NUR410B,Pediatric
A nurse is teaching a school age child who has type 1 DM about insulin administration. Which of the following should be included in the teaching?
ANS: Instruct the child to give 4-6 injections in one area of the body before switching sites.
Most urinary tract infections seen in children are caused by:
ANS: Intestinal bacteria.
A child and her parents are being seen in the office after discharge from the hospital with a new diagnosis of type 2 diabetes. Which of the following from the nurse is the best response?
ANS: Kids can usually be managed with an oral agent, meal planning, and exercise
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurse assessed the client the previous hour. What should the nurse do next?
ANS: Notify the health care provider (HCP).
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
"I will have my child rest." "I will elevate the affected part." I will compress the site." "I will apply heat." ANS: "I will apply heat."
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? (SATA)
ANS: a. baclofen . b. diazepam.
A nurse is providing anticipatory guidance to the caregiver of a 13-year-old. Which of the following screenings should they recommend?
(SATA) Ans: a. body mass index d. Weight e. scoliosis
A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (SATA)
ANS: a. loss of consciousness b. appearance of daydreaming c. dropping held objects
The nurse is caring for a 7-month-old female infant diagnosed with a urinary tract infection (UTI). The parents are upset as this is the infant's second UTI with a fever. Which instruction is most helpful? Select all that apply.
ANS :A fever is commonly noted with a UTI. Change diapers promptly, especially after bowel movements. Female urethras are shorter and straighter than males.
A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by the parent would indicate a need for additional education
ANS: If we need to use the EpiPen we will notify the physician's office the next business day.
A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new dx of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
A. "I will be sure my child aspirates before injecting the insulin." B. "The insulin can be injected anywhere there is adipose tissue." C. "I will be sure my child rotates sites after 5 injections in one area." D. "The insulin should be injected at a 90-degree angle." ANS: Ans: "I will be sure my child aspirates before injecting the insulin."
A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply.)
ANS : A: Frequent feeding will assist in decreasing the amount of vomiting episodes. B: Thickened formula will assist in decreasing the amount of vomiting episodes. D : Positioning the infant in an upright position following feedings will assist in decreasing the amount of vomiting episodes.
A nurse is teaching the parent of a child who has hypothyroidism on how to give medications. Which of the following statements by the parent indicates an understanding of the teaching? (Select all that apply). A. If a dose is missed, twice the dose should be given the next day.B. I cannot add the medication to my child's milk.C. The medication can be crushed or chewed.D. I need to check my child's pulse rate before giving the medication.E. The medication can be stopped once my child feels better.
ANS: A. If a dose is missed, twice the dose should be given the next day. C. The medication can be crushed or chewed. D. I need to check my child's pulse rate before giving the medication.
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates an understanding of the teaching?
ANS: "I will have my child rest." "I will elevate the affected part." I will compress the site."
The nurse is teaching an in-service program on children diagnosed with nephrotic syndrome. Which statement made by the nurse accurately reflects information on the disease process?
ANS: "The child may look chubby, but he is really malnourished.""
The nurse is providing teaching to a child with new onset type 1 diabetes. Which statements made by the child demonstrates he understands the pathophysiology of diabetes? SATA
ANS: "insulin injections will help maintain my glucose levels". "I do not make enough insulin on my own".
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
ANS: . Assess the rest of the child's body for a rash.
A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children's parents?
ANS: . Seal nonwashable items in airtight plastic bags
The nurse is monitoring the fluid balance of a 9-year-old child. When evaluating urine output for the day, which output would the nurse identify as being within normal limits?
ANS: 1200 mL. Explanation: The typical 24-hour urine output for a 9-year-old would range from 1000 to 1500 mL. Therefore, a urine output of 1200 mL would be within normal limits.
A nurse is admitting a child who has leukemia, which of the following clients should the nurse place in the same room as this child?
ANS: A child who has nephrotic syndrome.
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
ANS: A. "All recently used clothing, bedding, and towels must be washed in hot water."
The mother of a child diagnosed with a potentially life-threatening form of cancer says to the nurse, "I don't understand how this could happen to us. We have been so careful to make sure our child is healthy." Which response by the nurse is most appropriate?
