Pediatric Nursing - Toddler

The parents report that their child has a runny nose, fever, and cough and is irritable and constantly rubbing his ears. When assessing the ear, how should the nurse expect the child's tympanic membrane to appear? bulging and red clear and inverted pearly gray scarred and raised

bulging and red

A client is admitted to the hospital for an asthma exacerbation. The nursing history reveals this client was exposed to varicella (chickenpox) 1 week ago. When, if at all, would this client require isolation? Isolation is not required at this time. Immediate isolation in a private room is required . Isolation would be required 10 days after exposure. Isolation would be required 12 days after exposure.

Immediate isolation in a private room is required .

A nurse is making an initial visit to a family with a preschool child with early Duchenne's muscular dystrophy. Which assessment is an expected finding in this child? contractures of the large joints enlarged calf muscles difficulty riding a tricycle atrophied muscles

difficulty riding a tricycle

A client's caregivers state that they childproofed their home for their 2-year-old. During a home visit, the nurse discovers some situations that show the caregivers don't fully understand the developmental abilities of their toddler. Which situation displays misunderstanding by the caregivers? safety latches on kitchen cabinets toy chest in front of a second-story, locked window pot handles turned toward the back of the stove hot water heater temperature set at 120° F (48.9° C) or below

toy chest in front of a second-story, locked window

Parents of a 2-year-old child with chronic otitis media are concerned that the disorder has affected their child's hearing. Which behavior suggests that the child has a hearing impairment? stuttering using gestures to express desires babbling continuously playing alongside rather than interacting with peers

using gestures to express desires

A preschool-age child with a history of being abused has blood drawn. The child lies very still and makes no sound during the procedure. Which comment by the nurse would be most appropriate? "It's okay to cry when something hurts." "That really didn't hurt, did it?" "We are mean to hurt you that way." "You were very good not to cry with the needle."

"It's okay to cry when something hurts."

A 15-month-old child with an IV line in place is prescribed to receive a total of 200 mL over the next 3 hours. The infusion set delivers 1 mL per 60 drops. At what rate (in drops/min) should the nurse run the infusion? Record your answer using a whole number.

67

The parent of a 2-year-old is concerned because the child's right eye seems to turn in toward the nose when the child is tired. The nurse should: Assure the parent that this is a normal event when the child is tired. Advise the parent to continue to watch the child's eyes closely and, if the problem persists, to call the clinic. Test the child with the cover-uncover test and refer the parent and child to an ophthalmologist if the test is abnormal. Explain to the parent that the child will probably outgrow the weakness and the parent need not be concerned.

Test the child with the cover-uncover test and refer the parent and child to an ophthalmologist if the test is abnormal.

Which family should the nurse determine as most in need of follow-up? a single mother with a 7-month-old child whose immunizations are delayed a two-parent family whose 3-year-old has a fractured leg from an automobile accident a single parent with a toddler who has third-degree burns over 20% of the body a two-parent family with a foster child who has a history of caustic liquid ingestion

a single parent with a toddler who has third-degree burns over 20% of the body

A registered nurse (RN) has been paired with a licensed practical nurse (LPN) for the shift. Whose care should the RN delegate to the LPN? a 2-year-old child who nearly drowned 2 days earlier a 19-month-old infant who had surgery for a fractured tibia 12 hours ago a 6-month-old infant who has gastroenteritis and vomits every 30 minutes a 17-month-old infant who lost consciousness 2 hours earlier because of a head injury

a 2-year-old child who nearly drowned 2 days earlier

Which toy should the nurse give to a toddler to use in the hospital playroom? tricycle wheelbarrow truck with four wheels. blocks

blocks

When a nurse assesses a client with suspected dehydration, which condition should be reported to the physician immediately? irritability for the past 12 hours capillary refill less than 2 seconds decreased blood pressure tachycardia, dry skin, and dry mucous membranes

decreased blood pressure

A mother asks the nurse, "How did my children get pinworms?" The nurse explains that pinworms are most commonly spread by which route? food hands animals toilet seats

hands

Which toxic adverse reaction should the nurse monitor in a toddler taking digoxin? weight gain tachycardia nausea and vomiting seizures

nausea and vomiting

A nurse is caring for a group of pediatric clients. The nurse understands that which age group would most likely identify their pain as punishment for past behavior? infant (age 9-12 months) preschool or toddler (age 2-5 years) school age children (age 6 -11 years) adolescents (age 12-17 years)

preschool or toddler (age 2-5 years)

A client is brought to the emergency department in respiratory distress caused by acute epiglottitis. Which assessment finding is most concerning for the nurse? severe sore throat, drooling, and inspiratory stridor low-grade fever, stridor, and a barking cough pulmonary congestion, a productive cough, and a fever sore throat, a fever, and general malaise

severe sore throat, drooling, and inspiratory stridor

A parent calls the pediatric clinic to express concern over the child's eating habits. The parent says the child eats very little and consumes only a single type of food for weeks on end. The nurse knows that this behavior is characteristic of: toddlers. preschool-age children. school-age children. adolescents.

toddlers.

When teaching a caregiver of a 17-month-old about toilet training, which instruction would initially be most appropriate? Place the toddler on the potty chair every 2 hours for 10 minutes. Offer a reward every time the toddler has a bowel movement in the potty chair. Remove the diaper and use training pants to begin the process. Be sure the toddler is ready before starting to toilet train.

Be sure the toddler is ready before starting to toilet train.

The nurse is reviewing the laboratory data for a young client in acute kidney failure and notes an elevated serum potassium level. What is the priority assessment action for the nurse based on the laboratory data? Monitor urine output every 4 hours. Frequently assess breath sounds. Monitor for changes in motor reflexes. Institute telemetry monitoring.

Institute telemetry monitoring.

The nurse is educating the parents of a 2-year-old child regarding immunizations. When the parents ask where the injections will be given the nurse answers that the most appropriate site for an intramuscular injection for a child this age is the: vastus lateralis muscle. dorsogluteal muscle. ventrogluteal muscle. deltoid muscle.

vastus lateralis muscle.