Pedi Final 🤡
a nurse is collecting data fom a child who is descending stairs by placing both feet on each step and holding onto the railing. the nurse should understand that these actions are developmentally appropriate at which of the following ages 3 years 18 mos 5 years 6 years
3 years
the nurse is discussing skin disorders with a group of caregivers. which statement indicates understanding of tinea capitis that is an infection you get under your fingernails I always tell my daughter to use her own hairbrush my son got that infection when he was at the swimming pool my husband had that once and his groin itched so much
I always tell my daughter to use her own hairbrush
a nurse is caring for a child who has influenza. the nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome I give my child ibuprofen when his muscles are aching I am encouraging my child to drink grapefruit juice I give my child aspirin to reduce his fever I am leaving a humidifier on in my child's room when he naps
I give my child aspirin to reduce his fever The administration of aspirin for fever associated with viral illness increases the child's risk for Reye syndrome.
a nurse is assessing a 12 mos old infant during a well child visit. which of the following should the nurse report to the provider closed anterior fontanel eruption of 6 teeth birth weight doubled length increased by 50%
birth weight doubled should be tripled
a nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss body weight skin integrity blood pressure respiratory rate
body weight most reliable indicator of fluid loss of infants and young children
a nurse is assessing a 6 mos old infant at a well-child visit. which of the following findings should the nurse expect closed posterior fontanel uses thumb and index fingers in a pincer grasp lateral incisors sitting steadily without support
closed posterior fontanel should be closed by 8 weeks
the nurse is collecting data from a 14 year old female and her mothre who have come in for a checkup. the mother reports that the teen has had hives intermittently for the past 2 mos. what is the priority action for this client encourage the mother to purchase OTC topical ointments to have on hand determine the cause encourage the family to speak to physician about prescribing topical steroids discuss home remedies to manage skin condition
determine the cause
the nurse is conducting a physical examination of a child with suspected developmental dysplasia of the hip. which finding would help confirm this diagnosis abduction occurs 75 degrees an adduction within 30 degrees high pitched click with hip flexion or extension distinct clunk with barlow and ortolani thigh and gluteal folds are symmetric
distinct clunk with barlow and ortolani
A nurse is obtaining a health history from a child who has suspected acute Rheumatic fever. Which of the following questions should the nurse ask? has your son has a sore throat recently was your son born with this cardiac defect has your child had any injuries lately have you given your child aspirin in the past 2 weeks
has your son had a sore throat recently rheumatic fever typically develops 2-6 weeks after an untreated or ineffectively treated strep infection of the respiratory tract
the nurse knows that children have larger heads in relation to the body and a higher center of gravity. when developing a teaching plan for parents, the nurse includes information about an increased risk for what problem febrile seizures head traume caput seccedaneum posterior angiocephaly
head trauma
a nurse is assessing the psychosocial development of a toddler. the nurse should recognized that this stage is characterized by which of the following imaginary playmates erikson's stage of initiative vs guilt demonstrations of sexual curiosity negative behaviors characterized by the need for autonomy
negative behaviors characterized by the need for autonomy assertion of autonomy is seen in toddlers as they begin language and social development
a nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. which of the following statements should the nurse make the blood supply to the bone is disrupted normal bone growth can be affected bone marrow can be lost through the fracture the younger the child the longer the healing process
normal bone growth can be affected
when assessing a toddlers ears, what action should the nurse take while using the otoscope to better see into the ear canal to tympanic membrane? gently pull pinna up and out pull pinna down and back pull pinna up firmly gently pull pinna down and out
pull pinna down and back
the nurse is examining an 8 year old with tachycardia and tachypnea. the nurse anticipates which test as most helpful in determining the extent of the childs hypoxia pulmonary function test pulse oximetry peak expiratory flow chest radiograph
pulse oximetry
which finding would lead the nurse to suspect that a child experiencing moderate dehydration dusky extremities tenting skin sunken fontanels hypotension
sunken fontanels
at what age can a child begin to control excretory function 1 year 9-12 mos 18-24 mos 3 years
18-24 mos
bilirubin conjugation begins at what age 2-3 weeks 12-18 weeks 1 year 18-24 most
2-3 weeks
when does a cleft lip develop 5-9 weeks of gestation 12-15 weeks of gestation 24-48 weeks gestation the third trimester
5-9 weeks of gestation
a nurse is collecting data from an infant at a well-child visit. the nurse should understand that birth weight typically doubles by what age 3 mos 6 mos 9 mos 12 mos
