School-Aged Child
Which statement by a parent whose child was just diagnosed with pediculosis capitis (head lice) demonstrates an understanding of the safety and efficacy of the common medications used to treat the infection? "I am going to request a prescription for lindane because it works the best." "After I shampoo, I will use the special comb to get the nits out." "Most over-the-counter lice treatments are 100% effective at killing all the eggs." "I can give a second treatment the next day if any lice remain."
"After I shampoo, I will use the special comb to get the nits out."
A nurse is teaching the proper use of crutches to a school-age child with a femur fracture with no weight bearing. What will the nurse include with teaching about walking with crutches? "After advancing both crutches the length of one step, move your 'good' leg forward." "After advancing both crutches the length of one step, move your 'bad' leg forward." "Advance one crutch forward on the affected side, then advance your 'good' leg." "Advance the one crutch forward on your good side, then advance your 'bad' leg."
"After advancing both crutches the length of one step, move your 'good' leg forward."
A client with iron deficiency anemia was prescribed ferrous sulfate. Which statement by the caregiver would indicate a need for further instruction on proper administration? "I mix the medication in milk to make it taste better." "I give the medication in the morning before breakfast." "I give the ferrous sulfate at a different time than my child's other medications." "I encourage my child to drink lots of fluids."
"I mix the medication in milk to make it taste better."
A child newly diagnosed with rheumatic fever is to receive penicillin therapy. Which statement by the parents should lead the nurse to judge that the parents understand the teaching about penicillin as part of the treatment plan? "Our child should take the medication until the primary health care provider discontinues it." "How long will it take for the penicillin to help relieve the joint discomfort?" "We need to also give these pills to our other children to prevent them from getting rheumatic fever." "We should give our child the medication with meals."
"Our child should take the medication until the primary health care provider discontinues it."
A nurse is taking a health history of a 10-year-old child and discovers that the child has difficulties in urinary control during the day. The parents are confused about the condition and ask the nurse for help. What is the most appropriate response by the nurse? "Lack of urinary control during the day is indicative of a urinary tract infection." "There may be a significant stressor in your child's life that's causing this." "Your child must be forgetting to go to the bathroom during the day." "You need to provide suitable undergarments to prevent embarrassment."
"There may be a significant stressor in your child's life that's causing this."
The nurse admits an 8-year-old child who is unconscious secondary to ketoacidosis. During the admission history, which parental statement is most consistent with the diagnosis of insulin-dependent diabetes? "They've become almost hyperactive in the past month." "They started to wet the bed at night for the first time in 3 years." "They seem to be gaining weight lately." "They've lost their appetite in the past 2 weeks."
"They started to wet the bed at night for the first time in 3 years."
The parent of a school-age client with diabetes tells the nurse that they do not want the school to know about their child's condition. Which is the nurse's best response? "Our office will not discuss your child's diabetes with the school without your written permission." "What is it that concerns you about having the school know about your child's condition?" "It would be fine not to tell your child's friends, but the teacher must know." "To keep your child safe, it is necessary for all adults in the school to know about the condition."
"What is it that concerns you about having the school know about your child's condition?"
The nurse obtains the initial health history from a 10-year-old child with abdominal pain and suspected appendicitis. Which question would be most helpful in eliciting data to help support the diagnosis? "Where did the pain start?" "What did you do for the pain?" "How often do you have a bowel movement?" "Is the pain continuous, or does it let up?"
"Where did the pain start?"
A healthcare provider prescribes meperidine 0.8 mg/kg every 4 hours PRN for a school-age child weighing 66 lb (30 kg). How many milligrams of meperidine will the nurse calculate as the potential maximum dose of meperidine the child could receive in 24 hours? Record your response as a whole number.
144 mg
A child is to receive IV fluids at a rate of 95 mL/hr. The tubing for the infusion delivers 10 drops/mL. At which drop rate should the nurse infuse the solution? 10 drops/min 14 drops/min 16 drops/min 20 drops/min
16 drops/min
A nurse is preparing to administer 500 mL of an intravenous solution to a child over 12 hours via tubing that delivers microdrips at 60 gtt/mL. At what rate should the nurse infuse the solution?
42 gtt/min
A 10-year-old client with asthma is prescribed 2 mg of albuterol syrup four times per day. The syrup is available as a formulation of 2 mg/5 mL. How many milliliters of syrup should the nurse administer with each dose? Record the answer as a whole number.
