Ati nursing care of children

A nurse is collecting data from the parents of a toddler. The nurse should identify that which of the following is a risk factor for lead poisoning in the toddler? A. Living in a homes built in 1940 B. Reports of the toddler eating swordfish C. Multivitamin containers kept in a non secured location D. Using fluorescent lighting in the home

A

A nurse is contributing to the plan of care for a school aged child who has encopresis. Which of the following interventions should the nurse include in the plan of care? A. Collect data regarding any recent stress factors in the child environment B. Develop a schedule for the child to attempt bowel movement every 4 hours during the day C. Ensure the use of stool softeners is discontinued after 5 days D. Withhold privileges on days that bowl accidents occur

A

A nurse is preparing to assist with the octagonal assessment of a 2 year old toddler. Which of the following behaviors should the nurse expect during the examination? A. The child prefers to sit on the parents lap B. The child is interested in how the examination equipment works C. The child asks specific questions about body functions D. The child questions how her development compares to other children at the same age

A

A nurse is providing teaching about home care to the parent of a child who has a newly applied fiberglass leg cast. Which of the following statements should the nurse include? A. Monitor the color of your child's toes every 4 hours for 24 hours B. Your child can scratch the skin inside the car with a small wooden ruler C. Expect the cast to remain damp for 72 hours D. You can take your child swimming and give baths as usual

A

A nurse is reinforcing teaching about home care with the guardian of an adolescent who has hemophilia. Which of the following pieces of information should the nurse provide? A. Encourage the adolescent to participate in non contact sports B. Provide the adolescent with a firm bristled toothbrush C. Administer aspirin to the adolescent for episodes of pain D. Provide disposable razors to the adolescent for shaving

A

A nurse on a pediatric unit receives laboratory results for several clients which of the following results should the nurse report to the provider? A. A client who has bacterial pneumonia and a wbc count of 15,800 B. A client who has chronic kidney disease and a calcium level of 8..7 C. A client who has diabetic ketoscidisis and a blood glucose of 375 D. A client who has leukemia and a hematocrit of 32

A

A nurse in an acute pediatric unit is caring for a 2 year old child who has separation anxiety when her parents leave for work. The nurse should identify which of the following behaviors as a manifestation of the stage of despair? A. The child tries to bite the nurse B. The child is withdrawn and refuses to talk C. The child attempts to run away to find her parents D. The child screams and cries loudly

B

A nurse is assisting the provider with an evacuation of gross and fine motor behaviors in a toddler. Which of the following behaviors is an expected achievement for a 3 year old child? A. Walking backward with heel to toe B. Standing on 1 feet for several seconds C. Using scissors to cut out shapes D. Printing letters with a pencil

B

A nurse is assisting with the plan of care for a child who has hyperthermia. Which of the following actions should the nurse take? Administer antipyretics to the child every 4 to 6 hours Position the child on a cooling blanket and cover her with a sheet Place the child in a tub filled with water cooled to 26.7 to 29.4 Assess the child temperature every 2 hours during the cooling process

B

A nurse is caring for a school aged child who begins to have a tonic clonic seizure when leaving the bathroom. Which of the folding actions should the nurse take first? A. Obtain a portable suction machine and suction tubing B. Ease the child to the floor in sims position C. Time the length of the seizure D. Notify the child's parents

B

A nurse is obtaining a temperature reading from an 18 month old infant. Which of the following methods should the nurse take? A. Pull the pinna upward and insert them tympanic thermometer probe into the ear canal B. Insert the lubricants tip of the thermometer 2.5 centimeters into toddlers rectum C. Obtain an axillary temperature and at 1 degrees to the reading D. Place the tip of the thermometer in the left or right posterior sublingual pocket

B

A nurse is reinforcing teaching with a 10 year old child who requires crutches for a 2 point gait. Which of the following instructions should the nurse reinforce? A. In the tripod position, all your weight should be on a leg B. Advance the left crutch and the right leg at the same time C. The crutches should be about 3 inches to the side of the foot when walking D. You should maintain a half inch of space between the crutch pad and your armpit

B

A nurse is reviewing recommended immunizations with the guardian of a 2 month old infant. Which of the following statements should the nurse make? A. Your baby can receive the varicella vaccine at 6 months of age B. Your baby can start the pneumococcal vaccine now C. Your baby should receive the flu vaccine before 6 months of age D. Your baby can start the measles, mumps, and rubella vaccine now

B

A nurse is reviewing the dynamics of a family in which abuse is suspected. Which of the following findings should the nurse report to the provider? A. The parents provide emotional support to the child during the assessment process B. The child has several unexplained scars and bruises C. The child cries and appears afraid of the health care provider D. The parents offer consistent detailed stories about the child injuries

B

A nurse is collecting data on an infant who has coatctation of the aorta. Which of the following findings should the nurse expect? A. Clubbing of the nails B. Hypercyanotic spells C. Elevated Bp in the arms D. Cyanosis at rest

C

A nurse is contributing to the plan of care for an infant who has an Unrepaired myrlomeningocele. Which of the following actions should the nurse take ? Fasten the diaper loosely Cleanse the meningeal sac with povidone iodine Palpate the abdomen for bladder distention Cover the sac with a dry sterile gauze dressing

C

A nurse is contributing to the preoperative teaching plan for a school aged child who is scheduled for cardiac surgery. Which of the following recommendations should the nurse make? A. Limit education sessions to 10 min B. Use simple concrete terms when giving explanations C. Use photographs to help explain the procedure D. Schedule education session 2 days prior to the procedure

