PEDS Final
The parent of a child with Cystic Fibrosis asks the nurse what time to begin the child's first CPT (chest physiotherapy) treatment each day. Which is the nurse's best response? A. "30 minutes before feeding the child breakfast." B. "After deep suctioning the child each morning." C. "30 minutes after feeding the child breakfast." D. "Only when the child has congestion or coughing."
A. "30 minutes before feeding the child breakfast."
When caring for a child with acute renal failure, which nursing measure requires immediate attention? A. Serum potassium concentrations in excess of 7 mEq/L B. Sodium level of 135 C. Transfusion for hemoglobin of 8 D. Mannitol and furosemide for a urine output of 2 ml/kg/hr
A. Serum potassium concentrations in excess of 7 mEq/L
A nurse is assessing a client who has pertussis. Which of the following findings should the nurse expect? (Select all that apply.) Runny nose Mild fever Cough with whooping sound Swollen salivary glands Red rash
Runny nose Mild fever Cough with whooping sound
A nurse is caring for a child who has acute appendicitis. Which should the nurse anticipate when reviewing this client's laboratory values? A. Neutrophils 3,000/mm3 B. RBC 4.2 million/mm3 C. Lymphocytes 3,000/mm3 D. WBC 17,000/mm3
B. RBC 4.2 million/mm3
A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse expect to include in the plan of care? (Select all that apply.) Tobramycin Loperamide Fat-soluble vitamins Albuterol Dornase alfa
Tobramycin Fat-soluble vitamins Albuterol Dornase alfa
A nurse is caring for a child who is suspected of having acute rheumatic fever. The parent wants to know how acute rheumatic fever is diagnosed. Which statement by the nurse indicates the correct response: A. "A blood sample is collected, and an elevated antistreptolysin-O (ASO) titer will be present." B. "A blood sample is collected, and a positive QuantiFERON-TB will be present." C. "A blood sample is collected, and a positive interferon-gamma release assays (IGRAs) will be present." D. "A blood sample is collected, and a negative interferon-gamma release assays (IGRAs) will be present."
A. "A blood sample is collected, and an elevated antistreptolysin-O (ASO) titer will be present."
A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following actions should the nurse implement to manage this client's pain? A. Administer morphine sulfate IV via continuous infusion. B. Administer meperidine IM as needed. C. Administer acetaminophen PO every 4 hr. D.Administer hydrocodone PO every 6 hr.
A. Administer morphine sulfate IV via continuous infusion.
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which prescription from the provider? A. Administer rapid isotonic fluid (0.9% sodium chloride) IV infusion to maintain perfusion B. Administer potassium chloride PO tablet for hypokalemia C. Administer Intravenous Immunoglobulin (IVIG) for sepsis prevention D. Initiate seizure precautions for risk of mental confusion
A. Administer rapid isotonic fluid (0.9% sodium chloride) IV infusion to maintain perfusion
Parents report that their school-age child has been seen by the school nurse for dizziness that occurred when standing in line for recess since the start of the school year. The child now reports that she would rather sit & watch her friends play hopscotch bc she cannot count out loud and jump at the same time. When the nurse asks the child if her chest ever hurts, she replies "yes". Based on this hx, the nurse suspects that she has: A. Aortic Stenosis B. Coarctation of the aorta (CoA) C. Total anomalously pulmonary venous return (TAPVR) D. Kawasaki Disease
A. Aortic Stenosis
The nurse's client has an order to receive a lumbar puncture. What nursing action should the nurse take? (Select all that apply). A. Apply a topical anesthetic cream over the biopsy area 45 min to 1 hr prior to the procedure B. Maintain NPO status prior to the procedure C. Have the client void prior to the procedure D. Place the client in the side-lying position E. Use a transilluminator to assist in puncture site location
A. Apply a topical anesthetic cream over the biopsy area 45 min to 1 hr prior to the procedure C. Have the client void prior to the procedure D. Place the client in the side-lying position
A nurse is caring for a client who has an intracranial pressure (ICP) reading of 40 mm Hg. Which of the following findings should the nurse identify as a late sign of ICP? (Select all that apply.) A. Confusion B. Bradycardia C. Hypotension D. Nonreactive dilated pupils E. Slurred speech
