RN Nursing Care of Children ATI CH 22-43
A nurse is caring for a child who has depression. Which of the following findings are associated with this diagnosis?
- weight loss - report of low self- esteem - sleeping more than usual
A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments is an indication to continue NPO status?
absent bowel sounds
A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following is an appropriate nursing intervention to manage this client's pain?
administer morphine sulfate IV via continuous infusion
A nurse is caring for a toddler in a clinic. Which of the following is an appropriate action for the nurse to take? See chart pg. 413
adminster DTaP vaccine
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?
adminster analgesics
A nurse is providing instruction to the teacher of a child who has attention deficit/hyperactivity disorder (ADHD). Which of the following classroom strategies should be included in the teaching?
- Allow for regular breaks. - Combine verbal instruction with visual cues. - Establish consistent classroom rules. - Decrease stimuli in the environment.
A nurse is teaching a group of adolescents about HIV/AIDS. Which of the following should be included in the teaching?
" The incubation period can be months to year."
A nurse is teaching a group of parent about fractures. Which of the following should be included in the teaching?
"Epiphyseal plate injuries may result in altered bone growth."
A nurse is caring for a child who is in Russell traction. Which of the following are appropriate actions for the nurse to take? Select all that apply
- Assess the child's position frequently - ensure the weights are hanging freely
A nurse is caring for an infant who has a myelomeningocele. Which of the following should she include in the plan of care?
apply a moist dressing on the sac
A nurse is teaching a child who has type 1 diabetes mellitus about self care. Which of the following statements by the child indicates understanding of the teaching?
"I should drink a glass of milk when I am feeling irritable."
A parent of a school-age child with GH deficiency asks the nurse how long his son will need to take injections for his growth delay. Which of the following is an appropriate response by the nurse?
"Injections should be continued until there is evidence of epiphyseal closure."
A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? Select all that apply
- Avoid bubble baths. - Empty bladder completely with each void. - Provide information about clinical manifestations of infection.
A nurse is caring for a male infant. Which of the following are clinical manifestations of an epispadias? Select all that apply
- Bladder exstrophy - widended pubic symphysis - broad, spade-like penis
A nurse is caring for a toddler who is diagnosed with hip dysplasia and has been placed in a hip spica cast. The child's mother asks the nurse why a Pavlik harness is not being used. Which of the following responses by the nurse appropriately addresses the mother's question?
"The Pavlik harness is used for infants less than 6 months of age."
A nurse is teaching the parent of an infant who has seborrheic dermatitis. Which of the following should be included in the teaching?
"The cause is unknown and not contagious."
A nurse is caring for a child who has cellulitis on the hand. Which of the following is an appropriate action for the nurse to take?
apply hot compresses
A nurse is teaching the parent of a child who has hand, foot, and mouth disease. Which of the following should be included in the teaching?
"Your child can be contagious when the symptoms are gone."
A nurse is teaching an adolescent who has diabetes about foot care. Which of the following should the nurse include in the teaching?
"you can use cornstarch on your feet"
A nurse is completing preoperative teaching with an adolescent client who is going to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching?
"you will need to receive blood"
A nurse is teaching the parent of a child who has a neuroblastoma. Which of the following statements should the nurse include in the teaching?
- "Half of the children who have neuroblastoma have metastatic disease." - "Your child will need a bone marrow biopsy." - "Your child will need surgery for resection of the tumor."
A nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should the nurse include in the teaching?
- "Surgery is done usually within 48 hours of diagnosis." - "Palpating the tumor could cause spread of the cancer." - "Further treatments will start immediately after surgery.
child who has short stature, which of the following diagnostic tests should be completed to confirm growth hormone (GH) deficiency? Select all that apply.
- CT scan of the head - bone age scan - GH stimulation test - Serum IGF-1
A nurse is teaching a parent about posttraumatic stress disorder (PTSD). Which of the following should be included in the teaching?
- Children who have PTSD require psychotherapy. - A clinical manifestation of PTSD is phobias. - PTSD develops following a traumatic event.
A nurse is preparing to admit an infant who experienced an apparent life-threatening event. Which of the following prescriptions by the provider should the nurse anticipate?
- EEG - ECG - blood culture
A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? Select all that apply
- Fever - Vomiting - Watery stools
A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? Select all that apply
- Irritability - Vomiting - Fever
A nurse is teaching a group of parents about Salmonella. Which of the following should be included in the teaching? Select all that apply
- It is a bacterial infection. - Bloody diarrhea is common. - Transmission can be from house pets.
