Test 1 and 2

Knowing that caregivers of a special needs child usually give of themselves in almost unending ways, the nurse will assist the parents by

Helping them develop workable health-promoting activities for themselves

The nurse is teaching parents of a 2 year-old toddler with cellulitis about temperature measurement Which statement by the parents demonstrates the need for further teaching?

We should verify any fever using a rectal thermometer for accuracy

What would the nurse include when teaching parents how to prevent external otitis (acute otitis externa or swimmer's ear)?

Wearing ear plugs when swimming

The nurse performing a health history on a child asks the parents if then child has experienced increased appetite or thirst. What body system is the nurse assessing with this question?

endocrine

As part of their orientation to there pediatric clinic rotation, an instructor is teaching a group of students how to preform CPR on a child. Two students return to demonstrate the skill using an infant manikin. What action indicates proper technique?

giving 2 breaths followed by 15 compressions

The nurse is caring for a 10-year old child admitted for a surgical procedure to be done the next day., The nurse takes the child to a special area in the playroom and lets the child start an IV stuffed bear. This is an example of

therapeutic play

The nurse cares for a child injured in an automobile accident. Based on the principles of emergency pediatric care, the nurse will initiate which action?

using the jaw-thrust technique to position the airway

Alter teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?

The shorter and wider eustachian tubes of an infant increase the risk.

The nurse is caring for a 6 year-old sickle cell client in an acute care setting. A high priority for this client's plan of care is pain relief. The nurse understands that untreated acute pain can lead to which physiologic effects?

Impaired mobility, anorexia, anxiety, sleep disturbances, and developmental regression

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

The toddler's anterior fontanel (fontanelle) is not fully closed

The parent of a 6 month old infant asks the nurse for advice about his son's thumb sucking. What would be the nurse's best response to this parent?

Thumb sucking is a healthy self comforting activity

An infant with congenital heart disease is to undergo surgery to correct the defect. The mather states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate?

"Breast milk may help to best her immune system, so you can continue to use it."

The nurse is assessing the gross motor skills of an 8-year old boy. Which interview questions facilitate this assessment?

"Do you participate in any sports?"

The nurse is providing support to the parents of a 10 year-old boy receiving emergency care. The boy is their foster child. Which comment will be most effective?

"Hold your child's hand while this is going on

A nurse is providing teaching to the mother of an adolescent girl about how to manage menstrual pain by nonpharmacologic methods. Which statement by the mother indicates a need for further teaching?

"I need to follow these instructions exactly for them to work properly."

A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates an understanding of the information?

"I should eat plenty of fresh fruits and vegetables."

The nurse is educating a 13-year-old paintball enthusiast about sports-related injuries. Which comment is most likely to be accepted by the child?

"Play tough, but wear protective gear."

A parent asks the nurse about immunizing her 7 month-old daughter against the flu. Which response by the nurse would be most appropriate?

"Since your daughter Is older than 6 months, she should get the vaccine every year."

A 9-year-old boy who is blind is admitted to the hospital. When serving him a meal in bed, which statement would be most appropriate to increase his self-esteem?

"You have a sandwich on your plate, a glass of milk to your right, and an apple to your left."

The nurse is providing teaching to the parents of a newborn prior to a heel stick. The nurse is describing the procedure and recommending various methods for the parents to help comfort their baby. Which statement by the parents indicates a need for further teaching?

'It's better if we are not in the roam for this."

A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. What would the nurse include in the child's discharge instructions?

'Wake him every 2 hours to check his movement and responses."

Three children in a family, ages 7 months, 4 years, and 9 years, have been tested for lead poisoning. The two younger children have test results reflecting elevated lead levels and they are undergoing treatment. The mother questions why her younger children were not spared but their older sibling was. What response by the nurse is most correct?

'Younger children are often impacted because of their play behaviors place them on the floors and they often put things into their mouths

The nurse working at the child community clinic must administer the influenza vaccine to the high-risk children first. Which child would she choose first?

23-month-old client who had heart surgery as an infant for a defect

The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician li the infant's apical pulse rate was:

80 beats per minute

The nurse is providing care to several children who have been brought to the clinic by the parents reporting cold-like symptoms. The nurse would most likely suspect sinusitis in which child?

A 7-year-old with halitosis and thick, yellow nasal discharge

For which child would nonopioid analgesics be recommended?

A child with juvenile arthritis

The nurse tells a joke to a 12-year old to distract him from a painful procedure. What pain management technique is the nurse using?

Distraction

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 to help this child?

Elevate the head of bed

The nurse is watching toddlers at play. Which normal behavior would the nurse observe?

Toddlers engage in parallel play.

