chapter 31

the nurse has provided instructions to the mother of an infant with viral pneumonia. which statement by the mother would indicate the need for further teaching ?

i understand i will need to have my baby on antibiotics for this pneumonia

the nurse is told that a child with rheumatic fever (RF) will be arriving to the nursing unit for admission . which question would the nurse ask the family to elicit information specific to the development of rh?

" have the child had a sore throat or a fever within the past 2 months "

the nurse is providing instruction to a parent of a child with patent ductus arteriosus (PDA) which statement by the parent would indicate a need for further teaching ?

" i know my child will outgrow this problem , just give him time "

the nurse reinforces home -care instruction to the parents of a child with hepatitis regarding the care of the child and the prevention of the transmission of the virus . which statement by the parent indicate a need for further teaching .

"i need to clean contaminated household surfaces with bleach"

An accurate apical heart rate measurement is assessed at the ________________ intercostal space.

5th

isoniazid is prescribed for a 2-year-old child with a positive tuberculin skin test .the mother of the child asks the nurse how long the child will need to take the medication . which time frame is the appropriate response to the mother?

9 months

the first white house conference on children focused on issues of child labor , dependent children , and infant care . as a result , what was established in 1987 on behalf of children ?

National Commission on children

the nurse is monitoring the daily weight of an infant with heart failure. which finding alerts the nurse to suspect fluid accumulation and thus the need to notify the registered nurse?

a weight gain of 1 pound a day

the nurse reviews the record of a child who was just seen by the primary health car provider(phcp) the phcp has documented a diagnosis of suspected aortic stenosis . which specific sign / symptom of aortic stenosis would the nurse anticipate ?

activity intolerance

after a tonsillectomy the child begins to vomit bright red blood . which is the initial nursing action ?

turn the child to the side

the nursing student is reviewing what he / she knows about the development of pediatrics as a discipline . the nursing student recognize which of the following individuals as being credited with being the " father of pediatrics?"

Abraham Jacobi

the nurse is caring for an 18 month - old child who has been vomiting . which is the appropriate position to place the child during naps and sleep time ?

a side - lying position

the nurse is instructing a mother of a 1-year - old child with strabismus about the treatment options . which statement by the mother would indicate the need for further teaching ?

my child will outgrown this by the time he is 2 years old and be able to see just fine

Lillian Wald founder of the Henry Street Settlement in New York City , focused on which of the following ? Select all that apply

nursing services social work Educational Activities

the nurse is instructing the mother of a child with cystic fibrosis (CF) about the appropriate dietary measure . which meal best illustrates the most appropriate diet for a client with cf?

chicken tenders and a baked potato with butter

the nurse reviews the record of an infant who is seen in the clinic . the nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected . the nurse expects to note which most likely manifestation of this condition in the medical record?

chocking with feedings

the nurse assists with admitting a child with diagnosis of acute stage Kawasaki disease . when obtaining the childs medical history , which manifestation is likely to be noted?

conjunctival hyperemia

a child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks . The nurse reinforces instruction to the parent about the signs of possible incarcerated hernia . the nurse tells the parents that which manifestation requires primary health care provider (PHCP) notification by the parent .

pain

the nurse was caring for an infant who has come in the nursing unit for observation and treatment of tetralogy of Fallot . the child suddenly becomes cyanotic and the oxygen saturation reading drops to 60% . the nurse would perform which action first?

place the child in a knee - chest position

the nurse is reviewing the record of a child with a diagnosis of pyloric stenosis . which data would the nurse expect to note as having been documented in the childs record?

projectile vomiting

a-4-year old child is to be hospitalization for the first time , and the parent voice anxiety about his condition and hospitalization . which action by the nurse best addresses the concern of the child parent ?

provide anticipatory guidance and explain all procedures

a 16-month-child is admitted to the pediatric floor after surgery to repair a cleft palate . the child's mother asks why her child is restrained. the nurse explains that the elbow safety reminder device(SRD) is being used to

help to prevent injury to the operative site

a nurse is meeting a new 4 year old patient for the first time . which intervention is most effective when entering the patients room for the first time?

be careful not to use words that may be misinterpreted by the child , such as take your temperarture

the nurse reinforces instructions to the mother about dietary measure for a 5-year-old child with lactose intolerance . the nurse would tell the mother that which supplement will be required as a result of the need to avoid lactose in the diet?