A. Confusion D. Nonreactive dilated pupils
A nurse assessing a school-age patient who has coarctation of the aorta. Which findings should the nurse expect? (Select all that apply). A. Cool/ tepid lower extremities B. Bounding radial pulses C. Pectus carinatum D. Clubbing of the fingers E. Epistaxis
A. Cool/ tepid lower extremities B. Bounding radial pulses E. Epistaxis
A child with diabetes insipidus (DI) received desmopressin acetate. When evaluating for therapeutic effectiveness, the nurse would interpret which finding as a positive response to this drug? A. Decreased urine output B. Increased urine glucose level C. Decreased blood pressure D. Relief of nausea
A. Decreased urine output
A nurse is teaching a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in the teaching? (Select all that apply.) A. Febrile episodes B. Hypoglycemia C. Sodium imbalances D. Low blood lead levels E. Presence of diphtheria
A. Febrile episodes B. Hypoglycemia C. Sodium imbalances
A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (Select all that apply.) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pilaris
A. Generalized distribution of lesions B. Papules D. Crusting lesions
A nurse is providing education to parents of a client admitted to the pediatric medical-surgical unit. You overhear the nurse mention their child is likely to have delayed sexual development, premature aging, and increased epiphyseal closure. What endocrine dysfunction is the nurse likely discussing? A. Growth hormone deficiency B. Hypothyroidism C. Congenital Adrenal Hyperplasia (CAH) D. Addison's Disease
A. Growth hormone deficiency
A nurse is caring for a client who has major burns and suspected septic shock. Which of the following findings are consistent with septic shock? (Select all that apply.) A. Increased body temperature B. Altered sensorium C. Decreased capillary refill time D. Decreased urine output E. Increased bowel sounds
A. Increased body temperature B. Altered sensorium D. Decreased urine output
The nurse is assessing an infant client who has hydrocephalus. Which of the following manifestations should the nurse expect? (Select all that apply). A. Increased head circumference B. Bulging fontanels C. Visual disturbances D. Sluggish pupils E. High-pitched cry
A. Increased head circumference B. Bulging fontanels E. High-pitched cry
A nurse is teaching a parent of an infant with gastroesophageal reflux (GER). Which states should the nurse include in the teaching? (Select all that apply.) A. Offer frequent feedings B. Thicken formula with rice cereal C. Use a bottle with a one-way valve D. Position baby upright after feedings E. Use a wide-based nipple for feedings
A. Offer frequent feedings B. Thicken formula with rice cereal D. Position baby upright after feedings
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect? (Select all that apply.) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger
A. Projectile vomiting B. Dry mucus membranes E. Constant hunger
A nurse is caring for an adolescent who has a closed head injury. Which of the following findings are indications of increased intracranial pressure (ICP)? (Select all that apply.) A. Report of headache B. Alteration in pupillary response C. Increased motor response D.Increased sleeping E. Increased sensory response
A. Report of headache B. Alteration in pupillary response D.Increased sleeping
During a standard ophthalmoscopic exam on a school-age patient, the nurse notices that while the light reflex of the left eye is red, the light reflex of the right eye appears bright white. The right pupil is also less reactive to light, and the right eye appears to be slightly bulging. The nurse should be suspicious of which of the following conditions? A. Retinoblastoma B. Cataracts C. Glaucoma D. Hordeolum
A. Retinoblastoma
A nurse is teaching a group of caregivers about E. coli. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Severe abdominal cramping occurs. B. Watery diarrhea is present for more than 5 days. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen. E. Antibiotics are given for treatment.
A. Severe abdominal cramping occurs. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen.
A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply.) A. Shake the device prior to use. B. Rinse and expectorate after administration. C. Inhale slowly with medication administration. D. Exhale quickly after medication administration. E. Wait 30 seconds between puffs.
