PN Pediatric Nursing Online Practice 2023 B

A nurse has assisted with collecting data from a child and is reviewing their electronic health record (EHR). Which of the following findings should the nurse report to the provider? Select all that apply. Pain level Respiratory findings Surgical incision findings Temperature Musculoskeletal findings Heart rate

Temperature, heart rate, pain level, musculoskeletal findings and surgical incision findings. When recognizing cues, the nurse should identify that the findings to report to the provider are the child's temperature, heart rate, pain level, musculoskeletal findings, and surgical incision findings. The child's temperature and heart rate are above the expected reference range and should be addressed further and reported to the provider. The child's pain level was reported as 7 which indicates severe pain and should be reported to provider. The child's musculoskeletal findings included tenderness to light palpation of left lower leg and limited range of motion. These are unexpected findings that should be reported to the provider. The child's surgical incision findings indicate edema and warmth which require further reporting and evaluation.

A nurse is reinforcing teaching about sudden unexpected infant death (SUID) with the parents of a 1-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching. "I will let my baby sleep with me in bed at night." "I will allow my baby to have a pacifier while sleeping." "I will place my baby on a soft mattress to sleep." "I will cover my baby with a quilt while they are sleeping."

"I will allow my baby to have a pacifier while sleeping." The nurse should reinforce with the parent that allowing the infant to fall asleep with a pacifier in their mouth decreases the risk for SUID.

A nurse is screening a group of school-age children for maltreatment. The nurse should identify that which of the following conditions places a child at risk for physical maltreatment? A child who has ADHD Recurrent otitis media Obesity Assertiveness

A child who has ADHD The nurse should identify that ADHD places a child at an increased risk for physical maltreatment, due to the increased emotional and physical demands the condition can place on the child's parents.

A nurse is reinforcing home safety instructions with parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? "We will keep our child out of the sun between 3 p.m. and 5 p.m." "We will transition our child to a toddler bed when they are 2 feet tall." "We will purchase a toy storage box with a lightweight lid." "We will provide a healthy snack of peanuts."

"We will purchase a toy storage box with a lightweight lid." The nurse should instruct the parents to avoid toy boxes with heavy, hinged lids. Toddlers may suffocate or have the lid close on their head or neck, causing injury.

A nurse is preparing to administer phenobarbital to a toddler who has a seizure disorder and weights 10 kg (22 lb). The prescription reads phenobarbital sodium 2.5mg/kg PO BID. Available is phenobarbital 20 mg/5 mL. How many mL should the nurse administer with each dose? (Round to the answer to nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

6.25 mL

A nurse is assisting in the care of group of children in an acute care setting. The nurse should identify that which of the following children is at risk for impaired elimination? A child who has hyperglycemia A child who has enuresis A child who has hypothyroidism A child who has juvenile idiopathic arthritis

A child who has hyperglycemia A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respirations, and fruity breath. A child who has hyperglycemia is at risk for dehydration.

A nurse is monitoring the laboratory tests of a preschooler who has new diagnosis of hemophilia. Which of the following laboratory findings should the nurse expect? Potassium 3.3 mEq/L (3.4 to 4.7 mEq/L) Decreased factor VIII Magnesium 1.2 mEq/L (1.4 to 1.7 mEq/L) Decreased Total 25-hydroxy D

Decreased factor VIII Hemophilia is a bleeding disorder caused by deficiencies within the clotting factors of the blood that can cause episodes of uncontrolled bleeding. Therefore, a decrease in factor VIII, increases the child's bleeding time because the factor is needed for the blood to clot.

A nurse in a community center is reinforcing teaching about poison control with a group of parents. Identify the sequence of actions the nurse should recommend to the parent. (Move the steps into the box on the right, placing them in the order of performance. All steps must be used.)

Determine if the child is breathing. Empty the child's mouth of remaining pills and residue. Identify the medication and dosage strength. Call a poison control center

A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the nurse include? Remove dried drainage with a cold washcloth. Instill medication immediately after cleansing the eye. Apply an occlusive gauze over the child's eye. Cleanse the eye by gently wiping from the outer aspect of the eye inward toward the nose.

