PEDS PrepU CH. 35
The nurse is caring for a child who has suffered a febrile seizure. While speaking with the child's parents, which statement by a parent indicates a need for further education?
"I hate to think that I will need to be worried about my child having seizures for the rest of his life."
The nurse is providing teaching to the parents of a child recently prescribed carbamazepine for a seizure disorder. Which statement by a parent indicates successful teaching?
"I need to watch for any new bruises or bleeding and let my health care provider know about it.
The nurse is caring for an infant who is at risk for increased intracranial pressure. What statement by the parent would alert the nurse to further assess the child's neurological status?
"She has been irritable for the last hour....seems like she is just upset for some reason."
A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. What would the nurse include in the child's discharge instructions?
"Wake him every 2 hours to check his movement and responses
A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. What would the nurse include in the child's discharge instructions?
"Wake him every 2 hours to check his movement and responses.
A 6-month-old infant is admitted with suspected bacterial meningitis. She is crying, irritable, and lying in the opisthotonic position. Which intervention should the nurse take initially?
Institute droplet precautions in addition to standard precautions.
A 5-year-old child is receiving hearing aids for the first time. What instruction(s) will the nurse provide to the family? Select all that apply.
A. Change hearing aid batteries weekly. B. Turn off batteries when not wearing hearing aids. C. Remove hearing aids when showering or bathing.
The parent brings the infant to the clinic with a report of the child not able to focus on toys and the right eye being larger than the right. Which action(s) will the nurse take? Select all that apply
A. Notify the health care provider. B. Obtain a referral for an ophthalmologist. C. Assess for pupil constriction and dilation.
The community health nurse is preparing a presentation on safety measures to prevent injuries in children. Which example of proper safety guidelines should the nurse include? Select all that apply.
A. a child wearing a helmet while ice skating B. an infant in a car seat C. a child wearing a helmet, knee pads, and elbow pads while riding a skateboard
A nurse on the neurology unit is monitoring an 8-year-old child admitted with seizures. The child experiences a prolonged tonic-clonic seizure. The nurse should first
A. ensure proper oxygenation B. administer intravenous (IV) or intramuscular (IM) benzodiazepine
The nurse is assessing a 4-year-old child who presented to the clinic with a reddened right eye (above). What will the nurse include in teaching for this family? Select all that apply.
A. properly administering antibiotic eye drops B. keeping the child home from preschool until 24 hours of treatment is complete C. encouraging the child not to touch the eye D. promoting regular hand hygiene
The nurse is caring for a child who has conductive hearing loss. What is true regarding this type of hearing loss?
It is caused by chronic otitis media or another infection
The nurse is educating the parents of an 18-month-old child being prepared to receive cochlear implants. Which statement by the parents requires further teaching?
After the implant surgery our child will have normal hearing
The nurse in the acute care setting is caring for a child with deafness. Which nursing intervention is appropriate for this child?
Allow the child to see the nurse prior to touching or completing any assessments or procedures.
A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?
Amblyopia
The 12-year-old child has developed a stye. Which may be included in the child's care?
Apply hot, moist compresses to the affected area.
While caring for a child who will be undergoing a lumbar puncture, the nurse explains the procedure to the infant's mother. Which statement by the mother would indicate a need for further education?
I will cradle her in my arms after the procedure for at least 30 minutes."
A 9-year-old child has been diagnosed with myopia. Corrective lenses have been prescribed. The parents question if the child can have contact lenses. Which response by the nurse is best?
Contact lenses may be considered for a child of this age."
The nurse is planning care for a school-age child with a black eye. Which outcome would be the most appropriate for this client?
Evidence of bleeding will be reabsorbed within 1 to 3 weeks.
The nurse caring for a client with a cranial injury knows that broad spectrum antibiotics are used to reduce cerebral edema.
False
The vision impairment in which the child can see objects at close range but not at a distance is known as:
Myopia
The nurse is taking a health history for a 9-year-old child with conjunctivitis. Which statement by the parents leads the nurse to suspect that the child is experiencing allergic conjunctivitis?
Our child recently helped clean the basement."
While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. Which nursing action is priority?
Protect the child from hitting the arms against the bed
A 4-year-old boy has a febrile seizure during a well-child visit. What action would be a priority?
Protecting the child from harm during the seizure
The nurse instructs a hospitalized hearing-impaired school-age child on to how self-inject a prescribed medication. Which observation indicates to the nurse that additional teaching is required?