A. Shake the device prior to use. B. Rinse and expectorate after administration. C. Inhale slowly with medication administration
A nurse is reviewing the diagnostic findings for a preschool-age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis? A. Sweat chloride content 85 mEq/L B. Increased blood levels of fat-soluble vitamins C. 72 hr stool analysis sample indicating hard, packed stools D. Chest x-ray negative for atelectasis
A. Sweat chloride content 85 mEq/L
The nurse has received a provider's order to administer the varicella vaccine. Which client would you expect the nurse to question the order for: A. The 9yo client that received IVIG within 3mo B. The non-immunized children older than age 13 yo who have not had the disease C. the 13 mo child that regularly attends day care D. the 18yo client that expresses a desire to have a baby soon
A. The 9yo client that received IVIG within 3mo
The parent of an infant newly diagnosed with TOF is asking the nurse which defects are involved. (Select all that apply). A. VSD (Ventricular Septal Defect) B. Right Ventricular Hypertrophy C. Left Ventricular Hypertrophy D. Pulmonary Stenosis (PS) E. Pulmonic atresia F. Overriding aorta
A. VSD (Ventricular Septal Defect) B. Right Ventricular Hypertrophy D. Pulmonary Stenosis (PS) F. Overriding aorta
The mother of a preschooler expresses disappointment when her child's weight has increased only 4 pounds since the child's physical 1 year ago. The nurse should advise this mother that: A. Weight gain of 4-6 pounds/year is normal for a preschooler B. The poor weight gain may be a result of poor nutrition C. The poor weight gain may indicate a more serious problem D. The weight gain is not ideal but may be nothing to worry about
A. Weight gain of 4-6 pounds/year is normal for a preschooler
A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.) A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped chest D. Thin, watery mucus E. Rapid growth spurts
A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped chest
A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? A. Provide a low-calorie, low-protein diet. B. Administer pancreatic enzymes with meals and snacks. C. Implement a fluid restriction during times of infection. D. Restrict physical activity.
B. Administer pancreatic enzymes with meals and snacks.
The nurse is working in the emergency room when an ambulance arrives with a school-age child who has been having a generalized seizure for 35 minutes. The paramedics have provided blow-by oxygen and monitored vital signs. The patient does not have intravenous access yet. Which medication should the nurse anticipate administering first? A. Establish a peripheral IV and administer IV lorazepam B. Administer rectal diazepam C. Administer an oral glucose gel to the side of the child's mouth D. Administer clobazam since it can be taken crushed or swallowed whole
B. Administer rectal diazepam
A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions should the nurse include in the plan of care? (Select all that apply.) A. Apply talcum powder with every diaper change. B. Allow the buttocks to air dry. C. Use commercial baby wipes to cleanse the area. D. Use cloth diapers until the rash is gone. E. Apply zinc oxide ointment to the affected area.
B. Allow the buttocks to air dry. E. Apply zinc oxide ointment to the affected area.
A nurse is caring for a client who has a superficial partial-thickness burn. Which of the following actions should the nurse take? A. Administer IV infusion of 0.9% sodium chloride. B. Apply cool, wet compresses to the affected area. C. Clean the affected area using a soft-bristle brush. D. Administer morphine sulfate.