Instill medication immediately after cleansing the eye. The nurse should instruct the guardian to instill the medication in the eye immediately after cleansing.

A nurse is assisting in the care of an adolescent client who is a practicing Jehovah's Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on their religious beliefs, they cannot receive a blood transfusion. Which of the following responses should the nurse make? "Why do members of your faith believe this?" "You'll only receive blood during the procedure if you need it." "I will let the surgical team know your wishes." "Let's discuss the possible need for a transfusion with your parents."

Let's discuss the possible need for a transfusion with your parents." The nurse should offer to involve the child's parents to understand the family's beliefs about blood transfusions.

A nurse is assisting in the care of a preschooler who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the parent to administer for an acute asthma attack? Levalbuterol Fluticasone Omalizumab Montelukast

Levalbuterol The nurse should inform the parent to administer levalbuterol, a short-acting beta2 agonist, to the preschooler for acute asthma attacks.

A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following behaviors should the nurse recognize as an expected finding? Walks backward with heel to toe Stands on one foot for several seconds Uses scissors to cut out shapes Prints letters with a pencil

Stands on one foot for several seconds Standing on one foot for several seconds is an expected behavior for a toddler.

A nurse is contributing to the plan of care for an infant who has bronchiolitis and is tachypneic. Which of the following actions should the nurse include in the plan of care? Provide high flow oxygen via facemask. Implement chest percussion every 2 hr. Suction nasal passages with a bulb syringe. Initiate airborne precautions.

Suction nasal passages with a bulb syringe. The nurse should suction the infant's nasal passages using a bulb syringe to clear the nasal passages and decrease respiratory effort.

A nurse is reinforcing teaching with the parents of a toddler who has strabismus. Which of the following treatments should the nurse plan to include in the teaching? Corrective biconcave lenses Laser surgery Eye patch Artificial tears

Eye patch Treatment of strabismus includes covering the strong eye to strengthen the muscles in the weak eye.

The nurse has reviewed the plan of care on Day 1 1300. A nurse is collaborating with the interprofessional team to implement the plan care for the child. Select the 6 actions the nurse should take. Monitor peripheral IV infusions. Facilitate partial weight bearing on left extremity. Encourage intake of foods with protein. Reinforce the importance of dietary calcium. Reinforce with parents that child may require home antibiotic therapy. Monitor for findings of infection. Initiate antibiotics prior to obtaining cultures. Initiate droplet isolation precautions.

Facilitate partial weight bearing on left extremity. Encourage intake of foods with protein. Reinforce the importance of dietary calcium Reinforce instructions about home antibiotic therapy monitor for infection monitor the peripheral IV infusion site. Since the child has infection of the tibia, extensive antibiotic therapy may be required. Other actions will promote healing and prevent further complications.

A nurse is collecting data from a child who has iron deficiency anemia. Which of the following data signifies that adherence to ferrous sulfate therapy has occurred? Occasional vomiting and nausea Green, tarry stools Tolerates milk Weight gain

Green, tarry stools Green, tarry stools are an expected outcome of ferrous sulfate therapy. Therefore, this is an indication of adherence to the prescribed medication regimen.

A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? Wait 1 week before giving the infant a tub bath. Apply antifungal ointment to the infant's penis. Avoid giving the infant fruit juice. Apply dry gauze dressing to the infant's penis twice daily.

Wait 1 week before giving the infant a tub bath. The nurse should instruct the guardians to keep the infant's penis as dry as possible until the stent or catheter is removed. The parent should provide sponge-baths to the child until the stent or catheter is removed.

