q2
A nurse is assisting with the care of a child who has spina bifida. Which of the following precaution should the nurse take while caring for the child?
latex precautions
A nurse is preparing to administer 400 ml of 0.9% sodium chloride IV over 8 hr. The drop factor of the manual IV tubing is 60 gtt/ml. the nurse should set the manual IV infusion to deliver how many gtt/min? (whole number)
50
A nurse is assisting with the admission of an infant who has repiratory syncytical virus (rsv) which of the following rooms should the nurse assign the infant?
A private room with contact droplet precaution
A nurse is caring for a school aged child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?
Administer diphenydramine to releive itching
A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
Albuterol
A nurse is assisting with the admission of a 9 year old who has acute rheumatic fever. When obtaining the clients history it is appropriate for the nurse to ask the parent which of the following?
Has your son had a sore throat recently
A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?
Have the child sit with her head tilted forward and hold pressure on her nose for 10 seconds
A nurse is reinforcing teaching with the mother of a 2 month old infant whose provider applied a pavik harness 1 week earlier for the treatment of development hip dysphasia. Which of the statements by the mother indicates an understanding of the teaching?
I will check my baby's skin 3 times a day
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as a priority?
Lethargy
A nurse in pediatric clinic is caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following instructions should the nurse give the patent?
Offer the medication through a straw
A nurse is caring for a client whos postoperative immediately following a tonsilectomy which of the following snacks should the nurse offer the client?
Orange ice pop
A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. which of the following findings should the nurse expect?
Pain
A nurse in a family health clinic is collecting data as part of a routine physical exam of a client who is about to enter high school the nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?
Scoliosis
A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand. which of the following findings should the nurse report immediately to the charge nurse?
The fingers on the right hand have a capillary refillof 4 seconds
A nurse is caring for a child for a school aged child who has a fracture to the right femur. Which of the following findings is the nurse's priority?
Tingling in the right foot
A nurse is caring for a child who is to recieve percussion, vibration, and postural drainage. which of the following actions should the nurse take first?
administer albuterol by nebulizer
A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take?
assist with administering a blood transfusion
A nurse is collecting data from an infant who has developmental dysplasia of the hip DDH. Which of the following findings should the nurse expect?
asymmetric thigh folds
A nurse in an urgent care clinic is collecting data from an adolescent who experienced a blunt trauma to the abdomen. which of the following findings should the nurse report to the provider?
blood pressure 92/50 mm Hg
A nurse in a clinic is teaching a group of parents about scoliosis screening. which of the following statements by a parent indicates and understanding of the teaching?
during the screening the child is asked to stand and bend forward at the waist with arms hanging
A nurse is assisting with the discharge of a child who has sickle cell anemia and is recovering from an acute sickle cell crisis. Which of the following instructions should the nurse reinforce with the childs parents?
encourage the child to increase his fluid intake
A nurse is caring for an infant who has tetralogy of fallotand notes that the infant is easily fatigued when eating. The nurse should recognize that the infants fatigue is caused by the following?
inadequate oxygenation for supporting energy metabolism
A nurse is collecting data from an infant who hit her head when she fell off a dressing table. The nurse should identify which of the following findings as an indicating increased intracranial pressure?
irritability
A nurse is reinforcing teaching with the parents of a child who is taking iron supplements which of the following statements by the parents indicateand understanding of the teaching?
our childs blood count will need to be monitored routinely for several weeks
A nurse is reinforcing teaching with the parents of a school aged child who has a new diagnosis of asthma. which of the following responses should the nurse make?
repeat back to me what to do if your child has trouble breathing
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
speak slowly while facing the child
