorder who is experiencing insomnia related to the prescribed psychostimulant. The parents are considering stopping the medication and want to know if there are other options. Which response by the nurse would be most appropriate?

- "Speak to the doctor about atomoxetine."

The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions?

- "We need to make sure that he washes his hands frequently".

The nurse is teaching the parents of a child with varicella about the disorder. The nurse determines that the teaching was successful when the parents state which of the following?

- "We will make sure to remind him not to scratch the lesions."

A nurse is providing care to an adolescent being treated for anorexia as an outpatient. The nurse is evaluating the adolescent's weight gain over the past week. The nurse determines that the adolescent is achieving the expected outcome when the adolescent shows a gain of how much for the week?

- 0.5 to 1 lb. (0.27 to 0.45 kg)

The nurse does a weight measurement on an adolescent girl who should weigh 120 pounds according to the expected weight for her age and height. The adolescent is found to weight exactly the weight that would indicate to the nurse that this adolescent fits the criteria for anorexia nervosa. Which of the following amounts does the girl weight?

- 102 pounds

You care for a 6-year-old boy with acute glomerulonephritis. When planning care for him, you should be aware that glomerulonephritis usually follows an infection of what organism?

- A beta-hemolytic streptococcus

The nurse is discussing the treatment for a child with attention deficit hyperactivity disorder (ADHD) with a group of school nurses. What would be an appropriate learning setting for a child ADHD?

- A classroom with a plan of study that is followed each day

The nurse is conducting a physical examination of an 18-month-old with suspected intussusception. Which finding would the nurse identify as the hallmark of this condition?

- A sausage-shaped mass in the upper mid abdomen

The nurse is teaching an in-service program to a group of nurses on the topic of gastrointestinal disorders. The nurses in the group make the following statements. Which statement is most accurately related to the diagnosis of pyloric stenosis?

- A thickened, elongated muscle causes an obstruction at the end of the stomach

The nurse is assessing a child with acute poststreptococcal glomerulonephritis. What would the nurse expect to assess?

- Abdominal pain, hypertension, crackles

An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Which condition should the nurse suspect?

- Acute glomerulonephritis

A teenage male patient is administered isotretinoin (Accutane) for severe acne. When teaching and his parents about the medication, which of the following assessment should be routinely made?

- Assess blood lipid levels

A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be most important for the nurse to include in the child's preoperative plan of care?

- Avoiding further abdominal palpation

The nurse is collecting data on a child recently diagnosed with acute glomerulonephritis. Which of the following clinical manifestations was likely noted in this child?

- Bloody urine

The nurse is teaching the caregiver of a 5-year-old child diagnosed with nephrotic syndrome regarding the no-added-salt diet the child has been placed on. In addition to not adding salt to foods, the nurse has discussed with the caregiver that helping the child avoid foods high in sodium is also recommended. The caregiver marks the following foods on the child's menu selection for the next day. The nurse recognizes the caregiver needs further teaching when which of the following foods high in sodium was selected?

- Cheddar cheese omelet, blueberry muffin, hot dog in bun

The therapy you would expect to see prescribed for an adolescent with anorexia nervosa would be

- Counseling to improve feelings of control over her body

A mother is suspicious that her adolescent has bulimia because that child seems to be dependent upon laxatives and vomits frequently after eating a meal. What physician finding would be most suggestive of this diagnosis?

- Dental erosions and caries

The nurse obtains a history from the mother of a child with glomerulonephritis about how he became ill. What would the nurse expect her to tell you if she noticed?

- Dirty green urine

A 17-year-old woman is prescribed isotretinoin (Accutane) for severe acne vulgaris. Which of the following is the most important intervention related to the administration of this medication?

- Effective contraception must accompany this medication.

The nurse is caring for a child admitted with gastroesophageal reflux (GER) Which of the following clinical manifestations would likely be seen in this child?

- Effortless vomiting just after the child has eaten

A 4-year-old boy with nephrotic syndrome has extensive edema. The best implementation to reduce periorbital edema would be to?

- Elevate the head of the bead

The nurse is caring for a child with nephrotic syndrome. The child is noted to have edema. The edema would most likely be seen where on this child?

- Eyes

A mother brings her 2-week-old newborn to the doctor's office because the child has been experiencing gastroesophageal reflux over the past week. Which of the following nursing interventions should the nurse recommend at this point?

- Feed the infant a formula thickened with rice cereal, feed the infant while holding her in an upright position, keep the infant upright in an infant chair for 1 hour after feeding

The nurse is caring for an adolescent girl with anorexia nervosa. What findings would indicate to the nurse that the girl requires hospitalization?

- Food refusal

An adolescent is being observed for ADHD. Which of the following would demonstrate that she suffers from that disorder?

- Forgets to turn in her homework, does not follow directions, cannot stay in her assigned seat in class and is always talking excessively and inappropriately

The child with nephrotic syndrome who has ascites and difficulty breathing is probably most comfortable sleeping in which position?

- Fowler's

Noah is an 18-month-old boy who is brought to the emergency department with flu-like symptoms. He is diagnosed with pneumonia secondary to aspiration of stomach contents. The nurse explains to the parents that this condition is most likely the result of which of the following?

- Gastroesophageal reflux disease

A home health nurse is providing follow-up care to a child with nephrotic syndrome. What would be included in the care of this child?

- Immunizations may need to be held if the child is on steroids

The nurse is teaching an in-service program to a group of nurses on the topic of gastrointestinal disorders. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of gastroesophageal reflux?

- In this disorder the sphincter that leads into the stomach is relaxed.

