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A child with hemophilia fell while riding a bicycle. The child was wearing a helmet and did not lose consciousness. There is a mild abrasion on the knee that is not oozing. He is complaining of ABD pain. What is the priority action that the nurse should take? A. Perform a thorough neurological check B. Assess ability to void frequently C. Examine the knee frequently D. Carefully assess the ABD
D. Carefully assess the ABD
An adolescent is admitted to the hospital with a diagnosis of acute lymphocytic leukemia. Which clinical manifestations require the most urgent nursing interventions? A. Fever and petechiae B. Fatigue and Anorexia C. Enlarged liver and spleen D. Swollen neck lymph glands and lethargy
A. Fever and petechiae
The nurse is planning care for a toddler w/ a seizure dx. Which item in the care plan should be revised? A. Padded tongue blade at bedside B. oxygen mask and bag at bedside C. Padded side rails D. Lorazepam for seizures lasting longer than 5 minutes
A. Padded tongue blade at bedside
A child w/ sickle cell disease is admitted to the hospital in vaso-occlusive crisis after developing a fever and joint pain. What is the nurse's highest priority when caring for this child? A. Providing fluids B. Maintaining protective isolation C. Applying cool compress in the affected area D. Admin an antipyretic
A. Providing fluids
In caring for a 9-year-old child immediately following a head injury, which following assessment finding is most concerning to the nurse? A. Slow response to name B. HR: 78 C. RR: 20 D. Dilated and nonresponsive pupils E. Minimal response to pain F. BP: 110/60
D. Dilated and nonresponsive pupils
An otherwise healthy 18-month-old toddler w/ a hx of febrile seizures presents to the clinic today for a well-child routine visit. Which statement by the parent would indicate the need for further teaching to be performed? A. "The most likely time for the seizures is when the fever goes high quickly." B. "I always keep lorazepam w/ me in case my child has a fever." C. "I have acetaminophen available in case it is needed." D. "My child will outgrow these seizures around 5 years of age."
B. "I always keep lorazepam w/ me in case my child has a fever."
After teaching the parents of a 7-year-old girl with central precocious puberty about medication, which statement by the parents indicates successful teaching? A. "Once she is finished taking the medicine, she may need surgery." B. "She'll start puberty again when the medication stops." C. "She may want to start darting if the medicine is not effective." D. "The medicine will reverse the changes in her breasts."
B. "She'll start puberty again when the medication starts."
A child is diagnosed w/ rhabdomyosarcoma of the neck. When assessing the child, what would the nurse expect to find? SATA A. Proptosis B. Hoarseness C. Facial paralysis D. Hearing loss E. Dysphagia
B. Hoarseness E. Dysphagia
The nurse is teaching parents about therapeutic mgmt of their neonate diagnosed with congenital hypothyroidism. Which response by a parent would indicate the need for further teaching? A. "My baby will need regular measurements of his T4 levels." B. "Tx involves lifelong thyroid hormone replacement therapy." C. "Tx should begin as soon as possible after diagnosis is made." D. "As my baby grows, his thyroid gland will mature and he won't need medicine."
D. "As my baby grows, his thyroid gland will mature and he won't need medicine."
After a nurse has explained the causes of diabetes insipidus to the parents, which statement made by the parent indicates the need for further teaching? A. "This condition could be familial or congenital." B. "My child might have a tumor that's causing these sxs" C. "An infection such as meningitis may be the reason she has this problem." D. "Inflammation of the pancreas is why this is happening to her."
D. "Inflammation of the pancreas is why this is happening to her."
To reduce the risk of an infant developing otitis media, a nurse should instruct the parents to: Which statement should the nurse include when teaching the parents of an infant how to reduce the risk of recurring episodes of otitis media? A. "Ask the doctor about placing tubes in your baby's ears." B. "Treat all cold sxs promptly w/ antibiotics." C. "Clean your baby's ears w/ a cotton-tip swab after bathing." D. "Place your baby in an upright position when bottle feeding."