5 mL
The school nurse is conducting health assessments for a group of children. Which of the following situations encountered by the nurse raises suspicion of child neglect? A child states, "I don't like my mother." A child reports of constant hunger. A child doesn't want to play with others. A child tries to get attention from the nurse.
A child reports of constant hunger.
The nurse should assess the child with excessive vomiting secondary to pyloric stenosis for which acid-base imbalance? respiratory alkalosis respiratory acidosis metabolic alkalosis metabolic acidosis
metabolic alkalosis
A child who is of preschool age is diagnosed as having severe autism. The most effective therapy involves which intervention? antipsychotic medications group psychotherapy one-on-one play therapy social skills group
one-on-one play therapy
Which nursing action is most appropriate to include in the plan of care to meet the emotional needs of a dying child during the last days of life? Restrict visitors to the parents to avoid overtaxing the child. Answer the child's questions about illness and death honestly. Focus on the child's physical needs to attempt to prevent sadness. Encourage the child to play quietly with a roommate to provide pleasure.
Answer the child's questions about illness and death honestly.
A child is admitted with a tentative diagnosis of shigella. The nurse performs which intervention(s)? Select all that apply. Assess the child for nausea and vomiting. Collect a stool specimen for white blood cells (WBCs). Place the child on airborne precautions. Monitor the child for signs and symptoms of dehydration. Initiate an intake and output record.
Assess the child for nausea and vomiting. Collect a stool specimen for white blood cells (WBCs). Monitor the child for signs and symptoms of dehydration. Initiate an intake and output record.
A school-age child hospitalized with acute poststreptococcal glomerulonephritis during the acute stage has elevated blood pressure and low urine output for 14 hours. What should the nurse do next? Assess the child's neurologic status. Encourage the child to drink more water. Advise the child to eat a low-sodium breakfast. Help the client ambulate in the hallway.
Assess the child's neurologic status.
A 9-year-old child is admitted to the pediatric unit for treatment of cystic fibrosis. A nurse assessing the child's respiratory status should expect to identify: production of thick, sticky mucus. harsh, nonproductive cough. stridor. unilateral decrease in breath sounds.
production of thick, sticky mucus.
A child is admitted with a tentative diagnosis of clinical depression. Which assessment finding is most significant in confirming this diagnosis? irritability sadness weight gain fatigue
sadness
A parent of a 7-year-old child and a 10-year-old child is concerned about what they should tell their children regarding their spouse's impending death from aggressive breast cancer. How should the nurse respond to the client's spouse? Refer the family to pastoral care services. Encourage the client's spouse to come to terms with their own grief. Suggest that the health care provider (HCP) tell the children about the seriousness of their parent's illness. Begin education about strategies for communication with their children.
Begin education about strategies for communication with their children.
Several children in a kindergarten class have been treated for pinworm. To prevent the spread of pinworm, the school nurse meets with the parents and explains that they should: tell the children not to bite their fingernails. not let children share hairbrushes. tell the children to cover their mouths and noses when they cough or sneeze. have their children immunized.
tell the children not to bite their fingernails.
A nurse is caring for a child with type 1 diabetes mellitus at camp. The child is irritable and has a headache. What should the nurse do first? Administer 2 oz (60 mL) of orange juice. Notify the health care provider (HCP) about the child's status. Check the child's blood glucose level. Send the child back to the planned activities.
Check the child's blood glucose level.
A 9-year-old child presents to a school nurse and reports arm and leg pain. Upon assessment, the nurse identifies numerous purple to yellow ecchymotic areas. When asked, the child says that the bruises are the result of "being in trouble at home." Which action by the nurse is most appropriate? Arrange for the child to speak with the school psychologist as soon as possible. Arrange for a meeting with the nurse, psychologist, school administrators, and the child's parents. Contact the authorities immediately. Contact an ambulance to transport the child to the emergency department.
Contact the authorities immediately.
Parents of a 6-year-old tell a healthcare provider that the child has been having periods of unawareness with short periods of staring. Based on this history, the child is probably having which type of seizure? complex partial myoclonic typical absence tonic
typical absence
The nurse observes as a child with Duchenne muscular dystrophy attempts to rise from a sitting position on the floor. After attaining a kneeling position, the child "walks" their hands up to their legs to stand. The nurse documents this as which sign? Galeazzi sign Goodell sign Goodenough sign Gower sign
Gower sign
The nurse is evaluating a child's skills in self-administering insulin (see figure). What should the nurse do? Have the child use both hands on the syringe. Ask the child to place the needle at a 45-degree angle. Tell the child to use a site lower on their thigh. Remind the child to rotate sites.
