Peds Mastery review

nurse is preparing an adolescent for a lumbar procedure. which instructions should you provide

cream will be applied to decrease discomfort prior to the procedure

nurse is caring for an 18 month old who is admitted following surgical repair of cleft palate. postoperatively the child complains of thirst. the nurse should provide fluids using which of the following

cup

nurse is assessing a 4 year old child. which of the following developmental milestone should the nurse expect

cuts a shape using scissors

nurse is caring for a 3 year old who is in need of hypospadias repair. which of the following should the nurse recognize as a concern to this age group

damage to body integrity

nurse is assessing a toddler who has diarrhea. which of the following findings should alert the nurse to worsening dehydration

decreased tear production

nurse is admitting toddler for circumferential burns. history given and burn marks dont correlate. child abuse is suspected. whats most important thing to include in documentation

description of the burns

nurse at immunization clinic is preparing to admin injections to a 5 year old. which injection is appropriate

diptheria

a charge nurse is preparing a room assignment for a school-aged child. which of the following is the most important consideration when planning a room assignment

disease process

nurse is caring for 3 month old whose admitted for suspicion for nonorganic FTT. whats true regarding nonorganic FTT

disruption in parent-child bond

nurse is caring for a 3 year old who has persistent otitis media. when taking history from parent which is most appropriate to ake regarding the recurrent otitis media

does anyone smoke around, or in the house

nurse is caring for 3 year old with new diagnoses of DM. when writing the care plan the nurse includes this goal: child will be provided opportunities for therapeutic play. whats the most appropriate toy to meet this goal

doll and syringe with no needle

nurse is caring for a child who is postoperative following a tonsillectomy. which of the following should the nurse recognize as a sign of hemorrhage

frequent swallowing

nurse is providing dischagre teaching to parent of school-aged kid with cystic fibrosis. what should you include in the teaching

give high protein and caloric snacks

nurse is caring for a child dx of iron deficiency anemia. which instructions are appropriate

give iron between meals with orange juice

nurse is evaluating o2 sat on infant. where should she apply the sensor

great toe

nurse is caring for a 4 year old with leukemia. child has undergone chemo and how has a fever, pallor, fatigue and petechiae. based on the info which of the following should the nurse expect to find

hemoglobin 6g/dl

nurse is caring for a 6 year old child who is receiving chemotherapy. which of the following lab values should the nurse report to the provider

hemoglobin 9.0

nurse is caring for an adolscent with DM who has been admitted twice this year with DKA. which of the following tests should the nurse recognize as the best information to evaluate the clients compliance

hemoglobin A1C

nurse is caring for toddler being seen for wcc. whats an appropriate action by the nurse. (allergy to eggs)

hold flu and contact provider

nurse is caring for a newborn with myelomeningocele. in planning care the nurse should be aware that postoperatively the child is most prone to developing which of the following

hydrocephalus

nurse is caring for a child who has nephrotic syndrome. which of the following findings is associated with this diagnosis

hyperalbuminuria

nurse is educating a parent of a 9 month old whose been diagnosed with cerebral palsy. which statement by the parent should indicate the teaching has been effective

i am hopeful that early schooling with increase my childs ability to self care

nurse is administering mmr vaccine. which statement by the parent indicates and understanding

i can give my child tylenol is fussy

nurse is caring for a child with milwaukee brase for scoliosis. after educating the child. which statement by the child indicates and understanding of the use of the brace

i can take my brace off for about an hour a day to shower

nurse is teaching parent of 18 month old about safety. what is an indication that parent understood the teaching

i have locked my medications in a cabinet

nurse is teaching a new parent about infant nutrition. teaching has been effective about food allergens when the parent idicates which of the following food choices as common allergen in infants

cows milk

child has pneumonia. listening to the breath sounds. what do you hear

crackles

nurse is caring for a 6wk olf who is admitted to pediatric acute care following phyloromyotomy. the nurse should anticipate the feeding schedule 8 hour postoperative will be which of the following

small frequent bottle feedings

nurse is performing physical assessment on 6 year old . what should prompt additional followup

sparse fine pubic hair

nurse is assessing client dx with celiac disease. whats an expected finding

steatorrhea

nurse in clinical setting performing physical exam on 3 month old. which findings should you report to the provider immediately

substernal retractions

nurse is preparing to suction child with tracheostomy. which action should you take first

suction for 5sec of less

nurse is assessing a child who returned to school following a case of mono. child has a note from provider excusing him from gym class. whats the most appropriate reason for this excuse