B. Apply cool, wet compresses to the affected area.
What would be the best response if a mother tells the nurse that the only way she can get her 2-year-old daughter to take medicine is to call it candy? A. Tell her that is fine as long as the child takes all of the medicine B. Discuss the importance of not calling medicine candy to prevent accidental drug ingestion C. Discuss with the mother that the child does not have to take the medicine if she does not want it D. Tell the mother her child will have to go to "time out" if she does not take her medicine
B. Discuss the importance of not calling medicine candy to prevent accidental drug ingestion
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. Urinary tract infections B. Emotional problems C. Urosepsis D. Progressive kidney disease
B. Emotional problems
A nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. Sickle solubility test B. Hemoglobin electrophoresis C. Complete blood count D. Transcranial Doppler
B. Hemoglobin electrophoresis
A nurse is assessing a child who has Leg-Calve-Perthes disease. Which of the following findings should the nurse expect? (Select all that apply.) A. Longer affected leg B. Hip stiffness C. Back pain D. Limited ROM E.Limp with walking
B. Hip stiffness C. Back pain D. Limited ROM E.Limp with walking
The newly graduate RN is caring for a toddler who has been febrile with ABC cramping and mild, watery diarrhea for a few days. The client is ill-appearing & seems fatigued. Which action is most appropriate for the RN to take? A. Offer vegetable broth B. Initiate rehydration therapy via the oral route C. Insert a peripheral IV and administer isotonic solution D. Maintain NPO status until diarrhea resolves
B. Initiate rehydration therapy via the oral route
What intervention would be most appropriate for a 3-year-old boy who had just ingested dish detergent? A. Discuss childproofing measures in the home in a non-threatening manner B. Inquire about the circumstance of the ingestion C. Discuss having ipecac and the Poison Control phone number in the home D. Tell the mother you will be giving the boy medication to induce vomiting
B. Inquire about the circumstance of the ingestion
A nurse is assessing an infant who has suspected urinary tract infection (UTI). Which are expected findings? (Select all that apply). A. Increase in hunger B. Irritability C. Vomiting D. Decreased in urination E. Fever
B. Irritability C. Vomiting E. Fever
A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (Select all that apply.) A. Instruct the child that the treatment will last 30 min. B. Obtain vital signs prior to the procedure. C. Tell the child to take slow deep breaths. D. Determine if the child should use a mask. E. Attach the device to an air source.
B. Obtain vital signs prior to the procedure. C. Tell the child to take slow deep breaths. D. Determine if the child should use a mask. E. Attach the device to an air source.
The nurse is preparing to administer medications. Which medication should the nurse administer first? A. Prednisone, a glucocorticoid, for a patient diagnosed with chronic bronchitis B. Oxygen via nasal cannula at 2 L/min for a client diagnosed with pneumonia C. Lactic acidophilus to a patient receiving IVPB antibiotics D. Cephalexin, an antibiotic, to a patient being discharged
B. Oxygen via nasal cannula at 2 L/min for a client diagnosed with pneumonia
A nurse is providing teaching to a caregiver about acetaminophen poisoning. Which of the following information should the nurse include in the teaching? A. Nausea begins 24 hr after ingestion B. Pallor can appear as early as 2 hr after ingestion C. Jaundice will appear in 12 hr if the child is toxic D. Children can have 4g/day of acetaminophen
B. Pallor can appear as early as 2 hr after ingestion
A nurse is developing an educational program about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? (Select all that apply.) A. Inactivated polio vaccine (IPV) B. Pneumococcal conjugate vaccine (PCV) C. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) D. Haemophilus influenzae type B (Hib) vaccine E. Trivalent inactivated influenza vaccine (TIV)
B. Pneumococcal conjugate vaccine (PCV) D. Haemophilus influenzae type B (Hib) vaccine
The adolescent client has been admitted to the intensive care unit for an overdose of acetaminophen (Tylenol). Which laboratory data should the nurse monitor for long-term complications from the attempt? A. The arterial blood gases B. The liver function tests C. The BUN and creatinine D. The complete blood count
B. The liver function tests
A nurse is teaching the parent of a newborn how to treat the newborn's plagiocephaly. Which statements by the parent indicates an understanding of the teaching? A. "I should put my baby to sleep on the belly during her afternoon nap." B. "I should ensure my baby's head is in the same position whenever sleeping." C. "I should have my baby wear the prescribed helmet 23 hours a day." D. "I should allow my baby to sleep in an infant swing."
C. "I should have my baby wear the prescribed helmet 23 hours a day."
A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching? A. "You will go home the same day of surgery." B. "You will have minimal pain." C. "You will need to receive blood." D. "You will not be able to eat until the day after surgery."