A child diagnosed with acute glomerulonephritis will most likely have a history of?

- Recent illness such as strep throat

The nurse is performing the physical examination of a child with bulimia. What findings would the nurse identify as supporting this disorder? Select all that apply?

- Split fingernails, eroded dental enamel

A nurse practitioner has discussed the possible risks and benefits of isotretinoin treatment with a patient who has acne vulgaris. The nurse should be aware that this medication achieves a reduction in the signs and symptoms of acne by what method?

- Suppressing the production of sebum

The nurse is obtaining the history of an adolescent female who is suspected of having anorexia nervosa. What findings would the nurse expect? Select all that apply.

- Syncope, secondary amenorrhea, desire for perfectionism

A home health care nurse is providing follow up care to a child with nephrotic syndrome. Which of the following would the nurse include as part of the child's plan of care?

- The need to withhold immunizations if the child is on steroids

In caring for a child with nephrotic syndrome. Which interventions will be included in the child's plan of care?

- Weighing on the same scale each day

An adenosarcoma found in the region of the kidney in a child would most likely be which of the following?

- Wilms tumor

Pyloric stenosis has been diagnosed in a 3-week-old male infant who has frequent vomiting after feedings. An important preoperative nursing intervention is

- maintaining NPO status while restoring hydration and electrolyte balance.

The nurse is providing instructions to the client following application of a fiberglass cast. Which statement by the client indicates further education is needed?

-"Under no circumstances should I get my cast wet."

A client is seen in the emergency department for an injury acquired from falling off of a bicycle and fracturing the arm. The client also has a long laceration that has been sutured in the same area. The client asks the nurse why a splint is applied and not a cast. What is the best explanation by the nurse?

-"We will need to monitor the status of the laceration to be sure it does not get infected."

A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem?

-Apply lotions and take warm baths or soaks.

A client has a Fiberglass cast on the right arm. Which action should the nurse include in the care plan?

-Assessing movement and sensation in the fingers of the right hand

Dont with cast?

-Cover the cast with plastic to insulate it

The nurse teaching the client with a cast about home care includes which instruction?

-Dry a wet fiberglass cast thoroughly to avoid skin problems

Infectious mononucleosis ("mono") is caused by which of the following?

-Epstein-Barr virus

A client with a fractured ankle is having a fiberglass cast applied. The client starts yelling, "My leg is burning, take it off." What action by the nurse is most appropriate?

-Explain that the sensation being felt is normal and will not burn the client.

An adolescent comes to the clinic reporting a sore throat and chills. The nurse suspects that the adolescent has infectious mononucleosis based on assessment of which? Select all that apply.

-Firm, tender cervical lymph nodes Splenomegaly Thick, white tonsillar exudate Petechiae on the palate

A high school football player comes to the clinic with malaise, fever, headache, and anorexia that have been present for the last few days. Upon physical examination, the nurse notes that the cervical lymph nodes are firm and tender. Tonsils are red and enlarged and appear to have a white covering. What should the nurse suspect the diagnosis to be for this patient?

-Mononucleosis

Which action by the nurse would be inappropriate for the client following casting?

-Protect the cast by covering with a sheet.

A client is about to have a cast applied to the left arm. What will nurse alert the client to as the cast is applied?

-Sensation of warmth or heat with application

Which statement is accurate regarding care of a plaster cast?

-The cast can be dented while it is damp.

A client with a right leg fracture is returning to the orthopedist to have the cast removed. What would the physician prescribe as further treatment?

-physical therapy

A client is being admitted to the in-patient psychiatric unit with a diagnosis of bulimia nervosa. The nurse would expect this client to fall within which age range?

18 to 22 years old

A patient is being discharged after sustaining a deep-partial thickness burn during a house fire. The patient is asking when the burn will be healed. The nurse understands that this type of burn injury heals within which of the following time frames?

2 to 4 weeks

A 14-year-old patient is treated in the emergency room for an acute knee sprain sustained during a soccer game. The nurse reviews discharge instructions with the patient's mother. The instructions cover pain management and swelling reduction for the acute inflammatory stage which lasts:

24 to 48 hours.

A child and mother come into the orthopedic clinic. The mother is concerned about her child who has recently been diagnosed with scoliosis. The mother asks about surgical treatment and if it will be necessary. The nurse bases her response on knowledge that surgery is implicated for curvatures greater than:

40 degrees.

A nurse admits a pediatric client weighing 11.6 kg at the time of surgery for appendicitis. The nurse reviews the unit's standing prescription for IV fluids rates (see exhibit). At what hourly rate would the nurse set the IV pump? Record your answer as a whole number.

45

A child is diagnosed with intussusception. The nurse anticipates that what action would be attempted first to reduce this condition?

A barium enema

The nurse explains that the treatment of choice for a child with intussusception is:

A barium enema

Which behavior demonstrated by a boy with ADHD is most indicative of the syndrome?

A lack of concentration

Which behavior demonstrated by a boy with ADHD is most indicative of the syndrome? - A lack of concentration

A lack of concentration

The nurse is teaching an in-service program to a group of nurses on the topic of gastrointestinal disorders. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of congenital aganglionic megacolon?

A partial or complete intestinal obstruction occurs.

A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the childs history, the nurse recognizes the probable cause of this condition as:

A sore throat 2 weeks ago

The nurse is caring for a family with a 3-year-old child who has autism disorders. When developing the teaching plan for the parents, which of the following would the nurse most likely include?

A structured physical environment is an important aspect.

To determine if ascites is increasing in amount in a child with nephrotic syndrome, which measurements would be most appropriate?