A nurse has reviewed the Provider Prescriptions on Day 1 at 1100. Complete the following sentence by using the lists of options. The nurse should prioritize ___________, followed by ____________ when determining care needs for the child.

obtaining the child's ordered blood specimens administering antipyretic medication When prioritizing hypotheses, using the urgent vs. non-urgent approach to client care, the nurse should prioritize obtaining the ordered blood specimens followed by administering the prescribed antipyretic medication. Osteomyelitis is an emergent infection of the bone. If osteomyelitis is suspected, the nurse will need to obtain blood cultures, along with cultures of bone aspirate, to evaluate for the causative organism. Nursing interventions include managing elevated temperatures. Therefore, after obtaining the ordered blood specimens, the nurse should prioritize administering the prescribed antipyretic medication for fever and pain management.

A nurse has assisted with collecting data from a child and is reviewing their electronic health record (EHR). Drag one condition and one child finding to fill in each blank in the following sentence. The nurse should identify that the child is displaying manifestations of __________ as evidenced by their __________.

osteomyelitis surgical incision findings When analyzing cues, the nurse should recognize that the child is displaying manifestations of osteomyelitis as evidenced by their surgical incision findings. Manifestations of osteomyelitis include localized inflammation and warmth at the site of infection, fever, and severe pain. Risk factors for osteomyelitis include open fracture and surgical contamination.

Select the 3 findings that the nurse should identify as indications of a potential complication.

Temperature Abdominal assessment WBC count

A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated for nephrotic syndrome. The parent asks the nurse why it is necessary to check the child's urine for protein. Which of the following explanations should the nurse offer? "A decrease in urine protein indicates that treatment is effective." "Protein in the urine indicates your child's protein intake is adequate." "Protein in the urine indicates a need to begin dialysis." "An increase in urine protein indicates your child has a secondary infection."

"A decrease in urine protein indicates that treatment is effective." The desired outcome of steroid therapy in the treatment of nephrotic syndrome is a reduction of proteinuria.

A nurse is monitoring a child who is receiving a transfusion of packed RBCs. Which of the following responses by the child is an indication of a transfusion reaction? "My nose is runny. Can I have a tissue?" "I am hungry. Can I get a snack?" "I am sleepy. I might take a nap after this." "I am cold. Can I have an extra blanket?"

"I am cold. Can I have an extra blanket?" The nurse should identify that being cold and having chills is an indication of a transfusion reaction.

A nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parents indicates that the teaching has been effective? "I should administer a glucagon injection to my child." "I should give my child 5 grams of a simple carbohydrate." "I should give my child 4 ounces of orange juice followed by cheese and crackers." "I should give my child a snack that is 10% of their daily caloric intake."

"I should give my child 4 ounces of orange juice followed by cheese and crackers." The parent should treat mild hypoglycemia with 10 to 15 g of a simple carbohydrate, such as 4 oz of orange juice, and follow it with a starch-protein snack.

A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which of the following areas should the nurse observe when monitoring for manifestations of splenic sequestration? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A is incorrect. The nurse should observe the location over the infant's liver when monitoring for manifestations of liver sequestration, or an enlarged liver.B is correct. The nurse should observe the location over the infant's spleen when monitoring for manifestations of splenic sequestration. Splenic sequestration is an enlargement of the spleen due to pooling of sickled cells in the blood.C is incorrect. The nurse should check the location over the kidney in an infant who is experiencing a sickle cell crisis for manifestations of a kidney infarction. Other manifestations of sickle cell anemia include dilute urine, hematuria, and enuresis.

A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate? Apical Radial Carotid Femoral

Apical The nurse should use the apical pulse to obtain the infant's heart rate and count it for a full minute, because it gives a reliable rate and rhythm and provides accurate baseline assessment data. In an infant, the apical heart rate is auscultated at the fourth intercostal space lateral to the midclavicular line.

A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is recovering from acute glomerulonephritis. Which of the following food choices by the parents indicates an understanding of the teaching? Pretzels Apples Canned corn Peanut butter

Apples The nurse should instruct the parents that apples are low in sodium and supply the child with energy needed for recovery.