A nurse is admitting a child who has HIV. Which of the following are clinical manifestations of a child who is severly symptomatic?
- Kaposi's sarcoma - wasting syndrome - pulmonary candidiasis
A nurse is teaching a parent of an infant about gastrointestinal reflux disease (GERD). Which of the following should be included in the teaching? Select all that apply
- Offer frequent feedings - Thicken formula with rice cereal. - Position baby upright for 1 hr after feedings.
A nurse is caring for an infant who has ambiguous genitalia. Which of the following are appropriate actions for the nurse to take? Select all that apply
- Prepare for surgery - obtain a detailed family history - refer to genetic counseling - explain the need for a chromosomal analysis
A nurse is assessing an infant. Which of the following are clinical manifestations of hypertrophic pyloric stenosis? Select all that apply
- Projectile vomiting - Dry mucus membranes - Constant hunger
A nurse is teaching a group of parents about possible manifestations of Down syndrome. Which of the following should she include in the teaching? Select all that apply
- Protruding abdomen - Broad, short feet and hands - Hypotonia
immunizations to a 2-month-old infant. Which of the following should the nurse anticipate giving? (Select all that apply.)
- Rotavirus (RV) - Diphtheria, tetanus, pertussis (DTaP) - Haemophilus influenzae type b (Hib) - Pneumococcal (PCV)
A nurse is teaching a group of parents about E. coli. Which of the following should be included in the teaching? Select all that apply
- Severe abdominal cramping occurs. - It can lead to hemolytic uremic syndrome. - It is a foodborne pathogen
A nurse is caring for a school-age child who has juvenile idiopathic arthritis. Which of the following are appropriate home care instructions? Select all that apply
- Sleep on a firm mattress - Take frequent rest periods throughout the day - Perform range-of-motion exercises
A nurse is assessing a child who has a urinary tract infection. Which of the following are clinical manifestations of a urinary tract infection? Select all that apply
- Swelling of the face - Pallor - fatigue
A nurse is caring for an infant. Which of the following are clinical manifestations of obstructive uropathy? Select all that apply
- UTI - hydronephrosis
A nurse is caring for a child. Which of the following are clinical manifestations of Meckel's diverticulum? Select all that apply
- abdominal pain - mucus, bloody stools
A nurse is caring for an infant who has diaper dermatitis. Which of the following should be included in the plan of care? Select all that apply
- allow the buttocks to air dry - apply zinc oxide ointment to the affected area
A nurse is assessing a child who has leukemia. Which of the following are early clinical manifestations of leukemia?
- anorexia - petechiae - unsteady gait
An infant who has clinical manifestations of acute otitis media (AOM) is brought to an outpatient facility by his parent. The nurse should recognize that which of the following factors places the infant at risk for otitis media?
- attends daycare 4 days per week - Hx of a cleft palate repair - parents smoke cigarettes outside
A nurse is teaching a group of parents about preventing insect bites. Which of the following should the nurse include in the teaching? Select all that apply
- avoid areas of tall grass -wear insect repellent - check house pets frequently
A nurse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? Select all that apply
- baclofen aka lioresal -diazepam aka valium
A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are clinical manifestations of metastasis from the primary site?
- bone pain - periorbital ecchymoses - proptosis - ill appearance
A nurse is caring for a child who is receiving chemotherapy. Which of the following are clinical manifestations of neuropathy?
- constipation - foot drop - jaw pain
A nurse is caring for a child who has a fracture. Which of the following are clinical manifestations of a fracture? Select all that apply
- crepitus - edema - pain - ecchymosis
A nurse is caring for a child who has type 1 diabetes. Which of the following is a clinical manifestation of diabetic ketoacidosis? Select all that apply
- dehydration - mental confusion - fruity breath
A nurse is teaching the parent of a child who has a growth hormone deficiency. Which of the following are complications of untreated growth hormone deficiency? Select all that apply
- delayed sexual development - premature aging - short stature
A nurse is admitting a child who has HIV. Which of the following are clinical manifestations of a child who is mildly symptomatic?
