NUR 370 Exam 2 Review (The Point)

The nurse is caring for a 3-year-old girl with short bowel syndrome as a result of trauma to the small intestine. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond? "I will help you become an expert on your daughter's care." "There is a lot to learn and you need a positive attitude." "You really need the support of your husband." "You must learn how to care for your daughter at home."

"I will help you become an expert on your daughter's care."

The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a "freak" compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate? "Your real friends do not care about your appearance and just want you to get well." "Let's put you in touch with some other girls who are also having the same body changes." "You are beautiful in your own way; what matters is what is on the inside." "Luckily, this is just a temporary, unfortunate part of your condition; you need to accept it."

"Let's put you in touch with some other girls who are also having the same body changes."

After teaching the parents of a child with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching? "Our child will start puberty again when the medication stops." "This medicine will reverse the symptoms and onset of puberty." "Once therapy is done, our child will need surgery." "Our child needs to use the nasal spray once every day."

"Our child will start puberty again when the medication stops."

A new parent brings the 3-month-old infant to the clinic for a well-baby check up. During the visit, the parent asks the nurse, "I know the rays from the sun can be harmful, so what should I do to protect my infant?" Which suggestion by the nurse would be most appropriate? "As long as you use a sunscreen, your infant will be protected from the sun." "A wide-brimmed hat and an umbrella for shade should be enough for your infant." "The best thing to do is keep any infant under the age of 6 months out of the sun." "Invest in clothing that has sun protective factor (SPF) already in the material."

"The best thing to do is keep any infant under the age of 6 months out of the sun."

A 9-year-old was just diagnosed with type 1 diabetes. The parents state, "We hope our child won't have to take insulin injections." How should the nurse respond? "The pancreas doesn't produce insulin in Type 1 diabetes, so it is likely that insulin injections will be necessary." "It is very early in the diagnosis process. Let's wait to see if insulin will be necessary." "You will have to trust whatever the doctor decides to order." "Sometimes oral hypoglycemic agents are all that is necessary. Hopefully that will be the case with your child."

"The pancreas doesn't produce insulin in Type 1 diabetes, so it is likely that insulin injections will be necessary."

The nurse is discussing the treatment of congenital aganglionic megacolon with the caregivers of a child diagnosed with this disorder. Which statement is the best explanation of the treatment for this diagnosis? "We will give enemas until clear and then teach you how to do these at home." "The treatment for the disorder will be a surgical procedure." "Your child will be treated with oral iron preparations to correct the anemia." "Your child will receive counseling so the underlying concerns will be addressed."

"The treatment for the disorder will be a surgical procedure."

The nurse is caring for a 10-year-old child experiencing nocturnal enuresis with no physiologic cause. The child states, "I am embarrassed and I wish I could stop this right now!" How will the nurse respond? "You are not alone. There are almost 5 million people that have enuresis." "There are several things we can do to help you achieve this goal." "You can wear pull-ups to bed and, since they look like underwear, no one will know." "You will grow out of this eventually; you just need to be patient."

"There are several things we can do to help you achieve this goal."

During an examination, an adolescent client tells the nurse about being anxious and frustrated because of the facial acne. Which nursing response is appropriate? "I will tell your primary health care provider about your acne." "This is one of the most common physical changes during adolescence." "Most people get acne during adolescence. It will go away as you get older." "Consuming fried foods and chocolate can cause acne to develop."

"This is one of the most common physical changes during adolescence."

The nurse is teaching the parents of a 5-year-old child diagnosed with head lice about using permethrin. The nurse determines that the teaching was successful based on which statement by the parents? "If we use the medicine, we will not have to use the special comb for the nits." "One application of the medication should be enough to get rid of the lice." "We need to leave the medication on for about 10 minutes before rinsing it off." "We should apply the medication to our child's hair and scalp when it is dry."

"We need to leave the medication on for about 10 minutes before rinsing it off."

A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful? "We should not stop this medication abruptly." "We might notice some of the medication in her stool." "This drug helps to control the abdominal cramping." "She might lose some weight initially."

"We should not stop this medication abruptly."

The nurse enters a client's room to find the new mom crying softly. The nurse asks what is wrong. The mother says, "I had my heart set on breastfeeding, and now my baby has a cleft lip. My dreams of breastfeeding him are destroyed." Which response by the nurse would be most appropriate? "You can still attempt breastfeeding; let me call a lactation consultant for you." "I am so sorry your infant has that problem; maybe next time." "Sometimes, dreams do not come true." "I am so sorry, looks like bottle-feeding for you."