The child places the filled syringe and uncapped needle on the bed to open the alcohol wipe.
The nurse is assessing a child with an eye problem. Which symptom, if present, would rule out a hordeolum?
Reddened conjunctiva Explanation: The conjunctiva is clear with a hordeolum. A hordeolum is usually painful. Eyelid edema is present with a hordeolum. A hordeolum may be visible as an enlarged lesion along the lid margin
The nurse is planning care for a preschool-age child diagnosed with bacterial meningitis. What should the nurse identify as a priority goal for this client's care?
Reduce the pain related to nuchal rigidity.
A 5-year-old child is diagnosed with acute otitis media. Which nursing intervention would be priority?
Relieving the child's pain
The parent of a 12-year-old child with Reye syndrome approaches the nurse wanting to know how this happened to their child, saying, "I never give my kids aspirin!" Which response by the nurse is appropriate?
Sometimes it is hard to tell if a product contains aspirin."
A group of students are reviewing the various causes of bacterial conjunctivitis in children. The students demonstrate understanding of this condition when they identify what as the most common cause?
Staphylococcus aureus
A parent of a child child having tympanostomy tubes placed asks, "How long will my child have to have the tubes?" How should the nurse respond to this parent?
The child will have the tubes for about 1 year, until the tubes fall out on their own
After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?
The shorter and wider eustachian tubes of an infant increase the risk
The nurse is educating the family of a 7-year-old with epilepsy about care and safety for this child. What comment will be most valuable in helping the parent and the child cope?
Use this information to teach family and friends."
The nurse is caring for a child with a suspected head injury. The nurse observes for what response to the child's eye reflex examination that would indicate potential increased intracranial pressure (ICP)?
While assessing the child's pupils, there is no change in diameter in response to a light.
The nurse is caring for a 10-year-old child with bacterial conjunctivitis of the right eye. The eye is inflamed and drains a thick, yellow discharge. What should the nurse teach the parents about the care of the eye?
Wipe the drainage away from the inner to the outer canthus of the eye.
A 7-month-old is scheduled for surgical correction of strabismus. The child's mother says to the nurse, "I'm glad my child will never have to wear that patch again." Which of these responses would be most appropriate for the nurse to make?
Your child will need to wear the patch for a few days to keep him/her from rubbing or putting pressure on the eye."
The school nurse is observing a child in the classroom. The child is speaking and then suddenly stops and stares for about 5 seconds and then continues speaking. The nurse charts this as what type of seizure?
absence
The nurse is caring for a 20-month-old girl with equivocal bacterial otitis media, a severe earache, and a temperature of 39°C (102.2°F). Which intervention would the nurse expect to implement?
administering antibiotics as soon as they're available
A nursing instructor is working with a student caring for an 18-month-old client. In order to ascertain that the tympanic membrane is optimally visualized, the faculty will assess that the student pulls the pinna of the ear:
down and back
Which measures should receive priority when planning care for the child who is having surgery to remove a cataract?
evaluation of intraocular pressure (IOP) and adherence to the occlusive patch regimen
The nurse knows that the heads of infants and toddlers are large in proportion to their bodies, placing them at risk for what problem?
head trauma
An 18-month-old child is admitted with signs of increased intracranial pressure. What should the nurse observe when assessing this client?
increased temperature and decreased respiratory rate
A child is brought to the clinic because of complaints of not being able to see the blackboard at school. The nurse also notes that the child holds a book very close to the eyes. The nurse suspects which of the following?
myopia
A school nurse knows that most of the students in the community's elementary school have not received routine vision screening because the families live below the federal poverty threshold. What is the most effective method to promote vision screening for this client population?
offering vision screening to all students in kindergarten
The nurse is caring for a 4-year-old with meningitis. A primary nursing goal would be to:
reduce the pain related to nuchal rigidity
The nurse is caring for a toddler diagnosed with acute otitis media. Which should be the nurse's concern?
relieving pain
An 8-year-old child is diagnosed as having tonic-clonic seizures. The nurse would want to teach the parents that:
their child should maintain an active lifestyle.
A young preschool-age child with impaired visual acuity can be treated with glasses. The parents are reluctant to agree. The nurse explains that:
with impaired vision, children have difficulty interacting with their environment and meeting developmental milestones