Abdominal circumference

The dermatologist treating a 16-year-old girl with a history of severe acne has ordered a pregnancy test so she can be started on a course of isotretinoin. The teen's caregiver has said that her daughter is a virgin and she refuses to allow her to have the required pregnancy testing. What would be the best action for the nurse to take?

Acknowledge the caregiver's discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication.

A nurse is assessing a child with attention-deficit hyperactivity disorder (ADHD). Which manifestation should the nurse not expect to assess?

Acting withdrawn in social situations

A client comes to the emergency room complaining of abdominal pain, fever, chills, and nausea. Upon further examination the client is diagnosed with appendicitis. What type of illness does the nurse identify this client to have?

Acute

A history of infection specically caused by group A beta-hemolytic streptococci is associated with which of the following disorders?

Acute glomerulonephritis

The nurse is providing care to a client following a knee arthroscopy. What would the nurse expect to include in the client's plan of care?

Administering the prescribed analgesic.

The nurse is providing care for a child who has been diagnosed with rickets. What is the nurse's priority intervention?

Administration of adequate vitamin D

When is it advisable for the nurse to apply heat to a sprain or a contusion?

After 2 days

The parent of a child with mumps calls the clinic to find out how long the child needs to stay home from school. The nurse would instruct the parent to allow the child to return to school at which time?

After 9 days form the onset of the swelling

. The nurse explains that the person who is bulimic:

Alternates binge eating with purging

The mother of a 19 week-old infant has brought her baby in for assessment to a pediatrician because of the baby's persistent weight loss and diarrhea. An intestinal biopsy has confirmed a diagnosis of celiac disease, and the child's mother is anxious to know what caused the disease. Which of the following aspects of the etiology of celiac disease would underlie the explanation that the physician provides?

An inappropriate T-cell mediated response results in increased levels of antibodies and an inflammatory response.

A child with ADHD is placed on methylphenidate (Ritalin) therapy. What symptom may children on Ritalin develop?

Anorexia

A client has been diagnosed with shingles. Which of the following medication classifications will reduce the severity and prevent development of new lesions?

Antiviral

Which of the following are parental disorders associated with the development of separation anxiety in the child? Select all that apply.

Anxiety Depression

A school-age boy is on methylphenidate for ADHD. What negative side effect should the mother be advised to monitor for in the child?

Appetite suppression

Which would be an inappropriate initial pain relief measure for the client with a cast?

Application of a new cast

A client has undergone arthroscopy. After the procedure, the site where the arthroscope was inserted is covered with a bulky dressing. The client's entire leg is also elevated without flexing the knee. What is the appropriate nursing intervention required in caring for a client who has undergone arthroscopy?

Apply a cold pack at the insertion site.

A patient is having repeated tears of the joint capsule in the shoulder, and the physician orders an arthrogram. What intervention should the nurse provide after the procedure is completed? (Select all that apply.)

Apply a compression bandage to the area. Administer a mild analgesic. Inform the patient that a clicking or crackling noise in the joint may persist for a couple of days.

A parent is concerned because her infant has a diaper rash. The nurse would advise the parent to:

Apply a protective ointment on the area.

Which nursing action is most important in caring for the client following an arthrogram?

Apply ice to the joint.

What is the appropriate technique for the application of a topical treatment for a child with eczema?

Apply prescribed ointments with a gloved hand

The appropriate technique for the application of a topical treatment for a child with eczema is:

Apply prescribed ointments with a gloved hand.

The nurse is providing instructions about how to treat a sprained ankle. The nurse will recognize the need for additional teaching when the mother states:

Apply warm compresses to the ankle for the first 24 hours.

14. A nurse assessing a preadolescent child for scoliosis would:

Ask the child to bend forward at the waist, and would observe the childs back for asymmetry

A client with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which is the priority action by the nurse?

Assess for complications.

A child is brought to the emergency department with burns on the face and chest. The nurses first priority is:

Assessing respiratory status

The nurse takes into consideration that children who have been diagnosed with infantile eczema have an increased risk of:

Asthma

What risk is increased with children who have been diagnosed with infantile eczema?

Asthma

A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be most important for the nurse to include in the child's preoperative plan of care?

Avoiding further abdominal palpation

Which of the following is a term used to describe excessive nitrogenous waster in the blood, as seen in acute glomerulonephritis?

Azotemia

The nurse teaches the patient with gastroesophageal reflux disease (GERD) which of the following measures to manage his disease?

B. Avoid eating or drinking 2 hours before bedtime.

Health teaching for a patient with GERD is directed toward decreasing lower esophageal sphincter pressure and irritation. The nurse instructs the patient to do which of the following? Select all that apply.

B. Elevate the head of the bed on 6- to 8-inch blocks. C. Elevate the upper body on pillows. E. Avoid beer, especially in the evening.

Because of the hyperkalemia associated with acute glomerulonephritis, the nurse recommends that the child avoid such foods as:

Bananas

The nurse is doing dietary teaching with the caregivers of a child diagnosed with idiopathic celiac disease. Of the following foods, which would most likely be appropriate in the child's diet?

Bananas

A group of students is reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast?

Better molding to the client

Which assessment finding should alert the nurse to suspect appendicitis in a male adolescent reporting severe abdominal pain?

Bowel sounds are heard twice in 2 minutes.

A 12-year-old female client has been diagnosed with scoliosis with a curvature of 30 degrees. What type of treatment would the nurse anticipate being started on this client?

Bracing The nurse is assessing a child and notes S-shaped curvature of the spine. What terminology would the nurse use when documenting this assessment finding? idiopathic scoliosis

The nurse would expect the stools of a child with celiac disease to have which appearance?

