Pedia 2
The nurse plans care for a 3-year-old who was admitted with suspected pertussis infection. Which instructions will the nurse include in the plan of care? Select all that apply. 1. Institute droplet precautions 2. Monitor for signs of airway obstruction 3. Offer small amounts of fluids frequently 4. Place the child in a negative-pressure isolation room 5. Request an order for cough suppressant
1,2,3
A newborn is being evaluated for possible esophageal atresia with tracheoesophageal fistula. Which assessment finding is the nurse most likely to observe? 1. Choking and cyanosis during feeding 2. Concave (scaphoid) abdomen 3. Diminished lung sounds 4. Projectile vomiting after feeding
1
The clinic nurse cares for a 4-year-old who has been diagnosed with a pinworm infection. Which client symptom supports this diagnosis? 1. Anal itching that is worse at night 2. Intestinal bleeding with anemia 3. Poor appetite with weight loss 4. Red, scaly, blistered rings on skin
1
The nurse assesses 4 children in the clinic. Which assessment finding requires the nurse's priority action? 1. A 3-month-old with fever, vomiting, high-pitched cry, and irritability 2. A 9-month-old with diarrhea who is refusing fluids and cries without tears 3. An 11-month-old with cold symptoms and an abdominal breathing pattern 4. An 18-month-old who cries when the caregiver leaves
1
The nurse assesses a child with intussusception. Which assessment findings require priority intervention? 1. Abdominal rigidity with guarding 2. Absence of tears in crying child with IV start 3. Blood-streaked mucous stool in diaper 4. Sausage-shaped right-sided mass on palpation
1
The nurse in the emergency department is caring for 4 children. Which child needs diagnostic testing and treatment first? 1. 6-month-old with suspected infant botulism, has constipation and difficulty feeding 2. 4-year-old with elbow pain after falling from a playground swing 3. 6-year-old with suspected acute appendicitis, has right lower quadrant tenderness 4. 9-year-old with suspected bladder infection, has painful urination and temperature of 102 F (38.9 C)
1
The nurse is caring for a 2-year-old who is receiving a saline enema for treatment of intussusception. Reporting which client finding to the health care provider (HCP) is most important? 1. Passed a normal brown stool 2. Passed a stool mixed with blood 3. Stopped crying 4. Vomited a third time
1
The nurse is teaching a group of new parents about oral hygiene for their children. One of the parents asks, "When should I take my daughter to the dentist?" What would be the best response from the nurse? 1. "It is recommended that your child's first dental visit be at age 1 year." 2. "The first visit should be when all of your child's baby teeth have come in." 3. "The initial visit to the dentist should be when the first tooth erupts, around 6 months." 4. "You will need to take your child to the dentist before she starts preschool."
1
The parent of an 11-month-old child calls the pediatric outpatient clinic and tells the nurse that the child was exposed to measles 2 days ago during a family trip to a theme park. What is the best response by the nurse? 1. Bring the baby into the clinic for the measles, mumps, rubella (MMR) vaccine 2. Check the baby's temperature twice a day 3. Do not allow the child to have contact with other children 4. Does your child have a fever or rash?
1
The clinic nurse supervises a graduate nurse who is teaching the parents of a 2-year-old with acute diarrhea about home management. The nurse would need to intervenewhen the graduate nurse provides which instruction? 1. "Do not administer antidiarrheal medications to your child." 2. "Follow the bananas, rice, applesauce, and toast diet for the next few days." 3. "Record the number of wet diapers and return to the clinic if you notice a decrease." 4. "Use a skin barrier cream such as zinc oxide in the diaper area until diarrhea subsides."
