Peds Quiz 4
a nurse is preparing to admin clonazepam 1.5 mg PO in 3 equally divided doses every eight hours for a client who has seizures. the amount available 0.5 mg tablets. how many tablets should the nurse admin per dose?
1 tablet
A nurse is assessing a client who has ESKD and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication for the client is experiencing fluid overload?
5 lb weight gain since yesterday
A nurse in an ED is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Ask the client to describe the situation
A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion. Which of the following conditions is the client displaying?
Brudinski's sign
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? A HTN B Polyuria C smokey brown urine D facial edema
Facial edema
A school nurse is speaking to the mother of a 16 old adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
His favorite teacher committed suicide two weeks ago
A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions is the nurses' priority?
Suicide precautions
A nurse is caring for a client who has a TBI. Which of the following manifestations should the nurse immediately report to the provider? A a drop in HR from 76 to 70/min B diplopia C ataxia D a change in GCS score from 13 to 11
a change in GCS score from 13 to 11
a nurse is caring for an adolescent female who has an eating disorder. the client is 162.6 cm tall and weigns 85 pounds. upon assessment, which of the following manifestations should the nurse expect?
bradycardia, amenorrhea, altered body image, hyperactivity
A nurse is providing teaching to the parents of an adolescent who has a depressive disorder and a new prescription for trazadone. Which of the following info should the nurse include in the teaching?
can cause sucidical thoughts in adolescents
A nurse is caring for a client with acute glomeronephritis. Which of the following actions is the nurses' priority?
check the child's daily weight
A nurse is performing a psychosocial assessment on an adolescent client. which of the following should indicate to the nurse a potential risk for suicide? select all that apply
death of a parent at a young age; recent or impending move; sudden decline in school performance; low parental expectations
a nurse is caring for a client who has substained a traumatic brain injury. the nurse should monitor the client for which of the following manifestations of ICP?
decreased LOC
a nurse is monitoring a client who has acute kidney injury. which of the lab findings should the nurse expect?
elevated BUN
a nurse is developing a health program for the parents of school-age boys. which of the following info about pubescent changes should the nurse include in the program?
growth spurts in height occur toward the end of midpuberty
a nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. which of the following statements by the client indicate a need for further teaching?
i'll be glad when i stop taking this medicine
a nurse is assessing an adolescent who has ADHD. which of the following findings should the nurse expect?
impulsivity
A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify ICP?
increased sleeping *LOC can deteriorate showing signs of excessive sleeping and eventually go into a coma
a nurse is caring for a child who has a suspected dx of bacterial meningitis. which of the following actions is the nurse's priority?
isolation
A nurse is caring for a client who has been physically abused by a family member. Which of the following statements should the nurse say to the child?
it is not your fault that this happened
A nurse is caring for a school age child who has acute glmeronephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should pass the client on which of the following diets?
low sodium, fluid restricted
a nurse is planning care for a 6 year old child who has bacterial meningitis. which of the following nursing interventions is unnecessary in the client's plan of care?
measure head circumference every shift
A nurse is caring for a client who is postop following VP shunt placement. In which of the following positions should the nurse place the client?
on the unoperated site
a nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. which of the following statements by the client should indicate to the nurse a need for further teaching?
only need to cath twice a day
A nurse is caring for a client who is experiencing a seizure. which of the following actions should the nurse take?
place the child laterally
a nurse is caring for a client who has a traumatic brain injury. which of the following findings should the nurse identify as an indication of ICP?
restlessness
A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?
serum crt 6 mg/dL
A nurse is assessing a client who has meningitis. which of the following findings should the nurse expect?
severe headache
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
side-laying position; assess client's airway patency; remove objects from client's bed
A nurse is teaching a client with acute kidney injury about the oliguric phase. Which of the following info should the nurse include in the teaching?
urine output is less than 400 mL per 24 hrs