Have the child use both hands on the syringe.
The nurse teaches a parent of a child with congenital heart disease about the prescribed medications. What does the nurse explain is the primary reason for giving the child digoxin? to relax the walls of the heart's arteries to improve the strength of the heartbeat to prevent irregularities in ventricular contractions to decrease inflammation of the heart wall
to improve the strength of the heartbeat
A child who was intubated after a craniotomy now shows signs of decreased level of consciousness. The health care provider (HCP) prescribes manual hyperventilation to keep the partial pressure of arterial carbon dioxide (PaCO2) between 25 and 29 mm Hg and the partial pressure of arterial oxygen (PaO2) between 80 and 100 mm Hg. The nurse interprets this prescription based on the understanding that this action will accomplish which goal? Decrease intracranial pressure. Ensure a patent airway. Lower the arousal level. Produce hypoxia.
Decrease intracranial pressure.
What is the primary reason that the nurse inserts an indwelling urinary catheter in a child with severe burns? to monitor for a urinary tract infection to measure urine output accurately to prevent urinary retention to assess urine specific gravity
to measure urine output accurately
The parents of a child on sulfamethoxazole and trimethoprim for a urinary tract infection report that the child has a red, blistery rash. What instruction should the nurse give the parents? Apply an anti-itch lotion to the affected areas at least twice a day. Discontinue the medicine and come for immediate further evaluation. Use sunblock and avoid midday sun while on the medication. Increase the child's fluid intake to at least 2500 mL a day.
Discontinue the medicine and come for immediate further evaluation.
A nurse manager plans care for an 8-year-old child who requires around-the-clock care by unlicensed assistive personnel. How does the nurse best ensure safe care for the client? Ensure that the work is divided equitably to prevent staff burnout and rapid turnover. Provide written instructions, education, and ongoing supervision. Ensure that the unlicensed assistive personnel are executing the plan of care. Ask the client and family for feedback about the rendered care every week.
Provide written instructions, education, and ongoing supervision.
The nurse obtains a history from the parents of a child diagnosed with diarrhea due to Salmonella. The nurse should ask the parents if the child has been exposed to which possible source of infection? nonrefrigerated custard a pet canary undercooked eggs unwashed fruit
undercooked eggs
Which intervention should the nurse perform for a child who is receiving chemotherapy and allopurinol? Encourage a high fluid intake. Omit carbonated fluids. Give foods that are high in potassium. Limit foods that are high in natural sugar.
Encourage a high fluid intake.
A 7-year-old child is brought to the clinic by a parent for a school physical. When the child is prepared for examination, which interventions should the nurse provide to ensure the child's comfort? Offer the option of the parent staying or remaining in the waiting room. Explain the purpose of the equipment being used during the examination. Have the child take off all of their clothing and put on a client gown. Distract the child with bright colors.
Explain the purpose of the equipment being used during the examination.
Which of the following should the nurse expect to include in the plan of care for a child who is diagnosed with rheumatic fever and carditis and admitted to the hospital? Ensuring continuous parental presence at the child's bedside. Providing the child with periods of rest. Encouraging participation in age-appropriate activities. Advising the child to eat as much as possible.
Providing the child with periods of rest.
When teaching parents about fifth disease (erythema infectiosum) and its transmission, the nurse should provide which information? Fifth disease is transmitted by respiratory secretions. Fifth disease has an unknown transmission mode. Fifth disease is transmitted by respiratory secretions, stool, and urine. Fifth disease is transmitted by stool.
Fifth disease is transmitted by respiratory secretions.
The nurse teaches the child with scoliosis being treated with a Boston brace about exercises. The nurse explains that the exercises are performed primarily for what reason? to decrease back muscle spasms to improve the brace's traction effect to prevent spinal contractures to strengthen the back and abdominal muscles
to strengthen the back and abdominal muscles
Which intervention should the nurse implement to help minimize joint pain in a child with rheumatic fever? Massage the affected joints. Apply ice to the affected joints. Limit movement of the affected joints. Encourage progressive weight bearing.
Limit movement of the affected joints.