2
The charge nurse is making assignments for the oncoming shift. Which client assignments should be avoided by the nurse who is pregnant? 1. 2-year-old client who is combative on postoperative day 2 for tonsillectomy and adenoidectomy 2. 5-year-old client admitted for dehydration secondary to severe throat pain associated with group A Streptococcus 3. 9-year-old client with parvovirus B-19 infection admitted for observation after a febrile seizure 4. 14-year-old client with acute lymphocytic leukemia who received intrathecal chemotherapy 4 days ago and was admitted for a blood transfusion
3
Which nursing interventions should be included in the plan of care for a newborn with suspected esophageal atresia (EA) and tracheoesophageal fistula (TEF)? Select all that apply. 1. Keep the infant nothing by mouth (NPO) status 2. Maintain the infant supine with the head elevated 30 degrees 3. Place suction equipment by the infant's bed 4. Prepare for urgent gastrostomy tube placement to start feedings 5. Refer family to palliative care team
1,2,3
The school nurse is teaching a class of 10-year-old children about prevention of dental caries. Which recommendations would be part of the nurse's teaching plan? Select all that apply. 1. Chewing sugar-free gum 2. Including milk, yogurt, and cheese in the diet 3. Minimizing intake of sweet, sticky foods 4. Rinsing the mouth with water after meals when brushing is not possible 5. Substituting fruit juices and drinks for sugary, carbonated beverages
1,2,3,4
A 1-month-old infant has received a diagnosis of phenylketonuria (PKU). Which statements about PKU are true? Select all that apply. 1. A low-phenylalanine diet is required 2. Meat and dairy products should not be introduced to the diet 3. Phenylketonuria is a self-limiting disease that resolves by adulthood 4. Special infant formula is required 5. Tyrosine should be removed from the diet
1,2,4
A nurse is caring for a school-age client who has fever, somnolence, and a skin rash from suspected meningococcal meningitis. Which interventions should be implemented for this client? Select all that apply. 1. Allow the client to self-position for comfort 2. Have the client wear a mask at all times for 24 hours 3. Keep the client on NPO status 4. Minimize the environmental stimuli 5. Place the client in a negative airflow room
1,3,4
A 4-year-old healthy child is brought in for routine vaccinations. Prior to this visit, the client had received all age-appropriate immunizations. Which vaccines should the child expect to receive at this clinic visit? Select all that apply. 1. Diphtheria, tetanus, pertussis (DTaP) 2. Hepatitis A (Hep A) 3. Inactivated poliovirus (IPV) 4. Measles, mumps, rubella (MMR) 5. Varicella
1,3,4,5
A nurse is caring for a 6-year-old client with tonsillitis. Which further assessment finding requires immediate intervention? 1. Dry mucous membranes 2. Presence of trismus 3. Pulling at the ears 4. Sandpaper-like skin rash
2
The nurse is gathering data on a 5-week-old admitted with a suspected diagnosis of pyloric stenosis. The nurse should expect to find which laboratory value? 1. Blood pH of 7.1 2. Hematocrit of 57% (0.57) 3. Potassium of 5.2 mEq/L (5.2 mmol/L) 4. White blood cells of 28,500/mm3 (28.5 x 109/L)
2
The nurse is providing teaching for parents of a child diagnosed with fifth disease. Which statement by a parent indicates a need for further teaching? 1. "Our child should be feeling much better in 7-10 days." 2. "Our child's condition is communicable until the rash disappears." 3. "We will ensure our child covers the mouth and nose when coughing or sneezing." 4. "We will give our child ibuprofen to treat the joint pain."
2
The nurse teaching the parents of a child diagnosed with cystic fibrosis will advise the parents to choose foods that satisfy which recommended diet? 1. Gluten-free with added protein 2. High calorie, high protein, high fat 3. High protein, low fat, low phosphate 4. High protein, low fat, low sodium
2
The registered nurse is teaching the parent of a 6-year-old about behavioral strategies for treating fecal incontinence due to functional constipation. Which statement by the parent indicates a need for further teaching? 1. "I will give my child a picture book to look at during toilet time." 2. "I will give my child a reward for each bowel movement while sitting on the toilet." 3. "I will keep a log of my child's bowel movements, laxative use, and episodes of soiling." 4. "I will schedule regular toilet sitting time for my child."