- dermatitis - hepatomegaly - lymphadenopathy
an adolescent who has mononucleosis. The nurse assesses fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which instructions should the nurse discuss
- drink plenty of liquids - avoid participating in strenuous activities - allow for periods of rest - gargle with saltwater q 2 to 3hrs
A nurse is caring for a child. Which of the following are clinical manifestations of nephrotic syndrome? Select all that apply
- edema in the ankles - hyperlipidemia -anorexia
A nurse is caring for a child who sustained a fracture. Which of the following are appropriate actions for the nurse to take? Select all that apply
- elevate the affected limb - assess neurovascular status frequently - stabilize the injury
A nurse is assessing a child who has rhabdomyosarcoma of the nasopharynx. Which of the following are clinical manifestations of this disorder?
- enlarged neck lymph nodes - pain - epistaxis
A nurse is assessing an infant who has eczema. Which of the following are clinical manifestations of eczema in an infant? Select all that apply
- generalized distribution - papules - crusting lesions
A nurse is caring for a client who has a skin graft. Which of the following clinical manifestations indicate infection? Select all that apply
- green color to subcutaneous fat - unstable body temperature - subeschar hemorrhage - change in skin color around the affected area
A nurse is assessing a child. Which of the following are clinical manifestations of Legg-Calve-Perthes disease? Select all that apply
- hip stiffness - limited ROM - limp with walking
an adolescent who has diabetes about clinical manifestations of hypoglycemia. Which of the following should be included in the teaching? Select all that apply
- hunger - irritability - sweating and pallor
immunizations to a 4-year-old child who has up-to-date immunizations. Which of the following should the nurse anticipate giving?
- inacctivated poliovirus (IPV) - MMR - Varicella -DTaP
A nurse is caring for a client who has major burns and suspected septic shock. Which of the following findings are consistent with septic shock? Select all that apply
- increased body temperature - altered sensorium - decreased urine output
A nurse is caring for a child who has thrombocytopenia. Which of the following are appropriate actions for the nurse to take?
- monitor for signs of bleeding - avoid peripheral venipunctures
A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? Select all that apply
- muscular weakness in lower extremeties - unsteady, wide-based or waddling gait
A nurse is teaching a parent of a child who has HIV. Which of the following should be included?
- obtain yearly influenza vaccination - avoid live immunization - avoid individuals who have colds - provide nutritional supplements
A nurse is caring for a child who has oral mucositis. Which of the following is an appropriate action for the nurse to take?
- offer soft foods - use a soft, disposable toothbrush for oral care - encourage gargling with a warm saline mouthwash
A nurse is assessing a child who has rhabdomyosarcoma of an extremity. Which of the following are clinical manifestations of this condition?
- pain - lymph node enlargment - palpable mass
A nurse is teaching a parent about acetaminophen (Tylenol) poisoning. Which of the following statements by the nurse should be included in the teaching?
- pallor can appear as early as 2 hours after ingestion
A nurse is assessing an infant who has scabies. Which of the following are expected findings? Select all that apply
- pencil like marks on hands - blisters on the soles of the feet - pimples on the trunk
A nurse is caring for a child. Which of the following are clinical manifestations of poststreptococcal glomerulonephritis (APSGN)? Select all that apply
- periorbital edema - ill appearance - hypertension
A nurse is assessing a child with short stature. Which of the following findings would indicate a growth hormone deficiency?
- proportional height to weight
immunizations to a 6-month-old infant. Which of the following is an appropriate action for the nurse to take in providing atraumatic care?
- provide sucrose solution on the pacifier
A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following should be included in the plan of care? Select all that apply
- remove the clothing over the rash - apply calamine lotion to the skin
A nurse is assessing an infant. Which of the following findings are clinical manifestations of acute otitis media?
- rolling head side to side - loss of appetite - crying
a nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable disease may lead to pneumonia? select all that apply
- rubeola; measles - pertussis; whopping cough - varicella; chicken pox
A nurse is assessing a client who has pertussis. Which of the following are clinical manifestations of pertussis?
- runny nose - mild fever - whooping sound cough
A nurse is teaching a parent of a child who is receiving chemotherapy for bone cancer. Which of the following should be included in the teaching?
- signs of infection - bleeding precations - hand hygiene - nutritional requirments
A nurse is caring for a child who has respiratory distress. Which of the following are early clinical manifestations?
- tachycardia - diaphoresis - restlessness
A nurse is planning care for a child who has tinea capitis. Which of the following should the nurse include in the plan of care? Select all that apply
- treat infected house pets - use selenium sulfide shampoo
A nurse is reviewing sick day management with a parent of a child who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? Select all that apply
-monitor blood glucose levels q 3hrs - test urine for ketones - call the health care provider if blood glucose is greater than 240mg/dl
A nurse is preparing to administer somatropin (Genotropin) 0.2 mg/kg/week divided into six doses to a child who weighs 22 kg. Available is somatropin 5 mg/1.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
0.2 mL
A nurse is caring for a child who has a prescription for prednisone (Deltasone) 2 mg/kg/day. The child weighs 35 kg. How many mg should the nurse administer per day? (Round the answer to the nearest whole number.)