6 mos
the nurse is caring for a group of children on a pedi unit and should collect data and explore the possiblity of child abuse in which situation 10 year old w simple fracture after falling down stairs 7 year old with spiral fracture of humerus when hit by bat swung by little league 9 year old with compound fracture of tibia 6 year old with greenstick
7 year old with spiral fracture
a child is hospitalized with pneumonia. the nurse assess an increase in the work of breathing and in the respiratory rate. what intervention should the nurse do first elevate HOB administer O2 notify HCP obtain O2 saturation levels
elevate HOB
a nurse reports an incident of suspected child abuse. one of the parents of the child becomes upset and demands to know the reason for the nurse's action. which of the following responses by the nurse is appropriate as a nurse, I am required by law to report suspected child abuse I am unable to discuss this, but I can contact my supervisor to speak with you The provider will be coming to explain the situation I reported the incident to my supervisor who decided to contact the authorities
As a nurse, I am required by law to report suspected child abuse
you are instructing a parent of an 8 year old child about healthy nutrition. which statements indicate more education is needed SATA we should plan family meals together I want to eat healthy meals to teach my daughter by example I will make sure to send a few energy drinks with my daughter so that she stays active its okay to skip breakfast as long as she eats a large dinner
I will make sure to send a few energy drinks with my daughter so that she stays active It's okay to skip breakfast as long as she eats a large dinner
the nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first an infant with rhinorrhea, coughing and O2 of 92% a toddler with a temperature of 100.1 and a harsh, barking cough a preschool child with crackles in the right lower lobe and chest pain a school-age child with dysphagia, drooling, and a hoarse voice
a school age child with dysphagia, drooling and a hoarse voice
the nurse has received morning report on a group of pedi clients. which pedi client will the nurse see first an infant with rhinorrhea, coughing, and o2 sat of 92% a toddler with a temp of 100.1 and a harsh, barking cough a preschool child with crackles in the right lower lobe and chest pain a school aged child with dysphagia, drooling and a hoarse voice
a school aged child with dysphagia, drooling and a hoarse voice
what factors can contribute to dehydration insensible fluid loss vomiting diarrhea post-op tube drainage
all
a nurse is providing health promotion teaching to the parents of an infant. Which of the following condition should the nurse identify as the leading cause of death among this age group congenital anormalies respiratory distress low birth weight sudden infant death syndrome
congenital anormalies
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching? all recently used clothing, bedding an towels must be washed in hot water my child must be nit free before returning to school I will treat all the family members to be on the safe side toys that cant be dry cleaned or washed must be thrown out
all recently used clothing, bedding and towels must be washed in hot water
a child is hospitalized with pneumonia. the nurse assesses an increase in the work of breathing and in the respiratory rate. what intervention should the nurse do first to help this child elevate the HOB administer O2 notify the health care provider obtain O2 saturation levels
elevate HOB
the nurse is caring for a child following a tonsillectomy. the child requests something to drink, which action by the nurse is best inform the child he or she can have nothing to drink for a few hours provide the child with a red popsicle to eat give the child a few ice chips to consume assess the childs gag reflex before giving oral fluids
give the child a few ice chips to consume
a nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac cath. which of the following instructions should the nurse include keep the child home for 1 week give the child acetaminophen for discomfort offer the child clear liquids for the first 24 hours assist the child to take a tub bath for teh first 3 days
give the child acetaminophen for discomfort the child might have minor discomfort at the puncture site. the parent should offer either acetaminophen or ibuprofen d/t risk of Reye syndrome associated with taking asprin
a nurse in the ED is monitoring a client who has a cervical spinal cord injury from a fall. the nurse should monitor for which complications SATA hypotension polyuria hyperthermia absence of bowl sounds weakened gag reflex
hypotension absence of bowel sounds weakened gag reflex
a nurse is assessing a 3 year old child who has aortic stenosis. which of the following findings should the nurse expect SATA hypotension bradycardia clubbing of the nail beds weak pulses murmur
hypotension weak pulses murmur
at the age of 5, a child is likely to exhibit what pyschosocial stage of development initiative vs guilt industry vs inferiority identity vs role confusion anal
initiative vs guilt
a nurse is assessing a 3-mos-old infant during a pediatric clinic visit. The nurse believes the infant is demonstrating early manifestations of respiratory distress. Which clinical manifestations should the nurse document? SATA nasal congestion acrocyanosis intercostal retractions tachypnea