A nurse is preparing to administer an intramuscular injection to an 11-month-old infant. In which of the following areas should the nurse administer the injection? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

B A is incorrect. The nurse should not administer an intramuscular (IM) injection in the deltoid muscle of an 11-month-old infant. IM injections are administered in the deltoid muscle for children 18 months of age or older, and only with small volumes of medication.B is correct. The nurse should administer an IM injection in the vastus lateralis muscle of an 11-month-old infant. The vastus lateralis is a well-developed muscle that is safe to use for infants and small children.C is incorrect. The nurse should not administer an IM injection in the dorsogluteal muscle due to its close proximity to the sciatic nerve. Medications injected in or near the sciatic nerve can cause complications, such as pain, paralysis, and numbness.

A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? Heart rate 130/min Respiratory rate 30/min BP 115/70 mm Hg Temperature 37.5° C (99.5° F)

BP 115/70 mm Hg The nurse should identify that this blood pressure is above the expected reference range for a 12-month-old infant and report this finding to the provider.

A nurse is reinforcing dietary teaching with the parent of a child who has phenylketonuria. Which of the following foods should the nurse include as the best recommendation for a low phenylalanine diet? Banana Boiled egg Yogurt Ground beef patty

Banana The nurse should determine that a banana is the best food source to recommend because bananas contain low protein and low levels of phenylalanine. The nurse should also reinforce with the parent the importance of a low protein diet for their child.

A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should identify which of the following findings as a deviation from expected growth and development? Vocabulary of three words Negative Babinski reflex Birth weight doubled Unable to build a two-block tower

Birth weight doubled The nurse should identify this finding as a deviation from expected growth and development. The infant's birth weight should triple by 12 months of age. Therefore, the nurse should report this finding to the provider.

A nurse is assisting with the care of an adolescent following a cardiac catheterization. Which of the following is the priority finding the nurse should report to the provider? Reports pain as a 4 on a 0 to 10 scale Heart rate 104/min Distal pulse 1+ Bleeding noted on the dressing

Bleeding noted on the dressing. Bleeding noted on the dressing is an indication that the client is at greatest risk for hemorrhage at the catheterization site; therefore, the nurse should identify bleeding on the dressing as the priority finding. The nurse should apply continuous pressure 2.5 cm (1 in) above the site and notify the provider.

A nurse is preparing to administer an enteral feeding to a child who has cerebral palsy and a nasogastric tube. Which of the following actions should the nurse take? Administer 20 mL/min of formula by gravity. Refrigerate the formula for 30 min prior to administration. Confirm that the pH of the stomach contents is 5 or less. Flush the tube with 5 to 15 mL of 0.9% sodium chloride.

Confirm that the pH of the stomach contents is 5 or less. The nurse should test the pH of the stomach contents prior to administering the tube feeding in order to confirm tube placement in the stomach. The nurse should identify that a pH of 5 or less indicates gastric placement.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Cystic fibrosis Reinforce teaching with parents about sweat chloride testing. Prepare toddler for chest physiotherapy Stools Oxygen saturation level

A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following actions should the nurse take? Ensure the availability of soft extremity restraints. Place a padded tongue blade at the bedside. Have a suction canister and tubing available in the room. Keep the child's bed in the highest position.

Have a suction canister and tubing available in the room. The nurse should have a suction canister and tubing available in the child's room to keep the child's airway patent during a seizure.

A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea. Which of the following findings should the nurse identify as a risk factors for this disorder? (Select all that apply.) Hypothyroidism Obesity Cannabis use Oral contraceptive use Emotional stress

Hypothyroidism is correct. The nurse should identify that hypothyroidism and other endocrine disorders are risk factors for primary amenorrhea. Obesity is incorrect. The nurse should identify that anorexia nervosa and strenuous exercise are risk factors for primary amenorrhea. Clients who have low BMIs can experience an increase in prolactin secretions, which can result in amenorrhea. Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for primary amenorrhea. Oral contraceptive use is correct. The nurse should identify that oral contraceptive use affects the estrogen and progesterone cycle and is a risk factor for primary amenorrhea. Emotional stress is correct. The nurse should identify that emotional stress causes hypothalamic suppression and is a risk factor for primary amenorrhea.

