HESI Peds: School-age
On the second day after sustaining extensive severe burns a 6-year-old child exhibits edema and decreased urine output. For which additional adverse response should the nurse assess the child in this early stage of burn injury?
Disorientation
In the immediate period after admission to the burn unit with severe burns, a 5-year-old child requests a drink of milk. What is the most appropriate nursing intervention?
Maintain NPO status for 24-48 hrs
A nurse is teaching a class for staff members working in a group home about the cognitive development of children with cognitive impairments. What concept can these children probably learn the fastest?
large vs small
The mother of a preschooler with acute glomerulonephritis (AGN) asks the nurse whether her child will have to stay in bed. What does the nurse say about the need for bed rest?
no longer necessary
A 10-year-old child has sustained partial-thickness burns of the anterior surfaces of both arms and hands and the upper half of the chest. Using the grading system of the American Burn Association, the nurse estimates the total body surface area (TBSA) involved. What is the approximate percentage of TBSA affected?
16
A 9-year-old child with a tentative diagnosis of leukemia is to undergo bone marrow aspiration. What information should the nurse give the child before the procedure?
"You'll be given medication to relax you before the test, and you'll remember nothing afterward."
The parents of a child who is undergoing chemotherapy for acute lymphocytic leukemia (ALL) ask the nurse about the prognosis of children with this diagnosis. What does the nurse respond is the expected outcome for children with this type of leukemia?
Extended to at least 5 years in more than 75% of the children treated
A school-aged child is undergoing chemotherapy. How can the nurse best manage a common side effect of chemotherapy?
Providing meticulous oral hygiene
A 10-year-old child is found to have lymphocytic thyroiditis (Hashimoto disease). What should the nurse explain to the parents and child about this condition?
Regression occurs spontaneously
A 5-year-old child is returned to the pediatric intensive care unit after cardiac surgery. The child has a left chest tube attached to water-seal drainage, an intravenous line running of D5 ½ NS at 4 mL/hr, and a double-lumen nasogastric tube connected to continuous suction. A cardiac monitor is in place, as is a dressing on the left side of the chest dressing. What is the priority nursing intervention?
Testing the level of consciousness
A nurse is developing a teaching plan for an 8-year-old child with recently diagnosed type 1 diabetes. What developmental characteristic of a child of this age should the nurse consider?
The child will welcome opportunities for participation in self-care