2
The clinic nurse interviews the parents of a 6-month-old about the child's diet and feeding schedule. Which parent statement causes the nurse the most concern? 1. "Apples are a healthy food, so we often make apple pie for our child." 2. "Chopped pears are one of our child's favorite foods." 3. "Oatmeal with fresh honey is our child's favorite breakfast." 4. "We have found TV dinners to be convenient as they have both meat and vegetables."
3
The nurse plans care for a child being admitted with a diagnosis of measles. Which of the following will the nurse include in the plan of care? Select all that apply. 1. Limit visitors to 20 minutes of contact with the client 2. Place child on airborne precautions in a negative-pressure room 3. Recommend postexposure prophylaxis for unvaccinated, susceptible family members 4. Restrict child from eating raw vegetables or fruits 5. Wear a gown, gloves, and mask during all client contact
2,3
A nurse is teaching the parent of a 6-year-old with a urinary tract infection (UTI) how to avoid repeat infections. Which statements by the parent indicate that the teaching has been effective? Select all that apply. 1. "I just bought my child new nylon panties." 2. "I will make sure my child does not hold urine." 3. "I will not give my child any more bubble baths." 4. "I will teach my child to wipe from the front to the back." 5. "I will use antibacterial soap for bathing my child."
2,3,4
The nurse is performing a physical examination on a 10-year-old client with abdominal discomfort. Which actions would be appropriate during the examination? Select all that apply. 1. Ask the accompanying parent to rate and describe the client's pain 2. Ask the client to describe the chief symptom 3. Conduct a head-to-toe assessment in the same manner as an adult assessment 4. Explain the outcome of the examination to the parent without the child present 5. Honor the client's request to be examined without a parent present
2,3,5
The nurse is caring for a 2-year-old who is refusing oral antibiotics. What is the nurse's next action? 1. Ask the health care provider to switch to IV antibiotics 2. Hide the antibiotic in the child's favorite food or beverage 3. Offer the child a choice of orange or apple juice with the antibiotic 4. Tell the child that the medication tastes just like candy
3
The nurse is caring for a 4-year-old who was hospitalized with influenza. Which nursing action would be most effective to maintain psychosocial integrity? 1. Encouraging use of puzzles for play 2. Offering the child stacking blocks for diversion 3. Providing crayons to draw noses on facemasks 4. Suggesting that playmates visit the child
3
The nurse is caring for an infant diagnosed with Hirschsprung disease who is awaiting surgery. Which assessment finding requires the nurse's immediate action? 1. Abdominal distension with no change in girth for 8 hours 2. Did not pass meconium or stool within 48 hours after birth 3. Episode of foul-smelling diarrhea and fever 4. Excessive crying and greenish vomiting
3
A nurse is giving instructions related to antibiotic eye drops to the parent of a 5-year-old with bacterial conjunctivitis. Which instruction is most important? 1. Discard tissues used to blot excess medication from the eye immediately 2. Have your child lie down before you instill the eye drops 3. Use warm, moist compresses to remove crusting on eyelids 4. Wash hands before and after eye drop instillation
4
A school-age child is brought to the emergency department due to nausea, vomiting, and severe right lower quadrant pain. The child's white blood cell count is 17,000/mm3(17.0 x 109/L). Which statement by the child is of most concern to the nurse? 1. "I am hungry and they will not let me eat." 2. "I don't like hospitals and I want to go home." 3. "I'm so tired." 4. "My belly doesn't hurt anymore."
4
The nurse is teaching a class on nutrition and feeding practices for young children. What would the nurse recommend as the best snack for a toddler? 1. ½ cup orange juice 2. Animal cracker cookies 3. Raw carrot sticks 4. Strips of cheese
4
The parent of a 15-month-old calls the nurse and says that the child developed a rash and mild fever after receiving a routine measles, mumps, rubella, and varicella (MMRV) vaccine in the pediatric clinic 5 days ago. What is the best response by the nurse? 1. "Apply over-the-counter hydrocortisone cream to the rash." 2. "Bring your child to the clinic this afternoon." 3. "This is a common reaction to the MMRV vaccine." 4. "What is your child's temperature right now?"
