school age-child

The parents of a child with cystic fibrosis ask the nurse why their child must receive supplemental pancreatic enzymes. Which response by the nurse would be most appropriate?

"Pancreatic enzymes promote absorption of nutrients and fat."

A 10-year-old child monitors and adjusts insulin dosage independently. Which response reflects an understanding of appropriate adjustment of insulin dosage when the child has the flu?

"I'll do a fingerstick test first, then figure out how much insulin to take."

The nurse is teaching a 10-year-old soccer player about hygiene after sporting events or practice. Which client statement reflects an understanding of this education?

"I should wear shower shoes in the locker room."

During chemotherapy, a boy, age 10, loses his appetite. When teaching the parents about his food intake, the nurse should include which instruction?

"Let your child eat any food he wants."

The parents of a 10-year-old child who was recently diagnosed with asthma ask if the child can continue to play sports. Which response is most appropriate?

"Physical activity and sports are encouraged as long as the asthma is under control."

Which advice should a nurse give over the phone to the parent of a 7-year-old child with right lower abdominal pain, fever, and vomiting?

"Seek immediate emergency medical care."

An 11-year-old child with a head injury has been in the hospital 2 weeks while receiving therapy. The child sometimes makes inappropriate statements, and occasionally has combative and violent outbursts. When questioned about this behavior, what is the best response by the nurse?

"This is a stage of healing for your child."

A child is sent to the school nurse because, according to the teacher, the child is constantly scratching their head. When the nurse evaluates the hair and scalp, there is evidence of lice. What strategies should the nurse recommend to the teacher and parents to minimize the spread of lice to other students? Select all that apply.

-Do not allow children to share combs, brushes, or towels. -Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere. -Do not allow children to share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes. -All household members and other close contacts should be checked; those persons with evidence of an active infestation should be treated.

A nurse is teaching parents about how to administer methylphenidate to their children. Which teaching points should the nurse keep in mind? Select all that apply.

-Monitor the child's weight if on long-term therapy. -Give the last dose of the day before 6 p.m. -Do not crush extended-release tablets. -The drug will be discontinued periodically to assess the child's response to therapy.

The nurse is assessing a school-age child for whom sexual abuse is suspected. Which evidence will the nurse apply as warning sign(s) of possible sexual abuse? Select all that apply.

-The child reacts negatively when needing to undress for bathing or changing clothing. -The child seems to have developed a new fear of certain people or social situations. -The caregivers note a change in how the child communicates in social situations.

The nurse is caring for a school-age child who has suffered a traumatic brain injury and has been declared brain dead by the health care provider. The caregivers ask the nurse about the process for organ donation. Which information does the nurse include? Select all that apply.

-Your written consent is necessary for organ donation to proceed." -"We will provide you time to be comfortable with your decision." -"There is no discomfort to your child during organ procurement." -"A donor coordinator will help guide you through the process."

A 10-year-old child has been admitted to the hospital with Reye's syndrome. Place the following findings in chronological order to show the clinical stages of Reye's syndrome. Use all of the options.

-presence of a viral -infection -vomiting -disorientation -coma -deepened coma -flaccid paralysis

The nurse views the laboratory results for a 9-year-old child hospitalized with severe vomiting and diarrhea. Which serum potassium level would the nurse expect to observe in this child?

2.5 to 3.4 mmol/L

A 10-year-old client with asthma is prescribed 2 mg of albuterol syrup four times per day. The syrup comes in a dosage strength of 2 mg/5 ml. How many milliliters of syrup should the nurse administer? Record your answer using a whole number.

5

A staffing agency is assigning a licensed practical/vocational nurse (LPN/VN) to cover a shift on a pediatric unit. Because the unit manager is unfamiliar with the nurse's skill level, what assignment is best for the LPN/VN?

9-year-old child receiving subcutaneous insulin for diabetes mellitus

A nurse is caring for a school-age child who's dying of brain cancer. The parents have requested information about a do-not-resuscitate (DNR) order. Which of the following is the nurse's most appropriate response?

A DNR order does not mean withholding treatment while the child is alive. It involves not initiating treatment after the child has died.