sustiaining abd trauma

nurse is preparing an inservice on a child maltreatment for a group of newly licensed nurses. which of the following should the nurse include as a manifestation of physical abuse

symmetric burns of lower extremities

nurse is auscultating lungs of an adolscent who has asthma,

tachypnea

nurse is caring for toddler who has gastroenteritis and stool culture is positive for rota. which assessment findings should you address first

tachypnea

nurse is providing teaching to 12 year old who appears apprehensive during the teaching. which action should the nurse recognize as appropriate in this situation

teach child to do own fingersticks

nurse is teaching a 12 year old how to use steroid inhaler. you should recognize the teaching has been effective when the child makes which of the following statements

i must use this medication every day even if i dont have any manifestations

nurse is teaching an adolscent who has a new diagnosis of infectious mononucleosis. which of the following client statements indicates an dunderstanding of the teaching

i should take IBU for my headaches

nurse is teaching an adolescent about how to manage tinea pedis. which of the following statements from the client indicates an understanding

i should wear sandals as much as possible

nurse is teaching an adolscent who is dx with tidm. which statement by the pt indicates and understanding of the teaching

i will check my urine for ketones when i am sick

nurse is educating a parent on treatment for pinworms. which statement indicates the teaching has been effective

i will give my child the mebendazole today and in two weeks

nurse is conducting postoperative teaching for parent of 3 month old who is recovering from umbilical hernia repair. which statement indicates an understanding of the teaching

i will keep my babies diaper aways from the incision

nurse is caring for a child receiving PE tubes. nurse is teaching the parents how to care for the tubes. which statement indicates the teaching was understood

i will keep water out of my childs ears

nurse is providing teaching for parent of preschooler who is experiencing diarrhea. what statement by the parent indicates an understanding

i will limit how much fruit juice my child drinks

nurse is caring for a 4 month old with otitis media. nurse is education the parents on how to prevent reoccurreneces. which statement indicates an understanding from the parents

i will make sure my baby is upright when drinking a bottle

nurse is providing education about administrating a new med to a parent of an infant. which statement indicates and understanding

i will mix the med with 1 tsp of flavored syrup

nurse is providing discharge teaching to the parent of an 18 month old who is experiencing dehydration. which of the following statements by the parents indicate an understanding

i will monitor my childs number of wet diapers

nurse is teaching a parent of a child who has pediculosis. which of the following statements by the parent indicates an understanding of the teaching

i will need to remove the nits after treatment

school nurse is providing an inservice about improving education for students who have adhd. which statement by the faculty member indicates a need for further teaching

i will plan to teach challenging academic subjects to student who have adhd in the afternoon

nurse is caring for a child who is undergoing bone marrow aspiration. which response from the child indicates the teaching was effective

ill have to lie on my belly while its done

nurse is caring for a child who has spinal fusion. which of the following statement by the nurse indicates an understanding of the care for this client

ill log roll the client every 2 hours

nurse is caring for a child who is admitted for swollen, painful joints and DX with rheumatic fever. when educating the parents which statement would be appropriate

it is preceded by strep infection

nurse is assessing a 4 year old at wcc. the parent expresses concern over the child stuttering. the nurse provides teaching to the parent. which of the following statement by the parent indicates a need for further teaching

it may help if you encourage your child to stop and begin the word over

nurse is caring for a child with acute glomerulonephritis and as aso titer is ordered. the childs parents ask the nurse " why does my child need this titer"?. which of the following is an appropriate response

it will tells us if the child had a recent strep infection

nurse is caring for child with suspected anaphylactic reaction to a med. whats an early sign

itching

nurse is assessing 8 year old with early signs of shock. after establishing an airway and maintaining resps whats your action

iv access

nurse is caring for a newborn who has a large sacral myelomeninogocele. prior to surgery the nurse should prevent potential complications by

keeping legs abducted with a pad between the legs

nurse is working at immunization clinic. which would be a contraindication to pretussis

known neurological or seizure disorder

nurse is caring for a 2 year old child who has not received any immunizations. the child has a maculopapular rash and fever. the parents tell you the child has been exposed to rubeola. which of the following assessment findings should you expect

koplik spot

nurse is conducting a yearly health assessment on a 14 year girl. what findings requires further evaluation

lateral curveture in her spine

nurse is assessing 6 month old is wcc. which assessment would indicate further evaluation