The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's 'negativism." Based on Erikson's theory of development, what would be the appropriate intervention for this child?

Encourage the child to pick out his own clothes.

An infant is diagnosed with a congenital cataract. What would the nurse expert to assess?

Absent red reflex

A child is found submerged in the family's backyard pool. The child is pulled from the water an1-1 is called. Upon arrival to the emergency department, the nurse does a quick assessment on the child. What is most important for the nurse to assess?

Airway

A group of nursing students are reviewing the medications used to treat asthma. The students demonstrate understanding of the information when they identity which agent as appropriate for an acute episode of bronchospasm?

Albuterol

The nurse is conducting a health history for a 9 year old chid with stomach pains. What is a recommended guideline when approaching the child for information?

Allow the child to control the pace and order of the health history.

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?

Amblyopia

When 12-year-old Chelsie comes in for her annual check-up, the nurse must take a health history and do a physical exam. What is the most appropriate manner for the nurse to obtain a health history?

Ask Chelsie if she minds if her mother is in the room with her.

The nurse is performing a cultural assessment of a family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Ask the family about their culture and listen

The nurse is caring for a 1-year-old boy who was a premature infant. What must the nurse do to attain accurate developmental assessment data?

Assess for developmental progress based on the child's corrected or adjusted age

A 10-month-old infant is brought to the emergency department by the parents after they found the infant face down in the bathtub. The parent states, "I just left the bathroom to answer the phone. When I came back, I found my infant." Which nursing action is priority?

Assess the client's respiratory rate.

A 7 year old boy has reentered the hospital the second ome in a months. Which intervention is particularly important at this time?

Assessing his parents coping abilities.

The nurse is teaching the family of a 6-year-old boy with allergic conjunctivitis hew to minimize his exposure to allergens. What action would the nurse anticipate as being most difficult for the Family to implement?

Encouraging the child to keep his hands away from his eyes

When preparing to apply a restraint to a child what would be most important for the nurse to

Explain that safety, not punishment is the reason for the restraint

Based on Erikson's developmental theory, what is the major developmental task of the adolescent?

Finding an identity

A nurse is preparing to teach insulin administration to an adolescent newly diagnosed with diabetes. Which strategies will the nurse Use to assist the adolescent's learning? Select all th apply.

Go slow and repeat information often Use plain nonmedical language to explain procedures Teach the prioritized information

The nurse is caring for a 7-year-old postoperative child who is reporting an 8 out of 10 on a pain intensity scale. The child's parent is requesting pain medication. The child received ibuprofen 3 hours ago. What is the correct nursing action?

Contact the health care provider and request an opioid pain medication.

The attending nurse is teaching the student nurse how to communicate effectively with children. Which method would the attending nurse recommend?

Direct questions and explanations to the child

During a follow-up visit, the parents of a 5-month old infant diagnosed with congenital heart disease tell the nurse, "We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We're so focused on the baby that it seems like our 3 year-old is lost in the shuffle." Which nursing diagnosis would the nurse identify as most appropriate?

Interrupted family processes related to demands of caring for the ill child

Shelley, a mother, is new to the community, and the family is in a low-income bracket with limited transportation options How could the pediatric nurse help Shelley get her new baby to her we child visits to promote healthy growth and development? The nurse could

Link Shelley with the community's child health clinic.

The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply.

Mental health changes History of previous suicide attempt Family disorganization Substance use disorder

What are some negative affects that chronic pain can have on the pediatric population?

Steep disturbances, exhaustion, irritability, mood disturbances, and depression

When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess?

Strawberry tongue

When caring for a child with a congenital heart defect, which assessment finding may be a sign the child is experiencing heart failure?

Tachycardia

The nurse is helping the parents and their underweight adolescent collaborate on planning a healthy menu. The nurse should be aware of which nutritional requirement of adolescents?

Teenagers have a need for increased calories, zinc, calcium, and iron for growth,

The nurse is developing a nursing care plan for a hospitalized 6-year-old. Which behavior would warrant nursing intervention?

The child does not want to play games with other children on the hospital ward.

When assessing the vision of a 2-month-old, what would the nurse use?

black-and white checkerboard

During a physical assessment of a 5-month-old child, the nurse observes the first tooth has erupted and uses the opportunity to advise the mother ​​to schedule a dental examination for the baby. When is the correct time for a dentist visit?

by the first birthday

The nurse is caring for a toddler with special needs Wrich developmental tasks related to toddlerhood might be delayed in the child with special needs?

developing language and motor skills

The nurse is conducting a pain assessment of a 10-year-old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief. What is the appropriate nursing action?

