PN Nursing Care of Children Practice 2020 B with NGN

A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of human immunodefiency virus (HIV). Which of the following statements made by the parent indicates an understanding of the teaching?

"I should bring my child in for immunizations on schedule."

A nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicated that the teaching has been effective?

"I should give my child 4 ounces of orange juice followed by cheese and crackers."

A nurse is reinforcing teaching about home care with the guardian of a 14month old toddler who has spatic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching?

"I will perform daily stretching exercises to my toddler's affected muscles

A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse?

"My child has refused to drink any fluids for the past 8 hours."

A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care?

- Encourage an increased fluid intake to flush out ketones and prevent dehydration; this can lead to DKA

A nurse is assisting with the care of a 4-year old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? 1. Discuss benefits of the procedure. 2. Provide the child with a detailed explanation of the procedure. 3. Implement interactive sessions of 30 mins. 4. Give the child needless IV supplies to play with. 5. Allow the child to perform the procedure with a doll.

1. Discuss benefits of the procedure. 4. Give the child needless IV supplies to play with. 5. Allow the child to perform the procedure with a doll

A nurse is preparing to administer phenobarbital to a toddler who has a seizure disorder and weighs 10kg (22lbs). The prescription reads phenobarbital sodium 2.5mg/kg PO BID. Available is phenobarbital 20mg/5ml. How many mL should the nurse administer with each dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

2.5mg/kg x 10 kg= 25mg X=25 mg * 5mLl/20mg=6.25 mL Use the "Desired over Have" Method of calculation

A nurse is screening a group of school age children for abuse. The nurse should identify that which of the following conditions places a child at risk for physical abuse?

A child who has ADHD due to the increased emotional and physical demands the conditon can place of the child's parents

A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of the following children is at risk for impaired elimation?

A child who has hyperglycemia -A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A child who has hyperglycemia is at risk for dehydration

A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure?

Apply 2% lidocaine lubricant into the urethral meatus.

A nurse is preparing to administer an intramuscular injection to an 11-month old infant. In which of the following areas should the nurse administer the injection? A. Deltoid muscle B. Vastus Lateralis muscle C. Dorsogluteal muscle

B. Vastus Lateralis muscle

A nurse is reinforcing dietary teaching with the parent of a child who has phenylketonuria. Which of the following foods should the nurse include the best recommendation for a low phenylalanine diet?

Banana

A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further?

Blood pressure 120/80mmHg

A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of the following findings indicates the child is having a hemolytic reaction?

Chills and flank pain= incompatibility of the transfused blood product

NGN A nurse is assisting with the care of an 8-mo th-old-infant Notes 0515: Infant is admitted with moderate acute laryngotracheobronchitis (LTB) and decreased fluid intake. Parent reports it has been more than 12 hr since infant last voided. Infant is restless, irritable, has a hoarse cry, and is not easily consoled by parent. Audible inspiratory stridor is evident with a barky-sounding, occasional, nonproductive cough. Respiratory rate is 78/min with moderate suprasternal and intercostal retractions and nasal flaring. Oxygen saturation is 89% on room air. Color of mucous membranes is consistent with the infant's genetic background. Capillary refill is 2 seconds. Mucous membranes are slightly dry, and skin turgor is good. IV of dextrose 5% in 0.45% sodium chloride is infusing at 30 mL/hr. 0530: Infant is receiving 100% cool mist oxygen via blow-by tubing that the parent is holding. 0600: Oxygen saturation is 92% on 100% cool mist oxygen via blow-by tubing. Breath sounds are diminished in the lung bases. Audible inspiratory stridor is louder. Racemic nebulized epinephrine administered. 0630: Audible inspiratory stridor noted. Infant is sleeping in parent's arms. Oxygen saturation is

Click to highlight the information in the Nurses' Notes that indicates the infant's condition is improving. 0630: ■infant is sleeping in parent's arms ■Oxygen saturation is 96% on 100% cool mist oxygen via blow-by tubing. . ■Breath sounds are present and equal bilaterally in the lung bases. ■Infant voided 34 mL.

A nurse is caring for a toddler following a tonsillectomy . Which of the following is the priority finding that the nurse should report to the provider?

Continuous Swallowing

A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate?