D. "Place your baby in an upright position when bottle feeding."
A nurse is caring for a school-aged child w/ a diagnosis of rule-out Reye syndrome. Which is a risk factor for developing Reye syndrome? A. Recent hx if Haemophilus influenza meningitis B. recent hx of viral gastroenteritis C. recent hx of infectious cystitis caused by Candida D. Recent hx of bacterial otitis media
B. recent hx of viral gastroenteritis
A child diagnosed w/ Wilms' tumor undergoes successful surgery for removal of the diseased kidney. When the child returns to the room, the nurse should place the child in which position? A. modified Trendelenberg B. semi-Fowlers C. Sims D.
B. semi-Fowlers
The nurse is caring for a child admitted w/ complex partial complex partial seizures. Which clinical manifestations would likely have been noted in the child with this diagnosis? A. The child was dizzy and decreased coordination B. The child had jerking movements and then the extremities stiffened C. The child was confused and smacking the lips repeatedly D. The child had shaking movements on one side of the body
C. The child was confused and smacking the lips repeatedly
A young school-aged child has been sent to the school nurse for urinary incontinence 3x in the past 2 days. The school nurse should recommend that the parents have the child evaluated for which possible problem? A. Separation anxiety B. School phobia C. UTI D. Structural defect of kidneys
C. UTI
The nurse is caring for a pt experiencing a splenic sequestration crisis. Which intervention is used in the mgmt of this condition? A. Low fat diet B. PCN admin C. Warming blanket D. Fluid restriction
B. PCN admin
Which of the following assessment findings would indicate vaso-occlusive crisis in a child w/ sickle cell disease? A. Complaints of a sore throat B. Pain w ambulation C. Painful urination D. Fever w/ associated rash
B. Pain w ambulation
The nurse is caring for a 6-month-old that had a VP shunt inserted and returned to the PACU 4 hrs ago. Which assessment finding would require the nurse to notify the provider now? A. BP 90/56 B. temp 100.3 axillary C. Vomited 2x D. HR 130
C. Vomited 2x
A nurse is caring for a client who has suspected meningitis and a decreased LOC. What is the most important action for the nurse to take? A. Position the client dorsal recumbent B. Place the child on NPO status C. Prepare the client for brain biopsy D. Initiate contact precautions
B. Place the child on NPO status
When developing the discharge plan for a child who had a nephrectomy for a Wilms' Tumor, the nurse identifies which 2 outcomes have the HIGHEST priority? Select 2 that apply A. Minimize sodium intake B. Prevent dependent edema C. Prevent damage to the remaining kidney D. Minimize postop pain E. Prevent UTI F. Allow friends to visit
C. Prevent damage to the remaining kidney E. Prevent UTI
A nurse is caring for an adolescent who has closed head injury. Which of the following findings are indicative of ICP? SATA A. Increased motor response B. Increased sensory response C. Report of headache D. Increased sleepiness E. Alteration in pupillary response
C. Report of headache D. Increased sleepiness E. Alteration in pupillary response
The nurse is teaching parents about improving their child's nutritional status while being treated with chemotherapy. What info would be included in the teaching? SATA A. Using honey to improve the taste of cereals B. Provide nutritious snacks such as milkshakes C. Suggest eating prior to chemotherapy D. Encourage parents to offer the child's favorite foods E. Offer larger potions at meal time to encourage eating F. Maintain pleasant family meal times even if the child is not hungry
B. Provide nutritious snacks such as milkshakes C. Suggest eating prior to chemotherapy D. Encourage parents to offer the child's favorite foods F. Maintain pleasant family meal times even if the child is not hungry
A child is diagnosed w/ nephrotic syndrome. The nurse understands that the primary goal of tx is which of the following? A. Decrease edema and HTN through bed rest and fluid restriction B. Reduce the excretion of urinary protein C. Help prevent cardiac or renal failure by carefully monitoring fluid and electrolyte balance D. Manage urinary changes by monitoring fluid intake and output and observing for hematuria.