"You can still attempt breastfeeding; let me call a lactation consultant for you."

A nurse in the school office is seeing a 7-year-old child with type 1 diabetes after gym class. The child is jittery and appears sweaty. Which intervention would the nurse advise the child to do? "You will need to skip your next dose of insulin." "You will need to drink this 6-ounce bottle of orange juice." "You will need to have an extra shot of regular insulin." "You will need to sit in the office and rest after gym class."

"You will need to drink this 6-ounce bottle of orange juice."

A health care provider has prescribed cephalexin 30 mg/kg PO daily in 4 divided doses for a child diagnosed with impetigo. The child weighs 30 lb (14 kg). How many milligrams should the child receive each day?

420

An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Which condition should the nurse suspect? Polycystic kidney Kidney agenesis Acute glomerulonephritis Nephrosis

Acute glomerulonephritis

The nurse is caring for a pediatric client with idiopathic celiac disease. Which meal will the nurse select for this client? Whole wheat pasta, meatballs, carrot sticks, apple, and water Meatloaf, green beans, peanut butter cookie, and fat-free milk Baked salmon, potato slices, vanilla ice cream, and apple juice Ham and cheese sandwich, orange slices, chips, and whole milk

Baked salmon, potato slices, vanilla ice cream, and apple juice

A school nurse has discovered that one of the children has acquired a case of head lice. The school principal asks the nurse to write a letter that will be sent to parents explaining about head lice and measures to prevent infestation. What information is important for the nurse to include in the letter? Select all that apply. Head lice infestation is the result of poor personal hygiene. Parents should inspect their child's head for nits with a fine tooth comb. A second treatment one week after the first is recommended. Children should avoid sharing personal items such as combs and hats. Any medicated shampoo may be used to treat head lice.

Children should avoid sharing personal items such as combs and hats. Parents should inspect their child's head for nits with a fine tooth comb. A second treatment one week after the first is recommended.

A nurse is reviewing discharge instructions with the family of a child diagnosed with a urinary tract infection. Which instruction should be included with discharge teaching regarding medications? As long as the fever does not return, the antibiotics have worked and the parent may stop giving them to the child. Complete the entire course of antibiotics ordered by the health care provider. The child may choose to take the antibiotics or stop once he or she feels better. Save the remainder, if there is any left, in case the child has another infection and could use the rest of the prescription.

Complete the entire course of antibiotics ordered by the health care provider.

A child is hospitalized with a diagnosis of severe cellulitis. The nurse is preparing the family for discharge. Which instruction is most important for the nurse to convey to the family? Complete the prescribed antibiotics. Keep follow-up appointments. Monitor for signs of worsening condition. Perform proper hand hygiene.

Complete the prescribed antibiotics.

The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would most likely document the stool's appearance as having what quality? Greasy Clay-colored Bloody Currant jelly-like

Currant jelly-like

A nurse on the pediatric floor is taking care of a 12-year-old child with diabetes insipidus (DI). Which fact would the nurse understand about this disease? DI can be managed by short-term treatment with hormone replacement medications. DI can cause anorexia if appropriate meals are not planned. DI can be managed with vasopressin given as lifelong treatment. DI requires strict fluid restrictions until it resolves.

DI can be managed with vasopressin given as lifelong treatment.

A child has been prescribed desmopressin acetate for the treatment of diabetes insipidus. The client and the parents ask the nurse how this drug works. What is the correct response by the nurse? Desmopressin acetate works on your pancreas to stimulate insulin production. Desmopressin acetate is a synthetic form of insulin used to lower your blood sugar. Desmopressin acetate is a synthetic antidiuretic hormone that will slow down your urine output. Desmopressin acetate works to help your kidneys work more efficiently.

Desmopressin acetate is a synthetic antidiuretic hormone that will slow down your urine output.

The nurse is seeing a new client in the clinic who reports polyuria and polydipsia. These conditions are indicative of which endocrine disorder? Hypopituitarism Precocious puberty Syndrome of inappropriate antidiuretic hormone (SIADH) secretion Diabetes insipidus (DI)

Diabetes insipidus (DI)

A 4-year-old diagnosed with diabetes insipidus is being discharged. Which information below is most important to emphasize to the parents? Children younger than 5 do not need to wear medical alert tags. Only one person in the house needs to learn how to give the injections of vasopressin. Diabetes insipidus is different from diabetes mellitus. Children outgrow this diagnosis over time.

