nclex -rn chapter 18 growth development and stages of life P238

a child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second does, before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? 1. eggs 2. penicillin 3 sulfonamides 4. a previous dose of hepatitis B vaccine or component

a previous dose of hepatitis B vaccine or component

the mother of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child The nurse should tell the mother that the most appropriate toy for a 3-year-old is which? 1. a wagon 2. a golf set 3. A farm set 4. a jack set with marbles

a wagon

The mother of a 3yearold is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which is the most appropriate suggestion to the mother? 1. allow the bottle if it contains juice 2 allow the bottle if it contains water 3 do not allow the child to have the bottle 4 allow the bottle during naps but not at bedtime

allow the bottle if contains water

The clinic nurse is assessing a child who is scheduled to receive a liver virus vaccine. What are the general contraindications associated with receiving a live virus vaccine?? 1 the child has symptoms of a cold 2 the child had a previous anaphylactic reaction to the vaccine. 3 the mother reports that the child is having intermittent episodes of diarrhea. 4 the mother reports that the child has not had an appetite and has been fussy. 5 the child has a disorder that caused a severely deficient immune system 6 the mother reports that the child has recently been exposed to an infectious disease

2. 5. a live virus cannot be given: allergic to gelatin pregnant women previous anaphylactic reaction moderate or severe acute illness

a parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant?

DTaP, Hib, IPV, pneumococcal vaccine, rotavirus vaccive Hib is Haemophiles influenza type B bacteria Hib vaccine is to prevent meningitis 乙型流感嗜血杆菌 (Hib) 疫苗 rotavirus leads to diarrhea MMR --12 --15 months , 4-6 years old Varicella zoster 12--15 months , 4 -6 years old

the nurse is monitoring a 3-month-old infant for signs of increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which nursing action is most appropriate? 1 increase oral fluids 2 document the finding 3 notify the pediatrician 4 elevate the head of the bed to 90 degrees

Document the finding

a 16-year-old client is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? 1. encourage the client to rest and read 2. encourage the patents to room in with the client 3. allow the family to bring in the client's favorite computer games 4. allow the client to interact with others in his or her same age group

allow the client to interact with others in his or her same age group.

An infant receives a DTaP, immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent?

apply a cold pack to the injection site. Rationale: cold pack for the first 24 hours, followed by warm or cold compresses if the inflammation persists.

which car safety device should be used for a child who is 8 years old and 4 feet tall? 1. seat belt 2 booster seat 3 rear-facing convertible seat 4 front-facing convertible seat

booster seat

the nurse is preparing to care for a 5year old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child? 1. a radio 2. A sports video 3. large picture books. 4. crayons and a coloring book

crayons and a coloring book

the nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths per minute on the basis of this finding, which action is most appropriate? 1. administer oxygen 2 document the findings 3 notify the pediatrician 4 reassess the respiratory rate in 15 minutes

document the findings 1 year old , rr is 20-40, hr is 90 to 130 . bp 90/56

the nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse used when communicating with the family?

encourage expression of feelings, concerns and fears touch and hold the client's or family member's hand if appropriate

a 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy, the child is fearful of the hospitalization, which nursing intervention should be implemented to alleviate the child's fears? 1. encourage the child's parents to stay with the child 2. Encourage play with other children of the same age 3. Advise the family to visit only during the scheduled visiting hours. 4. Provide a private room, allowing the child to bring favorite toys from home

encourage the child's parents to stay with the child

a mother arrives at a clinic with her toddler and tells the nurse that she has a difficult time getting the child to go to bed at night. what measure is most appropriate for the nurse to suggest to the mother? 1 allow the child to set bedtime limits. 2 allow the child to have temper tantrums. 3 avoid letting the child nap during the day 4 inform the child of bedtime a few minutes before it is time for bed

inform the child of bedtime a few minutes before it is time for bed. Rationale: for toddlers, establish a consistent before bedtime routine and enforcing consistent limits regarding the child bedtime behavior. Firm, consistent limits are needed for temper tantrums or when toddlers try stalling tactics. remember that preparing the toddler for an event will minimize resistive behavior.

which interventions are appropriate for the care of an infant ?

provide swaddling Hang mobiles with black and white contrast designs caress the infant while bathing or during diaper changes

the nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to observe in this child?? 1 uses a fork to eat 2 uses a cup to drink 3 pours own milk into a cup 4 uses a knife for cutting food

uses a cup to drink (uses a fork to eat should be 3-4 years old. pours own milk into a cup--at the end of preschool period

a two-year-old child is treated in the ER for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before the discharge. Which statement by the parents indicates an understanding of measures to provide safety in the home? 1. we will be sure not to leave hot liquids unattended. 2. I guess our children need to understand what the word hot means. 3. we will be sure that the children stay in their rooms when we work in the kitchen. 4. we will install a safety gate as soon as we get home so the children cannot get into the kitchen.

we will be sure not to leave hot liquids unattended.