B. Reduce the excretion of urinary protein
When obtaining a child's daily wt., the nurse notes a 6 lb (2.7kg) loss after 3 days of hospitalization for acute glomerulonephritis. The nurse determines that this is MOST likely the result of which factor? A. Decreased salt intake B. Reduction of edema C. Restriction to bedrest D. Poor appetite
B. Reduction of edema
The nurse is documenting the physical exam findings for a 6-year-old female being evaluated for precocious puberty. The child has beginning signs of thelarche and her parent reports menarche a few days ago. Which of the following would the nurse document in the Tanner Staging Scale? A. Stage 1 B. Stage 2 C. Stage 3 D. Stage 4
B. Stage 2
The nurse recognizes that the parent of a 5-year-old female pt. who was recently diagnosed w/ precocious puberty needs additional education about the pharmacologic mgmt. when which of the following statement is made? A. "I feel better knowing that she can stop taking those shots for her disease in 2 years." B. "I will understand that I will have to bring her to the doctor for shots every 3 months." C. "I will put EMLA cream on both of her upper arms 30 min before the appointment." D. "I will let my daughter practice giving fake shots to her stuffed animal"
A. "I feel better knowing that she can stop taking those shots for her disease in 2 years."
The nurse is preparing a 12-year-old child for a bone marrow aspiration. Which statement indicates that the child does not understand the teaching about the procedure? A. "I won't feel any tenderness or pain when I wake up from the test." B. "I can't get out of bed when I stop feeling sleepy." C. "I will have a tight dressing to put pressure on the area." D. "The doctor is going to inject a needle into the center if my hip bones."
A. "I won't feel any tenderness or pain when I wake up from the test."
A mother of a child w/ hypospadias asks the nurse what is wrong w/ her son's penis. What is the most appropriate response by the nurse? A. "It is a urethral opening along the ventral or underside surface of the penis." B. "It is the absence of a urethral opening in the penis." C. "It is a urethral opening along the dorsal or top surface of the penis." D. "It is a penis that is shorter than usual for the child's age."
A. "It is a urethral opening along the ventral or underside surface of the penis."
Which statement by the nurse would be the best response to a mother who wants to know what the first indication will be that her child's acute glomerulonephritis is improving? A. "Your child's urine output will increase" B. "Your child's BP will stabilize." C. "Your child's energy will increase alot." D. "Your child's urine will be free from protein."
A. "Your child's urine output will increase"
48 hrs after undergoing a VP shunt placement, an infant is irritable and vomits a large amount. Assessment reveals a bulging fontanel. Using the SBAR technique for communication, the nurse calls the provider w/ a recommendation for which order? A. A CT scan B. A dose of morphine C. A fluid bolus of NS D. a dose of furosemide
A. A CT scan
A child has been diagnosed w/ Wilms' Tumor and is being treated w/ chemo. To determine if the child has any infection fighting capability, the nurse will monitor the values for which serum lab test? A. Absolute neutrophil count B. RBC C. Hemoglobin D. Platelets
A. Absolute neutrophil count
The nurse is caring for a pt. that had a Wilms Tumor removed 6 hrs. ago. Which assessment finding requires the MOST immediate action by the nurse? A. ABD incision w/ a dime-sized drop of dried blood B. lung sounds w/ wheezes throughout C. Bowel sounds are absent D. Pain rating on the FLACC scale increased from 2 to 3.
B. lung sounds w/ wheezes throughout
A child with hyperthyroidism is admitted d/t tremors and tachycardia. The nurse anticipates which of the following meds will be prescribed for this child? A. lisinopril B. propanolol C. methimazole D. lorazepam
B. propanolol
The nurse is preparing a toddler for a lumbar puncture. For this procedure, the nurse should place the child in which position? A. lying on one side w/ the back curved B. lying prone w/ the neck flexed C. lying prone w/ the feet higher than the head D. sitting up, chin to chest
A. lying on one side w/ the back curved
What is the BEST response by the nurse to the parents of a child w/ leukemia who express guilt because they did not take immediate action when their child seemed to develop frequent respiratory infections?" A. "Don't feel bad. Children get lots of colds. There's no way you could have known." B. "Young children develop minor illness early and often. Stop being hard on yourselves." C. "Keep in mind that the signs of leukemia are often subtle and difficult to recognize." D. "You need to focus on the present tx now and not worry about the past."