A nurse is assisting in the care of a child who has a head injury following a motor vehicle crash. Which of the following should the nurse recognize as an early manifestation of increased intracranial pressure? Fixed and dilated pupils Increased irritability Decorticate posturing Cheyne-Stokes respirations

Increased irritability The nurse should recognize that increased irritability, fatigue, vomiting, and headache are early signs of increased intracranial pressure.

A nurse is preparing to assist a provider with a lumbar puncture for a school-age child. Which of the following actions is the nurse's priority? Labeling collected specimens Providing reassurance to the child Maintaining the child's position Monitoring the child's vital signs

Maintaining the child's position The greatest risk to the child is injury to the spinal nerves or the major vessels. Therefore, the priority action is for the nurse to maintain the child's position to prevent trauma.

A nurse on a pediatric unit is assisting with the care of a toddler. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the toddler.

Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury. - Contraindicated Apply ice packs to affected joints. - Anticipated Administer factor VIII. - Anticipated Elevate affected joints. - Anticipated Administer aspirin PRN pain. - Contraindicated

A nurse is assisting in the care of a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take? Position the head of the crib at a 30° angle between feedings. Place the infant on the left side after a feeding. Administer feedings over 5 min. Flush the tube with 30 mL of tap water.

Position the head of the crib at a 30° angle between feedings. The nurse should place the infant with the head of the crib elevated 30° to 45° to prevent aspiration.

A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the nurse to recommend to include in the the plan? Promote oxygen utilization. Administer antibiotics. Encourage fluid intake. Apply a warm compress to the joints.

Promote oxygen utilization. The priority action the nurse should take when using the airway, breathing, circulation (ABC) approach to client care is promoting oxygen utilization to prevent further sickling of the red blood cells and promote adequate oxygenation of the tissue.

A nurse is assisting in the care of a school-age child who has skeletal traction applied to the right lower leg to repair a femur fracture. Which of the following findings is the priority for the nurse to report to the provider? Report of tingling in the right foot. Pain rating of 7 on a scale of 0 to 10 Decrease in food intake Increase in crusting at pin sites

Report of tingling in the right foot. The nurse should identify that the greatest risk to the child is nerve injury. Therefore, tingling in the right foot, which can indicate nerve damage or compartment syndrome, is the priority finding for the nurse to report to the provider.

A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching? Ensure the shoulder-lap portion of the seat belt fits across the child's abdomen when sitting in the booster seat. Use a no-back, belt-positioning booster seat if the motor vehicle does not have head rests. Discontinue using a booster seat when the child is 135 cm (4 feet 5 in) in height. Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.

Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt. The nurse should instruct the parents to secure both the child and the booster seat with the shoulder-lap seat belt inside the motor vehicle, because booster seats do not have built-in straps.

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider? Pulls self to standing position Moves by creeping on hands and knees Takes intentional steps when standing Sits with support by leaning on hands

Sits with support by leaning on hands The nurse should identify that sitting with support can indicate a developmental delay, because an infant should be able to sit unsupported by 8 months of age. Therefore, the nurse should report this finding to the provider.

A nurse is collecting data from an infant who is receiving IV therapy for fluid replacement. Which of the following findings indicates the infant's IV therapy was effective? WBC count 15,000/mm3 (6,200 to 17,000/mm3) Sodium level 145 mEq/L (134 to 150 mEq/L) Capillary refill greater than 3 seconds Dry mucous membranes

Sodium level 145 mEq/L (134 to 150 mEq/L) The nurse should identify that a sodium level of 145 mEq/L is within the expected reference range of 134 to 150 mEq/L and is an indication that the infant's IV therapy was effective.

A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following sites should the nurse grasp to determine the child's skin turgor? The child's sacral area The top of the child's hand The child's sternal area The child's abdomen

The child's abdomen The nurse should expect the child who has diarrhea and has been vomiting to exhibit a decrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the child's abdomen, pull it taut, and release it quickly. A child who has been vomiting and had diarrhea for 24 hr will have a prolonged period of tenting.