Bulky, frothy

A nurse is providing education to a client with GERD. The client asks what measures can be taken independently to help reduce the symptoms. Which interventions would the nurse recommend? Select all that apply.

C. Avoiding foods that intensify symptoms D. Maintaining an upright position following meals

The health care provider has prescribed the nurse to administer conscious sedation to a client that will have a closed reduction of the left shoulder. What outcome after administering conscious sedation to a client does the nurse hope to achieve?

C. The client is relaxed, emotionally comfortable, and conscious. A client under conscious sedation is sedated in a state of relaxation and emotional comfort, but is not unconscious

Which is a family risk factor for bulimia nervosa?

Chaotic family

A nursing instructor is teaching students about normal childhood infectious diseases. Which disease does the teacher tell students is transferred by the varicella-zoster virus?

Chickenpox

Which sexually transmitted disease can be cured?

Chlamydia

The client is admitted to the hospital with a diagnosis of acute glomerulonephritis. Which clinical manifestation would the nurse expect to find?

Cola-colored urine

A client calls the clinic and tells the nurse she is concerned because her husband has developed shingles. She asks the nurse if he is contagious. The best response would be that herpes zoster (shingles) is:

Contagious and can be transmitted to nonimmune contacts The nurse teaches the client who demonstrates herpes zoster (shingles) that the infection results from reactivation of the chickenpox virus.

The nurse is collecting data on a child with a diagnosis of atopic dermatitis. While interviewing the caregiver, the nurse will direct questions to the caregiver recognizing that which common allergens are involved in eczema? Select all that apply.

Cow's milk Animal dander Nylon

When the nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks, the nurse documents and reports the probable complication of:

Curlings ulcer

Intussusception would be suspected when parents describe the childs stools as:

Currant jelly

A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client?

Cutting a cast window

The nurse explains that rickets, a deficiency disease that causes bony deformities, is caused by the inadequate supply of vitamin

D

The nurse is reviewing the laboratory test results of a child with nephrotic syndrome. What would the nurse least likely expect to find?

Decreased blood urea nitrogen (BUN)

The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions? (Select all that apply.)

Decreased sensory function -Excruciating pain -Loss of motion

A nurse is reviewing the medical record of a child diagnosed with autism spectrum disorder. The child has no intellectual or language impairment. Based on the nurse's knowledge of this condition, the nurse would anticipate which other mental health disorder being noted?

Depression

A 14-year-old is admitted to the hospital for the second time for treatment of anorexia nervosa. Her responses to your questions on admission are either yes, no, or no response. Initially, your primary nursing goal in care for this adolescent would be to:

Develop rapport for a trusting relationship.

A client tells the doctor that every time he eats something made with wheat, barley, and/or rye, he gets sick. The doctors suspects the client has celiac sprue. The physician should further assess the client for: Select all that apply.

Diarrhea Abdominal pain Iron deficiency

When providing diaper care to an infant after pyloric stenosis surgery, which approach is indicated?

Dipper should be folded so the dipper does not touch the incision line.

The school nurse suggests to the classroom teacher that the most appropriate classroom intervention for a child with attention deficit hyperactivity disorder would be:

Divide work assignments into shorter periods with breaks in between.

A client is diagnosed with herpes simplex. Which statement about herpes simplex infection is true?

During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature birth.

When teaching about general skin care measures that could help prevent acne, the nurse would include:

Eat a balanced diet, and get sufficient rest.

A nurse is assessing a child diagnosed with autism spectrum disorder. When assessing the child's communication, which of the following would the nurse expect to find? Select all that apply.

Echolalia Delayed language skills

A preschooler has celiac disease. Her mother is preparing a gluten-free diet. The nurse knows that the mother understands the diet when she prepares which breakfast foods?

Eggs and orange juice

A nurse is assessing an adolescent female who is suspected of having an eating disorder. When obtaining the history from the adolescent, which of the following would the nurse identify as a possible risk factor? Select all that apply.

Entangled relationships with family members Perfectionist personality Poor communication with parents

A client has been brought into the ED via ambulance, reporting acute generalized abdominal pain, nausea, fever, and constipation. The healthcare provider suspects appendicitis, but testing has not been performed yet to make a definitive diagnosis. What will the nurse most likely do while initially caring for this client?

Explain to the client why analgesics are being withheld.

the mother of a newborn observes a diaper rash on her newborn's skin. Which intervention should the nurse instruct the parent to implement to treat the diaper rash?

Expose the newborn's bottom to air several times a day.

The parents of a toddler are distraught that he has been diagnosed with autism spectrum disorder. When providing teaching for the child's parents, which of the following would the nurse need to bear in mind about the etiology of this disorder?

Expression of multiple genes involved with neurogenesis seem to play a role.

Intercondylar fossa projections are often required during a conventional knee arthrogram.

False

The nurse is assessing a child with autism spectrum disorder. After reading the medical history, the nurse finds that the child engages in stereotypical motor behavior. Which observation of the child made by the nurse might be indicative of stereotypical motor behavior?

Flapping hands repeatedly

The nurse assesses a major burn as:

Full-thickness burn involving 20% of the body surface

The parents of a toddler are distraught that the toddler has been diagnosed with autism spectrum disorder. When providing care for the child and the parents, the nurse understands that autism spectrum disorder is thought to be caused by what?

Genetic factors

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

Genital herpes

Before the 17-year-old boy starts a protocol of Accutane for his acne, the nurse should instruct him to:

Get a prescription for oral contraceptives.