The nurse is conducting a home visit with a school-age child with a physical disability. What behaviors by the child alert the nurse to overprotective parenting? dependency, fearfulness, and lack of outside interests extreme independence, defiance, and a high level of risk-taking behaviors shyness combined with a desire for friends and feelings of loneliness lack of insight about physical limitations and grandiose thinking
dependency, fearfulness, and lack of outside interests
The nurse provides postoperative care to a child after insertion of a ventriculoperitoneal shunt. Which action is most indicated? Administer narcotics for pain control. Check the urine for glucose and protein. Monitor for increased temperature. Test cerebrospinal fluid leakage for protein.
Monitor for increased temperature.
A child returns to the pediatric unit after a bowel resection. Which action has the highest priority? Administer intravenous (IV) fluids. Keep the child on nothing-by-mouth status. Monitor vital signs frequently. Assess the child's pain level.
Monitor vital signs frequently.
The nurse cares for a child who has been receiving long-term steroid therapy. The nurse should assess the child for which complication? usual behavior and temperament loss of weight from baseline development of truncal obesity demonstration of a growth spurt
development of truncal obesity
Which use of restraints in a school-age child should the nurse question? to substitute for observation to ensure the child's comfort or safety to facilitate examination to aid in carrying out procedures
to substitute for observation
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than they were when the nurse assessed the client the previous hour. What should the nurse do next? Raise the head of the bed. Notify the health care provider (HCP). Turn the client to the side Obtain an oximeter reading.
Notify the health care provider (HCP).
A school nurse assesses that an 8-year-old child is preoccupied with sexual comments and activities. The nurse is concerned that the child may have been sexually abused at home. What is the nurse's best response to this situation? Notify the local Child Protective Services. Continue to observe the behavior of the child. Discuss the child's behavior with the parents. Advise the child that the inappropriate behavior must stop.
Notify the local Child Protective Services.
Which measure should the nurse include in the care plan for a child who is receiving high-dose methotrexate therapy? Keep the child in a fasting state. Obtain a white blood cell (WBC) count. Prepare for radiography of the spinal canal. Collect a specimen for urinalysis.
Obtain a white blood cell (WBC) count.
A school-age child with glomerulonephritis reports a headache and blurred vision. What immediate action should the nurse take? Put the client to bed. Obtain the child's blood pressure. Notify the health care provider (HCP). Administer acetaminophen.
Obtain the child's blood pressure.
A child is receiving amoxicillin for otitis media. Which action should the nurse recommend the mother do when the child develops diarrhea? Begin clear fluids. Withhold food and fluids for 2 hours. Offer yogurt several times a day. Restrict the intake of pizza.
Offer yogurt several times a day.
The nurse obtains a history from parents who are suspected of abusing their child. Which characteristic about the parents should the nurse particularly assess? attentiveness to the child's needs self-blame for the injury to the child ability to relate the child's developmental achievements difficulty with controlling aggression
difficulty with controlling aggression
The nurse cares for a 5-year-old child after a tonsillectomy and adenoidectomy, Which finding should alert the nurse to suspect early hemorrhage? drooling of bright red secretions pulse rate of 95 bpm vomiting of 25 mL of dark brown emesis blood pressure of 95/56 mm Hg
drooling of bright red secretions
A 4-year-old child is admitted for an appendectomy. What is the most appropriate way for the nurse to prepare the child for surgery? Explain how to use a patient-controlled analgesia (PCA) pump for pain control. Permit the child to play with the blood pressure cuff, electrocardiogram (ECG) pads, and a face mask. Show the child a video about the surgery. Show the child a visual analog scale (VAS) based on a scale from 0 to 10.
Permit the child to play with the blood pressure cuff, electrocardiogram (ECG) pads, and a face mask.
A nurse is caring for a 7-year-old client with Down syndrome. The nurse uses what approach to best implement appropriate care for the client? Plan interventions according to the child's age. Anticipate significant developmental delays. Plan interventions according to developmental age. Allow the client to have control over how care is delivered.
Plan interventions according to developmental age.
The nurse is caring for a child in Bryant traction (see figure). What action should the nurse take? Adjust the weights on the legs until the buttocks rest on the bed. Provide frequent skin care. Place a pillow under the buttocks. Remove the elastic leg wraps every 8 hours for 10 minutes.
Provide frequent skin care.
