404 Exam 2 Peds

The nurse is beginning a health history with a 3-year-old child. Which question would the nurse ask the mother first?

"Do you have any concerns about your child?"

To avoid anaphylactic reactions in children, which question would be most important to ask a parent before administering penicillin to her infant?

"Has she ever had penicillin before?"

During an assessment, a preschool-aged child tells the nurse about having 12 siblings. The nurse is aware that the child has two older brothers. What would be the nurse's best response?

"That is a good pretend answer but tell me the names of the brothers you really have."

A 4-year-old child with asthma is prescribed fluticasone as part of the treatment plan. After teaching the parents about this medication, the nurse determines that additional teaching is needed based on which statement?

"We should use this medicine for an acute attack."

A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

"We will sit the child upright and foward and apply pressure to the sides of the nose."

A nurse is providing guidance to the parents of a toddler about way to help the child to achieve the developmental task of autonomy. The nurse determines that the teaching was successful based on which parental statement?

"We'll let our child pick from two choices for what to wear."

A group of grade-school children is going camping. As a school nurse, you would offer them which advice to prevent Lyme disease?

"Wear jeans tucked inside your socks when in the woods."

After administering epinephrine to a client in anaphylactic shock, which action will the nurse perform?

Administer albuterol via a nebulizer.

A child with a known allergy to bees is stung while on the playground at school. The school nurse is the first to arrive and notes the child is wheezing and begins vomiting. What will the nurse do first?

Administer epinephrine.

The nurse is helping parents enhance the developmental task of initiative in their preschool-age child. Which activity would the nurse suggest the parents implement?

Allow the child to experiment with molding clay.

While caring for a 3-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next?

Assess the child's respiratory status.

A school-aged child, who is allergic to bee stings, states, "I think I was stung by a bee outside." Which intervention by the school nurse is most appropriate?

Assess the client for signs of anaphylactic shock

The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?

Continue to assess for bleeding.

A toddler is being treated for pinworms. What advice should the nurse give to the mother to prevent reinfection?

Everyone in the family will need to be treated.

The nurse sees a 15-month-old at a health maintenance visit. Of the following assessments, which one is generally included in a 15-month checkup?

Height and weight measurements

A toddler is treated for pinworms. To prevent reinfection, what advice would you give the mother?

Help the child wash hands before eating.

The nurse is preparing educational materials for a group of new parents about allergic reactions. Which specific immunoglobulin should the nurse emphasize as being responsible for these types of reactions?

IgE

A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family?

Parental anxiety related to lack of understanding of childhood development

The nurse is assessing a school-aged child with asthma. Which assessment finding indicates that this client's asthma is well controlled?

Peak flow meter reading in the green zone

A 5-year-old child is diagnosed with acute otitis media. Which nursing intervention would be priority?

Relieving the child's pain

A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

Sit the child upright and apply pressure to the sides of the nose.

The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene?

The family's medications are located in a kitchen drawer.

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler?

The toddler should speak in two-word sentences ("Me go").

The parent of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the parent about this type of play behavior?

This is parallel play and is expected.

A 6-month-old girl is diagnosed as having atopic dermatitis. When interviewing her parents, they describe the following care measures. Which one would lead you to think more health teaching is needed?

To dry lesions, the father applies alcohol to lesions daily.

The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first?

a child reporting coughing, itching, and anxiety

When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that:

imagination in a 3-year-old is at its peak.

All infants should have their head circumference measured at health assessment visits. Where should the nurse place the tape measure to obtain this measurement?

just above the eyebrows through the prominent part of the occiput

The nurse is preparing to assess a school-age child who is experiencing pain in the left femur area. When conducting this assessment, at which point should the nurse assess the painful region?

last

The most important safety precaution for parents to teach preschoolers is:

not to ride in a car with strangers.

A preschooler's mother asks the nurse an appropriate time to tell her son that she is pregnant. The nurse's best answer would be:

probably at the point she begins to look pregnant.

The nurse is caring for a toddler diagnosed with acute otitis media. Which should be the nurse's concern?

relieving pain

The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe?

toddler not wearing a helmet