Which of the following causes should the nurse suspect in a client is diagnosed with intrarenal failure?

Glomerulonephritis

A group of nursing students are reviewing information about bullying and children who are bullied. The students demonstrate a need for additional review when they identify which of the following as characteristic?

Having numerous friends

Which of the following viruses are transmissible by the oral cavity?

Hepatitis B Human Herpes Virus Herpes Simplex virus

A nursing student learning about childhood infectious diseases correctly identifies which of the following as the disease related to chickenpox, which tends to occur in older children or young adults?

Herpes zoster

The nurse is assessing an adolescent client who was diagnosed with autism spectrum disorder as a child. On current assessment the nurse finds that the client's behavior has deteriorated. What may be the possible causes of this change? Select all that apply.

Hormonal changes Increased parental and peer pressure Inability to perform well in school

The statement made by a parent of a child with nephrotic syndrome indicating an understanding of discharge teaching is:

I should check his urine for protein when he goes to the bathroom.

The nurse is providing discharge instructions to a client who experienced a ligamentous sprain. The nurse determines that teaching was effective when the client states:

I should rest, apply ice, compression, and elevation to the extremity.""

When diuresis has not occurred after a month on corticosteroids, the nurse explains to the parents of a child with nephrotic syndrome that diuresis can be brought about by a protocol of:

Ibuprofen, an antiinflammatory agent

The best first action to take when a child sustains a second-degree deep thermal burn to the hand is to:

Immerse the burned area in cold water.

The nurse is assessing a child who was brought into the clinic. The nurse notes honey-colored crusting on the toddler's face, as seen in the figure. The nurse recognizes this to be what type of infection?

Impetigo

The nurse is caring for a child with a diagnosis of pyloric stenosis during the preoperative phase of the child's treatment. What is the highest priority at this time?

Improving hydration

A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit hyperactivity disorder (ADHD). When explaining this disorder to the parents, what would the nurse include as being involved? Select all that apply

Inattention Hyperactivity Impulsivity Distractibility

12. Which of the following would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?

Increase calories and protein to compensate for the healing process.

A nurse is assessing a child with a depressive disorder. Which symptom is likely to be manifested by the child?

Increased nighttime waking

While a child is receiving prednisone to treat nephrotic syndrome, it is important for the nurse to assess the child for:

Infection

The health care provider notes that a client has a history of tendonitis. Select the best description of tendonitis.

Inflammation of a tendon

About half of children diagnosed with autism also have which of the following?

Intellectual disability

A 9-month-old girl is brought to the emergency room with what appears to be bouts of intense abdominal pain 15 minutes apart in which she draws up her legs and cries, often accompanied by vomiting. In between the bouts, the child recovers and appears to be without symptoms. Blood is found in the stool. What condition should the nurse suspect in this case?

Intussusception

An adolescent girl is going to be treated for a severe case of acne vulgaris. A pregnancy test should be done prior to the adolescent starting treatment with:

Isotretinoin Accutane Isotretinoin is a pregnancy category X drug: it must not be used at all during pregnancy because of serious risk of fetal abnormalities.

An adolescent with scoliosis is refusing to wear the prescribed body brace. Which instruction is best to progress the adolescent to the treatment goals?

It is important to wear the brace now to improve your spinal alignment, decreasing your symptoms."

While being tackled, a 20 year-old football player put out his hand to break his fall to the ground. Because the intense pain in his wrist did not subside by the end of the game, he was brought to an emergency department where diagnostic imaging indicated an incomplete tear of the ligament surrounding his wrist joint. At the time of admission, his wrist was swollen with a severely restricted range of motion. What will his care team most likely tell the player about his diagnosis and treatment?

It looks like a mild to moderate sprain and you'll need to keep it immobilized for a few weeks."

The nurse is caring for a client with a spica cast. What is the nurse's priority intervention?

Keep cast clean and dry

A positive Rovsing's sign is indicative of appendicitis. A nurse knows to assess for this indicator by palpating the:

Left lower quadrant.

A client is prescribed a magnesium and aluminum hydroxide antacid to treat gastroesophageal reflux disease (GERD). The nurse cautions this client to do which of the following?

Look for possible acid related diarrhea

he nurse is caring for a 10-year-old recently diagnosed with attention deficit hyperactivity disorder (ADHD). The nurse would expect to provide teaching regarding which medication?

Methylphenidate

A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the ear lobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular pain and swelling. The nurse recognizes that this client most likely has which of the following conditions?

Mumps

A 7-year-old patient with an earache comes to the clinic. The child's mother reports that 1 day ago the patient had a fever and headache and did not want to play. When the nurse asks where it hurts, the patient points to the jawline in front of the earlobe. What does the nurse expect the diagnosis to be for this patient?

Mumps

A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which of the following infectious diseases?

Mumps

A typical sign/symptom of appendicitis is

Nausea

The nurse working in the ED is evaluating a client for signs and symptoms of appendicitis. Which of the client's signs/symptoms should the nurse report to the physician?

Nausea

A client who has occasional symptoms of receiving teaching on how to prevent gastrointestinal reflux disease (GERD) which statement indicates the clients understanding the teaching

Nissen fundoplication.

The nurse is caring for a client with gastroesophageal reflux disease (GERD) who has not responded to conventional medical treatments. The nurse should anticipate the need for which surgical intervention?

Nissen fundoplication.

What is contained in an emollient bath often prescribed for children with eczema?

Oatmeal

When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis?

Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix.