Diabetes insipidus is different from diabetes mellitus.

A school health nurse is supporting a 15-year-old young woman with acne. What is a common myth related to acne in adolescent populations? Excessive face washing is not necessary to prevent lesions from forming. Do not pick or squeeze acne lesions because it will just increase symptoms. Diet plays a significant role in acne production. Makeup may increase lesion formation.

Diet plays a significant role in acne production.

The nurse is caring for a 7-year-old girl diagnosed with precocious puberty. The child is tearful when talking with the nurse about the signs and symptoms of the disorder. She states, "I don't look like my friends." When preparing the care plan for this child, which nursing diagnosis has the highest priority? Interrupted family process Deficient knowledge Imbalanced nutrition Disturbed body image

Disturbed body image

The nurse is caring for a child admitted to the emergency center in diabetic ketoacidosis. Which clinical manifestations would the nurse most likely note in this child? Slow pulse and elevated blood pressure Drowsiness and fruity odor to breath Hyperactive and restless behavior Pale and moist skin

Drowsiness and fruity odor to breath

The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which clinical manifestation would likely be seen in this child? Severe constipation with occasional ribbon-like stools Forceful vomiting followed by the child being eager to eat again Effortless vomiting just after the child has eaten Bouts of diarrhea with failure to gain weight

Effortless vomiting just after the child has eaten

A school nurse is trying to prevent poststreptococcal glomerulonephritis in children. What would be the best way to prevent this? Tell parents to give ibuprofen if their child has a sore throat. Encourage the child to take all the antibiotics if diagnosed with strep throat. Prophylactic antibiotics after strep throat are important. All children in the child's class should be tested for strep throat if one child has a positive test.

Encourage the child to take all the antibiotics if diagnosed with strep throat.

A 2-month-old infant experiencing severe diarrhea is prescribed intravenous fluid replacement. Before adding potassium to this solution, which assessment should the nurse make? Ensure that the child is sleeping. Ensure that the child is crying with tears. Ensure that the child is voiding. Ensure that the child's hands are restrained.

Ensure that the child is voiding.

The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents? Having a wound, ostomy, and continence nurse meet with them. Teaching them about the medications used to slow stool output. Reinforcing that the ostomy will be temporary. Explaining to them about the diagnosis and surgery.

Having a wound, ostomy, and continence nurse meet with them.

A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease? Short bowel syndrome (SBS) Ulcerative colitis (UC) Hirschsprung disease Gastroenteritis

Hirschsprung disease

When discussing congenital adrenal hyperplasia with a child's parents, the nurse would advise them that administration of which drug is anticipated? Hydrocortisone Calcium Vitamin D Growth hormone

Hydrocortisone

A 3-year-old child is diagnosed with scabies. When preparing the teaching plan for the parents, the nurse would expect to include information about which medication(s)? Select all that apply. Hydrocortisone cream Malathion Permethrin 5% Diphenhydramine Mupirocin

Hydrocortisone cream Permethrin 5% Diphenhydramine

The parents of a child with congenital adrenal hyperplasia bring the child to the emergency department for evaluation because the child has had persistent vomiting. What finding would lead the nurse to suspect that the child is experiencing an acute adrenal crisis? Hyperkalemia Hypernatremia Hypertension Bradycardia

Hyperkalemia

The nurse is obtaining a health history from parents whose 4-month-old boy has congenital hypothyroidism. What would the nurse most likely assess? The child is active and playful. The child has above-normal growth for his age. It is difficult to keep the child awake. The skin is pink and healthy looking.

It is difficult to keep the child awake.