C. "You will need to receive blood."
There are several children in the ER waiting area who all have asthma. The nurse has only one room left in the ER. Which child should the nurse assess first? A. 5-year-old who is speaking in complete sentences, is pink in color, is wheezing bilaterally, and has an SpO2 of 93% B. 9-year-old who is quiet, is pale in color, and is wheezing bilaterally with an SpO2 of 92% C. 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an SpO2 of 93% D. 16-year-old who is speaking in short sentences, is wheezing, sitting upright, and has an SpO2 of 93%
C. 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an SpO2 of 93%
On reviewing information about glomerulonephritis, the nurse knows that which child is MOST at risk for developing the disease? A. A child recovering from viral pneumonia B. A child with new-onset type 1 diabetes C. A child diagnosed with impetigo 1 week ago D. A child with a history of five UTIs in the previous year
C. A child diagnosed with impetigo 1 week ago
A toddler who is to be hospitalized brings a dirty, ragged stuffed animal with him. The nurse's most appropriate action is: A. Ask the toddler's parents to find an identical new stuffed animal B. Remove the stuffed animal while the child is sleeping and tell the child when he wakes that it is lost C. Allow the toddler to keep the stuffed animal D. Distract the toddler by taking him to the playroom and letting him select another stuffed animal
C. Allow the toddler to keep the stuffed animal
A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the findings should the nurse monitor for as an adverse effect of mannitol? A. Bradycardia B. Weight loss C. Confusion D. Constipation
C. Confusion
A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.) A. Heightened sense of hearing B. Tachycardia C. Difficulty swallowing D. Sensation of being cold E. Cheyne-Stokes respirations
C. Difficulty swallowing E. Cheyne-Stokes respirations
A high school student returned to school following a 3-week absence d/t infectious mononucleosis. Which statement should the nurse include when providing the client with education about his infection? A. To have a snack twice a day to prevent hypoglycemia B. To complete the full course of antibiotic therapy for the next 6mo C. Expect to avoid contact sports for up to a mo of likely splenomegaly D. Wear sunglasses to reduce sensitivity to phobia
C. Expect to avoid contact sports for up to a mo of likely splenomegaly
A nurse is caring for a client who has a moderate burn. Which of the following actions should the nurse take? A. Maintain immobilization of the affected area. B. Expose affected area to the air. C. Initiate a high-protein, high-calorie diet. D. Implement contact isolation.
C. Initiate a high-protein, high-calorie diet.
A nurse is caring for a toddler who has had three ear infections in the past 5 months. Which of the following long-term complications is the child at risk for developing? A. Balance difficulties B. Papular urticaria C. Speech delay D. Mastoiditis
C. Speech delay
The RN observes a nursing student entering a toddler's room to check vital signs and begins to take the child's temperature first. The RN should: A. Suggest the student start with the pulse B. Suggest the student start with the BP C. Suggest the student start with respirations D. Say nothing, this action is appropriate
C. Suggest the student start with respirations
The nurse is caring for a child who is being admitted with a diagnosis of meningitis. The child's plan of care includes the following: administration of IV antibiotics, administration of maintenance IV fluids, placement of an indwelling foley catheter, and obtaining cultures of cerebral spinal fluid and blood. Select the procedure the nurse should do first: A. Administration of maintenance IV fluids B. Placement of an indwelling foley catheter C. Administration of IV antibiotics D. Send the cerebral spinal fluid and blood cultures to the laboratory
D. Send the cerebral spinal fluid and blood cultures to the laboratory
Which statement is accurate about complications of pediatric foreign body ingestion? A. The most common site of esophageal impaction is at the lower esophageal sphincter (LES) at the gastroesophageal junction B. Most complications occur once the foreign body reaches a child's stomach C. Migration of a foreign body from the esophagus most often leads to aortoenteric fistula D. Swallowed button batteries may cause substantial mucosal injury within just 2 hours
D. Swallowed button batteries may cause substantial mucosal injury within just 2 hours
A nurse is teaching a school-age child who has diabetes mellitus about insulin administration. Which of the following should the nurse include in the teaching? "You should inject the needle at a 30-degree angle." "You should combine your glargine and regular insulin in the same syringe." "You should aspirate for blood before injecting the insulin." "You should give four to six injections in one area before switching sites."