legs stay crossed at the knees

nurse caring for 3 year old and parents report toilet training. since admission to the hospital the child has been bed wetting. whats an appropriate response

lets get you cleaned up so you can go play in the playroom

nurse is teaching parents of a newborn who has congenital hypothyroidism about care. what should you recommend to the parents

lifelong admin of thyroid hormone

nurse is caring for a child who is newly prescribed methotrexate. which of the following should the nurse obtain prior to administering the first dose

liver function tests

nurse is assessing infant with ventricular septal defect. what findings should you expect to find during assessment

loud hard murmur

child begins to stare into space and grunt. their extremities then begin to extend stiffly. what actions should you perform (in correct order)

lower child to ground place pillow under head lossen clothing assess childs mouth for injury

nurse is teaching parent of 12 month old about nutrition. which statement by parent indicates further teaching is needed

my infant should drink 2qt of skim milk a day

nurse is caring for a child who is in bucks traction. which should the nurse recognize as an appropriate intervention to prevent complication

provide small meals with high fiber

nurse is planning care of school-aged child with neutropenia following chemo. which activities will meet the developmental needs for this child

providing child with book of riddles

nurse is caring for 10 year old who is obese. which menu choice is most appropriate

skim milk. fish sandwhich on while wheat with lettuce. and medium apple

nurse is caring for a child who has a new diagnosis of lyme disease. which of the following findings is a manifestation of stage 1 of this disease

skin rash

nurse is caring for a 4 year old who has a malfunctioning ventriculo peritoneal shunt. following new shunt placement the nurse conducts a postoperative check. which of the following assessments should the nurse immediately respond to

sleepy. very difficult to arouse

nurse is caring for a child with a history of diarrhea for 24 hours. the provider orders a urine specific gravity. what do you expect

1.030

parent presents to clinic with 9 month old. which developmental behaviors should you expect to find

bangs two toys together

nurse is caring for child who is receiving a blood transfusion. which symptom should alert the nurse to a hemolytic reaction

flank pain

nurse is caring for a child who had a tonsillectomy. which findings should you give the most attention to after 8 hours

frequent swallowing

nurse is caring for school aged kid who is immunocompromised which action is appropriate by the nurse

place child in private room

nurse is admitting child with pertussis. what action should you take

place client on droplet precautions

nurse is caring for infant that is crying. she plans to admin a liquid med. how should you administer it

place needless syringe in buccal cavity

nurse is caring for an adolscent with fiberglass cast. when providing education which of the following should the nurse explain

place plastic over the cast while bathing

nurse is caring for a child diagnosed with wilms tumor. which of the following interventions should the nurse do first

place sign over the bed that states " do not palpate abdomen

nurse is caring for 4 year old. whats an appropriate toy for her

plastic stethescope

school nurse is assessing preschool-aged child. which of the following findings should the nurse identify as potential finding of physical neglect

poor personal hygiene

nurse is planning care for child who has returned to unit following surgical revision of a ventriculoperitoneal shunt. whats an appropriate action for the nurse to take

position child flat

nurse is caring for a 2 year old with vomiting and dehydration. which assessment should prompt the nurse to contact the provider

potassium 2.5

nurse is caring for a toddler who has a foreign body aspiration. which of the following is an appropriate action for the nurse to take

prepare for an endoscopy

nurse is assessing a 6 month old at the wcc. which of the following findings should the nurse report to the provider

presence of strabismus

nurse is providing postoperative care to a 13 month old following cleft palate repair. which of the following interventions is appropriate for the nurse to take

prevent client from using a pacifier

mother of toddler thats admited must leave the facility to get her other kids from school. which action should you suggest to her

provide a secure item before you leave

nurse is planning care for a child following the application of a halo brace. which of the following interventions should the nurse include in the plan of care

provide pin site care

nurse is caring for a school-aged child who has a heart disease and has developed heart failure. which of the following interventions should the nurse include in the plan of care

provide small frequent meals

nurse on pediatric unit is caring for four clients. which values should you report to the provider

sickle cell anemia. with specific gravity of 1.030

nurse is administering ranitidine 2.5mg/kg to an 11 lb infant. available is 15mg/ml how many ml should you giveq

0.8 ml

parent calls provider and says her child has a resp infection and temp or 39. nurse instructs parent to give 240 mg of tylenol. the label reads 160/5ml. how many tsp should you give

1.5 tsp

nurse is preparing to admin cefaxolin 25mg to a child weighing 55lbs. available is 330mg/ml. how many ml should you administer