4
The registered nurse is performing triage at a pediatric emergency department. Which client should be seen first? 1. Child with history of cystic fibrosis (CF) has new yellow sputum and cough today 2. Crying infant with fiery redness and moist papules in the diaper region 3. Grade-school client with swollen ecchymotic ankle after playing basketball 4. Adolescent client with abdominal pain, heart rate 120/min, and respirations 26/min
4
During a routine assessment of a developmentally normal 18-month-old, the parent expresses concern about the small amount of food the child consumes. What is the nurse'spriority intervention? 1. Check the child for parasitic infections 2. Consult a pediatric nutritionist for suspected eating disorder 3. Educate the parent about physiologic anorexia 4. Notify the primary health care provider
3
A parent has brought her 6-month-old to the clinic for routine immunizations. The nurse administers which of the following to the client? Select all that apply. 1. Hepatitis B (Hep B) 2. Inactivated poliovirus (IPV) 3. Measles, mumps, rubella (MMR) 4. Pneumococcal conjugate vaccine (PCV) 5. Varicella zoster virus (VZV)
1,2,4
The health care provider (HCP) prescribes an oral iron suspension for 3 months for a 2-year-old with iron deficiency anemia. Which instructions should be given to the parent? Select all that apply. 1. Administer doses between meals 2. Administer doses with citrus juice 3. Obtain a full 3-month supply from the pharmacy 4. Place medicine at the back of the mouth 5. Report black, tarry stools to the HCP immediately
1,2,4
The most recent laboratory results for a 12-month-old who is HIV-positive show a CD4 lymphocyte count of 500/mm3 and a CD4 lymphocyte percentage of 10%. The nurse anticipates administering which immunizations? Select all that apply. 1. Haemophilus influenzae type b (Hib) 2. Hepatitis A (Hep A) 3. Measles, mumps, rubella (MMR) 4. Pneumococcal conjugate vaccine (PCV) 5. Varicella
1,2,4
Which discharge teaching instructions should the nurse provide to the parents of a 2-year-old with group A streptococcal pharyngitis? Select all that apply. 1. Complete all the antibiotics even if your child is feeling better 2. Cool liquids and soft diet are recommended 3. Keep your child home from daycare for at least a week 4. Replace your child's toothbrush 24 hours after starting antibiotics 5. Throat lozenges may soothe your child's sore throat
1,2,4
The nurse is reinforcing discharge teaching for the parents of a 1-year-old with a newly diagnosed cow's milk allergy. Which nutrients normally provided by milk should be obtained from other sources? Select all that apply. 1. Calcium 2. Fiber 3. Iron 4. Vitamin D 5. Vitamin K
1,4
An overweight toddler is diagnosed with iron deficiency anemia. Which is the most likely explanation for the anemia? 1. Excessive intake of meat products 2. Excessive intake of milk 3. Gastrointestinal blood loss 4. Impaired iron transfer from the mother
2
The nurse is developing a nutritional plan for a 6-month-old who has recently been started on solid foods. Which of the following recommendations has the highest priority in the plan? 1. Canned baby food is more expensive than food prepared at home 2. Finger foods can be introduced before the child has teeth 3. New foods should be introduced at least 5-7 days apart 4. Rice cereal can be mixed with cow's milk to increase nutritional intake
3
The nurse is discussing feeding and eating practices with the mother of a 1-year-old. Which statement made by the mother indicates a need for further instruction? 1. "I give my child chopped fruit rather than juice." 2. "I make sure my child drinks plenty of water between meals." 3. "My child is fussy at bedtime so I put him to sleep with a bottle of milk." 4. "When I give my child a new food, I wait a week before trying a second new food."
3
Which of the following statements made by the mother of a child recently diagnosed with celiac disease indicates a need for further teaching? 1. "I will need to read the labels of all processed foods." 2. "It is okay if my child eats rice, corn, and potatoes." 3. "My child can have small amounts of foods containing wheat as long as she remains symptom free." 4. "My child will need to be on a gluten-free diet for the rest of her life."