nasal congestion tachypnea
a nurse is assessing a child and notes several bruises. which of the following actions should the nurse take report the suspected abuse to the authority obtain a detailed history ask a psychiatrist to talk with the parents separate the child from the parents
obtain a detailed history
a nurse is caring for a 4 year old child who is resistant to taking medication. which of the following strategies should the nurse use to elicit the child's cooperation. offer the child a choice of taking the medication with juice or water tell the child is candy hide the medication in a large dish of ice cream tell the child he will have a shot instead
offer the child a choice of taking the medication with juice or water
a child has undergone surgery using a steel bar to correct the pectus excavatum. what position should the nurse instruct the parents to avoid semi fowler supine high fowler side-lying
side-lying
a child requires supplemental o2 therapy at 8 L/min which delivery device would the nurse most likely expect to be used simple mask venturi mask nasal cannula oxygen hood
simple mask
a nurse is assessing a newborn and observes webbing of the fingers and toes. the nurse documents this finding as syndactyly polydactyly maetatarsus adductus pectus carinatum
syndactyly
the nurse is caring for an infant girl with DDH. the mother is very upset about the diagnosis and blames herself for her daughters condition. which response best addresses mothers concerns there are simple non invasive treatment options your daughter will wear a pavlik harness don't worry this is common diagnosis this is not your fault and we will help you with her care and treatment
this is not your fault and we will help you with her care and treatment
the client is a 9mos old whose babysitter brings her to the ER. Xray shows spinal fracture of femur. Babysitter says she found infant in this condition when she showed up to watch her. How should the nurse respond arrange for parents to come in for an eval for possible physical abuse eval infant for underlying muskuloskeletal disorder eval child for seizure disorder as thats probably why the infant is injured ask babysitter to advocate for the child and report to the authorities
arrange for parents to come in for eval for possible physical abuse
when providing atraumatic care to a school-aged child, which action would be most appropriate limiting use of topic anesthetic for painful injections always keepong the lights on in the child's room day and night giving parents and children an informed choice about being together during the visit applying restraints for any procedure that could be uncomfortable
giving parents and children informed choice about being together during visit
symptoms associated with meckel diverticulum are very red stool currant jelly stool consistency stool incontinence dehydration
very red stool currant jelly stool consistency
When giving parents guidance for the adolescent years, the nurse would advise the parents to: (Choose all that apply.) a. Accept the adolescent as a unique individual b. Provide strict, inflexible rules c. Listen and try to be open to the adolescent's views d. Screen all of his or her friends e. Respect the adolescent's privacy f. Provide unconditional love
accept the adolescent as a unique individual listen and try to be open to the adolsecents views respect the adolescents privacy provide unconditional love
a RN is providing care to 13 year old with deep partial and full thickness burns on neck, torso and arms. the nurse begins a treatment but client refuses and angrily tells nurse what is the point of this I will never be the same again. what action should the nurse take tell client this behavior will not be tolerated leave room and give client a chance to calm down express disappointment in behavior acknowledge that client is upset and offer to talk about feelings
acknowledge that client is upset and offer to talk about feelings
a child is in the ED with an asthma exacerbation. upon ausculation the nurse is unable to hear movement in the lungs. what action should the nurse take first administer B2 agonist administer O2 start a peripheral IV administer corticosteroids
administer B2 agonist
a child is in the emergency department with an asthma exacerbation. Upon auscultation the nurse is unable to hear air movement in the lungs. What action should the nurse take first administer a beta-2 adrenergic agonist administer O2 start peripheral IV administer corticosteroids
administer a beta-2 adrenergic agonist
a nurse is working with a 12 year old girl with osteomyelitis who is recovering from surgery while in traction which nursing interventions should be implemented SATA institute infection control precautions r/t draining tubes administration of IV abx at hospital ensure that pins associated w traction are cleaned 2x daily instruct how to implement 6 mos bed rest
administration of IV abx at hospital ensure that pins associated w traction are cleaned 2x daily
a nurse is preparing to assess a preschool aged child. which of the following actions should the nurse take to prepare for the assessment use medical terminology with the child to explain what will happen keep medical devices such as needles and reflex hammers visible and open in front of the child take the child away from the caregiver and set them on the assessment table by themselves allow the child to role play using miniature equipment