A child is diagnosed with gastroesophageal reflux disease and is prescribed drug therapy. The primary health care provider prescribes medication that suppresses acid secretion. The nurse would anticipate administering which of the following? -

Omeprazole

The nurse is counseling a family whose child has autism. When describing this condition, which would the nurse most likely include?

Onset before child is 2.5 years old

11. The physical assessment that the nurse would omit in caring for a 2-year-old who has a Wilms tumor is:

Palpating the abdomen

A patient had a closed reduction of a wrist fracture and had a plaster cast applied. Which of the following nursing actions is the highest priority immediately after the procedure?

Performing a neurovascular assessment (NVA)

The initial sign of nephrosis that the nurse might note in the child would be:

Periorbital edema

A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and boardlike. What complication does the nurse determine may be occurring at this time?

Peritonitis

The nurse is caring for a child admitted with congenital aganglionic megacolon. Which clinical manifestation would likely have been noted in the child with this diagnosis?

Persistent constipation

The nurse is caring for a child admitted with congenital aganglionic megacolon. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

Persistent constipation

An adult with appendicitis has severe abdominal pain. Which action will be the most effective to assist the client to manage pain prior to surgery?

Place the client in semi-Fowler's position with the knees to the chest

The nurse is caring for a 6-year-old boy with mumps. Which of the following statements by the child would cause the nurse to suspect the boy is experiencing a complication of mumps?

Please talk a little louder

13. When a 13-year-old girl is diagnosed with functional scoliosis, the nurse would explain the spinal curvature defect is usually caused by:

Poor posture

Each joint capsule has tendons and ligaments. What are the tendons and ligaments of the joint capsule sensitive to?

Position and movement

The nurse interviewing parents of an infant with pyloric stenosis would expect the parents to report the infant has had:

Projectile vomiting

What is the priority action the nurse should take when caring for a child newly diagnosed with Wilms tumor? -

Protect the abdomen from manipulation

44-year-old client is in the hospital unit where you practice nursing. From the results of a series of diagnostic tests, she has been diagnosed with acute glomerulonephritis. What would you expect to find as a result of this condition?

Proteinuria

A nurse completes an assessment on an 8-month-old infant seen in the pediatrician's office for a well-child visit. The nurse notes that the infant's buttocks, perineum and inner thighs are covered in a thick coating of white ointment. When questioned, the parent says the infant has a diaper rash and the ointment is to protect the infant's skin. What is the best action for the nurse to take?

Provide instruction on how to care for a diaper rash.

Which of the following approaches is included in milieu therapy for the child with autism?

Providing a routine and predictive environment

A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. An appropriate nursing intervention for this child would be:

Providing activities for the child on restricted activity

A mother is alarmed because her 6-week-old boy has begun vomiting almost immediately after every feeding. In the past week, the vomiting has grown more forceful, with the vomit projecting several feet from his mouth. He is always hungry again just after vomiting. At the physician's office, the nurse holds the child and gives him a bottle of water. While he drinks, she notes an olive-size lump in his right abdomen. Which condition should the nurse suspect in this child?

Pyloric stenosis

What is the goal of therapeutic management for a child diagnosed with attention-deficit hyperactivity (ADHD) disorder?

Reduce the frequency and intensity of unsocialized behaviors.

On the first day postburn the bodys fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. The nurse monitors the burn victim very closely for:

Reduced urine output

Celiac disease commonly presents in infancy as failure to thrive. It is an inappropriate T-cell-mediated immune response, and there is no cure for it. What is the treatment of choice for celiac disease?

Removal of gluten from the diet

A male client, an ace professional tennis player, sprains his right ankle during a tennis match. The client is immediately rushed to the nurse who provides him with first-aid care. Which of the following would the nurse immediately provide?

Rest, ice, compression, and elevation

After reviewing dietary restrictions for celiac disease, the nurse determines that a parent understands the information when she states that a grain that can be eaten by a child with celiac disease is:

Rice

Which of the following are deficiency diseases for Vitamin D? Select all that apply.

Rickets in children Osteomalacia in adults

The nurse is providing care to a child with a long-leg hip spica cast. What is the priority nursing diagnosis?

Risk for impaired skin integrity due to cast and location

An infant has surgery to relieve pyloric stenosis. Which of the following nursing diagnoses would apply in the immediate postoperative period?

Risk for infection of incision line, related to disruption of skin barrier during surgery

Assessment of a child with autism spectrum disorder reveals stereotypic behavior. Which behavior would the nurse most likely document being demonstrated by the child?

Rocking Hand flapping Head banging

The school nurse is doing a presentation to a group of caregivers of children diagnosed with scoliosis. One of the caregivers asks the nurse about structural scoliosis. Which condition is involved with the diagnosis of structural scoliosis?

Rotated and malformed vertebrae

. A child had a burn evidenced by pink skin and blistering. The child complains of pain and is crying. The nurse documents the burn as:

Second-degree superficial

After teaching a group of nurses about assessing a child with autism spectrum disorders, the group leader determines that additional education is needed when the group identifies which as a critical assessment area in the psychosocial domain?

Self-care

A client has been diagnosed with bulimia. Which cognitive behavioral technique would be useful for the client?

Self-monitoring

People diagnosed with bulimia nervosa have lower levels of which neurotransmitter?

Serotonin

The school nurse suspects that a girl at her school is experiencing school phobia. She has missed numerous days from school and reports a stomach ache and some vomiting and has a low-grade fever. The symptoms subside when the child is permitted to stay home. What intervention would be appropriate for this child? .

Set up a meeting between the parents and school officials to help the child return to school without experiencing her symptoms.

A client, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

She must make arrangements to stay somewhere other than her home until the children are no longer contagious.