ANS: A. "This must be a difficult time for you and your family. Would you like to talk about how you are feeling?"
A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
ANS: A. A 10-year-old child who has sickle cell anemia who reports severe chest pain.
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
ANS: A. Administer antibiotics when available.
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
ANS: A. Assess the client's airway patency. C. Remove objects from the client's bed. D. Place the client in a side-lying position.
A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?
ANS: A. Firmly attached white particles on the hair.
A nurse is caring for a 2 month old infant who is one day post-op following surgical repair of a cleft lip. Which of the following actions should the nurse take? SATA
ANS: A. Position the infant on their back and upright B. Encourage the parents to hold their baby C. Apply elbow restraints as ordered D. Administer tylenol as prescribed for pain
The nurse is caring for a pediatric client who is scheduled for the surgical removal of a Wilms tumor. Which is contraindicated in the client's care?
ANS: Abdominal palpation
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?
ANS: Administer analgesic medication
The nurse is caring for a 4 year old child with a new diagnosis of type 1 DM. Which intervention is most appropriate to use with a 6 year old child?
ANS: Allow the child to choose the site and give pretend insulin injection on a doll.
A school-aged child presents to the emergency department with intermittent pain around the umbilicus and radiating to the right lower abdomen, rebound tenderness of the abdomen, low-grade fever, nausea, and vomiting. Which diagnosis would be the most likely cause of the child's symptoms?
ANS: Appendicitis.
A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching?
ANS: B. "Encourage your child to avoid sharing hats with other children."
A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new dx of diabetes mellitus. Which of the following statements by the parent indicates an understanding of the teaching?
ANS: B. "The insulin can be injected anywhere there is adipose tissue." C. "I will be sure my child rotates sites after 5 injections in one area." D. "The insulin should be injected at a 90-degree angle."
A nurse is caring for a 4 year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?
ANS: Initiate oral rehydration therapy
The nurse is reviewing triggers of sickle cell crisis with a 14 year old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? SATA
ANS: B. Adequate hydration will help me to stay healthy C. i wash my hands frequently D. i have to be very careful to take my medications as directed E. i will need to carry a water bottle with me for after school sports
A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?
ANS: B. Athlete's foot
The nurse is providing care to a child with acute abd pain, currant jelly-like stool and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure
ANS: B. Enema with air infusion
Discharge teaching for a post tonsillectomy patient would include the following: (Select all that apply)
ANS: B. Give pain medications as prescribed. C. Try to discourage coughing or "clearing throat" E. Watch for increased swallowing
A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by the parent would indicate an understanding of the teaching?
ANS: B. My child should carry their epipen with them at all times C. The school nurse should be informed of my child's allergy D. I have found a website that makes medical alert bracelets in the daughters favorite color.
The therapeutic management of children with sickle cell disease consists primarily of which of the following? Select all that apply
ANS: B. Prevention and treatment of pain. C. Adequate hydration.
The nurse is reviewing appropriate nutritional options for a child who is receiving chemotherapy and has been prescribed a neutropenic diet. The nurse would recommend which of the following options?
ANS: B. Vanilla milkshake made with pasteurized milk -> (they only can eat cooked food).
A nurse is admitting a child who has leukemia and has a critically low platelet count. Based on the information, which of the following precautions should the nurse initiate?
ANS: Bleeding
A 8-year-old boy and his father visit the pediatrician's office with reports of sudden onset of abdominal pain and....urinalysis shows 4+ protein;. On taking the boy's health history the nurse learned that he had strep throat a little over a week ago. .... Findings: temp 100.6, rr 22, hr 105, bp 136/89. What condition should the nurse expect?
ANS: C. Acute glomerulonephritis
A nurse is caring for a child who has Type 1 diabetes mellitus. Which of the following are manifestations of diabetic ketoacidosis? (Select all that apply).\A. Blood glucose 58 mg/dL B. Weight gain C. Dehydration D. Mental confusion E. Fruity breath
ANS: C. Dehydration D. Mental confusion E. Fruity breath
A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the new nurse indicates the teaching has been effective?
ANS: C. Takes an axillary temperature
A nurse is caring for a child who is 2 hours post-op following a tonsillectomy. Which of the following fluid items should the nurse offer at this time?