A nurse is examining a toddler during a well-child visit. The nurse should further investigate which of the following findings for suspected physical maltreatment? The toddler cries when approached by the nurse. The toddler has burns on the soles of their feet. The toddler has a bruise on their forehead. The toddler has a scratch on their right knee.

The toddler has burns on the soles of their feet. The nurse should investigate burns to the soles of feet because this is a manifestation of possible physical maltreatment.

Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again.

Toddler appears lethargic ribbon-like, foul-smelling stools in diaper. Hypoactive bowel sounds. Abdomen distended Palpable fecal mass

A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse should identify which of the following as an indication that the preschooler experienced an allergic reaction to the contrast dye? Jaundice Hematuria Urticaria Petechiae

Urticaria The nurse should monitor the child for an allergic reaction to the contrast dye. Manifestations of the allergic reaction include urticaria, itching, flushing of the skin, and possible anaphylaxis.

A nurse is assisting in the care of a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make? "I'm not sure I follow you. Can you explain?" "I understand. Other parents say the same thing." "Let's talk about home care for your child." "I disagree. You're a great parent."

"I'm not sure I follow you. Can you explain?" The nurse should use open-ended statements that will allow the parent to share their feelings and emotions. During times of grief, the parent needs to express emotions. The use of an open-ended statement relays the message that it is safe to do so with the nurse.

A nurse in a pediatric clinic is assisting in the care of a 6-month-old infant who has a urinary tract infection and started taking an oral antibiotic the day before. The parent reports that the infant either refuses the medication or takes it then spits it out. Which of the following responses should the nurse make? "Mix the medicine with 0.25 cups of juice before giving it to your baby." "Mix the medicine with 1 teaspoon of honey before giving it to your baby." "Mix the medicine with 0.25 cups of formula before giving it to your baby." "Mix the medicine with 1 teaspoon of applesauce before giving it to your baby."

"Mix the medicine with 1 teaspoon of applesauce before giving it to your baby." To enhance acceptance of an oral medication, the parent can mix the medication with a small amount of a sweet, nonessential food item.

A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints? Swaddle restraint Jacket restraint Elbow restraints Wrist restraints

Swaddle restraint The nurse should use a swaddle restraint when a short-term restraint is needed for treatment of the toddler that involves the head and neck. The nurse should always use the least amount of restraint necessary.

A nurse is reinforcing teaching with the family of a preschooler whose parents has a terminal diagnosis. Which of the following statements should the nurse include when discussing age-appropriate responses to death? "Your child will likely exhibit fear of the impending death with verbal uncooperativeness." "At this age, your child will understand that death is irreversible." "Your child will likely be curious about what happens to the body after death." "At this age, your child likely believes their thoughts can cause another person's death."

"At this age, your child likely believes their thoughts can cause another person's death." The nurse should reinforce that, at this age, the preschooler might believe that their thoughts can cause another person's death, which can make them feel guilty or responsible for the death.

A nurse is assisting in the care of a school-age female who is being treated for frequent, severe urinary tract infections (UTIs). The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs? "My daughter has bowel movements every 4 to 5 days." "I taught her to wipe from front to back after going to the bathroom." "She urinates every 2 to 3 hours during the day." "I don't let her wear nylon underwear."

"My daughter has bowel movements every 4 to 5 days." The nurse should recognize that this frequency indicates the child is constipated. Therefore, large stool masses might prevent complete emptying of the bladder and lead to urinary stasis and infection.

For each data collection finding, click to specify if the finding is consistent with nightmares or sleep terrors. Each finding may support more than one disease process.

Nightmares: Child's concentration, child's responsiveness to parents, child's description of the dream, daytime alertness, timing of the child's crying, impulsivity, child's return to sleep (cause distress after, cry, express fear, believe dream is real, Impaired concentration, daytime fatigue, impulsive behaviors.) Sleep Terrors: Daytime alertness, Impaired concentration, Child's concentration, Impulsivity (Partial awakening during deep sleep, will not remember, not comforted by others, daytime fatigue, and impulsive behaviors.)