C. "Keep in mind that the signs of leukemia are often subtle and difficult to recognize."
A school-aged child is admitted w/ diabetes insipidus. The nurse asks the parent if they know about this condition. Which statement tells the nurse that the parents understand the condition? A. "Our child's adrenal gland is not working hard enough." B. "Our child's parathyroid gland is not doing a good job." C. "We know that our child's pituitary gland is not working hard enough." D. "We know that our child's thyroid is working too much."
C. "We know that our child's pituitary gland is not working hard enough."
When obtaining a health hx from the parents if a preschooler who is admitted to the oncology unit w/ acute lymphocytic leukemia (ALL), the nurse would be surprised if the parents report that the FIRST sign they observed was which of the following? A. Paleness of the skin B. Loss of appetite C. Purplish spots on the skin D. Sores in the mouth
D. Sores in the mouth
A 10-year old child with acute glomerulonephritis is admitted to the pediatric unit. The nurse should ensure that which action is part of the child's care? A. Checking every urine specimen for protein and specific gravity B. Ensuring that the child has accurate input and output and eats a high protein diet C. Ensuring that albumen infusions are administered every evening D. Taking vital signs q4hr and obtaining daily wt.
D. Taking vital signs q4hr and obtaining daily wt.
A 4-year-old w/ meningitis exhibits a decreased LOC and has increasing ICP. The nurse should report which finding to the provider? A. Pulse of 86 bpm B. BP 122/84 mmHg C. Temp 100.2F D. RR 24 breaths/min
B. BP 122/84 mmHg
A child in renal failure has hyperkalemia. The nurse plans to instruct the child and her parents to avoid the following foods: A. Chips, cold cuts, and canned foods B. Bananas, carrots, and green, leafy vegetables C. Spaghetti and meat sauce w/ breadsticks D. Hamburger on a bun and cherry flavored gelatin
B. Bananas, carrots, and green, leafy vegetables
An adolescent is admitted to the hematology unit with sickle cell anemia and is suspected of experiencing a vaso-occlusive crisis. Assessment findings are: VS: Temp-98.2, HR-82, RR-24, BP-110/65, O2- 92%, pain- 9/10 via FACES Respiratory: rapid and deep, slight SOB Musculoskeletal: refusing to walk d/t pain Psychosocial: crying and not wanting to answer questions d/t severe pain All other findings are WNL Which nursing interventions would be most important to implement now? SATA A. Admin pain meds as ordered B. Providing hydration via IVF and oral fluids as ordered C. Admin O2 beginning at 2 L and increasing as necessary to maintain O2 saturation > 95% D. Gathering information about the child's ability to cope with the disease E. Ensuring that the family is actively involved in the adolescent's home care
A. Admin pain meds as ordered B. Providing hydration via IVF and oral fluids as ordered C. Admin O2 beginning at 2 L and increasing as necessary to maintain O2 saturation > 95%
The nurse is assessing a child in the postictal phase of a generalized tonic clonic seizure. Which would be an expected finding during this phase? A. Hypotension B. Paresthesia C. Drowsiness D. Inability to move
C. Drowsiness
The nurse is caring for an infant w/ bladder exstrophy. As part of the infant's preop plan of care, the nurse monitors for ABD skin excoriation. Which action would be MOST appropriate for promoting healing and preventing further ABD skin breakdown? A. Applying a barrier/healing cream or paste on skin B. Cleaning the area well w/ an unscented diaper wipe C. Keeping the bladder moist and covered w/ a sterile bag D. Covering the area w/ sterile gauze pads after tub baths
A. Applying a barrier/healing cream or paste on skin
A 16-year-old is scheduled to begin outpatient radiation therapy tomorrow afternoon as part of the tx plan for Hodgkin's disease. The irradiated area is the neck. Which statement by the adolescent indicates that the teaching has been effective? A. "I won't use any lotions or creams w/ aloe or lanolin in them." B. "I can wear perfume tomorrow as long as I don't put it on my neck." C. "In the morning, I can wash the markings off of my neck w/ a mild soap." D. "I should apply a sunscreen lotion to my neck prior to going outside tomorrow."