C

A nurse is coordinating care for an adolescent who requires peritoneal dialysis to treat an acute kidney injury. Which of the following actions should the nurse take? A. Obtain the adolescent weight and vital signs once per day at the same time B. Immediately stop the pd infusion if the adolescent reports feeling full C ask if the adolescent would like to record the asking of solution infused D reinforce teaching with the adolescent by emphasizing the right way to do things

C

A nurse is reinforcing teaching with the guardians of a month old infant about how to play with the infant. Which of the following play activities should the nurse suggest for a 4 month old A. Show the infant a board book with large pictures B. Imitate the sounds of a different farm animals for the infant C. Give the infant a large push pull toy D. Allow the infant to splash In the bathtub

D

A nurse is collecting data from a child who has type 1 diabetes Mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia A. Tachypnea B. Dry mouth C. Flushed skin D. Tachycardia

D

A nurse is reinforcing teaching with an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the non pharmacological strategy of thought stopping? A. Assemble a puzzle B. Discuss a recent pleasurable event C. Tighten and then relax each body part D. Repeat memorized facts about the painful event

D

A nurse is reinforcing teaching with the parents of a toddler who has a anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include? A. Common sites for an injection of epinephrine are the fatty tissue found in the upper arm and in the lower abdomen B. Administer epinephrine prior to giving your child peanut products in the future C. No further treatment is needed after injecting epinephrine D. You will need to increase the dosage as your child gains weight

D

A nurse is reinforcing teaching with the parents of an infant who has a cleft. The parents ask the nurse how long they should wait before the infant should have corrective surgery. The nurse explains that the parents should wait no longer than 6 to 12 months to avoid which of the following outcomes? A. Repeated ear infections B. Nutritional deficits C. Immune system deficits D. Difficulty with language acquisition

D

A nurse is caring for a 4 month old infant who has tetralogy of fallot And experiences a hypercyanotic spell. Which of following actions should the nurse take? A . Place the infant in knee chest position B. Begin cpr C. Prepare to intubate the infant D. Administer Iv adenosine

A

A nurse is discussing the cause of chronic diarrhea with a client. Which of the following conditions is caused by malabsorption? A. Celiac disease B. Ulcerative colitis C. Hirschsprung's disease D. Crohn's disease

A

A nurse is caring for a toddler who reportedly infested a poisonous substance. Which of the following interventions should the nurse perform first? A. Inspect the mouth for the presence of suspected poison B. Identify the poisonous substance C. Collect data on the child's vital signs D. Place the child in a knee chest position

C

A nurse is reinforcing education with the parent of a toddler who has phenylketonuria and is prescribed a restricted phenylalanine diet. Which of the following foods would be appropriate choice for this child? A. Peanut butter sandwich B. Scrambled eggs C. French fries D. Slice of cheddar cheese

C

A nurse is reinforcing preoperative education with an 8 year old child prior to cardiac surgery. Which of the following actions should the nurse take? A. Provide the education for the child immediately before surgery B. Plan the teaching session to last no longer than 60 minutes C. Use a full with tubes and an incision to explain the surgery D. Discuss methods to cover the scar once healing has occured

C

A nurse i I s collecting data for a developmental assessment on a 3 year old client. Which of the following commands should the nurse expect the child to successfully complete? A. Put on your shoes B. Name the days of the week C. Cut out this picture with scissors D. Balance on a foot with your eyes closed

A

A nurse is reinforcing teaching with the parents of a 10 year old child who has iron deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching? A. I will give my child an iron tablet once each day at bedtime B.I will administer the iron tablet with orange juice C. I will encourage my child to take an antacid with the iron tablet D. I will crush the iron tablet prior to giving it to my child

B

A nurse is caring a school aged child who had an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complication related to the casting? A. The child reports a pain level of 5 on a scale of 0 to 10 B. The child's hands are cool bilaterally C. The child reports tightness at the wrist D. The child's grasp is weak

C

A nurse is caring for a school aged child who has an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complain complication remained to the casting? A. The child reports a pain level of 5 on a scale of 0 to 10 B. The child's hands are cool bilaterally C. The child reports tightness at the wrist D the child's grasp is weak

C

A nurse is caring for a school aged child who has epilepsy and is experiencing a tonic clonic seizure. Which of the following actions should the nurse take A. Obtain emergency equipment from the nurses station B. Assist the child into a flat supine position C. Listen confining clothing D. Administer an oral anti seizure medication

C

A nurse is reinforcing teaching with the guardian of a preschooler. The guardian reports the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse reinforce with the guardian? A. Children commonly begin having imaginary friends when they reach school age B. Notify provider of the imaginary friend persist longer than 6 months C. Have your child take responsibility for actions if they try to blame the imaginary friend D. Set limits by not allowing the child to have imaginary friend present during family meals

C

A nurse is reviewing the expected growth and development of school aged children with a group of staff nurses. Which of the following statements should the nurse include? A. A 7 year old child prefers to play with children of a different gender B. A 6 year old should understand the concept of cause and effect C. A 6 year old child should be able to count 13 coins D. An 8 year old child should be able to wash his or her own hair independently

C

Results of enzyme linked immunosorbent assay testing for an 18 month old infant who has pneumocystis carinii pneumonia indicate that she is HIV-positive. When assisting with planning care, the nurse should consider which of the following factors? A. The infant mother is likely hiv positive B. The infant Elisa test results is probably a false positive for hiv C. Antiretroviral medications are inappropriate for infants and children who have hiv D.hiv positive status i I s a contraindication for measles mumps and rubella

The infants mother is likely HIV positive