Obtain an order for a different medication.

A nurse is preparing a school aged child for a lumbar puncture. The nurse would expect to position the child in which manner?

On her side with the head flexed forward and knees flexed to the abdomen

The school nurse is preparing a talk on the influence of the media on school-age children to present at the next PTO meeting. Which fact might the nurse include in the introduction?

Parents should limit television watching and vices game playing to 2 hours per day

A 4-year-old boy has a febrile seizure during a well-child visit. What action would be the priority?

Protecting the child from harm during the seizure

The nurse caring for a child on a pediatric intensive care unit notices that when the parents go work the child is very angry and cries easily. What does the nurse suspect is occurring with this client?

Protesting phase of separation anxiety

The nurse enters the room of a client who has pneumonia. The client has a low oxygen level and is working hard to breathe. The nurse raises the head of the bed and has the client tilt her head back. What is the next appropriate action by the nurse?

Provide oxygen therapy to the client.

An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As part of preparing him for the procedure, which action would be most appropriate?

Providing detailed explanations of the procedure at least a week in advance of the process

The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which test as most helpful in determining the extent of the child's hypoxia?

Pulse oximetry

The nurse is taking a health history for a 9-year-old child with conjunctivitis. Which finding would suggest that this is allergic conjunctivitis?

Recently helped clean the basement

The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler, What condition is the girl manifesting?

Regression

The nurse is explaining to parents that the preschooler's developmental task is focused an development of initiative rather than guilt What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Reward the child for initiative in order to build sell-esteem.

The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of postoperative pain and obtains a score of 9. The nurse Interprets this to indicate that the child is experiencing:

Severe pain.

The nurse has assessed a 6-year-old child as having respiratory distress due to swelling of the epiglottis and surrounding structures. Which signs and symptoms would support this assessment?

The child is in tripod position.

A 10 year-old boy is seen in the emergency department after falling down a flight of stairs and hitting his head. The child will be monitored overnight for complications. Which occurrence in the coming hours wit warrant further assessment?

The child is increasingly irritable with his mother and caregivers.

The nurse knows that the school-age child is in Erikson's stage of industry versus inferiority. What best exemplifies a school-aged child working toward accomplishing this developmental task?

The child signs up for after-school activities.

The nurse is supervising lunch time for children on a pediatric ward. Which observation is considered abnormal for this age group?

The child uses his fingers and refuses to use a fork

The nurse is caring for an infant prescribed oral digoxin. Which finding will cause the nurse to hold the dosage and notify the primary health care provider?

The infant's serum digoxin level is 4 ng/mL (5.12 mol/L).

The nurse is assessing the Babinski sign in a 3-day-old neonate. What is a normal response?

The neonate's toes fan and the big toe has dorsiflexion.

The nurse is caring for a term neonate suffering from meconium aspiration in the nursery. The nurse reviews orders for a peripherally inserted central catheter (PICC) line placement and intubation. Which statement demonstrates the nurse's knowledge of painful procedures as related to a neonate?

The newborn's pain pathway components are developed enough at birth to experience pain.

The nurse is caring for a child who just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. Which nursing actions demonstrate knowledge of the procedure? Select all that apply.

The nurse assesses the dorsalis pedis pulse in the left foot. The nurse assesses the puncture site frequently. The nurse tells the parents that the physician will discuss the results of the procedure

The nurse is caring for a child who reports chronic pain. What is the priority nursing assessment?

The nurse is caring for a child who reports chronic pain. What is the priority nursing assessment? The pain's history, onset, intensity, duration, and location

The nurse is caring for infants in the hospital. Which infants would be at risk for failure to thrive? Select all that apply

A newborn baby with tetralogy of Fallot An infant with a cleft palate An infant born to an impoverished mother An infant with Bronchopulmonary dysplasia (chronic-lung disease)

The nurse is educating an adolescent's parents on the importance of self esteem. Which fact the nurse include as being most important to ad adolescent's self esteem?

Body image

The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?

Chief complaint

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 identity which finding?

Children develop hypoxemia more rapidly than adults do.

After teaching a group of nursing students about family centered care, which statement made by the students would best indicate that the teaching was successful?

Family centered care recognizes the concept of family as the constant

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 which problem?

Head trauma

A child is brought to the emergency department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that the child is experiencing croup. What would the nurse have most likely assessed?

Inspiratory stridor

The vision impairment in which the child can see objects at close range but rat at a distance is known as:

Myopia

The nurse is performing a neurological assessment on a child. The previous examination noted the child to be alert but answering questions inappropriately, in this exam. the child only responds to vigorous stimuli. Which action should the nurse take first?

Notify the healthcare provider