B. "I can wear perfume tomorrow as long as I don't put it on my neck."
The nurse knows that the most serious and irreversible adverse effects of lead intoxication affect which system? A. Cardiac B. Hematologic C. CNS D. Renal
C. CNS
When caring for a school-aged child who has had a brain tumor removed, a nurse makes the following assessment: pupils equal and reactive to light, motor strength equal bilaterally; knows name and date but not location; and complains of a headache. What is the most appropriate nursing action? A. Immediately notify the provider B. Administer medication as ordered for headache C. Check what the child's LOC has been D. Call the child's parents to come and play w/ child
C. Check what the child's LOC has been
A preschool-aged child has been admitted to the PICU with a diagnosis of bacterial meningitis. What is the most appropriate intervention for the nurse to include in the plan of care? A. Take VS q4hr B. Encourage the parents to hold the child C. Decrease the environmental stimuli D. Monitor temp q4hr
C. Decrease the environmental stimuli
A high school football player has been diagnosed as having osteosarcoma of the femur. The mother is angry because she told the adolescent not to play football. Which statement would the nurse include in the teaching plan for the adolescent and parent? A. Chemotherapy will increase bone strength so he can return to playing football soon B. Osteosarcoma often follows trauma from contact sports injury, such as from football C. Football injuries do not contribute to the development of a tumor D. Tumor growth in bones can be r/t a decrease in calcium intake
C. Football injuries do not contribute to the development of a tumor
The nurse is caring for a 3-year-old girl w/ a neuroblastoma who has been receiving chemotherapy for the last 4 weeks. The morning labs are: Hemoglobin: 12.5 g/dL Hematocrit: 36.8% WBC: 2 million/mcL Platelet count: 150,000 microliter Based on the child's values, what is the HIGHEST priority nursing intervention? A. Prepare to give a transfusion of packed RBCs B. Prepare to admin a transfusion platelets C. Encourage mouth care w/ a soft toothbrush D. Encourage meticulous handwashing by the client and visitors
D. Encourage meticulous handwashing by the client and visitors
The nurse is obtaining a health hx from the parents of a 4-month-old w/ congenital hypothyroidism. What would the nurse most likely assess? A. The child is active and playful B. The skin is pink and healthy looking C. The child has above average growth for age D. It is difficult to keep the child awake
D. It is difficult to keep the child awake
The ED nurse has admitted an infant w/ a tense bulging fontanel, sunset eyes and lethargy. Which diagnostic procedure is contraindicated in this infant? A. Arterial blood draw by the RN B. MRI w/o sedation C. CT Scan w/ contrast media D. Lumbar puncture with sedation
D. Lumbar puncture with sedation
The nurse is helping an adolescent deal w/ diabetes. What is the most important factor about the adolescent for the nurse to consider from a developmental standpoint? A. Being preoccupied w/ future plans B. Needing their parents' approval C. Wanting to be an individual D. Needing to be like peers
D. Needing to be like peers
The nurse is performing a focused nursing assessment on a pt. w/ possible rhabdomyosarcoma. Which assessment finding would be the MOST important for the nurse to perform? A. Assess the pupils bilat. for reactivity and size B. Check child's lower extremity reflexes C. Measure BP in all 4 extremities D. Palpate the area where the mass is located
D. Palpate the area where the mass is located
The nurse assesses a neonate and suspects that the infant may have hydrocephalus. Which observations by the nurse would indicate this condition? A. Bulging fontanel, eyes rotated downward B. Depressed fontanel, eyes rotated downward C. Depressed fontanel, low-pitched cry D. Bulging fontanel, low-pitched cry
A. Bulging fontanel, eyes rotated downward
The nurse is aware that antibiotic therapy to tx meningitis should be instituted immediately after which event? A. Collection of cerebrospinal fluid and blood for culture B. Admission to the pediatric nursing unit C. Initiation of IVF therapy D. Identification of the causative organism
A. Collection of cerebrospinal fluid and blood for culture
The nurse is providing info to the parents of a child w/ absence seizures. What info would the nurse expect to include when describing this type of seizure? SATA A. You might have mistaken this type of seizure for a lack of attention B. Your child will probably sleep after about 30 min to 2 hrs after the seizure C. The child will commonly report a strange odor or sensation before the seizure D. This type of seizure is short, lasting no more than about 30 sec E. You might see a blank facial expression after a sudden stoppage of speech
A. You might have mistaken this type of seizure for a lack of attention D. This type of seizure is short, lasting no more than about 30 sec E. You might see a blank facial expression after a sudden stoppage of speech
An 8-year-old is brought to the ED after sustaining a concussion. The child is to be discharged home w/ the parents. What would the nurse include in the discharge teaching? A. "Having 1-2 seizures after a concussion is a normal occurrence." B. "Wake the child q2hr to check movement and responses."