ANS: Crushed ice.
A nurse is caring for a child who is post-op following surgical removal of a wilms' tumor. Which of the following ..... Is an indication for contine NPO status?
ANS: D. Absent bowel sounds
A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?
ANS: D. Spina bifida
A nurse is taking a health history for a 9-year-old with conjunctivitis. Which statement by the parents leads the nurse to suspect that the child is experiencing allergic conjunctivitis?
ANS: He was playing out in the field during his soccer game
A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect?
ANS: Hyporeflexia
A nurse is teaching a school age child who has type 1 DM about self care. Which of the following statements by the child indicates the need for further teaching?
ANS: I should drink a glass of milk if i am feeling irritable
The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
ANS: I should give my toddler one baby aspirin for pain .
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following indicates an understanding of the teaching?
ANS: I will keep my baby in upright position for at least 30 min after feeding
A 4-year-old child presents with varicella and vesicular rash in various stages of healing, which statement by the parent indicates the need for further teaching?
ANS: I will keep my child home from school and other activities until all of the lesions have been crusted over.
A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which instruction is a priority?
ANS: I will notify my provider immediately if my child has a sore throat.
A 3 year old child with upper respiratory infection and low grade fever is being treated with acetaminophen. The nurse is reviewing anticipatory guidance with the parents. Which statement by the parents indicates the need for further teaching about this medication?
ANS: I will notify the provider if I notice that the whites of my child's eyes are yellow-
A 6 year old child presents to the pediatric clinic with vesicular rash and having ..... Which of the following statements by the parent indicates an understanding of the teaching? ?
ANS: I will remind my child to wash their hands well and frequently. I will remind my child not to touch their face while the rash is present. I will give my child a separate towel from other family members.
A teacher sends a child to see the school nurse for irritability and bruising. Which symptom would be indicative of hemolytic uremic syndrome?
ANS: Oliguria and jaundice Rationale: igns of hemolytic uremic syndrome include oliguria, irritability, jaundice, bloody diarrhea, purpura, ecchymosis, and pallor 5 to 10 days after a prodromal illness.
A 4 year old child presents with varicella and vesicular rash in various stages of healing, which statement by the parent indicates an understanding of the teaching?
ANS: Once the fever has gone away, my child can go to school. I can give my child acetaminophen for fever. I can use cool/tepid water to sponge bathe my child while lesions are present.
The nurse determines that interventions for a voiding disorder have been effective when the family of a child with enuresis demonstrates evidence of which of the following?
ANS: Parents/family use positive coping mechanisms in response to the child and the voiding disorder. Rationale: The family caregiver may become extremely frustrated dealing with wet bedding every morning. Health care personnel must facilitate coping and take a supportive and understanding attitude towards the caregiver and child. Surgery is not needed—fluid restrictions, bladder training and alarms are the most common approaches. Medications are sometimes used with alarms and positive reinforcement, parents usually accept the voiding disorder and often have a family member with a history of enuresis.
The nurse is triaging clients as they come in to an express care facility. Which assessment finding is clinically significant for early nephrotic syndrome?
ANS: Periorbital edema
The nurse is caring for a 2-month-old child with a fever. The child appears ..... Which of the following should the nurse expect to implement as a priority?
ANS: Replace fluids orally.
A nurse is planning care for an infant who is scheduled to have a lumbar puncture. Which action should the nurse include in the plan of care?
ANS: Restrain the infant during the procedure to prevent movement.
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for.... Of vaso-occlusive crisis. Which prescription documented in the child's chart should the nurse question?
ANS: Restrict fluid intake
An adolescent client has just been diagnosed with systemic lupus erythematosus (SLE). Following the client's education about the disease, which statement by the client demonstrates an understanding of SLE?
ANS: SLE is an autoimmune disorder that I will always have, with times of flare-ups and times of minimal to no symptoms
The nurse is administering a blood transfusion to a 9-year-old child with beta-thalassemia. About 30 minutes after the beginning of the transfusion, the child reports a rash with itching and trouble breathing. The child's temperature is now 101.2 degrees up from a baseline of 98.8 degrees. Which actions would the nurse do next?