The nurse assesses a child with suspected juvenile hypothyroidism. Which signs or symptoms should the nurse expect this child to manifest? short attention span and weight loss weight loss and flushed skin rapid pulse and heat intolerance dry skin and constipation
dry skin and constipation
An 11-year-old child is sent to the school nurse reporting difficulty reading the blackboard in the classroom. The nurse assesses that the child does not have difficulty reading a laptop screen or reading books. What is the best action by the nurse? Request that the child be screened for myopia. Inform the teacher that the child has strabismus. Try to determine the cause of the child's photophobia. Call the parents to discuss therapy for hyperopia.
Request that the child be screened for myopia.
The nurse prepares to draw blood from a child with hemophilia. What is the most appropriate method to use? Use finger punctures for lab draws. Prepare to administer platelets. Apply heat to the extremity before venipunctures. Schedule all labs to be drawn at one time.
Schedule all labs to be drawn at one time.
A school nurse is examining a student at an elementary school and notes vesicular lesions that ooze, forming crusts on the face and extremities. Which actions by the nurse are most appropriate? Contacting the child's physician due to possible scarlet fever. Sending the child home and encourage evaluation by physician. Contacting the health department regarding German measles outbreak. Cleansing the lesions with Dakin's solution.
Sending the child home and encourage evaluation by physician.
Which observation by the nurse indicates that the mother of a child receiving home IV nafcillin therapy requires further teaching? The mother: allows the antibiotic to run into the child's vein over a period of 30 minutes. flushes the venous access site with heparin 20 minutes after giving the antibiotic. stops the infusion when the area around the insertion site becomes hard and reddened. calls the home health nurse because the antibiotic solution will not infuse.
flushes the venous access site with heparin 20 minutes after giving the antibiotic.
A newer nurse is assigned to care for several children with advanced cancer. The nurse finds the assignment extremely challenging due to a lack of experience and is considering requesting a different assignment. What is the best course of action by the nurse to resolve the situation? Notify the nurse manager that the assignment will be refused. Bring reference materials to the room when providing care. Pretend to be ill and leave the unit as soon as possible. Suggest a shared assignment with a senior staff nurse.
Suggest a shared assignment with a senior staff nurse.
A parent says that their family will soon be traveling abroad and asks why the drinking water in many regions must be boiled. The nurse should explain that, in addition to various types of dysentery, contaminated drinking water is most commonly responsible for the transmission of which disease? yellow fever brucellosis poliomyelitis typhoid fever
typhoid fever
A 10-year-old client has arrived to sleepover summer camp. The child's parent states that the client has just been diagnosed with insulin-dependent diabetes mellitus but does not perform self-injections. The child is nervous, cries, and jerks away when the nurse initially attempts to give insulin. Which is the best nursing action? Call the parents and inform them that the insulin cannot be given. Ask the camp director to assist in administering the insulin injections. Teach the child to self-administer the insulin injections. Chart that the child refused the medication.
Teach the child to self-administer the insulin injections.
After staying several hours with their 9-year-old child who is admitted to the hospital with an asthma attack, the parent leaves to attend to their other children. The child exhibits continued signs and symptoms of respiratory distress. Which finding should lead the nurse to believe the child is experiencing anxiety? not able to get comfortable frequent requests for someone to stay in the room inability to remember their exact address verbalization of a feeling of tightness in their chest
frequent requests for someone to stay in the room
The nurse is explaining the nature of the fracture to the parents of a school-age client who has a greenstick fracture. Which drawing should the nurse choose to explain the fracture to the parents?
The bone is cracked only on one side, not all the way through
One day after an appendectomy, a 9-year-old rates pain at 4 out of 5 on the pain scale but is playing video games and laughing with a friend. What should the nurse document on the child's chart? The child is in no apparent distress, and no pain medication is needed at this time. The child rates pain at 4 out of 5. Administered pain medication as ordered. The child does not understand the pain scale. Performed teaching to help child match pain rating to how child appears to be feeling. The child rates pain at 4 out of 5; however, appears to be in no distress. Reassess when the client is visibly showing signs of pain.
The child rates pain at 4 out of 5. Administered pain medication as ordered.
A nurse is developing a plan of care with the parents of a school-age client diagnosed with a seizure disorder. What instructions should the nurse give the parents to promote the client's growth and development? The child will need activity limitation and will be unable to perform as well as their peers. There is potential for a learning disability, and the child may need tutoring to reach their grade level. The child will likely have normal intelligence and be able to attend regular school. There will be problems associated with social stigma, and parents should consider home-schooling.