3
A nurse is teaching the parent of an infant who had a febrile seizure about appropriate interventions. Which instruction is appropriate to include in the teaching? 1. "Give acetaminophen or ibuprofen every 6-8 hours to control fever." 2. "Give the infant frequent tepid sponge baths to control the fever." 3. "If he develops another seizure, wait 15 minutes to see if the seizure subsides." 4. "Place ice bags under the arms and around the neck to control fever."
1
A school nurse is educating the parent of a young client with pediculosis capitis. Which statement by the parent indicates understanding of the teaching? 1. "I will launder recently worn clothing, sheets, and towels in hot water." 2. "I will make sure all eating utensils are placed in the dishwasher." 3. "I will spray the house with insecticide to control this problem." 4. "I will throw away stuffed animals and toys that cannot be washed."
1
An adolescent client with a sore throat is diagnosed with infectious mononucleosis. Which comment by the caregiver would alert the nurse that additional instruction is necessary? 1. "I need to go to the pharmacy to pick up an antibiotic prescription." 2. "It is acceptable for my child to have ibuprofen for discomfort or fever." 3. "My child will be on bed rest with few activities for the next 2 weeks." 4. "Participation in soccer practice will not be allowed for the next month."
1
A nurse is providing education to the parents of a child diagnosed with chronic allergic rhinitis that is triggered by household and environmental allergies. Which statements by the parents indicate that the teaching has been effective? Select all that apply. 1. "My wife plans to wipe down our child's furniture with a damp rag every other day." 2. "Our child needs plastic covers for the mattress and pillow." 3. "We must give away the family dog." 4. "We will keep the windows open during warm weather to air out the house." 5. "We will replace the carpet with hardwood floors throughout the house."
1,2,5
The clinic nurse prepares to teach the parent of a child who has been diagnosed with scabies. Which instructions should the nurse include in the teaching plan? Select all that apply. 1. All persons in contact with the child need treatment 2. Apply permethrin to all body areas below the head 3. Discard the child's stuffed animals 4. Fumigate all the living areas 5. Wash the child's bedding in hot water
1,2,5
The nurse has provided instructions about home care management for the parents of a child diagnosed with rotavirus infection. Which statements by the parents indicate that teaching has been effective? Select all that apply. 1. "Hand washing is extremely important in slowing the spread of rotavirus." 2. "I will observe my child for decreased urination and dry mucous membranes." 3. "I will resume breastfeeding as soon as the diarrhea subsides." 4. "I will use commercial baby wipes that contain alcohol." 5. "My child can spread the infection with contaminated hands, toys, and food."
1,2,5
A 12-month-old has a high blood lead level of 18 mcg/dL. The nurse educates the parents about lead poisoning. Which statements made by the parent indicate that teaching has been successful? Select all that apply. 1. "I should get our home inspected for the source of lead." 2. "I will vacuum our hard-surface floors daily." 3. "I will wash my child's hands often, especially before eating." 4. "We should use hot water from the tap for cooking." 5. "We will have to return for a follow-up lead level."
