peds 3

The nurse provides client teaching to parents of a newborn who have questions about immunizations. Which comment(s) by the parents demonstrate knowledge of immunizations? Select all that apply.

"Immunizations may be killed or modified organisms." "Immunizations prevent some types of bacterial infections." "Many vaccines are given in the form of an injection."

The nurse is caring for a 6-month-old infant with Wiskott-Aldrich syndrome. Which teaching does the nurse provide the parent?

"Do not insert anything in the rectum."

The nurse is caring for a child who is receiving a skin test to determine the presence of allergies. A positive skin test for one particular allergen shows the mediation of which type of immune globulin?

IgE

A nurse is providing care to a child who is HIV positive and prescribed IV zidovudine. Which nursing actions would be appropriate when administering the drug? Select all that apply.

Infuse the drug over 60 minutes. Monitor the child for paresthesias. Give the drug in the morning and after lunch. Reinforce use of meticulous handwashing.

A 4-year-old girl injured in an automobile accident is suspected of having a head injury. What would be the priority action?

Opening the airway using the jaw thrust maneuver.

A 3-year-old child has sustained injuries from a fall. Once the airway is secured, which of the following interventions would be done next?

Stabilizing the cervical spine.

When attempting to locate the pulse of child found in a state of collapse, how much time should be taken

no more than 10 seconds

The nurse is caring for a child with a heart rate of 175 with a pulse. The ECG shows wide QRS complexes with no P waves present. The nurse notifies the physician and expects which orders? Select all that apply.

synchronized cardioversion IV amiodarone

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

When the nurse is caring for a child presenting with a traumatic injury, which action is priority?

Perform a primary assessment