allow the child to role play using miniature equipment
a nurse is preparing to measure an infants vital signs. the nurse should use which of the following sites to assess a heart rate carotid artery apex of the heart brachial artery radial artery
apex of the heart
a nurse is providing teaching to a parent for a preschooler who has eczema. which of the following instructions should the nurse include in the teaching? apply a topical corticosteroid ointment to the affected area launder the childs clothing with fabric softner give the child a bubble baths everyday dress the child in woolen clothes during cold months
apply a topical corticosteroid to the affected area the child might require a topical corticosteroid ointment to use during flare-ups to decrease inflammation
a parent calls the clinic nurse to say the child has shin splints. what instructions should the nurse provide applying ice to the area will reduce the pain and swelling apply ice to the injury for 60 minutes on and 60 min off elevate legs and use bed rest for 24 hours taking warm baths will help relax muscles and reduce pain
apply ice to area will reduce pain and swelling
a nurse applying a cast to a 12 year old with a simple fracture of the radius in the arm. what is the most important for the nurse to do when she has finished applying the cast assess the fingers for warmth, pain and function apply a tube of stockinette over the cast cut a window over the wrist x-ray the cast to make sure the bones are aligned properly
assess the fingers for warmth, pain and function
the nurse is doing client teaching w a child who has been placed in a brace to treat scoliosis. which statement demonstrates an understanding I'm so glad i can take this brace off for the school dance at least when I take a shower I have a few minutes out of this brace wearing this brace only during the night will not be so embarassing when I start feeling tired I can just take my brace off for a few min
at least when I take a shower I have a few minutes out of this brace
a nurse is caring for an 8 year old child who has acute rheumatic fever. which of the following assessments is the nurse's priority immediately after admission auscultating the rate and characteristics of the childs heart sound using a pain-rating tool to determine the severity of the joint pain identifying the degree of parental anxiety related to the diagnosis assessing the clients erythematous rash
auscultating the rate and characteristics of the childs heart sounds ABCs
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 traction exercise surgery bracing
bracing
a parent calls a clinic and reports to a nurse that his 2 month old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make? bring your baby in to the clinic today burp your baby more frequently during feedings give your infant an oral rehydration solution try switching to a different formula
bring your baby in to the clinic today projectile vomiting followed by hunger are characteristics of pyloric stenosis. the infant needs to be examined in the clinic by a provider as soon as possible
a nurse is caring for a school aged child who has a systemic disorder and is receiving abx, immunosuppressants and corticosteroids . both the childs parents have a hx of smoking. the child reports soreness in his mouth and refuses to eat. inspection of his mouth reveals a white, milky plague that does not come off with rubbing. the nurse suspects which of the following conditions? candidasis dermatitis herpes simplex squamous cell carcinoma
candidasis
which assessment finding by the nurse would warrant immediate action a child w impetigo has honey-colored drainage notes on skin a child with periorbital cellulitis reports changes in vision and pain with eye movement a child has redm warm, edematous area over old spider bite a child with cellulitis has a 101 temo
child with periorbital cellulitis reports changes in vision and pain with eye movement
a group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which finding childrens demand for oxygen is lower than that of adults children develop hypoxemia more rapidly than adults do an increase in oxygen saturation leads to a much larger decrease in pO2 childrens bronchi are wider in diameter than those of an adult
children develop hypoxemia more rapidly than adults do
a nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program changes in the voice signal the beginning of puberty gynecomastia commonly occurs during late puberty puberty might be delayed if scrotal changes have no occurred by the age of 11 years growth spurts in height occur toward the end of midpuberty
growth spurts in height occur toward the end of midpuberty growth spurts in height occur toward the end of midpuberty
a nurse is providing parental teaching about home care for an 8 year old with widespread sunburn on his back and shoulders. which response indicates need for further teaching cool compress to cool burn he should manually remove any flaking skin NSAIDS are helpful he should avoid hot showers or baths for a few days
he should manually remove any flaking skin
the nurse in a pediatric cardiovascular clinic is talking with the father of a 5 year old child who underwent cardiac surgery for a heart defect at the age of 3. The father reports that the child has been having increased SOB, tires easily after playing and has been gaining weight. The nurse is aware that the child is most likely demonstrating symptoms of which acquired cardiovascular disorder? heart failure infective endocarditis cardiomyopathy Kawasaki disease