A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child? Exaggerate the pronunciation of each word. Keep hands still when speaking. Stand away from child when speaking. Use facial expressions when speaking.

Use facial expressions when speaking. The nurse should instruct the guardians to use facial expressions when speaking to assist in conveying the message being spoken.

A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease. Which of the following foods should the nurse recommend including in the child's diet? White rice Whole wheat bread Graham crackers French fries

White rice The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in which eating gluten, even in very small amounts, can damage the child's small intestine. Currently, the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh poultry, meats, fish, and dried beans.

A nurse has reviewed the Provider Prescriptions on Day 1 at 1100. Click to highlight the instructions the nurse should plan to reinforce with the parents about the ordered procedure. To deselect a finding, click on the finding again.

Metallic hair pins should be removed. Child is required to lie flat. Child must remain still during testing. When generating solutions, the nurse should plan to reinforce information about the prescribed MRI procedure and the use of magnetic waves imaging with the parents and the child. The nurse should reinforce that, prior to the procedure, all metal objects such as hair pins should be removed to prevent injury. The nurse should also reinforce that, during the procedure, the child is positioned flat on their back and placed through the MRI machine, where they must remain still.

A nurse is reviewing the electronic medical record of a school-age child who gastroenteritis. Which of the following findings should the nurse report to the provider? Decreased sodium level Heart rate 100/min Non-tenting skin turgor Urinalysis result of ketones negative (negative)

Decreased sodium level A decreased sodium level is an unexpected finding for a school-aged child who has gastroenteritis. This indicates loss of sodium from GI tract and may require replacement. If untreated may cause neurological impairments such as seizures.

A nurse on a pediatric unit is assisting with the care of a school-age child. Select the 4 findings that the nurse should report to the provider.

ABGs is correct. The child's ABGs indicate respiratory alkalosis, which is associated with complications of asthma, such as hyperventilation and hypoxia. Therefore, the nurse should report these findings to the provider. Cardiovascular assessment is incorrect. The child's cardiovascular assessment reflects expected findings for a school-age child. Therefore, there is no indication that the nurse should report these findings to the provider. WBC count is correct. The child's WBC count is above the expected reference range, which could be an indication of infection or inflammation. Therefore, the nurse should report this finding to the provider. Hgb is incorrect. The child's hemoglobin is within the expected reference range. Therefore, there is no indication that the nurse should report this finding to the provider. Oxygen saturation is correct. The child's oxygen saturation has decreased below the expected reference range despite the use of supplemental oxygen. Therefore, the nurse should report this finding to the provider. Respiratory assessment is correct. The child's respiratory assessment indicates increased respiratory distress, as evidenced by the presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report these findings to the provider.

The nurse has reviewed the nurses' notes, and vital signs on Day 3 at 1000 in the child's electronic health record (EHR). Click to highlight the findings from EHR that indicate improvement in the child's condition. To deselect a finding, click on the finding again. Child reports pain left leg at 2 on a scale from 0 to 10. Scattered rhonchi to posterior bases. Abdomen hard and distended. No edema or warmth present over surgical incision. Temperature 37.4° C (99.4° F) aural Heart rate 100/min

Child reports pain left leg as 2 on scale from 0 to 10. No edema or warmth present over surgical incision. Temperature 37.4° C (99.4° F) aural Heart rate 100/min When evaluating outcomes, the nurse should the determine the findings that indicate an improvement in the child's condition include the child sitting up in the chair and watching TV, report of pain as 2 on a scale from 0 to 10, left lower leg gauze dressing intact without drainage, temperature 37.4° C (99.4° F), and pulse oximetry 99% on room air. The child sitting up in a chair and watching TV is an improvement from previous findings of resting in bed and feeling tired. The child's reported pain level has decreased from 6 to 8 and is currently 2 on a scale from 0 to 10. The dressing on the child's lower left leg is current dry without any drainage. The child's temperature is now within the expected reference range, and their oxygen saturation has improved as well.