70mg
A nurse is caring for a client who has a superficial partial thickness burn. Which of the following is an appropriate action for the nurse to take?
Apply cool, wet compresses to affected area
A nurse is caring for a child who is in a plaster spica cast. Which of the following is an appropriate action for the nurse to take?
Apply moleskin to the edges of the cast
A nurse is preparing to administer varicella vaccine to an adolescent. Which of the following questions should the nurse ask to determine whether there is a contraindication to administering the vaccine?
are you currently taking corticosteroid medication?
A nurse in the ED is assisting with the admission of a child who experienced an obstructed airway in which the parent performed CPR. Which of the following statements by the parent requires clarification?
I used my finger to check my sons mouth
A nurse is caring for a client who has a moderate burn. Which of the following is an appropriate action for the nurse to take?
Initiate a high-protein, high-calorie diet.
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take?
Initiate oral rehydration therapy.
A nurse is planning care for an infant who is has been prescribed a lumbar puncture. Which of the following is an appropriate action for the nurse to take?
Restrain the infant during the procedure to prevent movement.
A nurse is caring for a child who is suspected to have Enterobius vermicularis (pinworm). Which of the following is an appropriate action for the nurse to take?
Perform a tape test.
A nursing is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following is an appropriate action for the nurse to take?
Place the infant in an upright position.
A nurse is caring for a child following an above-the-knee left-leg amputation. Which of the following is an appropriate action for the nurse to take?
Prepare the child for a prosthesis fitting.
A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take?
Prepare the family for surgery.
A nurse is caring for a 10-year-old child who has acute glomerulonephritis (AGN). Which of the following findings should the nurse report to the provider?
Serum creatinine 1.3 mg/dL
A nurse is caring for a 10-year-old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Serum protein 5.0 g/dL
A nurse is caring for a 2-year-old child who has had three ear infections in the past 5 months. The nurse should know that the child is at risk for developing which of the following as a long-term complication?
Speech delays
A nurse is caring for an adolescent who has been diagnosed with osteosarcoma. Which of the following actions should the nurse take?
Spend time with the adolescent to answer any questions he may have.
A nurse is caring for a preschool-age child. Which of the following assessments should the nurse use to assess for developmental dysplasia of the hip?
Trendelenburg sign
A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following should the nurse include in the teaching?
Use an over-the-counter medication containing 1% permethrin
A nurse is caring for an adolescent who has acne and is prescribed isotretinoin 13-cis-retinoic acid (Amnesteem). Which of the following laboratory findings should be monitored?
cholesterol and triglycerides
A nurse is caring for a child with enuresis. Which of the following is a complication of enuresis?
emotional problems
A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include?
encourage frequent voiding
A nurse is caring for an infant who has a hydrocele. Which of the following is an appropriate action for the nurse to take?
explain to the parents that this will self resolve
A nurse is providing teaching to the parent of a child who has attention-deficit/hyperactivity disorder. The nurse should include which of the following as a characteristic of impulsivity?
frequently interrupts
A nurse is teaching a group of parents about communicable diseases. Which of the following is the most appropriate method to prevent a communicable disease?
obtaining immunizations
A nurse is caring for a toddler who has a Wilms' tumor. Which of the following should be included in the plan of care?
preparation for surgery
A nurse is caring for a child who has swallowed paint thinner. The child is lethargic, gagging, and cyanotic. Which of the following is an appropriate action for the nurse to take?
prepare for intubation with a cuffed endotracheal tube
A nurse is caring for a child. Which of the following diagnostic procedure should the nurse prepare the child for to determine if the child has Legg-Calve-Perthes disease?
radiographs
A nurse is caring for a child who has AIDS. Which of the following isolation precautions should the nurse implement?
standard
A nurse is teaching a group of parents about infants who have failure to thrive. Which of the following characteristics should be included in the teaching?
they exhibit developmental delays
A nurse is caring for a toddler who has rhinitis, cough, and diarrhea for 2 days. Upon assessment, it is noted that the tympanic membrane has a orange discoloration and decreased movement. Which of the following is an appropriate statement for the nurse to make?
you child could experience transient hearing loss