1.9ml

nurse is reviewing dietary choices for an adolescent who has iron deficiency. which food choice has the highest iron

1/2 cup raisins

charge nurse is assigning rooms. an 8 year old who is admitted for sickle cell anemia and is dehydrated. which is an appropriate room assignment

10 year old postoperatively appendectomy

nurse is caring for a 6 month old who has colic and vomiting who will undergo testing to r/o intessusception. whats appropriate treatment for intussusception

barium enema

nurse is carying for dehydrated toddler. must receive 100ml of NS over 4 hours. using 60 gtt set what rate should you set iv to deliver at

25gtt/min

nurse is planning to assess a 2 month old who has pulmonary stenosis. where would the systolic ejection murmur be heard the loudest

2nd intercostal space at left sternal border.

nurse is teaching parent of child who has celiac disease. which grains can be included in the diet

corn

nurse is caring for 14 month old dx with cerebral palsy. which assessment finding should you anticipate

fine and gross motor skill problems

nurse is performing a urine dip on child who has nephrotic syndrome. which of the following results should the nurse expect

4+ protein

nurse is caring for a child who has cellulitis and rectal temp is 102.2 the child has an order for tylenol 280 mg po. label reads 160mg/5ml how many ml would you give the child

8.8ml

nurse is caring for a child who has partial thickness burns on more than 40% of his body. which of the following fluids prescribed by the provider should the nurse admister to the child in the first 24 hours

LR

nurse is caring for child experiencing resp depression after administering morphine. whats the antidote

Naloxone

nurse is providing caring for child with possible intessusception. the parent asks how this diagnosis is made. which of the following statements should the nurse use

a barium enema will be given to visualize the obstruction

nurse is assessing a child who has appendicitis with possible perforation. the nurse should indentify which of the following as a manifestation of peritonitis

abd distention

nurse is caring for a child following surgery for an acute perforated appendix. which of the following is an expected finding in the immediate postoperative period

absence of peristalsis

nurse is caring for a child who has been brought to ER after ingesting a bottle of tylenol. which medication should you administer

acetylcysteine. Mucomyst

nurse is caring for infant who has a prescription of digoxin 25 mcg. infants apical hr is 124. which action should you take

admin 25 mcg of the med

nurse is caring for a preschooler who has mucositis. whats an appropriate action to take

admin NS oral rinses

nurse is caring for school age child whose admitted to burn unit with partial thickeness of trunk and face. which nursing intervention should you use to help increase childs self esteem

allow child to be active participant in self care

nurse is caring for school age kid following burn injury. which interventions should the nurse use to maximize nutritional intake

allow child to choose from menu of high calorie/protein foods

nurse is performing physical assessmet on 6 month old. which reflexes should you expect to find at this age

babinski

nurse is caring for child who is receiving chemo with anorexia and nausea. which intervention should the nurse recognize as the most appropriate for the child experienceing these symptoms

allow the child to eat what ever they want at any time

nurse is caring for a 6 year old who is newly diagnosed with DM. the nurse is educatin gthe child on how to do a finger stick. the nurse knows the most effective method to teach this skill will be to do which of the following

allow the child to practice the skill on themselves and others

nurse is caring for child who was just admitted from er with head injury. child had two episodes of vomiting, responds to name but easily falls back asleep. what are appropriate interventions

apply 02 at 2l/min admin 0.45% sodium chloride iv at 50ml/hr maintain NPO

nurse caring for a child who has epistaxis. what action is appropriate

apply cold cloth to bridge of nose

child has returned following cardiac catheterization. when assessing insertion site you note the dressing is saturated with blood. what action should you take first

apply direct pressure 1 in above the site

nurse is caring for 18 month old whose admitted for lead poisoning. urine specific gravity was ordered. whats an appropriate way for the nurse to obtain the specimen

apply pediatric urine collector

nurse is planning care for infant who is postoperative following cleft palate repair. whats an appropriate action for the nurse to take

apply petroleum jelly to operative site

nurse is assessing an adolscent who sustained a broken tibia. following application of fiberglass cast the client complains of pain and tingling in the limb. which is most appropriate action

assess signs for circulatory impairment and swelling

nurse is caring for a 10 year old who is postopertive abd surgery and medicated 6 hours ago. when assessing- the child is quiet and not interacting. which action is appropriate

assess the child for need of pain meds

nurse is caring for preschooler who has partial thickenss burns and is scheduled for hydrotherapy. whats your priority prior to hydrotherapy