heart failure
the community nurse receives a call from a local day care center. one of the children in teh center has been diagnosed with impetigo. which info related to impetigo will the nurse provide to the day care center impetigo is highly contagious and can spread quickly impetigo cannot be treated with medication and has to run its course the facility staff should wear masks until all children and adults are healthy impetigo usually develops because of sensitivity to pollens and molds
impetigo is highly contagious and can spread quickly
the nurse is caring for a child hospitalized with Reye Syndrome who is in the acute stage of illness. the nurse would assess the child most carefully for what finding a presence of PRO in the urine indications of increased ICP an increase in the blood glucose level a decrease in liver enzymes
indications of increased ICP
the mother of a 3 week old infant brings her daughter in for an evaluation. during the visit the mother tells the nurse tht her baby is spitting up after her feedings. which response by the nurse would be most appropriate we need to tell the HCP about this infants this age commonly spit up your daughter might have an allergy don't worry, you're just feeding her too much
infants this age commonly spit up
a nurse is assessing an infant that is feeding poorly is concerned about fluid loss. what is an unmeasurable priority concern for hypovolemic risk insensible fluid loss fluid intake urine output solid food intake
insensible fluid loss
the nurse is discussing discharge instructions with the parents of a 6 year old who had a tonsillectomy. What is the most important thing to stress? administer analgesics encourage the child to drink liquids inspect the throat for bleeding apply an ice collar
inspect the throat for bleeding
the nurse is discussing discharge instructions with the parents of a 6 year old who had a tonsillectomy. what is the most important thing to stress administer analgesics inspect the throat for bleeding apply an ice collar encourage the child to drink fluids
inspect throat for bleeding
what is the order of assessment for pediatric patients
inspect, auscultate, percuss, palpate
a parent tells a nurse that her toddler drinks a quart of milk a day and has poor appetite for solid foods. the nurse should explain that the todler is at risk for which of the following disorders iron deficiency anemia rickets diabetes mellitus obesity
iron deficiency anemia child between the ages of 12-36 mos are at risk for iron deficiency anemia when cows milk which is poor in iron
a 4-year-old child is brought to the ED experiencing severe respiratory destress. The HCP has diagnosed epiglotittis. What nursing interventions should the nurse include in this child's plan of care? select all that apply keep the child quiet administer O2 have intubation equipment readily available start a peripheral IV
keep the child quiet have intubation equipment readily available
a child has been admitted to the acute care facility for the management of dehydration. The nurse is preparing to administer IVF replacement to the child. Which fluids are suitable for use? SATA 10% dextrose in water Lactated Ringers 5% dextrose in water 0.9% NS
lactated ringers 0.9% NS
what are designated as helper organs in the GI system liver spleen pancreas esophagus large intestine
liver spleen
the prioritty nursing intervention of esophageal atresia is maintain a patent airway encourage frequent feedings allow for the family to take the child home until surgery encourage fluid intake
maintain patent airway
an infant with a high respiratory rate is NPO and is receiving IVF. What assessments will the nurse make to assure the infant is hydrated SATA measure skin turgor palpate anterior fontanel determine urine output assess lung sounds review electrolyte lab results
measure skin turgor palpate anterior fontanel determine urine output
the CDC reports that 83 out of 1000 children in the US ages 1-17 were diagnosed with asthma from january of 2020 to january 2021. this is an example of morbidity rate mortality rate fetal mortality well child health rate
morbidity rate
a nurse is educating new parents about risk factors for sudden infant death syndrome. which of the following statements should indicate the nurse the need for additional teaching our baby will sleep in our bed because I am breastfeeding we will give my baby a pacifier during naps and at bedtime we will place my baby on her back when sleeping we will remove blankets and toys from the crib
our baby will sleep in our bed because I am breastfeeding allowing an infant to sleep in the same bed as an adult can lead to suffocation and falls. The parent should place the infant back in her crib after breastfeeding
a nurse is teaching a parent of a 6-mos old infant about car safety. which of the following statements by the parent indicates an understanding of the teaching our car seat is an infant model and is anchored in the car our car seat is front facing in the back seat i can fit my hand between the baby and the car seat harness the car seat is rear facing in the front passenger seat
our car seat is an infant model and is anchored in the car