Which results would indicate to the nurse the possibility that a neonate has congenital hypothyroidism? Normal T4 level and low TSH level Low T4 level and high TSH level Normal TSH level and high T4 level High thyroxine (T4) level and low thyroid stimulating hormone (TSH) level

Low T4 level and high TSH level

The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care? Offering Kool-Aid or popsicles as tolerated Encouraging consumption of fruit juice Encouraging milk products to boost caloric intake Maintaining the intravenous (IV) fluid rate as ordered

Maintaining the intravenous (IV) fluid rate as ordered

A teacher sends a child to see the school nurse for irritability and bruising. Which symptom would be indicative of hemolytic uremic syndrome? Oliguria and jaundice Weight gain and high fever Polyuria and diarrhea Dysuria and lethargy

Oliguria and jaundice

The nurse is triaging clients as they come in to an urgent care facility. Which assessment finding is clinically significant for early nephrotic syndrome? Sacral edema Periorbital edema Facial puffiness Edema in the hands

Periorbital edema

The nurse is caring for a child admitted with congenital aganglionic megacolon. Which clinical manifestation would likely have been noted in the child with this diagnosis? Irregular breathing Chronic cough Prolonged bleeding Persistent constipation

Persistent constipation

A nurse is teaching the parents of an infant with congenital adrenal hyperplasia about the signs and symptoms of adrenal crisis. The nurse determines that the teaching was successful when the parents correctly identify what sign of adrenal crisis? Persistent vomiting Bradycardia Fluid overload Constipation

Persistent vomiting

The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "The teacher tells us that our child has to use the restroom many more times a day than other students do." The caregiver's statement indicates the child most likely has: Pica Polyuria Polyphagia Polydipsia

Polyuria

In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate which intervention? Assist in doing a barium enema procedure on the infant. Medicate the infant with analgesics. Prepare the infant for surgery. Change the infant's diet to one that is lactose-free.

Prepare the infant for surgery.

A child is getting a diagnostic work-up for nephrotic syndrome. Which lab results would the nurse expect to see? Proteinuria, hypoalbuminemia, and hypercholesterolemia Proteinuria, hyperalbuminemia, and hypocholesterolemia Hematuria, proteinuria, and hyperalbuminemia Neutropenia, hematuria, and hypocholesterolemia

Proteinuria, hypoalbuminemia, and hypercholesterolemia

A nurse is providing education to parents of a child diagnosed with vesicoureteral reflux (VUR). Which would be included in the parental education? This occurs only when there is an obstruction of the ureteropelvic junction. This occurs when there is backflow of urine into the bladder and sometimes the kidneys. This is typically treated with a kidney transplant. This is diagnosed by abdominal x-ray.

This occurs when there is backflow of urine into the bladder and sometimes the kidneys.

A female adolescent comes to the clinic for an evaluation. Assessment reveals a possible urinary tract infection. What would the nurse expect to be done to confirm this suspicion? Urine culture Renal ultrasound Kidneys, ureter, and bladder x-ray Intravenous pyelogram

Urine culture

A nurse is taking care of an infant with diabetes insipidus. Which assessment data are most important for the nurse to monitor while the infant has a prescription for fluid restriction? Oral mucosa Urine output Vital signs Oral intake

Urine output

Which assessment finding would suggest that a child's postoperative feeding schedule following pyloric stenosis surgery should be slowed? Vomiting Flatulence Falling asleep at each feeding Semiformed bowel movements

Vomiting

A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described? Refusal to eat Chronic diarrhea Vomiting immediately after feeding Vomiting about 2 hours after feeding

Vomiting immediately after feeding

The nurse is working with a child with altered genitourinary status. Which intervention would be included in the plan of care for the client with excess fluid volume? Measure the amount of nitrates present in the urine. Avoid administering IV therapies. Weigh the child daily on the same scale. Hold all medication until the fluid retention is improving.

Weigh the child daily on the same scale.

In caring for a child with nephrotic syndrome, which intervention will be included in the child's plan of care? Testing the urine for glucose levels regularly Increasing fluid intake by 50 ml per hour Ambulating 3 to 4 times a day Weighing on the same scale each day

Weighing on the same scale each day

To determine if ascites is increasing in amount in a child with nephrotic syndrome, which measurements would be most appropriate? abdominal circumference bowel sounds urine for protein blood pressure

abdominal circumference

In a child with diabetes insipidus, which characteristic would most likely be present in the child's health history? vomiting early in the morning, headache, and decreased thirst delayed closure of the fontanels (fontanelles), coarse hair, and hypoglycemia in the morning gradual onset of personality changes, lethargy, and blurred vision abrupt onset of polyuria, nocturia, and polydipsia

abrupt onset of polyuria, nocturia, and polydipsia

An adolescent is prescribed retinoic acid cream as therapy for his acne. About which of the following would you caution him? not putting the medication on just prior to bedtime applying the cream while his face is wet not applying the cream directly on lesions avoiding staying in the sun for extended periods of time