"You should give four to six injections in one area before switching sites."
A nurse is teaching a child who has type 1 diabetes mellitus about self-care. Which of the following statements by the child indicates understanding of the teaching? "I should skip breakfast when I am not hungry." "I should increase my insulin with exercise." "I should drink a glass of milk when I am feeling irritable." "I should draw up the NPH insulin into the syringe before the regular insulin."
"I should drink a glass of milk when I am feeling irritable."
A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia? A. Nonproductive cough B. Hypoventilation C. Tachypnea D. Nasal stuffiness
C. Tachypnea
The graduate nurse is preparing to administer vaccinations to a 4-month-old child during their well-baby visit. The appropriate location to administer the vaccine is: A. Rectus femoris B. Vastus intermedius C. Vastus lateralis D. Deltoid
C. Vastus lateralis
A 12-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: A. "At 12-months-old his weight should be approximately three times his birth weight." B. "Each child gains weight at his or her own pace." C. "At 12-months-old his weight should be approximately double his birth weight." D. "At 12-months-old a child should weigh 10-15 lbs more than their birth weight."
A. "At 12-months-old his weight should be approximately three times his birth weight."
A nurse is caring for a child who is suspected to have Entertobius vermicularis (pinworm). Which action should the nurse take? A. Perform a tape test B. Collect stool specimens for culture C. Test the stool for occult blood D. Initiate IV fluids
A. Perform a tape test
A nurse is teaching a guardian about complicated grief. Which of the following statements should the nurse make? A. "Complicated grief occurs when little time is spent thinking about loss." B. "Personal activities are rarely affected when experiencing complicated grief." C. "Guardians will experience complicated grief together." D. "Counseling can be helpful in resolving complicated grief."
D. "Counseling can be helpful in resolving complicated grief."
A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A. "The Pavlik harness is used for children with scoliosis, not hip dysplasia." B. "The Pavlik harness is used for school-age children." C. "The Pavlik harness cannot be used for your child because her condition is too severe." D. "The Pavlik harness is used for infants less than 6 months of age."
D. "The Pavlik harness is used for infants less than 6 months of age."
A nurse is caring for an infant who has a myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care? A. Assist the caregiver with cuddling the infant. B. Assess the infant's temperature rectally. C. Place the infant in a supine position. D. Apply a sterile, moist dressing on the sac.
D. Apply a sterile, moist dressing on the sac.
A child with TOF is seen in your clinical for a check-up. During the examination, the child develops severe respiratory distress and becomes cyanotic. The nurse's first action should be to: A. Lay the child supine to promote hemostasis B. Lay the child in the Trendelenburg position to promote blood flow to the heart C. Sit the child on the parent's lap, with legs dangling, to promote venous pooling D. Hold the child in the knee-chest position to decrease venous blood return
D. Hold the child in the knee-chest position to decrease venous blood return
A 6-month-old infant is admitted with diarrhea and dehydration. The nurse plans to assess the child's vital signs frequently. Which other action would provide the most important assessment information? A. Measure the infant's head circumference B. Finger stick for blood glucose C. Provide clear liquids only D. Inspect the infant's anterior fontanelles
D. Inspect the infant's anterior fontanelles
A nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. The nurse should prepare the child for which of the following diagnostic procedures? A. Bone biopsy B. Genetic testing C. CT scan D. Radiographs
D. Radiographs
A nurse is caring for a child who has type 1 diabetes mellitus. Which of the following are manifestations of diabetic ketoacidosis? (Select all that apply.) Blood glucose 58 mg/dL Weight gain Dehydration Mental confusion Fruity breath
Dehydration Mental confusion Fruity breath
A nurse is teaching an adolescent who has diabetes mellitus about manifestations of hypoglycemia. Which of the following findings should the nurse include in the teaching? (Select all that apply.) Increased urination Hunger Poor skin turgor Irritability Sweating and pallor Kussmaul respirations
Hunger Irritability Sweating and pallor