the nurse is assessing a 10 year old recently fitted with a cast on her wrist. which assessment finding would the nurse immediately report drainage on the cast pallor of fingers delayed cap refill diminished pulse improved ROM
pallor of fingers delayed cap refill diminished pulse
the nurse is preparing to perform a physical examination of a child with asthma inspection palpation percussion auscultation
palpation
the nurse is preparing to perform a physical examination of a child with asthma. which technique would the nurse be least likely to perform? inspection palpation percussion auscultation
palpation
a nurse is caring for an infant who has a congenital heart defect. which of the following defects is associated with increased pulmonary blood flow coarcation of the aorta patent ductus arteriosus tetralogy of fallot tricuspid atresia
patent ductus arteriosus with patent ductus arteriosus, the area between the pulmonary artery and aorta remains open allowing the blood to flow through the patent ductus arteriosus and back to the pulmonary artery and lungs
a school nurse is assessing a school aged child and notices white flakes that don't brush off the hair and a rash on the back of the childs neck. the nurse should suspect which of the following disorders pediculosis capitus impetigo contagiosa folliculitis tinea capitus
pediculosis captius
the nurse is caring for a child with a broken wrist that has just been placed in a cast. the nurse would elevate the arm to promote healing prevent edema discourage infection ensure proper bone alignment
prevent edema
a 15 year old comes to the nurses office for use of his albuterol inhaler after complaining of tightness in his chest. what would the nurse instruct to do last before leaving the nurses office return the albuterol inhaler to its proper location in the office for emergency availability rinse mouth with water allow the nurse to auscultate their lungs use incentive spirometer
rinse mouth with water
the nurse is assessing a 5-yr-old who is anxious, has a high fever, speaks in a whisper and sits up with her neck thrust forward. Based on these findings, what would be the least appropriate for the nurse to perform? providing 100% oxygen visualizing the throat having the child sit forward auscultating for lung sounds
visualizing the throat
bacterial pneumonia is suspected in a 4 year old with fever, headache and chest pain. what assessment finding would likely indicate the need for medical care fever oxygen sat of 96% tachypnea with retractions pale skin color
tachypnea with retractions
bacterial pneumonia is suspected in a 4-year-old boy with fever, headache and chest pain. Which assessment finding would most likely indicate the need for medical care? fever oxygen saturation level of 96% tachypnea with retractions pale skin color
tachypnea with retractions
at 3 years of age, a child has cardiac catheterization. after the procedure, which interventions should be most important allowing the child to adapt to the light in the room gradually taking pedal pulses for the first 4 hours assuring the child that the procedure is now over allowing the child to talk about the procedure
taking pedal pulses for the first 4 hours
a nurse is providing edu to a family about cardiac catheterization. what information would be included in the edu the catheter will be placed in the brachial artery the catheter will be placed in the femoral artery the child will be able to move the leg again immediately after the procedure the procedure will be performed even if the child has a fever
the catheter will be placed in the femoral artery
a group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they state that children have a proportionally greater amount of body water than adults do fever plays a great role in insensible fluid losses in infants and children a higher metabolic rate plays a major role in increased insensible fluid losses the infants immature kidneys have a tendency to overconcentrate urine
the infants immature kidneys have a tendency to overconcentrate urine
the nurse has been teaching the parents of a child diagnosed with osteogenesis imperfecta abou the use of bisphosphonates for this condition, what statement by a parent indicates further need for edu this medication will help increase bone density my childs risk of fractures will hopefully be decreased by taking this med this med will cure my child of this disorder the medication doesnt prevent any fractures from happening
the med will cure my child
the school nurse is working with a 10 year old with recurrent abdominal pain. the girls teacher has been less than understanding about the frequent absences and trips to the nurses office. how should the nurse respond be patient she is trying some new medication the pain she is having is real the family is working toward improvement please do not add to the families stress
the pain she is having is real
a nurse is speaking with the mother of a 6-yr old child. which of the following statements by the mother should concern the nurse the teacher says my child has to squint to see the board my child has recently lost both front top teeth my child often cheats when we play board games sometimes my child acts bossy with his friends
the teacher says my child has to squint to see the board indicates a vision problem