B. "Wake the child q2hr to check movement and responses."
The nurse assess an 8-month-old infant for a possible head injury and skull fracture after a fall of about 3 ft. The child is awake, alert, and crying. The VS are WNL. Which action should the nurse take next? A. Obtain immediate IV access B. Assess the infant's pupillary response C. Interview the parents about the fall D. Apply 100% supplemental oxygen
B. Assess the infant's pupillary response
The community health nurse is teaching the parents of a school-aged child who is diagnosed w/ iron deficiency anemia. What education should the nurse include in the client's plan of care? SATA A. Stop iron supplements if stool is black B. Encourage the child to drink a lot of fluids when treated with iron supplements C. Decrease dietary fiber D. May give iron supplement w/ white or chocolate milk E. Encourage foods high in iron F. Give iron supplement w/ apple juice to increase absorption
B. Encourage the child to drink a lot of fluids when treated with iron supplements E. Encourage foods high in iron
A nurse is obtaining an admission hx for an adolescent who was admitted w/ Graves' disease. The parent states that the last time the adolescent took methamozole then a sore throat and high fever developed. The nurse reviews the provider's orders and finds that methamozole is one of the meds ordered. Based on this info, the nurse would: A. Give the meds as ordered since that is what the provider decided would be the best medicine B. Hold the meds and contact the healthcare provider immediately to verify if it should be given as ordered C. Check the child's pulse and if it is WNL, admin the meds as ordered D. Explain to the parent that there is no relationship b/w those sxs and the meds
B. Hold the meds and contact the healthcare provider immediately to verify if it should be given as ordered
A nurse is caring for a 7-year-old boy with hemophilia who requires an infusion of factor VIII. He is fearful about the process and is resisting tx. How should the nurse respond? A. "Would you like to administer the infusion?" B. "Would you help me dilute this and mix it up?" C. "Will you help me apply this bandaid?" D. "Will you push the numbers on the IV pump for me?"