ANS: Stop the transfusion.
Parents of a child with hemophilia ask the nurse about appropriate activities and sports that they should encourage the child to participate in. What activity would be the safest for the nurse to suggest?
ANS: Swimming
The nurse is discussing urinary tract infections (UTI's) in children with a group of peers. Which fact is the most accurate regarding urinary tract infection seen in children?
ANS: The most common age for UTIs in children is 2 to 6 years of age.
The nurse is discussing the treatment of congenital aganglionic megacolon (hirschsprung's disease) with the caregivers of a 3-day-old infant who presented with abdominal distention and failure to pass meconium. Which statement is the best explanation of the ..... Disganos?
ANS: The treatment for the disorder will be a surgical procedure
The nurse is caring for a 10 year old experiencing nocturnal enuresis with no physiologic cause. The child states, "I am embarrassed and I wish I could stop this right now!". Which is the nurse's best response?
ANS: These are several things we can do to help you achieve this goal.
A nurse is caring for a 3 year old child who was admitted with acute diarrhea and dehydration. Which of the following finds indicates the rehydration therapy has been effective?
ANS: URINE SPECIFIC GRAVITY 1.015
A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching?
ANS: Wash clothing in hot water.
In caring for a child with nephrotic syndrome, which interventions will be included in the child's plan of care?
ANS: Weighing on the same scale each day Rationale: The child with nephrotic syndrome is weighed every day using the same scale to accurately monitor the child's fluid gain and loss.
A nurse in the school office is seeing a 7 year old child with type 1 diabetes after gym class. The child is jittery and appears sweaty. Which intervention would the nurse advise the child to do?
ANS: You will need to drink this 6 ounce bottle of orange juice.
A nurse is caring for an infant and notices an audible click in their left hip. Which of the following diagnostic tests should the nurse expect the provider to perform? (SATA)
ANS: a. Barlow Test d. Ortolani test.
EEG confirms a seizure disorder in a child. Which are appropriate nursing actions SATA.
ANS: a. Institute safety measures(padded bedrails, etc). b. Administer anti-epileptic meds as ordered c. Educate child and parent on medication administration and side effects. d. Assess airway/oxygenation during seizure
A 16-year-old girl with scoliosis has been wearing a body brace but is scheduled for surgery. SATA: post-op nursing actions.
ANS: a. Logroll to avoid twisting spine. b. Assess neurovascular status. c. Assess surgical site for infection/bleeding.
A child has been diagnosed with acute otitis media of the right ear. Which interventions should the nurse include in the plan of care? Select all that apply.
ANS: a. Provide a soft diet. b. Administer motrin for fever every four hours. c. instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy. d. I can give my children Tylenol if they are irritable
A nurse is providing home care instructions to a parent of a child who is receiving chemotherapy. Which of the following instructions should the nurse include in the teaching? (SATA)
ANS: a. manifestations of infection b. bleeding precautions c. hand hygiene
A nurse is reviewing cerebrospinal fluid analysis for a patient who has suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis? (SATA)
ANS: a. negative Gram stain b. normal glucose contente. c. normal protein count
A nurse is caring for a patient who has rubeola. The nurse should monitor for which of the following complications? (SATA)
ANS: a. otitis media c. laryngitis
A nurse is assessing a patient who has pertussis. Which of the following findings should the nurse expect? (SATA)
ANS: a. runny nose b. mild fever c. cough with whooping sound
The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy induced immunosuppression. Which of the following should be included in the teaching plan for the child and parents about reducing the child's risk for infection? Sata
ANS: b. Having the child sleep in a single bed and room. c. Encouraging frequent thorough handwashing
A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching?
ANS: b. I should place a cool mist humidifier in his room
A nurse is developing an educational program about viral and bacterial meningitis. The nurse should include the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children.
ANS: b. PCV (Pneumo)d. c. Hib
A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? (SATA)
ANS: b. anorexia c. petechiae e. unsteady gait
A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (SATA)
ANS: b. elevate the affected limb c. assess neurovascular status frequentlye. d. stabilize injury
A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (SATA)
ANS: b. pencil-like marks on hands c. blisters on the soles of feet e. pimples on the trunk
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
ANS: body weight..