The statement made by a parent of an adolescent with anorexia nervosa indicating an understanding of this condition is:

She seems to see herself as fat, even though her weight is below normal.

8. The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. The nurse clarifies that while on prednisone, immunizations:

Should be delayed

The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. The nurse clarifies that while on prednisone, immunizations:

Should be delayed

A nurse planning to speak with a parent support group about childhood autism would include the information:

Significant signs of the disorder manifest by 1 year of age.

The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?

Spica cast

A client sustains an injury to the ligaments surrounding a joint. The nurse identifies this as which of the following?

Sprain

A patient complains of pain in the right knee, stating, "My knee got twisted when I was going down the stairs." The patient was diagnosed with an injury to the ligaments and tendons of the right knee. Which terminology, documented by the nurse, best reflects the injury?

Sprain

An allergy to which of the following would contraindicate the use of Silvadene as a topical agent for burns?

Sulfa

The nurse is caring for an infant immediately after a pyloromyotomy surgery has been performed to treat pyloric stenosis. The infant's parents are understandably anxious about their child. Given the situation, what is the most appropriate way for the nurse to position the infant during the anesthesia recovery period?

Support him and place him on his side.

When caring for the patient with acute glomerulonephritis, which of the following assessment findings should the nurse anticipate?

Tea-colored urine

An appropriate intervention for the child with minimal change nephrotic syndrome who is edematous would be to:

Teach the child to minimize body movements.

A client presents to the emergency department after suffering an injury while playing sports. The client is diagnosed with a sprain. Select the best explanation of the injury.

Tear of a ligamentous structure

What data in the client's history should the nurse recognize what data in the client's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?

Teenage depression episode

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which structure?

Tendon

A nurse is caring for a client who injured her knee while playing basketball. Tests reveal a torn connective tissue that connects muscles to bones. Based on this finding, the nurse prepares to teach the client about which of the following anatomical structure that is injured?

Tendons

Which of the following statements about ligaments and tendons is FALSE?

Tendons are strongest at the ends of their length where the fibers bind to the bone

A client has tendon damage. What will the nurse teach the client about the function of tendons?

Tendons connect muscles and bones

A nurse is teaching parents about family relationship patterns associated with eating disorders. Which family relationship pattern should the nurse teach that is consistent for an adolescent female diagnosed with an eating disorder?

The adolescent is viewed as an extension of the parent.

A nurse is assessing a 2-year-old child diagnosed with autism spectrum disorder. Which findings does the nurse expect to find on assessment? Select all that apply.

The child avoids eye contact.; The child becomes upset with minor changes in routine.; The child does not relate to parents.

In collecting data on a 7-year-old-child with a possible diagnosis of school phobia, the nurse directs questions related to the following topics. Which of the following would most likely be a cause of the child having school phobia?

The child may have a fear of being separated from her mother.

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

The client spends time alone and shows little interest in making friends.

Which information is important for the nurse to include when educating the parents of a two-month-old with gastroesophageal reflux disease (GERD)?

The clients condition should improve over time

The mother of a 4-year-old boy has contacted the physician's office. She reports her son was exposed to someone with chickenpox. She has inquired about when her son may show if he has gotten the disease. What information should be provided?

The incubation period for the disease is between 10 and 21 days.

The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child?

The nurse follows contact precautions.

The nurse is interviewing a 9-year-old child and during the interview the child states, "There's this kid at school who is always taking my lunch money and my homework."

The nurse interprets this statement as which of the following? Physical bullying

The novice nurse is discussing the diagnosis of intussusception with a group of peers. What statement demonstrates the nurse's appropriate understanding regarding this disorder?

The stools of the infant are called currant jelly stools and consist of blood and mucus."

Which of the following occurs in the gastrointestinal system of the child with Hirschsprung disease?

There is a partial or complete mechanical obstruction in the intestine.

TEach

This disease can reactivate years later and cause shingles.

The nurse suspects that a client with an arm cast has developed a pressure ulcer. Where should the nurse assess for the presence of the ulcer?

Ulna styloid

What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply.)

Use oatmeal and baking soda as bath additives Add bath oil to bath water after the child has soaked.

Which of the following intervention should the nurse recommend to best minimize the risk of nutritional rickets in an infant whose culture supports long-term breast feeding without the introduction of foods? Select all that apply.

Vitamin D and regular exposure to sunlight

Which assessment finding would suggest that a child's postoperative feeding schedule following pyloric stenosis surgery should be slowed? -

Vomiting

The nurse providing instructions to an adolescent who has been fitted with a Milwaukee brace would teach the patient to:

Wear the brace over a T-shirt 23 hours a day.

When assessing an adolescent for acne, what findings would lead the nurse to identify the acne as severe? Select all that apply.

Widespread inflammatory lesions Evidence of cysts Presence of nodules

The statement made by a parent, indicating the need for further teaching about strategies to control itching for the infant with eczema, is:

Wool is the best fabric for the babys clothing. Bad, Bad

The nurse is working with an 18-year-old client who recently immigrated and who did not receive childhood immunizations. The client is "catching up" on immunizations and is scheduled to receive a measles, mumps and rubella (MMR) vaccine today. What should the nurse teach the client about potential adverse effects?

You might feel a bit unwell or get a slight fever after receiving your immunization.

The nurse takes into consideration in planning the care of an adolescent with anorexia nervosa that the cause of this disorder is: Select all that apply.

a. Discomfort relative to emerging sexuality b. Fear of intimacy c. Pervasive low self-esteem d. Egocentricity e. Inability to meet developmental needs

A patient with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett's esophagus and has been admitted to a medical unit. The nurse is writing a care plan for this patient. What information is essential to include?

a. He will need to undergo an upper endoscopy every 6 months to detect malignant changes.