assessing need for pain meds

nurse is taking childs bp while he is sitting in a chair. child starts to have a tonic clonic seizure. which action should you take first

assist child to lying position

nurse is caring for a school-aged child who was diagnosed with asthma and reports chest pain. which of the following actions should the nurse take first

auscultate breath sounds

nurse is reviewing preoperative care for preschooler dx with wilms tumor. which intervention is appropriate for the nurse to use

avoid abd pressure when bathing the child

nurse is performing a physical assessment on a 30 month old. what should you not expect to find

birth weight is trippled

nurse is admitting a child with possible leukemia. which test is appropriate to confirm leukemia

bone marrow aspriation

nurse is caring for a 4 year old who is brought into the emerengy with burns to the neck and face following a house fire. which of the following assessments whould the nurse prioritize for the child at this time

breathing pattern

nurse is teaching a parent of a child who is receiving iv famotidine. the nurse should tell the parent that which of the following is an adverse effect

bruising

nurse is caring for 2 year old with cystic fibrosis. nurse is planning care for child in the play room. whats an appropriate activity for the child

builing block towers

nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. which is an appropriate teaching for the nurse to give

call poison control center

nurse is teaching a parent of a child who has asthma. what should you include in your teaching

check peak expiratory flow rate at same time each day

school nurse is caring for child with no hx of seizure disorder that just experiences a tonic clonic seizure. which is the priority in the assessment

checking childs resp rate

nurse is providing d/c teaching to parent of school-aged kid following cardiac catherterization. which statement by the nurse should be included in the teachin

child should take showers instead of bathes for 1 wk

nurse is educating a parent of toddler on development. whats an appropriate response

child will begin to scribble at 18 months

mother of an adolescent tells a nurse that she argues frequently with her daughter about playing music while studying. which of the following is an appropriate response for the nurse to take

considered letting her make her own choice about listening to music while studying

nurse is caring for preschooler after tonsillectomy. which assessment finding requires immediate attention

continuous swallowing

the nurse is caring for a newborn who is suspected of having a tracheo esophageal fistula. which of the following nursing assessments would be consistent with this diagnosis

copious oral secretions

nurse is providing education for a group of parents. a parent is concerned about her 4 year olds fine motor skills. the nurse should explain what is expected skills for this age group

copying a square and circle

nurse is caring for 3 year old whose lead level is 15g. when teaching about nutrition and correlation with lead posioning which suggestion is appropriate for the nurse

drink milk

nurse is caring for a toddler who is exhibiting acute respiratory distress. which of the following findings should alert the nurse to possible diagnosis of epiglottitis

drooling

nurse at an urgent care is performing an admission assess on a child. which of the following should the nurse recognize as an early mainfestation of pertussis

dry hacking cough

nurse is caring for 2 month old who is brought for vaccines. what should the nurse administer

dtap, hib, ipv, hbv

nurse observes an adolscent with celiac disease ordering a gluten free breakfast tray. nurse knowns client understands the diet when they order

eggs and orange juice

nurse is caring for an 8 year old who has glomerulonephritis. which of the following should the nurse expect to find with this client

elevated RBC

nurse is caring for 6 year old who is receiving chemo. platelet count is 20000. what should you recognize as appropriate intervention for a child with this lab value

encourage quiet play

nurse is carinf for toddler who has asthma. parents are concerned about the reaction of the toddler to hospitals. what action should you perform to decrease stress experienced by toddler

encourage rooming in

nurse is providing education to the family of a child who has juvenile idiopathic arthritis. which of the following should th enurse include in the teaching

encourage the child to perform independent self care

nurse is taking history during routine physical exam. what would be appropriate to tell the parent

establish a set bet time and follow nightly routine

10 month old is hospitalized 4 times for 42 days. infant doesnt seem upset when parent leaves. which of the following should you recognize as an appropriate explanation

experiencing detatchment

nurse is caring for a 3 year old who is scheduled for a nephrectomy. which action should the nurse recognize as appropriate when preparing preoperatively

explain procedure to child in simple sentences just before administering peroperative sedation

nurse is interacting with family of terminaly ill child. whats the nurses highest priority in facilitating the parents decision making

explore the families wishes

nurse is caring for child who has cerebral palsy who is scheduled for orthopedic surgery. what strategy should the nurse include in the plan of care

facilitate communication with the child by their usual means

nurse is caring for a child diagnosed with glomerulonephritis. child has decreased urine output and bp is 160/78. child is receiving hydralazine. which lunch choice should you recognize as appropriate