C. "Will you help me apply this bandaid?"
A nurse is caring for a child during the intermediate postop period following surgical removal of a neuroblastoma. Which assessment finding is an indication to continue NPO status? A. Pain rating at operative site of 8 on the FLACC scale B. ABD girth 1 cm larger than yesterday C. Absent bowel sounds upon auscultation D. Passing of flatus q30min
C. Absent bowel sounds upon auscultation
Which nursing measure should be implemented for a child w/ von Williebrand's disease who is having epistaxis? A. Avoiding packing of the nostrils B. Lying the child supine C. Applying pressure to the nares D. Avoiding pressure to the nose
C. Applying pressure to the nares
An immune compromised client is being treated for a leg wound infection which has minimal redness and is unchanged since admission. The child's temperature has increased to 99.9 F orally. What should be the nurse's next action? A. Document the findings in the electronic medical record B. Elevate the leg on two pillows C. Assess today's white blood cell count D. Admin 325 mg acetaminophen orally
C. Assess today's white blood cell count
A nurse is caring for a pediatric client w/ central diabetes insipidus. Which in-home mgmt. instruction for a child receiving desmopressin nasal spray for symptomatic control of diabetes insipidus is MOST appropriate? A. Give desmopressin only when urine output begins to decrease B. Clean the skin around the nares w/ an alcohol pad before each use C. Call the provider for an alternate route for giving DDAVP when the child has allergic or upper respiratory infection D. Increase desmopressin dose if polyuria occurs just before the next scheduled dose
C. Call the provider for an alternate route for giving DDAVP when the child has allergic or upper respiratory infection
A child is admitted to the hospital w/ a diagnosis of nephrotic syndrome. The clinical manifestations will include which of the following? A. Gross hematuria, albuminuria, and fever B. Hematuria, bacteriuria, and wt. gain C. Massive proteinuria, hypoalbuminemia, and edema D. HTN, wt. loss, and pneumonia
C. Massive proteinuria, hypoalbuminemia, and edema
The nurse is caring for a child w/ refractory epilepsy that is hospitalized to begin a ketogenic diet. Which statement by the nurse would be MOST appropriate when explaining the diet to the parents? A. "Your child will start out w/ a high protein diet, low-fat diet, and then transition to organic fruits and vegetables only." B. "It is a high fat diet so your child will be allowed to eat a lot of high-fat foods and snacks such as ice cream, candy, and chips." C. "The child will enjoy a variety of high protein, low carb, and moderate fats w/ this diet, such as chicken w/ mac and cheese." D. "The keto diet consists of high intake of fats w/ moderate amounts of protein and a very low carb intake."
D. "The keto diet consists of high intake of fats w/ moderate amounts of protein and a very low carb intake."
The nurse is preparing a 5-year old with an X-ray. What would be the best communication to prepare the child for the procedure? A. "X-rays are not painful; you won't feel a thing." B. "We are going to take some x-rays of your body." C. "We need to look inside at some of your organs." D. "We are going to use a big camera to take pictures inside your body."
D. "We are going to use a big camera to take pictures inside your body."
The nurse reviews the care plan of an adolescent receiving chemotherapy for leukemia. The client's platelet count is 50,000. The client also has pneumonia. Which item in the care plan should the nurse revise? A. Maintain 2 peripheral IV lines, one for blood draws and one for infusions B. Keep a thermal scan thermometer at the bedside to assess temperature C. Keep a sign over the bed: "No needle sticks. Nothing by rectum." D. Admin oxygen at a rate of 2L/min via non-humidified oxygen mask
D. Admin oxygen at a rate of 2L/min via non-humidified oxygen mask
A nurse identifies a nursing diagnosis of impaired urinary elimination r/t UTI. When developing the plan of care, which would be the most important for the nurse to do first? A. Develop a schedule for emptying the bladder B. Encourage fluid intake frequently C. Monitor strict intake and output D. Assess usual voiding patterns at home
D. Assess usual voiding patterns at home
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which action should be the nurse's PRIORITY? A. Call for the rapid response team B. Begin O2 at 2 L/min via nasal cannula C. Clear the area environment of hazards D. Position the child side-lying
D. Position the child side-lying
A nurse is caring for a 2-year old who has a Wilms' Tumor. What is the MOST important action for the nurse to take? A. Palpate the ABD to identify the size of the tumor B. Obtain a 24-hr urine specimen from the child C. Teach the parents about dialysis D. Prepare the child for surgery
D. Prepare the child for surgery
A nurse is teaching parents of children about recurrent UTI. Which goal should be recognized as having the HIGHEST priority? A. Education B. Detection C. Treatment D. Prevention
D. Prevention
A mother is concerned that N/V associated w/ chemo are reducing her child's ability to eat and gain wt. appropriately. What is the MOST appropriate nursing action? A. Maintain IVF infusion to avoid dehydration B. Admin an antiemetic at the first sign of nausea C. Offer the child's favorite foods to encourage him to eat D. Start antiemetic drugs prior to the chemo infusion
D. Start antiemetic drugs prior to the chemo infusion