The child will likely have normal intelligence and be able to attend regular school.
A child has discomfort and swelling around the IV insertion site. Which assessment should the nurse make first? if the intravenous catheter has come out of the vein how long the intravenous site has been used any history of allergies to the plastic in the intravenous catheter signs that the rate of fluid administration is too rapid for the vein size
if the intravenous catheter has come out of the vein
Which situation indicates that more teaching is needed when a 10-year-old is hospitalized for the first time? The parents choose to leave to let the child build a relationship with the staff. The parents relate readily with the staff and calmly with the child. The child accepts and responds positively to comforting measures. The child discusses procedures and activities without evidence of anxiety.
The parents choose to leave to let the child build a relationship with the staff.
An adolescent client is having surgery to repair a fractured left femur. As a part of the preoperative safety checklist, what should the nurse do? Ask the teen to point to the surgery site. Verify that the site, side, and level are marked. Ask the parents if they have signed the operative permit. Restate the surgery risks to the parents.
Verify that the site, side, and level are marked.
A child with hemophilia presents with a burning sensation in the knee and reluctance to move the body part. The nurse collaborates with the care team to provide factor replacement and implements which intervention? administers an aspirin-containing compound institutes rest, ice, compression, and elevation (RICE) begins physical therapy with active range of motion initiates skin traction immobilization
institutes rest, ice, compression, and elevation (RICE)
A school-age child diagnosed with attention deficit hyperactivity disorder is prescribed methylphenidate. What finding should alert the school nurse to the possibility that the child is experiencing a common side effect of the drug? loss of appetite vomiting photosensitivity weight gain
loss of appetite
A client is diagnosed with cystic fibrosis. Which intervention would be performed to prevent nutrition complications? administration of pancreatic enzymes chest physiotherapy administration of Maalox assess and record calorie intake
administration of pancreatic enzymes
A 7-year-old client is prescribed a clear liquid diet by the healthcare provider after tonsillectomy. What nutrition will the nurse give the child? Select all that apply. cream of chicken soup orange juice ice cream apple juice lime gelatin chicken broth
apple juice lime gelatin chicken broth
A child with diabetes insipidus receives desmopressin acetate. When evaluating for therapeutic effectiveness, the nurse should interpret which finding as a positive response to this drug? decreased urine output increased urine glucose level decreased blood pressure relief of nausea
decreased urine output
A child with partial- and full-thickness burns is admitted to the pediatric unit. What should be the priority at this time? preventing wound infections evaluating vital signs frequently maintaining fluid and electrolyte balance managing the child's pain
maintaining fluid and electrolyte balance
A parent of a 9-year-old-child scheduled to have surgery expresses concern about the potential for postoperative infection. A nurse provides the parent with information about the measures taken to maintain surgical asepsis. Typical surgical asepsis involves: using sterile surgical scrubs. preoperative cleansing of jewelry worn by the surgical team. applying bandages to cover any wounds surgical team members have. performing a preoperative surgical scrub for at least 3 to 5 minutes.
performing a preoperative surgical scrub for at least 3 to 5 minutes.
The nurse assesses a child with acute glomerulonephritis. The nurse should monitor the child closely for which complication? fever hyponatremia hypertension weight loss
hypertension
A 9-year-old child is placed on a liquid preparation of ferrous sulfate for the treatment of iron deficiency anemia. The nurse is teaching the parents about the side effects of ferrous sulfate. Which of the following statements is the most appropriate information for the nurse to convey to the parents? "The child's stool pattern may increase in frequency." "Have the child take the medicine through a straw." "Be sure the child wears sunscreen while taking this medication." "Watch the child for problems with gait or balance."
"Have the child take the medicine through a straw."
A nurse is teaching the parents of a 7-year-old child about the use of protective restraints in the car to help avoid spinal cord injuries in car accidents. The child weighs 20 kg (44 lb). Which of the following information should the nurse emphasize in the teaching? using a booster seat using a lap seatbelt using a lap and shoulder belt using a rear-facing car seat
using a booster seat
When developing a plan of care with a parent who expresses concern that their 10-year-old son is overweight, the nurse should expect to include which intervention? eliminating the child's between-meal snacks eliminating the intake of fat from the diet including the child in meal planning and preparation encouraging slow weight loss
including the child in meal planning and preparation
A 7-year-old client with facial cellulitis is admitted to the hospital for observation and administration of a 10-day course of intravenous (IV) antibiotics. Which interventions would help this client cope with the insertion of a peripheral IV line? Select all that apply. Explain the procedure to the child immediately before the procedure. Apply a topical anesthetic to the IV site before the procedure. Ask the child which hand is used for drawing. Explain the procedure to the child using abstract terms. Block the child's view of the equipment to be used in the procedure. Tell the child that the procedure will not hurt.