grilled chicken on roll. pear slices. 4 oz of juice

nurse is caring for a 4 month old who is admitted with VSD and undergoing cardiac catheterization. post catheterization which of the following manifestations should alert the nurse to a potential complication

groin dressing with small amount of blood

nurse is providing teaching to parent of a child with hypopituitarism. what should you instruct the parent to give

growth hormone injections

nurse is performing assessment on child. what should the nurse do while assessing the child

have child sit in parents lap. listen to heart and lungs first, then examine ears and throat

nurse is caring for an infant who has respiratory syncytial virus (RSV) and is in a mist tent. which of the following actions should the nurse implement for infection control

have designated stethescope in the room

nurse is caring for 8 year old whose fractured their femur. child is in skeletal fraction. to assist with development needs whats an appropriate action for the nurse to take

have hospital tutor assist child with homework daily

nurse is providing teaching abouth growth hormone injections to the mother of a child who has growth hormone deficiency. which of the following should the nurse include in the teaching

have serum calcium levels drawn periodically

nurse is caring for a school-aged child who is admitted with poorly controlled seizure disorder. which of the following should the nurse include in the plan of care

having o2 available

nurse is caring for a child who has tetraolgy of fallot preoperatively, which lab values should you expect

hct 58%

nurse is performing a yearly physical on an adolescent. parent asks about developmental needs for child. which of the following statement by parent should investigate further

he spends several hours on the internet a day

nurse is assessing 4 month old in wcc. which assessment should prompt nurse for further evaluation

head lag when pulled from lying to sitting position

nurse in pediatric unit is caring for a preschool-aged child who has acute lymphocytic leukemia and sever stomatitis. which of the following should the nurse include in the childs plan of care

help child brush her teeth with soft sponge toothbrush

nurse is assessing 7 month old. which of the following findings should the nurse report to the provider

inability to babble one syllable sounds

nurse is caring for a child who has cystic fibrosis. which assessment finding should the nurse recognize as a priority to report to the provider

inability to clear secretions

nurse is educating the parents of a toddler who will be discharged with a lower leg cast. the nurse should instruct the family that which of the following findings is important to report to the provider

inability to feel toes

nurse is assessing 9 month old for potential developmental delay. what observation should the nurse expect to find to support this condition

inability to sit without support

nurse is caring for a child diagnosed with sickle cell anemia. the nurse should make which of the following recommendations to the client regarding sickle cell anemia

increase fluid intake

nurse is caring for a child with cystic fibrosis. in planning nutritional care for this child. the nurse should include which of the following actions

increase protein intake

nurse is caring for an adolescent undergoing a lumbar puncture. which of the following results would confirm a diagnosis of bacterial meningitis

increased protein

nurse received labs on a 2 month old who has cyanotic heart disease. results are hgb 17. hct 51%. which statement reflects appropriate interpretation of these values

infants body is compensating for tissue hypoxia by decreasing RBC production

nurse is assessing child with acute spinal cord injury following sport injury 1 wk ago. where should the nurse tap to elicit the triceps reflex.

inside arm in elbow crease

nurse is admitting an adolescent who has meningitis. what should you include in plan of care

isolate client for 24 hours after starting antibiotics

nurse is caring for a child with bronchiolitis. assessment findings indicate wheezing, o2 100%, resps 40/min. and hr 92/min. child is receiving o2 at 2lpm. order is written to wean o2 if saturation is 95% or greater. whats the appropriate action

lower o2 to 1 lpm. check o2 saturation and reassess child

school-aged child who was treated for strep throat infection is being admitted to the hospital with a diagnosis of rheumatic fever. which of the following nursing intervention is appropriate

maintain bedrest

nurse is caring for a child who is in bryant traction. which of the following is an appropriate action for the nurse to take

maintain hips at 90 degree angle to body

nurse is planning care for newborn who is scheduled for a myelomeningocele repair. preoperative nursing care should include

maintain newborns legs in abduction

nurse is caring for a child receiving chemotherapy. the white blood cell count is 1200. in planning care the nurse should prepare to do which of the following

maintain protective isolation and monitor fever

nurse is planning care for a 2 day old who has myelomeningocele. which should take highest priority immediate postoperative period

measure head circumference every shift

nurse is caring for 18 year old going to college. which vaccine would you give

meningoccocal polysaccharide

nurse is caring for child who has acute glomerulonephritis. which action is appropriate

