ped ati

a nurse is assisting a school-age child who has celiac disease with completing a daily menu. what food choice should the nurse recommend

Corn tortillas with beans

a nurse is admitting an adolescent who is suspected of having pertussis. what finding should the nurse expect

Cough with a whooping sound

a nurse is reviewing the laboratory results of a school-age child who recently had group A beta hemolytic streptococcal infection. what finding should the nurse report to the provider?

BUN 30 mg/dL (acute glomerulonephritis)

a school nurse is caring for a child following a tonic-clonic seizure. what action should the nurse take first?

Check the child's respiratory rate (ABC)

A nurse is receiving change-of-shift report for four children. what child should the nurse assess first

A toddler who has a concussion and an episode of forceful vomiting (indication of increased intracranial pressure)

A nurse in an emergency department is assessing a 2-week-old newborn. what finding is the priority for the nurse to report to the provider

Substernal retractions (ABC)

a nurse is caring for a child who has diabetes mellitus. what finding should the nurse identify as a manifestation of hypoglycemia

Sweating/hunger

a nurse is planning an educational program for school-age children and their parents about bicycle safety. what information should the nurse plan to include?

The child should be able to stand on the balls of their feet when sitting on the bike to decrease the risk of injury

a nurse is providing teaching about home safety to the guardian of an 11-month-old infant. what statement should the nurse make

Tie your unused plastic bags in a knot before placing them in the trash

a nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. the nurse should identify that what menu items has the highest amount of nonheme iron?

1/2 cup raisins

a nurse is preparing to administer ibuprofen 5mg/kg every 6 PRN for a temperature above 38 c to an infant who weighs 17.6lb. available is ibuprofen oral suspension 100mg/5mL. how many mL should the nurse administer to the infant per dose?

2 mL

A nurse is developing a plan of care for a child who is receiving chemotherapy via an implanted port. What intervention should the nurse include?

Access the port with a non-coring needle

a nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. what intervention should the nurse plan to include?

Ensure the oxygen source is functioning in the child's room (maintaining the child's airway is important during a seizure)

a nurse is assessing the pain level of a 3-year-old toddler. what pain assessment scale should the nurse use

FACES for pediatric clients who are 3 years old and older

a nurse is assessing a child who is postoperative following a tonsillectomy. what manifestation indicated the child is experiencing a hemorrhage?

Frequent swallowing/tachycardia

a nurse is teaching a group of parents about infectious mononucleosis. what statement by a parent indicated an understanding of the teaching?

Mononucleosis is caused by an infection with the Epstein-Barr virus (mildly contagious)

a nurse is preparing a toddler for an intravenous catheter insertion. what action should the nurse include in the plan of care?

Give the toddler one direction at a time during the procedure and use simple terms

a nurse is providing teaching about home care to the parent of a child who has acute streptococcal pharyngitis. what information should the nurse include?

Have your child gargle with warm saline several times per day to alleviate throat pain

a nurse is reviewing the medical record of a 15-month-old toddler prior to administering immunizations. for what finding should the nurse withold the measles, mumps, and rubella vaccine?

History of anaphylactic reaction to neomycin

a nurse in a provider's office is preparing to assist with a sweat chloride test for a toddler who has indications for cystic fibrosis. what action should the nurse plan to take?

Increase the temperature of the examination room to ensure it is warm

a nurse in an emergency department is assessing a toddler who has Kawasaki disease. what findings should the nurse expect

Increased temperature (unresponsive to antipyretics), xerophthalmia, cervical lymphadenopathy

a nurse is planning care for a 1-year-old toddler who has cerebral palsy and a gastrostomy tube for supplemental feedings. what intervention should the nurse include in the plan?

Organize care to provide frequent rest periods

a nurse is caring for a school-age child who has peripheral edema. the nurse should identify that what assessment should be performed to confirm peripheral edema?

Palpate the dorsum of the child's feet

A nurse is caring for a child who has increased intracranial pressure and is unconscious. what prescription should the nurse clarify with the provider?

Perform nasopharyngeal suctioning every 2 hours

a nurse is reviewing the laboratory results of an adolescent who has infectious mononucleosis. what finding should the nurse report to the provider

Platelets 96,000/mm

a nurse is caring for a newly admitted school-age child who has hypopituitarism. what medication should the nurse expect the provider to prescribe?

Recombinant growth hormone

a nurse is providing discharge teaching to the guardian of a child who had a cardiac catheterization. what statement should the nurse include

Remove the pressure dressing tomorrow, then cover site with adhesive bandage

A nurse is assessing a preschooler who is taking digoxin and furosemide for the treatment of heart failure. the nurse should identify that what finding indicated the treatment is effective

Respiratory rate 25/minute

a nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24h ago. the nurse should instruct the guardians to report what finding to the provider?

Restricted ability to move the toes (neurovascular compromise)

a nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. what finding indicated effectiveness of the medication?

Serum potassium level 4.1 mEq/L, med used to treat hyperkalemia

a nurse is caring for an infant who has gastroenteritis. what assessment finding should the nurse identify as a manifestation of severe dehydration?

Skin cool to the touch/acrocyanotic

a nurse is planning care for an adolescent who has diarrhea due to a clostridium difficile infection. what intervention should the nurse include in the plan of care?

Wash hands with antimicrobial soap after caring for this client

a nurse is teaching an adolescent who has sickle cell disease about prevention of vaso-occlusive crisis. What statement should the nurse include in the teaching

You should receive the pneumococcal vaccine because infections are a major cause of death

A nurse is providing teaching about immunizations to the guardian of a 1-month-old infant who has HIV but is not immunocompromised. what instruction should the nurse include?

Your baby should receive the influenza vaccine yearly beginning at 6mo of age

a nurse is caring for a school0age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. when performing the respiratory assessment, what finding should the nurse expect

Deep respirations of 32/minute

a nurse is teaching home care to the parent of a school-age child who has cystic fibrosis. what information should the nurse include in the teaching?

Encourage participation in sports activities to increase lung capacity

a nurse is developing a plan of care for a child who is experiencing status asthmaticus. what intervention should the nurse include

Administer an intravenous corticosteroid to decrease inflammation

A nurse observes wheezing, dysphagia, hives, and facial flushing after a child ate lunch 15m ago. what action should the nurse take first

Administer epinephrine IM

a nurse is assessing an adolescent who has a serum calcium level of 11.9 mg/dL. what finding should the nurse expect

Decreased muscle tone