PED Final Exam Course point ?'s Unit 2

The nurse is caring for a child with an infectious disorder and the following vital signs: temperature 103.1°F (39.5°C), pulse 106 bpm, respiratory rate 24 breath/minute, and oxygen saturation 93% on room air. The child reports pain 4/10 using the Wong-Baker FACES scale. Which nursing intervention is priority?

Don appropriate personal protective equipment (PPE).

A parent calls the nurse triage line at the clinic. The parent is concerned and believes the preschool-aged child may have contracted rubeola. Which question(s) should the nurse ask the parent to aid in making this diagnosis? Select all that apply.

"How long has your child had the cough and runny nose?" "Has your child been around any other children with measles?" "When you look in your child's mouth can you see any spots or anything unusual?" "Can you describe what your child's rash looks like?"

A child is diagnosed with varicella. The parent states the child is "just miserable" and wants to know how best to make the child feel more comfortable. Which instruction(s) would the nurse give this parent? Select all that apply.

"You can administer acetaminophen to help with fever and pain." "Keep only light clothing on your child." "Keep your child's fingernails short so scratching will not disturb vesicles." "Place the child in a soothing tepid bath."

A toddler requires the placement of pressure-equalizing (PE) tubes due to recurrent ear infections. Which information should the nurse include in teaching the parent about the PE tubes and surgical insertion? Select all that apply.

"Your child will have the procedure as an outpatient." "One purpose of the PE tubes is to help speech development." "The tubes will fall out on their own." "The tubes allow infected fluid to drain.

A nursing instructor is describing the progression of signs and symptoms associated with varicella from earliest to latest. Place the signs and symptoms below in the sequence that the instructor would describe them.

(Alphabetical Order) Low-grade fever Macular rash Papular rash Vesicle formation Crusting

While assessing a child brought to the hospital with fever and headache, the nurse notes trismus and swelling above the child's jawline. Which collaborative interventions will the nurse begin? Select all that apply.

Don a surgical mask. Administer ibuprofen. Monitor for fever reduction. Ask if vaccinations are current

The student nurse is preparing a presentation on retinopathy of prematurity. What information should the nurse include? Select all that apply.

Low birth weight and early gestation age are risk factors. Oxygen therapy may play an important role in the development of retinopathy of prematurity. Sepsis is a risk factor

The nurse determines that it is necessary to implement airborne precautions for children with which infection?

Measles

The nurse is providing education to the parents of a 5-year-old with a fever. Which statements indicate the need for further instruction? Select all that apply.

I can administer two baby aspirin tablets to my child every 4 to 6 hours for the fever." "Sponging my child with cold water can be a soothing way to manage the fever." "I should use a cooling fan in my child's room to keep the fever down.

The nurse is caring for a child after surgery. Which interventions will the nurse implement to prevent a hospital-acquired infection? Select all that apply.

Remove urinary catheter as soon as possible. Access intravenous line using sterile technique. Clean stethoscope before and after auscultation. Administer postoperative antibiotics as prescribed. Use hand sanitizer prior to entering the child's room.

The nurse is caring for a 5-year-old girl with scarlet fever. Which intervention will most likely be part of her care?

Teaching proper administration of penicillin V.

The 18-month-old toddler has most likely attained which gross motor skill?

The ability to walk independently

The nurse is caring for a child who has been diagnosed with acute otitis media three times in the past year. Which factors noted in the medical record would be considered contributing factors to this condition? Select all that apply.

The child's father smokes. The child's older siblings have been diagnosed with acute otitis media in the past. The child shares a bedroom at home with 3 siblings. The family home is occupied by 10 family members.

A nurse suspects that an adolescent may have community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA). What would the nurse expect to assess? Select all that apply.

participation in contact sport recent cut on the lower leg raised fluctuant lesions

The nurse is preparing to provide education on the prevention of infection to parents of children. Which intervention(s) will the nurse include? Select all that apply.

proper handwashing proper handling and preparation of foods vaccination administration limiting exposure to sick persons judicious antibiotic use