monitor bp every 4 hours

nurse is caring for an infant who is postoperative pyloric stenosis repair. which of the following is an appropriate action for the nurse to take

monitor infant following feedings for vomiting

nurse is caring for a child who has epiglottitis. which of the following actions should the nurse take

monitor o2 saturation

nurse is caring for 2 year old who was found by parents holding toilet bowel cleaner and crying. their lips are peeling and oozy and he is drooling. whats your highest priority

monitor resp status on child

school nurse is developing a plan of care for a student who is newly diagnosed with JIA. which of the following should the nurse include in the teaching

monitor student for presence of communicable disease

nurse is educating teenage mom about newborn. when giving safety info what should you provide

move glass objects to higher shelf put a safety gate at top of stairs keep small objects out of reach

nurse is caring for a child with ventricular spetal defect. which of the following should the nurse expect to assess in the child

murmur best heard at the lower sternal border

parent of toddler asks nurse why the abdomen protrudes. which statement would be appropriate

muscles of abdomen are weak and therefore it protrudes

nurse is caring for a 6 month old who has been diagnosed with thalassemia major. after providing a teaching plan the nurse should recognize that the parent understands the disease process when the parent states which of the following

my infant will require frequent transfusions

school nurse is assisting child who was stung by a bee. the hand is swelling and notes the child is allergic to insect stings. which manifestations are with anaphylaxis

nausea urticaria stridor

nurse is admitting a child who has an exacerbation of cystic fibrosis. you should expect what findings on assessment

o2 85%

nurse is observing 8 month old and parent playing peek a boo. does this game have any developmental significance

object permanence

nurse is providing education to a parent whose child has a colostomy. whats an appropriate method to determine the understanding of the teaching

observe the parents while the perform the procedure

nurse is providing anticipatory guidance to parent of a 2 month old. which instructions should you include

offer iron fortified cereals at 4-6 months

nurse is caring for a preschooler diagnosed with HIV who is at the clinic receiving immunizations. which of the following statments about HIV immunizations for this child is the most appropriate

oral polio is contraindicated

planning care for a child with severe reactive airway disease the nurse knows when the chronic steroid use is indicated, inhaled steroids are preferred over oral steroids because

oral steroids can slow linear growth in children

nurse is caring for a 3 year old who was administered pain medication. which of the following pain scales is appropriate to use

oucher

nurse is caring for a child who has nephrotic syndrome. which of the following assessments should the nurse perform to confirm peripheral edema

palpating dorsum of feet

nurse is caring for a child who is vegetarian and has sustained superficial partial-thickness burns to her legs. which diet would be appropriate

pb&j

nurse is performing screening for sickle cell anemia on toddler. what action should the nurse take when performing the sickledex

perform a fingerstick

nurse is caring for infant who has heart failure. which is appropriate action for the nurse to take

perform daily weights

nurse is caring for a child who has superficial partial thickeness burns over 50% of body. in planning of nutrional care which is an appropriate intervention

perform dressing changes at least 1 hour before and after meals

nurse is assessing an infant who has heart failure. which of the following findings should the nurse expect

peripheral edema

nurse is providing education on poisoning prevention to parents with toddlers. which would be an appropriate statement from the nurse

put all cleaners in a locker cabinet

nurse is caring for toddler who is scheduled for surgery. the parent asks nurse for suggestions on how to prepare her child. whats an appropriate statement

read books to child about being hospitalized

nurse in provider office is assessing child with fever and experiencing fatigue. which finding is a manifestation of fifth disease

red rash on face

nurse is preparing to admin a morning dose of insulin to a child with DM. which med would you expect to peak in 2-4 hours

regular insulin

nurse is caring for an adolscent who is receiving pain meds via PCA pump. at 8 am pain is a level 3. at 10 pain is a level 5. nurse discovers the button has not been pushed. what should she do

reinforce teaching on how to push the button to deliver the medication

nurse is providing teaching to a parent of a child who has impetigo. which of the following instructions should the nurse include in the teaching

remove crusts after soaking with 1:20 burrows solution

nurse is preparing to admin K to school-aged kid admitted for DKA. which function should the nurse assess before give the med

renal

nurse is assessing a 3year old at a wcc. which of the following findings should the nurse report to the provider

resps 30/min

nurse is planning care for a child who has glomerulonephritis and is edematous. which of the following activities should be part of the plan of care

restrict NA+ intake

nurse is discussing food choices with the parent of a child who has celiac disease. which of the following foods offered to the child by the parent is appropriate