Apply a topical anesthetic to the IV site before the procedure. Ask the child which hand is used for drawing.
A 5-year-old child is brought to the emergency department after injuries sustained in a motor vehicle accident. The child is diagnosed with a cervical spinal cord injury. Which assessment data would the nurse consider as most significant when assessing for signs of cervical spinal cord swelling? nausea and vomiting retinal hemorrhage changes in respiration urinary retention
changes in respiration
The nurse cares for a child with leukemia. Which measure is contraindicated when the nurse assists the child with oral hygiene? applying petroleum jelly to the lips cleaning the teeth with a toothbrush swabbing the mouth with moistened cotton swabs rinsing the mouth with a nonirritating mouthwash
cleaning the teeth with a toothbrush
The parent of a school-age child with autism asks the nurse how they should tell their child that they have autism. Which response by the nurse is most therapeutic? "Explain to your child that they have a developmental disorder that makes them different from other children their age." "Schedule a case conference where the health care team can tell your child about their diagnosis of autism." "Tell your child that they are different from other kids their age and that you will always be there to support them." "Explain the definition of autism and emphasize your child's strengths as well as their areas of challenge."
"Explain the definition of autism and emphasize your child's strengths as well as their areas of challenge."
The nurse is caring for a 7-year-old child who has just returned from the postoperative unit after surgery. The child is playing in bed with toys. The child's parents are smiling and state, "Isn't it great that our child does not have any pain?" What is the best response by the nurse? "The child's activity level is the best indicator of pain." "A child who resumes usual play is not experiencing pain." "Some children distract themselves with play while in pain." "Children don't experience as much pain after surgery as adults."
"Some children distract themselves with play while in pain."
A school-age child is referred to the mental health clinic by the school nurse because they are fearful, anxious, and socially isolated. After meeting with the client, the nurse talks with their parent, who says, "It's that school nurse again. They have done nothing but try to make trouble for our family since my child started school. And now you're in on it." What is the nurse's most appropriate response? "The school nurse is concerned about your child and is only doing their job." "You don't need to feel singled out. We see a number of children who go to your child's school." "You sound pretty angry with the school nurse. Tell me what's happened." "Let me tell you why your child was referred, and then you can tell me about your concerns."
"You sound pretty angry with the school nurse. Tell me what's happened."
The nurse cares for a child with severe gastroenteritis who has been receiving intravenous therapy for the past several hours. Which finding would alert the nurse to suspect that a child may be developing circulatory overload? a drop in blood pressure change to slow, deep respirations auscultation of moist crackles marked increase in urine output
auscultation of moist crackles
A nurse is giving instructions to parents of a school-age child diagnosed with sickle cell anemia. The instructions should include: applying cold to affected areas to reduce the child's discomfort. restricting the child's fluids during crisis situations. avoiding areas of low oxygen availability such as high altitudes. encouraging the child to exercise to reduce the likelihood of crisis.
avoiding areas of low oxygen availability such as high altitudes.
A school nurse is examining a student at an elementary school. Which findings would lead the nurse to suspect impetigo? small, red lesions on the trunk and in the skin folds a discrete pink-red maculopapular rash that starts on the head and progresses down the body red spots with a blue base found on the buccal membranes vesicular lesions that ooze, forming crusts on the face and extremities
vesicular lesions that ooze, forming crusts on the face and extremities
The nurse teaches a child with leukemia about a scheduled bone marrow aspiration, The nurse determines that the teaching has been successful when the child identifies which place as the site for the aspiration? right lateral side of the right wrist middle of the chest distal end of the thigh back of the hipbone
back of the hipbone
When teaching a parent of a school-age child about signs and symptoms of fever that require immediate notification of the physician, which description should the nurse include? burning or pain with urination complaints of a stiff neck fever disappearing for longer than 24 hours, then returning history of febrile seizures
complaints of a stiff neck