Droplet precautions

A nurse is reinforcing teaching with a guardian whose child was exposed to poison ivy. Which of the following instructions should the nurse provide?

Flush the child's skin within 15 min with cold, running water.

A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has developed stomatitis. Which of the following instructions should the nurse include in the teaching?

Frequently rinse the mouth with chlorihexidine mouthwash

A nurse is preparing to leave the room after performing nasal suctioning for an infant who has respiratory syncytial virus (RSV). Identify the sequence in which the nurse should remove the following personal protective equipment (PPE).

Gloves Goggles Gown Mask

A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months?

Glycosylated hemoglobin

A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect?

Hgb 9 g/dL

A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1month old infant. Which of the following statement by the parent indicates an understanding of the teaching?

I will allow my baby to have a pacifier while sleeping -decreases the risk for SIDS

A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a school-age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching?

I will give this medication to my child with a straw

A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I cant deal with this." Which of the following responses should the nurse make?

I'm not sure I follow you. Can you explain?

A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the nurse include?

Instill medication immediately after cleansing the eye

A nurse is caring for a school aged child who has hemophilia A. Which of the following should the nurse recognize as a manifestation of this disorder?

Join pain and stiffness

A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan?

Maintain the leg in an extended position -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms

A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-old infant who has a urinary tract infection and started taking an oral antibiotic the day before. Listen to the audio clip and determine which of the following responses the nurse should take?

Mix the medicine with 1 teaspoon of applesauce before giving it to your baby.

A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates desired therapeutic effect of the medication?

My baby is breathing easier than she used to -Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which will reduce respiratory demands

A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old infant during a well-baby visit. Which of the following statements by the parent indicates an understanding of the teaching?

My baby will receive his 3rd DTaP vaccine today.

A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching?

My chid might have a period of irregular movement of the extremities -chorea is temporary lack of coordination

A nurse is providing care to parents immediately following their child;s unexpected death. Which of the following actions should the nurse take?

Offer the parents the opportunity to bathe and dress the child's body -this can facilitate the grieing process and allow them to provide care for their child one last time

A nurse is contributing to the plan of care for a 10mo old infant who is postoperative following a cleft palate repair. Which of the following actions should the nurse include in the plan of care

Place the infant in side lying position

A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being easily bruised. Which of the following laboratory values should the nurse report to the provider?

Platelets 85,000/mm3

A nurse is assisting with planning dietary needs for a toddler. Which of the following interventions should the nurse include in the plan of care?

Provide 1 Tbsp (15 g) of solid food for each year of age.

A nurse in a care provider's office is preparing to administer scheduled vaccines to an infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which of the following actions should the nurse take?

Provide the parent with a vaccine information sheet (VIS).

During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make?

Provide the toddler with a favorite toy at bedtime.

A nurse is reinforcing teaching with the parents of a 2 yo toddler at a well child visit. Which of the following should the nurse recommend as an age appropriate activity for the toddler

Putting together a large piece puzzle

A nurse is collecting for an adolescent who has asthma and has received an albuterol nebulizer treatment. Which of the following findings indicates an improvement in the adolescent's condition

RR 20/min expected reference

A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching?

Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.

NGN A nurse is assisting with the care of a school-age child following an appendectomy. Exhibit 1: vitals Day 0: Temperature 37.1° C (98.8° F) Heart rate 100/min Respiratory rate 20/min Blood pressure 94/60 mm Hg Oxygen saturation 97% on room air Day 1: Temperature 38.6° C (101.5° F) Heart rate 110/min Respiratory rate 24/min Blood pressure 100/60 mm Hg Oxygen saturation 95% on room air Exhibit 2: nurse notes Day 0: Child is drowsy, but easily roused and responsive to verbal stimuli. Child rates pain as a 4 on a scale of 0 to 10. Lungs are clear upon auscultation. Abdomen is soft, flat, and nondistended. Bowel sounds are hypoactive in all four quadrants. Extremities are warm and dry to touch. Gauze pads with clear transparent dressings noted on upper, lower, and left mid-umbilical area. Day 1: Child is alert and responsive to verbal stimuli. Appears irritable and restless. Child rates pain as an 8 on a scale of 0 to 10. Respirations are shallow. No accessory muscle use noted. Lungs are clear upon auscultation. Abdomen is rigid and distended. Bowel sounds are hypoactive in all four quadrants. Gauze pads with clear transparent dressings noted to upper, lower, and left mid-umbilic