1,3,5
The parent of a 21-day-old male infant reports that the infant is "throwing up a lot." Which assessments should the nurse make to help determine if pyloric stenosis is an issue? Select all that apply. 1. Assess the parent's feeding technique 2. Check for family history of gluten enteropathy 3. Check for history of physiological hyperbilirubinemia 4. Check if the vomiting is projectile 5. Compare current weight to birth weight
1,4,5
A 12-month old infant is brought to the clinic for routine immunizations. Which conditions would cause the nurse to question administration? Select all that apply. 1. Flu shot and a history of anaphylactic reaction to eggs 2. Haemophilus influenzae type b vaccine and local redness/swelling after last immunization 3. Hepatitis A vaccine and current "cold" with temperature of 99 F (37.2 C) 4. Measles, mumps, rubella vaccine and exposure to chicken pox (varicella-zoster) recently 5. Pneumococcal vaccine and allergy to penicillins 6. Varicella-zoster vaccine and diagnosed with leukemia
1,6
A newborn had a bowel resection with temporary colostomy for Hirschsprung's disease. The nurse should alert the health care provider (HCP) for which assessment finding postoperatively? 1. Moderate amount of blood-tinged mucus from the stoma on postoperative day 2 2. Small amount of non-formed stool in the colostomy bag on postoperative day 6 3. Stoma bleeds a small amount during colostomy bag change on postoperative day 3 4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5
4
A nurse in the neonatal intensive care unit discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse's first action? 1. Administer 100% oxygen 2. Auscultate the lungs 3. Place infant in knee-chest position 4. Suction the infant's mouth
4
The nurse cares for an 11-lb (5-kg) infant admitted with dehydration and prepares to calculate intake and output over an 8-hour shift. Using the data in the exhibit, calculate the total output in milliliters for the 8-hour shift. Record your answer as a whole number. Click on the exhibit button for additional information. Exhibit Intake and output record Emesis 120 mL Wet diaper 1 50 g Wet diaper 2 52 g Wet diaper 3 46 g *Weight of a dry diaper = 30 g Answer: (mL)
178
A child received the varicella immunization. The day after the injection, the parent calls the nurse to say that the child has discomfort, slight redness, and 2 vesicles at the injection site. What instruction would be appropriate for the nurse to provide to this parent? 1. Administer aspirin to decrease discomfort 2. Cover the vesicles with a small bandage until they are dry 3. Isolate the child from other children for 21 days to avoid exposure 4. Make an appointment with the health care provider (HCP) as soon as possible
2
A nurse is leading a discussion with a group of new parents. A parent asks about the first food to introduce to a 5-month-old infant. What is the best response by the nurse? 1. "Finely mashed fruit, such as bananas, is given." 2. "Iron-fortified cereal, such as rice cereal, is offered." 3. "Mashed egg yolk is a good choice." 4. "Pureed carrots are well tolerated."
2
A parent brings a 6-month-old child to the primary health care provider after the child abruptly started crying and grabbing intermittently at the abdomen. The client's stool has a red, currant jelly appearance. What intervention does the nurse anticipate? 1. Administer epoetin alfa (erythropoietin) 2. Give air (pneumatic) enema 3. Have the parent give 2 ounces of extra juice a day for constipation 4. Perform hemoccult test on stool
2
The clinic nurse has reinforced teaching about accident prevention for the mother of a 4-month-old. Which statement by the mother indicates that teaching has been effective? 1. "I will keep my baby in the front-facing car seat." 2. "I will keep the crib rail up in the highest position." 3. "It is time to place safety plugs in the electric outlets." 4. "It is time to remove the mobile from my child's crib."