avoiding staying in the sun for extended periods of time

An adolescent is found wandering around. The client is confused, sweaty, and pale. Which test will the nurse prepare to perform first? blood glucose level blood toxicology serum ketone testing computed tomography (CT) scan

blood glucose level

A child with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. Which action would be the priority? measuring urine output checking vital signs weighing the client encouraging increased fluid intake

checking vital signs

A newborn is born with hypothyroidism. If it is not recognized and treated, what complication is likely? cognitive impairment dehydration muscle spasticity blindness

cognitive impairment

Nursing students are studying about infections and learn that certain characteristics make some people more prone to infection than others. They correctly identify gender as a factor influencing susceptibility to urinary tract infections. Which sex do they label as being more prone to UTIs? male female

female

The nurse is caring for a 12-year-old child with Crohn disease. What assessment finding will the nurse report to the health care provider when caring for the child? clear lung sounds no joint swelling fever report of a headache

fever

The nurse is administering an IV infusion of albumin to a child with nephrotic syndrome. What is the primary concern for the nurse when administering this medication to the child? fluid overload increased blood pressure electrolyte imbalance urine output

fluid overload

A 5-year-old arrives at the emergency department appearing pale and diaphoretic, with slow and shallow respirations and a weak and thready pulse. The mother states that the child has had nausea and vomiting for the last 3 days. Which diagnosis would be the most applicable for this client? fluid volume deficit infection anxiety fluid volume excess

fluid volume deficit

The nurse has admitted a child with a diagnosis of severe gastroenteritis. To help prevent the risk of transmitting infection to other clients, the nurse should: discourage anyone from visiting. sterilize thermometers between clients. wear a mask when handling articles contaminated with feces. follow standard precautions.

follow standard precautions.

The nurse is assessing an infant with suspected hemolytic uremic syndrome. Which characteristics of this condition should the nurse expect to assess or glean from chart review? hemolytic anemia, acute renal failure, and hypotension hemolytic anemia, thrombocytopenia, and acute renal failure thrombocytopenia, hemolytic anemia, and nocturia several times each night dirty green-colored urine, elevated erythrocyte sedimentation, and depressed serum complement level

hemolytic anemia, thrombocytopenia, and acute renal failure

The nurse is performing an assessment on a child. Which finding indicates to the nurse the child is at risk for a urinary tract infection (UTI)? holding urine while at school wiping front to back after using the restroom drinking water and juice during the day washing the genital area with water daily

holding urine while at school

A nurse is working in the emergency room and a child comes in for vomiting and diarrhea. Which of the following assessment data would alert the nurse that the child is having severe dehydration? increased heart rate and impalpable pulse irritability and dry mucous membranes decreased heart rate and impalpable pulse low blood pressure and decreased heart rate

increased heart rate and impalpable pulse

A teacher sends a child to see the school nurse because the child has been irritable and has bruising. The child tells the nurse that he had diarrhea about a week ago. The school nurse suspects hemolytic uremic syndrome based on which of the following signs/symptoms? Select all that apply. dysuria jaundice slight fever weight gain oliguria

jaundice oliguria slight fever

Pyloric stenosis has been diagnosed in a 3-week-old male infant who has frequent vomiting after feedings. An important preoperative nursing intervention is: providing adequate pain control. reducing vomiting by feeding small amounts of clear liquids or breast milk frequently. assessing the abdomen hourly for distention and bowel sounds. maintaining NPO status while restoring hydration and electrolyte balance.

maintaining NPO status while restoring hydration and electrolyte balance.

The nurse is teaching a group of nursing students about genitourinary conditions. The nurse tells these students about a condition that occurs when there is an inflammation of the kidney and renal pelvis. The condition the nurse is referring to is: ascites. pyelonephritis. amenorrhea. oliguria.

pyelonephritis.

The nursing diagnosis most applicable to a child with growth hormone deficiency would be: risk for situational low self-esteem related to short stature. ineffective tissue perfusion related to infantile blood vessels. risk for self-directed violence related to oversecretion of epinephrine. impaired skin integrity related to overproduction of melanin.

risk for situational low self-esteem related to short stature.