Select the 3 findings that the nurse should identify as indications of a potential complication. Platelet count □WBC count □Abdominal assessment □Temperature

NGN A nurse is assisting with the care of a newly admitted 2-year-old-child Exhibit 1 Nurses' Notes 0930: Parents report feeling a "small knot" in their toddler's abdomen while bathing. They also report their toddler has been irritable and crying lately with a new onset of fever. 0945: Assessment findings: Toddler alert and irritable during examination. Abdominal pain is 6 on the FLACC scale. Oral mucosa is moist with a light-red tint. Tonsils without redness. Chest rounded. Respirations even and non-labored. Lungs clear anterior and posterior bilaterally. Heart rate regular without murmurs, gallops, or rubs. Radial and pedal pulse + 3 bilaterally. Capillary refill less than 2 seconds. Abdomen round and distended. Bowel sounds hyperactive in all four quadrants. Tenderness noted with light palpation in left lower quadrant. Extremities hot and moist with pallor noted. No edema. Turgor without tenting Exhibit 2: Vital Signs Exhibit 3; Diagnostic Results 0930: Hemoglobin 8.8 g/dL (9.5 to 14 g/dL) Hematocrit 28% (30% to 40%) RBC count 8.5 million/mm3 (4.0 to 5.5 million/mm3) WBC count 8,000/mm3 (5,000 to 10,000/mm3) Platelet count 350,000/mm3 (150,000 to 400,000/mm3) Potassium 3.5

Select the 4 findings that the nurse should report to the provider ■Blood pressure ■Abdominal finding ■Urine RBC casts ■Hemoglobin

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?

Sits with support by leaning on hands bc an infant should be able to sit unsupported by 8months of age

A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when the child will no longer be contagious. Which of the following responses should the nurse make?

Six days after lesions appear if they are crusted.

A nurse is contributing to the plan of care for an infant who has bronchiolitis and is tachypneic. Which of the following actions should the nurse include in the plan of care?

Suction nasal passages with a bulb syringe.

A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following sites should the nurse grasp to determine the child's skin turgor?

The child's abdomen.

A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program

The leading cause of death in adolescents is physical injury -MVC is the leading cause

NGN A nurse is assisting with the care or a school age child. Exhibit 1 - vitals 1230 1330 Exhibit 2- 1240time Child is restless and crying. Swelling noted at hand joints. Capillary reill is less than 3 seconds. Mucus membranes adw dry and sticky. Respirations are regular and unlabeled. Abdomen is soft., flat and nondistended Tenderness present with light palpation. Child reports pain as an 8 on a scale of 0 to 10. Exhibit 3- diagnostic results 1400 Hgb, HCt, RBC, WBC, Platelet, Reticulocyte exhibit 4- medical history Sickle cell anemia

The nurse should plan to first address ______1. Oxygen saturation Followed by the child's _____2.pain

A nurse is collecting data from an 18month old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider?

The toddler is unable to recognize familiar objects by name

A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent in the child's diet?

Vitamin D

A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include?

Wait 1 week before giving the infant a tub bath Keep the infants penis as dry as possible until the stent or cather is removed.

A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend

Yellow corn

Site to obtain infant's heart rate?

apical

A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler?

ask the guardian to verify the child's name

A nurse is assisting with the care of an adolescent following a cardiac catherization. Which of the following is the priority finding the nurse should report to the provider?

bleeding noted on the dressing

A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse?

bruises at various stages of healing

A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor?

depression; can experience mental status changes

A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take?

have the client stand during the procedure ; allows to get an accurate reading

A nurse is caring for a school age child who has hypocalcemia. Which of the following manifestations should the nurse expect?

hypotension

A nurse is preparing to assist a provider with a lumbar puncture for a school age child. Which of the following actions is the nurse's priority

maintaining the child's position

A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints?

mummy restraint

A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonphritis. For which of the following manifestations should the nurse monitor?

oliguria; retention of sodium and water

A nurse is caring for a 1month old infant who has a nasogasatric tube in place for intermittent feedings. Which of the following actions should the nurse take?

position the head of the crib at 30 angle between feedings