2
The school nurse creates a cafeteria menu for a newly enrolled child with celiac disease. Which lunches would be appropriate for this child? Select all that apply. 1. Beef barley soup with mixed vegetables and French bread 2. Grilled chicken, baked potato, and strawberry yogurt 3. Mexican corn tacos with ground beef and cheese 4. Peanut butter and jelly on rice cakes with an oatmeal cookie 5. Rice noodles with chicken and broccoli
2,3,5
The clinic nurse supervises a student nurse who is preparing to administer routine vaccinations to a child diagnosed with hemophilia. Which instructions should the clinic nurse provide to the student? Select all that apply. 1. Administer ibuprofen for pain relief 2. Administer vaccines via the subcutaneous route 3. Apply a warm compress to the injection site 4. Hold firm pressure on the site for 5 minutes 5. Massage the injection site to disperse the medication
2,4
The nurse in the emergency department is assessing a 12-month-old diagnosed with intussusception. Which findings should the nurse expect? Select all that apply. 1. Palpable olive-shaped mass in epigastrium 2. Palpable sausage-shaped mass in upper right quadrant 3. Projectile vomiting containing blood 4. Screaming and drawing the knees up to the chest 5. Stool mixed with blood and mucus
2,4,5
The nurse plans to teach the parents of a child diagnosed with pediculosis capitis. Which instructions should the nurse include in the teaching plan? Select all that apply. 1. It is not necessary to treat your other children 2. Soak your child's comb and hair accessories in boiling water for 10 minutes 3. The family pet will need treatment with a pediculicide 4. Use a nit comb daily for 2 weeks after pediculicide treatment 5. Vacuum your furniture, carpets, and mattresses every few days
2,4,5
A nurse is assessing a newborn with an infection due to Candida albicans. Which assessment data support this diagnosis? 1. Diffuse skin rash that resembles flea bites 2. Small, white cysts on the hard palate 3. Vesicles on the skin surrounding the lips 4. White, adherent patches on the tongue and palate
4
A 2-month-old infant is brought to the pediatric emergency department due to vomiting and diarrhea for 4 days. Assessment findings include lethargy, poor feeding, sunken fontanel, temperature 100.4 F (38 C), heart rate 134/min, and respiratory rate 28/min. Which prescription from the health care provider would be the priority? 1. Acetaminophen elixir 50 mg by mouth every 6 hours 2. Intravenous (IV) ampicillin 240 mg every 12 hours 3. IV normal saline bolus 20 mL/kg over 1 hour 4. Obtain a stool culture
3
A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect? 1. Black, sticky stools 2. Greasy, foul-smelling stools 3. Stools mixed with blood and mucus 4. Thin, "ribbon-like" stools
3
A mother brings a child to the emergency department with itching and the rash shown in the exhibit. The child continues to scratch the lesions. What action should the nurse take first? Click on the exhibit button for additional information. Exhibit: https://drive.google.com/open?id=0B40rfZ_HhbqwOGJMdHI3OVVyV1k 1. Administer antihistamine and closely crop the fingernails 2. Ask about the child's vaccination status 3. Place a mask on the child 4. Place the child in positive airflow room
3
A nurse on a pediatric unit is admitting a school-aged child with suspected Reye syndrome. Which information obtained during the history taking is most consistent with this condition? 1. No history of varicella vaccine administration 2. Recent exposure to bats 3. Recent influenza infection 4. Recent use of acetaminophen for fever
3
The nurse is reinforcing teaching to the parent of a child diagnosed with ringworm. Which statement by the parent indicates a need for further teaching? 1. "Antifungal cream must be applied to all affected areas to eradicate ringworm from the body." 2. "Hand washing is very important as ringworm can be spread among humans and pets." 3. "My child has been infected by a worm and must be treated to rid it from the body." 4. "My child will be uncomfortable due to itching, but this is not a dangerous condition."
3
The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse provide the caregivers before they leave the clinic? 1. Call the office if the toddler's temperature is higher than 100 F (37.7 C) 2. Fussiness and anorexia are common for 1 week after immunizations 3. Redness at the injection sites and a mild fever are common 4. The toddler's activity level should be restricted for 24 hours
3
The parent of a 7-month-old reports that the child has been crying and vomiting with a distended belly for the past 4 hours. The infant is now lying quietly in the parent's arms with a pulse of 200/min and respirations of 60/min. Which of the following components of SBAR (situation, background, assessment, recommendation/read-back) communication is most important for the nurse to report to the health care provider? 1. Client has been ill for approximately 4 hours 2. Client has improved from apparent earlier distress 3. Client is now lethargic with abnormal vital signs 4. Does the health care provider want to order a laxative?
3
A 12-month-old with Kawasaki disease received IV immunoglobulin (IVIG) 2 months ago. The child is in the clinic for follow-up and scheduled immunizations. Which vaccine should be delayed? Select all that apply. 1. Haemophilus influenzae type b (Hib) 2. Hepatitis B (Hep B) 3. Measles, mumps, rubella (MMR) 4. Pneumococcal conjugate (PCV) 5. Varicella
3,5