calcium and vitamin d

a child is brought to the emergency room and the mother reports that the child accidentally swallowed paint thinner after mistaking it for water . the nurse must perform which action first?

check the airway . breathing, and circulation status of the child.

an 18 month old is hospitalized for surgery in the morning . which intervention is most helpful in relieving the childs stress ?

encouraging parental presence and rooming in

a mother of a child with a diagnosis of intussusception calls the nurse into the hospital room because the child is screaming in pain. the nurse quickly assesses the child . which manifestations of perforation and shock would the nurse report immediately ? select all that apply

fever increased heart rate changed in the level of consciousness

the nurse has reinforced homecare instructions to the parent of a child who is being discharged after cardiac surgery . which statement by the parent indicates the need for further teaching ?

i can apply lotion or powder to the incision if it is itchy

the nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis .which statement by the mother would indicate the need for further teaching ?

i need to use a hot compresses to relive the eye irritation

a 7 year old about to have a finger stick blood draw. which statement by the nurse is most effective ?

some children say that they feel a little pinch

the nurse reinforcing instructions to the mother of a child who has been hospitalized with croup . which statement made by the mother would indicate the need for further teaching ?

i will give my child cough syrup if a cough develops

the nurse reinforces instructions to the mother of a child with croup about the measures to take if an acute spasmodic episode occurs . which statement by the mother indicates the need for further teaching ?

i will place a steam vaporizer in my childs bedroom

the nurse caring for an infant with congenital heart disease is monitoring the infant closely for signs of heart failure . the nurse would observe for which early signs of heart failure? select all that apply

irritability scalp diaphoresis tachypnea tachycardia

an infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. which is the best position to place this infant at this time ?

on his or hers left side

the nurse is monitoring for signs of dehydration in a 1- year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. which method of temperature measurement needs to be avoided?

rectal

the nurse reinforces home-care- instructions to the parent of a child with celiac disease . which food item would the nurse advise the parent to include in the child diet?

rice

which method is the most effective when preparing a child for a pediatric procedure?

sensation - based approach

the nurse is reviewing the postoperative surgeon's prescriptions for a 3 weeks old infant with Hirschsprung's disease admitted to the hospital for surgery . which prescription documented in the child's record would the nurse question ?

take temperature measurements rectally start clear liquid diet after 8 hours postoperative

the nursing instructor asks a nursing student about sudden infant death syndrome (SIDS). which statement by the student indicates further teaching is needed?

the incidence of SIDS has been found to be higher in breast feed infants and infants that use a pacifier

the nurse is working in the emergency department and is caring for a child who has been diagnosed with epiglottitis . which is an indication that the child may be experiencing airway obstruction?

tripod -positioning and bradycardia

a primary health care provider has prescribed oxygen as needed for a 10-month -old infant with heart failure . in which situation would the nurse administer the oxygen to the child ?

when drawing blood for electrolyte levels

the nurse provides homecare instructions to the parents of a child with heart failure regarding the procedure for the administration of digoxin . which statement by a parent indicates the need for further teaching?

" if my child vomits after medication administration , i will repate the dose"

which statement by the new pediatric nurse indicates an understanding of medication administration to children? select all that apply

BSA is a reliable method of calculating childrens medication dosage the six right of medication must be followed when administering medication

the mother of a 6 month old is worried because the childs grandmother is concerned that the child is slow because she is not crawling. what action by the nurse is most appropriate ?

assure the mother that children develop at their own rate. but most children do not crawl at age 6 months

the nurse is assigned to care for a child who is scheduled for an appendectomy . which prescriptions does the nurse anticipate to be prescribed ?

initiate an intravenous line maintain nothing -by - mouth status administer intravenous antibiotics administer preoperative medications

the nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubs. the nurse notes small amount of reddish drainage from the childs ear after the surgery . on the basis of this finding which action would the nurse take?

document the finding

the nurse assists to prepare a teaching plan regarding the administration of eardrops for the parents of a 2-year -old with otitis media . which would be included in the plan ?

pull the ear up and back before instilling the eardrops.

the nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by the respiratory syncytial virus( RSV) . which interventions would included in the plan of care? select all that apply

place the infant in a private room place the infant in a room near the nurses station wear a mask at all times when in contact with the infant