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. closed anterior fontanel b. eruption of six teeth c. birth weight doubled d. birth length increased by 50%
ANS: c. birth weight doubled
A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? (SATA)
ANS: c. muscular weakness in lower extremities d. unsteady, wide-based, or waddling gait
A nurse is teaching a group of parents about the possible manifestations of Down's syndrome. Which of the following findings should the nurse include in the teaching? (SATA)
ANS: c. protruding abdomen d. broad short feet and hands e. hypotonia
A preschool-age child undergoing chemotherapy experiences nausea and vomiting. Which of the following would be the best intervention to include in the child's plan of care?
ANS: d. Allow the child to choose what to eat for meals.
A nurse is assessing a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect?
ANS: d. high-pitched cry
A nurse is providing teaching to a parent of a child who has a new prescription for liquid iron supplements. Which of the following statements by the parent indicates an understanding of the teaching?
ANS: my child should take the supplement through a straw
A nurse is teaching a group of family members about communicable diseases. The nurse should include that which of the following is the best way to prevent communicable disease?
ANS: obtaining immunizations.
A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make?
ANS: the Pavlik harness is used for infants less than 6 months of age.
A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?
ANS:A. Avoid a diet that consists primarily of milk.
A 6 year old child presents to the pediatric clinic with vesicular rash and having ..... Which of the following statements by the parent indicates the need for further teaching?
ANS:I will fill a prescription for antiviral ointment to apply to the rash
The nurse is reviewing lab work prior to shift handoff on a client with a subnormal urine output. Which is the nurse most correct to report?
ANS:Oliguria
A child is experiencing an acute exacerbation of juvenile idiopathic arthritis for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?
ANS:We should not stop this medication abruptly.
A nurse is caring for an infant who has a myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care?
ANS:apply a sterile, moist dressing on the sac
The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is:
ANS:obtaining a clean catch voided urine.
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?
Ans: Influenza, live attenuated (LAIN)
Which of these laboratory results would be most important for the nurse to assess in a child who has a diagnosis of urinary tract infection?
ANS:urinalysis Rationale: A urinalysis is one of the simplest tests to reveal kidney function and presence of a urinary tract infection. A chemical reagent strip, specific gravity, and blood urea nitrogen are not the primary tests evaluated for the presence of a urinary tract disease.
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect? (SATA)
Ans: a. projectile vomiting b. dry mucus membranes e. constant hunger
A nurse is teaching about safety during school age. Which of the following information should be included in the course? (SATA)
Ans: b. wearing helmets when riding bicycles d. implementing firearm safety e. wearing seat belts
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Ans: "I should eat a snack half an hour before playing soccer."
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?
Ans: "My son might complain of feeling shaky when he has a low blood glucose level."
A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents indicates an understanding of the teaching?
Ans: "The quality of food I provide him is more important than the quantity."
A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply.)
Ans: A. Abdominal pain is a manifestation of Meckel's diverticulum.C. Mucus and bloody stools are a manifestation of Meckel's diverticulum.
A nurse is caring for an infant who has a trachea esophageal fistula. Which of the following findings should the nurse expect? (Select all that apply.)
Ans: A. Coughing B. Apnea D. Cyanosis E. Frothy saliva
A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following. instructions should the nurse include?
Ans: Administer prednisone on an alternate-day schedule
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature.Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Ans: Body weight.
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Ans: C. "Test the urine for ketones.
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period.The child weighs 33 lb. Which of the following actions should the nurse take?
Ans: Continue to monitor the client.
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Ans: Encourage the parents to rock the infant.
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?
Ans: Give with orange juice.
A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?
Ans: Hirschsprung's disease
A nurse is providing teaching to a parent of a child with Hirschsprung's disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Ans: I'm glad my child's ostomy is only temporary
A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus .The nurse should recognize that which of the following diagnoses is associated with these findings?
Ans: Intussusception.
A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?
Ans: Irritability.
A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?
Ans: Lethargy(abnormal drowsiness,Stupor,torpor)
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus.Which of the following should the nurse include in the teaching?
Ans: Obtain an influenza vaccine annually.