Which type of nutrition would the nurse expect to administer to a preterm infant who was born at 34 weeks' gestation and has developed necrotizing enterocolitis (NEC)? trophic feeding technique oral breastfeeding gavage feeding method total parenteral nutrition (TPN)

total parenteral nutrition (TPN)

A child is hospitalized with nephrotic syndrome. Which measurement is best for the nurse to determine the child's edema? abdominal circumference amount of protein in the urine weight, daily urine output, every shift

weight, daily

A child diagnosed with acute glomerulonephritis will most likely have a history of: hemorrhage or history of bruising easily. a sibling diagnosed with the same disease. recent illness such as strep throat. hearing loss with impaired speech development.

recent illness such as strep throat.

A nurse caring for Paulo, an infant born with a cleft palate, notices that the parents rarely interact with their child. The nurse overhears the mother telling her husband that she "feels like crying" every time she looks at their son. Which response by the nurse would be most appropriate? "I sense you could use more information on caring for a cleft palate. Would you be interested in meeting with other parents who have dealt with this?" "Many infants are born with this condition. Your son's palate is not nearly as bad as some cases." "Keep in mind that your son's condition is not life-threatening and can be corrected eventually." "Your son needs you right now. You should put your negative feelings about his condition aside for his sake."

"I sense you could use more information on caring for a cleft palate. Would you be interested in meeting with other parents who have dealt with this?"

The nurse is giving medication education to the parent of a child with newly diagnosed growth hormone deficiency. Which statement made by the parent indicates that further education is needed? "I will need to give the medication every day." "Treatment will continue until my child's growth is complete." "I will give the subcutaneous medication every morning." "I will ask my child's preference when choosing injection sites."

"I will give the subcutaneous medication every morning." give at night

A nurse is providing care to an infant who is admitted with burns over the face, neck and chest. The nurse identifies which goal as priority for planning the infant's care? Pain is at a tolerable level. Fluid balance is maintained. Wounds remain infection-free. Airway remains patent.

Airway remains patent.

Diabetes insipidus is a disorder of the posterior pituitary that results in deficient secretion of which hormone? Adrenocorticotropic hormone (ACTH) Luteinizing hormone (LH) Antidiuretic hormone (ADH) Thyroid stimulating hormone (TSH)

Antidiuretic hormone (ADH)

The nurse is teaching an 11-year-old boy and his family how to manage his diabetes. Which instruction does not focus on glucose management? Instructing the child to rotate injection sites. Teaching that 50% of daily calories should be carbohydrates. Promoting higher levels of exercise than previously maintained. Encouraging the child to maintain the proper injection schedule.

Instructing the child to rotate injection sites.

A 9-month-old girl is brought to the emergency room with what appears to be bouts of intense abdominal pain 15 minutes apart in which she draws up her legs and cries, often accompanied by vomiting. In between the bouts, the child recovers and appears to be without symptoms. Blood is found in the stool. What condition should the nurse suspect in this case? Volvulus with malrotation Intussusception Necrotizing enterocolitis Short-bowel/short-gut syndrome

Intussusception

The nurse is caring for a child admitted with pyloric stenosis. Which clinical manifestation would likely have been noted in the child with this diagnosis? Frequent urination Projectile vomiting Severe abdominal pain Explosive diarrhea

Projectile vomiting

A child with gastroenteritis has been unable to keep oral medication down. What nursing intervention would be appropriate for this client? Hold all medications until the vomiting stops. Give an antiemetic prior to giving oral medications. Place the child on NPO status. Request an intravenous form of the medication.

Request an intravenous form of the medication.

A 12-year-old boy arrives at the emergency room experiencing nausea, vomiting, headache, and seizures. He is diagnosed with bacterial meningitis. Other findings include a decrease in urine production, hyponatremia, and water intoxication. Which pituitary gland disorder would be most associated with these symptoms? Hyposecretion of somatotropin Hypersecretion of somatotropin Diabetes insipidus Syndrome of inappropriate antidiuretic hormone

Syndrome of inappropriate antidiuretic hormone

To prevent further urinary tract infections in a preschooler, what measures would you teach her mother? Teach her to take frequent tub baths to clean her perineal area. Teach her to wipe her perineum front to back after voiding. Encourage her to be more ambulatory to increase urine output. Suggest she drink less fluid daily to concentrate urine.

Teach her to wipe her perineum front to back after voiding.

The nurse is assessing a 10-day-old infant for dehydration. Which finding indicates severe dehydration? Soft and flat fontanels (fontanelles) Tenting of skin Blood pressure of 80/42 mm Hg Pale and slightly dry mucosa

Tenting of skin