The nurse caring for a child with nephrotic syndrome is alert to the classic symptoms of this disorder, which are: Select all that apply.

a. Proteinuria b. Grossly bloody urine c. Hyperalbuminemia d. Fatigue e. Generalized edema

To avoid diaper rash, the nurse would offer instruction to the parents to: Select all that apply.

a. Use emollients b. Expose perineum to light and air periodically. c. Use disposable diapers frequently. d. Avoid plastic pants. e. Change diaper frequently.

A history of infection specifically caused by group A beta-hemolytic streptococci is associated with which of the following disorders?

acute glomrtulonephritis

Eczema indicates that the infant is oversensitive to certain substances called ______________, which enter the body via the digestive tract, inhalation, direct contact, or injections.

allergens

When developing the plan of care for a school-age child with a suspected diagnosis of appendicitis who is reporting severe abdominal pain, which measure should the nurse expect to include in the child's plan of care?

application of an ice bag

Parents usually ask when their child can return to school after having chickenpox. The correct answer would be:

as soon as all lesions are crusted.

Genetics can play a role in the development of a childhood psychiatric disorder. When assessing a child, which disorder would the nurse identify as having a genetic component?

attention-deficit hyperactivity disorder

When feeding a child with pyloric stenosis, the nurse will: Select all that apply.

b. Burp the baby before and during feeding. c. Give the feeding slowly. d. Refeed if the baby vomits.

the nurse is caring for a client who had a cast applied yesterday for a tibia fracture. When the client returns today with swelling in that extremity, for which procedure does the nurse prepare?

bivalving of the cast

What would lead the nurse to suspect that an adolescent has bulimia?

calluses on back of knuckles

Nurses will need to teach the parents of the infant being treated for Hirschsprung disease (aganglionic megacolon)

care for a temporary colostomy.

Place the stages of grieving in order starting with the initial stage and ending with the final stage.

denial. anger. bargaining. depression. acceptance.

Herpetic Whitlow is a herpes simplex infection that occurs at what location?

finger nails

When preparing a teaching plan for a female adolescent with a sexually transmitted infection (STI), the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer. Which STI would the adolescent most likely have?

genital herpes

Young children experience loss, separation, or bereavement in a myriad of situations. These early experiences:

help shape an individuals ability to cope with loss later in adult life

The principles of care in the treatment of infantile eczema include (select all that apply)

hydrate skin, prevent infections, relieving inching use elbow restraints to prevent scratching, increase fluid intake

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?

impaired skin integrity

The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. The nurse most likely is referring to:

impetigo.

An adolescent is being seen in the local clinic for obesity problems. The nurse realizes that which factor would not play a role in this eating disorder?

kid is having problems with self esteem

Which instruction should be given to a woman newly diagnosed with genital herpes?

limit stress and emotional upset as much as possible.

Pyloric stenosis has been diagnosed in a 3-week-old male infant who has frequent vomiting after feedings. An important preoperative nursing intervention is

maintaining NPO status while restoring hydration and electrolyte balance.

A school-aged child develops school phobia. When counseling her mother, the nurse would advise her that the accepted action is to:

make her child attend school every day.

A patient is scheduled for a procedure that will allow the physician to visualize the knee joint in order to diagnose the patient's pain. What procedure will the nurse prepare the patient for?

nurse prepare the patient for? Arthroscopy

A client is being treated for acne vulgaris. What contributes to follicular irritation?

overproduction of sebum

In caring for an infant diagnosed with pyloric stenosis, the nurse would anticipate that she would:

prepare the infant for surgery.

The client was placed in a long arm cast after fracturing the humerus. Twelve hours after the application of the cast, the client tells the nurse that his arm hurts. Analgesics do not relieve the pain. What would be the most appropriate nursing action?

preparing the client for cast removal or bivalving of the cast

A client has been diagnosed with acute glomerulonephritis. This condition causes:

proteinuria

An adolescent client has been diagnosed with bulimia nervosa. What does the nurse explain as the goal of treatment for this client?

restoring nutritional balance and a healthy self-image

Which microorganism is responsible for the development of bullous impetigo?

staphylococcus aureus

The school health nurse is educating a group of teachers regarding anorexia nervosa. The discussion includes which of the following as possible indicators of the illness? Select all that apply. -

tends to be a perfectionist, may demonstrate signs of depression, adheres to a rigorous exercise program, has rigid study habitsa

The client is 6-year-old who has been diagnosed with autism spectrum disorder. Which symptom would the client display?

the client spends time alone with little interest in making friends.

An adolescent wears a body brace for scoliosis. Which client education should the nurse provide?

to continue with age-appropriate activities

CT and MRI arthrography has significantly reduced the number of radiographic arthrograms performed.

true

A parent calls the nurse to discuss a rash. The nurse suspects that the rash possibly could be varicella when the parent describes rash characteristics as:

various stages of lesions present at the same time.

A child in gymnastics class has fallen off the balance beam and hurt her ankle. X-rays are negative for fracture, so the health care provider has diagnosed a severe sprain. Which of the following treatment measures should be taught to the family and child? Select all that apply.

• Immobilization for several weeks • Elevate the ankle on pillows • Apply ice packs to the ankle

A patient sustains a musculoskeletal injury of the left ankle. In addition to pain, which of the following manifestations would accompany a sprain? Select all that apply.

• Swelling • Discoloration • Limited movement • Heat