the caregiver of a child who had a cast applied to the leg observes putting adhesive tape strops around edge of cast. the caregiver asks the nurse why she is doing this. the best response by the nurse would be we put these on so the child will not pull the padding from under the cast these will help the cast look more attractive so the child won't feel self-conscious these make a smooth edge so the skin is better protected in case the child has an accident and misses the bedpan, these can be changed to keep the area dry
these make a smooth edge so the skin is better protected
infants younger than 12 months old are more at risk for respiratory distress because they have occasional pauses in breathing they have initially high hemoglobin F factor in their blood there is a neurological reflex of sucking during infancy they have fewer alveoli as an infant
they have fewer alveoli as an infant
a mother asks why her infant with a cyanotic heart defect turns blue. what is the nurse's best explanation? this is considered a medical emergency and the infant needs immediate surgery this is due to a decreased amount of oxygen to the peripheral tissue this is a sign of heart failure this is due to the lack of oxygen in the brain
this is due to a decreased amount of oxygen in the peripheral tissue
a nurse is caring for an 8 mos old infant who screams whent the parent leaves the room. the parent begins to cry and says "I don't understand why my child is so upset. I've never sene my child act this way around others before" Which of the following statements should the nurse make? This is normal, expected reaction for a child of this age this is a response to an overstimulating environment this is a common reaction to an overexposure to caregiver this is a typical reaction for a child who is sick
this is normal, expected reaction for a child of this age
a 10 year old is brought to the clinic by the parent. assessment reveals small circular patches of hair loss on the scalp. the nurse suspects which condition tinea faciei tinea capitis tinea cruris tinea corporis
tinea capitis
a nurse is preparing to teach a parent how to care for a child who has impetigo. which of the following info should the nurse plan to include in the teaching keep the child on droplet precautions at home wash clothing in hot water immunize household contacts for the disease give the child a chlorine bath 2x daily
wash clothing in hot water
a nurse is providing instructions to the parents of a 3 mos old infant with DDH who is being treated with a Pavlik harness. Which statements demonstrate an understanding of instructions we need to adjust the straps so they are snug but not too tight we should change the diaper without taking the infant out of the harness we need to check the area behind infants knees for redness and irritation we need to send the harness to dry cleaners to be cleaned we need to call the HCP if our infant isn't able to actively kick legs
we should change the diaper without taking the infant out of the harness we need to check the area behind infants knees for redness and irritation we need to call the HCP if our infant isn't able to actively kick legs
a nurse is caring for a hospitalized 2 year old and the mother expresses concern that the toddler will be scared. Which response from the nurse is best don't worry, we practice family-centered atraumatic care here we will do our best to minimize the stress your child experiences it will probably be upsetting for you as well you should stay home our practice of atraumatic care will eliminate all the pain and stress for your child
we will do our best to minimize the stress your child experiences
a child wiht an uncorrected cleft palate is at most risk for weight loss infection pneumonia neurological disorders
weight loss
a nurse is preparing to assist with applying a cast to a preschoolers arm. which of the following actions should the nurse take wrap the arm of the childs doll or toy prior to the procedure tell the child this will make your arm feel better place a heated fan a the beside to facilitate drying supporting the casted arm with a firm grasp
wrap the arm of the child's doll or toy prior to the procedure think about the developmental stage
the nurse is preparing to assist with applying a cast to a preschoolers arm. which of the following actions should the nurse take wrap the arm of the childs doll or toy prior to procedure tell the child this will make your arm feel better place a heated fan at the bedside to facilitate drying support the casted arm with a firm grasp
wrap the arm of the childs doll or toy prior to the procedure
the nurse is caring for a pediatric client diagnosed with Tetralogy of Fallot. After speaking with the physician, the parents state to the nurse. "The doctor said something about our child having too many RBCs. we don't understand how that could happen" what is the best response by the nurse the dr was talking about polycythemia. its common with this type of heart disorder it is very complicated process. since your child has tetralogy of fallot their body is overtaxed with everything it does. the amount of RBCs being produced is just one more thing the heart has to deal with your childs body is trying to compensate for the low blood oxygen levels form the heart defected by making more RBCs byt this makes the heart actually work harder I'm not really sure what RBCs have to do with the heart defect your child has. we should ask your doctor
your childs body is trying to compensate for the low blood oxygen levels form the heart defected by making more RBCs byt this makes the heart actually work harder