rice pudding

nurse is caring for a child who is dying. childs 4 year old sibling is visiting. whats a 4 year olds perception of death

same as going to sleep magical thinking result of a wish death is a punishment

nurse is preparing 7 year old for tonsillectomy. which action would be appropriate

schedule the child for a preoperative visit to the hospital

nurse is planning care for a toddler who has a serum lead level of 4 mcg/dl. which of the following is an appropriate action for the nurse to take

schedule toddler for yearly screenings

nurse is reviewing lab results on infant whose receiving treatment for sever dehydration. which lab results do you expect once effectiveness for treatment has happened

serum sodium 140

nurse is assessing 8 year olds psychosocial development. which finding requires further evaluation

the child complains about going to school everyday

nurse is providing d/c teaching about dietary and med management for an adolescent who has nephrotic syndrome. which statement should the nurse include in the teaching

the med will make you more susceptible to infection

hospice nurse visiting a parent on the 1 year anniversary of the death of his child from leukemia. which of the following reactions by the parent would indicate to the nurse the need for breavement counseling referral

the parent had not returned to work

nurse is caring for 12 year old who ingested 60ml of bleach. what statement indicates and understanding by the nurse about the ingestion

the severity of alkaline burns depends on the ph of the substance

nurse is caring for a child in skeletal traction. at the change of shift, the nurse finds the client crying in pain and the right foot is pale and pulseless. which of the following should the nurse recognize as the appropriate explanation of this finding

this is a critical finding and the provider should be notified

nurse is caring for family who is grieving over death of child. whats an appropriate statement for the nurse to make

this must be very difficult for you

nurse is caring for child with bacterial endocarditis. child will receive longterm antibiotics and require PICC. which statement would be appropriate for the nurse to say to the parents

this picc will last several weeks if properly cared for

nurse is admitting a 4 month old who has heart failure to the cardiac unit. which of the following findings is the highest priority

three episodes of vomiting

nurse is planning care for a child with autism. which goal is of primary importance in care of this child

to preotect from self injury

nurse is caring for four children who have congential heart disease. which one would present with cyanosis

transposition of great vessel

nurse is caring for a preschool-aged child who has been receiving iv fluids via iv catheter. when preparing to remove the iv fluids what should the first step be from the nurse

turn off the pump

nurse is working with a toddler who has cerebral palsy and is having trouble with verbal communication. which of the following strategies should the nurse plan to use to promote effective communcation?

use pictures and objects when taking to the child encourage child to move lips and tongue while eating allow child time to articulate at his own pace.

nurse is caring for 3 year old who is postoperative following revision of malfunctioning ventriculo peritoneal shunt. whats most appropriate wait to determine if child is in pain

uses the faces scale

a nurse is providing discharge teaching about car seat use to a mother of a 6 month old infant. which of the following actions by the mother indicates a need for further teaching

using a blanket as padding underneath the infant while traveling

nurse is caring for a child who has a vesicular rash. what illness can cause the rash, your response is

varicella

nurse is preparing to admin injections to a 2 month old. whats the appropriate site

vastus lateralis

nurse is caring for child with suspiscion of rotavirus and is scheduled to undergo a stool culture. which nursing interventions should you implement to maintain standard precautions

wear gown and gloves collect stool in hat place specimen in biohazard bag

nurse is caring for infant on droplet precuations. you can prevent the spread by

wearing gown and mask when feeding the infant

nurse is caring for a child with dehydration.which of the following should the nurse recognize as an appropriate assessment to determine the childs response to parenteral fluids

weighing child at the same time every day

nurse is caring for a child diagnosed with nephrotic syndrome who is receveiving prednisone. which of the following should the nurse recognize as a therapeutic response to the medication

weight drops 500g

nurse is caring for a 2 month olf with ventricular septal defect. which of the following observations should indicate to the nurse that the childs condition is worsening

weight gain of 275 g

nurse is performing a monthly assessment for a child who is taking methylphenidate. which of the following is a manifestation that indicates an adverse effect of this medication

weight loss

nurse is caring for child who has frequent uti. when educating the parent on prevention which instructions should you include

wipe from front to back

nurse is caring for preschooler in hospital. you should recognize that an appropriate way to explain to the child when her parent will return is to state

your mommy will be back after you eat

nurse is providing teaching to the parent of an infant who has diaper dermatitis. the nurse should teach the parent to apply which of the following to the affected area

zinc oxide