A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking.The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/ dL. Which of the following findings should the nurse expect?
Ans: Tachycardia.
Which instruction should a nurse give to a client who has a history of urinary tract infection to prevent recurrence?
Ans: Wipe from front to back. Encourage fluids throughout the day. Finish all antibiotic prescribed.
: A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Ans: a needleless syringe and a doll
A nurse is treating a child who has cellulitis on the hand. Which of the following actions should the nurse take?
Ans: a. administer oral antibiotics
A nurse is teaching the parent of a child who has growth hormone deficiency. Which of the following are complications of untreated growth hormone deficiency? (SATA)
Ans: a. delayed sexual development b. premature aging d. short stature.
A nurse is caring for a 3-year-old whose parents report that she has an intense fear of painful procedures such as injections. Which of the following strategies should the nurse add to the child's plan of care? (SATA)
Ans: a. have a parent stay with the child during procedures c. perform the procedure as quickly as possible d. allow the child to keep a toy from home with her
A nurse is teaching an adolescent who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following findings should the nurse include in the teaching? (SATA)
Ans: a. hunger b. irritability c.sweating d. pallor(skin paleness)
A nurse is reviewing sick-day management with a parent of a child who has type 1 diabetes. Which of the following should the nurse include in the teaching? (SATA)
Ans: a. monitor blood glucose levels every 3 hours d. test urine for ketones e. call provider if blood glucose is greater than 240 mg/dL
A nurse is assessing a child who has short stature. Which of the following findings would indicate a growth hormone deficiency?
Ans: a. proportional height to weight
A nurse is teaching a child who has type 1 diabetes about self-care. Which of the following statements by the child indicates an understanding of the teaching?
Ans: a.I should increase my insulin when i exercise. b.I should make sure to eat breakfast even if i am not feeling hungry. c.I should draw up regular insulin into the syringe before nph insulin
A nurse is caring for a toddler who is 24 hours post-op following cleft palate repair.Which of the following actions should the nurse take?
Ans: administer opioids for pain
A nurse is planning care for a 10-month-old infant who is 8 hours post-op following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?
Ans: apply and release elbow restraints every hour
A nurse is assessing a child who has a UTI.What are the clinical manifestations of a UTI? (SATA)
Ans: b. swelling of the face. c. pallor. e. fatigue.
A parent calls a clinic and reports that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
Ans: bring your baby to the clinic today
A nurse is assessing a client who has a new diagnosis of systemic lupus erythematosUs (SLE). The nurse should identify which of the following as a cutaneous manifestation of SLE?
Ans: butterfly rash on face.
A nurse is caring for a preschool-aged child who expresses the need to leave because their doll is at home alone. Which of the following characteristics of preoperational thought is the child experiencing?
Ans: c. animism
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis?
Ans: emotional problems
The parent of a 4-year-old child tells the nurse that the child believes there are monsters hiding in the closet at bedtime. Which of the following statements should the nurse make?
Ans: keep night light on in your child's room
A nurse is assessing a child and notes several bruises. Which of the following acts should the nurse take?
Ans: obtain a detailed history
A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?
Ans: oral electrolyte solution
A nurse is caring for a child with Hirschsprung's disease. Which of the following actions should the nurse take?
Ans: prepare the family for surgery.
A nurse is caring for a child who is admitted with suspected appendicitis. Which of the following manifestations should indicate to the nurse that the appendix has perforated?
Ans:sudden decrease in abdominal pain
A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take?
B. CORRECT: Placing the infant in an upright position will facilitate drainage and prevent aspiration.
The mother of 6-month-old girl is concerned about her daughter getting a urinary tract infection. What should the nurse mention to the mother to help prevent this condition?
Report any abnormally colored urine to the child's primary care provider.
The nurse is revealing management of pediculosis capitis with the parents of school age children during a presentation. In addition to medicated shampoo and cream rinse,, the treatment for head lice may also include which of the following?
a. Removing nits from wet hair with a fine tooth comb b. Washing all bedding and clothing in hot water (130 degrees F) or sealing items that cannot be washed in a plastic bag for 2 weeks c. Soaking combs and brushes in hot water with the shampoo for at least 15 min d. All of the above. ANS: d. All of the above