Nursing Care of Children 2

A nurse is caring for a 6-week-old infant following a pyloromyotomy. Which of the following forms of feeding should the the nurse anticipate for the infant 6 hr after the procedure?

Small, frequent bottle feedings of electrolyte solution

A nurse is caring for an infant following surgical repair of a cleft lip and palate. Which of the following actions should the nurse take?

Suction the infant gently with a bulb syringe PRN

A nurse is caring for a child who is in skeletal traction. Which of the following actions is the nurse's priority?

Encourage the child to use an incentive spirometer

A nurse is teaching a newly hited nurse about the care of an infant who is postoperative following myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications?

Hydrocephalus

A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Which of the following responses should the nurse make?

An abdominal ultrasound will confirm the pocket in the intestine

A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had tracheoesphageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching?

Barking cough

A nurse is caring for a 12-month-old infant following surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments?

Cup

A nurse is providing teaching to an adolescent who has a fiberglass are cast. Which of the following instructions should the nurse include in the teaching?

Place a plastic bag over the cast when showering

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse's priority?

Frequent swallowing

A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Periorbital edema

A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?

Potassium 2.5 mEq/L

A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?

Tachypnea

A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in the teaching?

The pneumococcal and influenza vaccines are recommended for your child

A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?

BP 86/40 mm Hg; other findings in 6 month old include apical pulse 140 or temp 99.5, and RR 32.

A nurse is reviewing the laboratory results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?

1.035

A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?

Demonstrate the injection technique on an orange

A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?

Determine the child's breathing pattern. ABC's.

A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis?

Drooling

A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider?

Hgb 6 g/dL

A nurse is assessing pain in a 2-year-old child following a tonsillectomy. Which of the following rating scales should the nurse use to determine the child's pain level?

FACES Rating Scale

A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching?

I can take my brace off for about an hour daily to shower

A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

I will add rice cereal to my baby's feedings

A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching?

I will give my child a dose of albendazole today and again in 2 weeks

A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?

I will inspect my child's mouth every day for sores

A nurse is providing teaching to the parents of a school-age child how has type 1 diabetes mellitus about management of hypoglycemia. Which of the following responses by the parents indicates an understanding of the teaching?

I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible

A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?

I will record the highest reading of three attempts. it establishes a personal best for the client to use to gauge where they are in the future.

A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make?

Increase the child's protein intake

A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which of the following instructions should the nurse include in the plan?

Inspect the toddler's toys for sharp edges

A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?

Keep the child away from people who have an infection, weigh daily, do not need to restrict protein but maybe sodium. acute glomernephritis you restrict protein not nephrotic syndrome, corticosteroids first line treatment.

A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?

Koplik spots

A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following interventions should the nurse include in the plan?

Maintain the child on bed rest

A nurse is providing teaching to the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?

Massage the anterior area of the infant's ear following administration. pull ear up and back for children older than 3 years old and then down and straight back for children younger than 3.

A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?

Monitor the child for increased temperature

A nurse is assessing a child who has a ventricular septal defect. Which of the following finding should the nurse expect?

Murmur at the left sternal border- a systolic murmur can best be heard at the lower left sternal border. diastolic murmur expected in atrial septal defect.

A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?

My child should consume 1,000 calories per day, 2 oz of protein at 2 y/o, no more than 3 cups or 24 oz per day of milk, 8 oz or 1 cup of vegetables a day

A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the nurse take?

Put a "no abdominal palpation" sign over the child's bed

A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend?

Scrambled eggs

A nurse in an emergency department is assessing a school-age child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?

Sudden decrease in wheezing

A nurse is preparing to abotain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse make?

The test shows us if your child had a recent strep infection

A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?

Weight gain of 1.8 kg (4lb)