A school-age client reports pain. After rating the pain on an age-appropriate pain scale, the nurse determines that the client's pain is minor. Which of the following drugs should the nurse administer?

Acetaminophen

A 10-year-old child falls, injures the left shoulder, and is taken to the emergency department. While the child waits to be seen by the primary health care provider, what is the priority nursing action?

Apply ice to the injured shoulder.

The nurse is developing the plan of care for a 9-year-old client with Down syndrome. How can the nurse best apply age-appropriate interventions?

Assess the client's current developmental level.

A school-age child reveals to the nurse that a parent has been abusive. What constitutes a breach of the child's right to confidentiality?

telling the child in the next room, who also suffered abuse, so the two children can talk to each other

An 8-year-old child is brought to the clinic with watery eyes and clear nasal drainage that has lasted more than 10 days, without fever. The nurse observes that the child has dark circles under the eyes and a crease above the tip of the nose. Which intervention should be the nurse's priority?

Collect data about potential environmental allergy triggers.

A 9-year-old child presents to a school nurse and reports arm and leg pain. Upon assessment, the nurse identifies numerous purple to yellow ecchymotic areas. When asked, the child says that the bruises are the result of "being in trouble at home." Which action by the nurse is most appropriate?

Contact the authorities immediately.

A nurse is caring for a school age child with systemic lupus erythematosus (SLE). Which of the following prescribed medication should the nurse administer to combat inflammation?

Corticosteroids

A child is brought to the clinic by a grandparent who states that someone may have sexually abused the child. The grandparent noticed blood and a discharge on the child's underpants. After the child is assessed and treated for injuries, what is the priority intervention by the nurse?

Report the suspicion to the appropriate authorities.

Which of the following would be an effective relaxation strategy for a school- age child to use during a painful procedure?

Having the child take a deep breath and blow it out until told to stop

According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage of development?

Industry versus inferiority

A 9-year-old child is being discharged from the hospital after severe urticaria caused by an allergy to nuts. Which instructions would be included in discharge education for the child's parents?

Instruct parents and child on how to use an epinephrine administration kit.

The mother of a school-age child reports that her child is having some problems in school. Which of the following would be the priority action?

Obtain more information from the mother and the child.

An 8-year-old client with Down syndrome is admitted to the hospital with pneumonia. Which nursing intervention is most appropriate for this child?

Performing ongoing respiratory assessments to monitor for signs of distress

A school-age child begins to have a seizure while walking to the bathroom after an appendectomy. The nearby staff do not have the child's medical history. What is the nurse's first action?

Position the child on the side.

A nurse is caring for a school-age child who is at risk for harming himself or herself when left alone. What is the nurse's most appropriate intervention?

Provide one-on-one observation.

In providing psychosocial care to a 6-year-old child who has had abdominal surgery for Wilms tumor, which activity initiated by the nurse would be most appropriate?

Provide the child with supplies and ask the child to draw how he or she feels.

The nurse is planning care for a 10-year-old child in the acute phase of rheumatic fever. Which activity would be most appropriate for the nurse to schedule in the care plan?

Reading books

A nurse is participating in a health class for preteen girls about puberty. The nurse recognizes the teaching has been successful when the students are able to correctly identify which sign as the first sign of sexual maturation in females?

breast bud development

Which health care team members are necessary to ensure a pediatric approach that combines physical, emotional, social, and spiritual issues?

Social worker, chaplain, nurses, nursing assistants, child life specialist, and physicians

The parents of a school-age child with asthma express concern about letting the child participate in sports. What should the nurse tell the parents about the relationship between exercise and asthma?

Taking prophylactic drugs before the activity can prevent asthma attacks and enable the child to engage in most sports.

A 10-year-old child is hospitalized for treatment of acute osteomyelitis. After assessing swelling and tenderness of the left tibia, the nurse initiates antibiotic therapy as prescribed. The child's left leg is immobilized in a splint. What is an appropriate goal at this time for this child?

The child will change position every 2 hours while awake.

A nurse is reinforcing education with the parents of a 5-year-old on how to respond in case of accidental poisoning. If poisoning occurs and the child is alert and in no distress, what should the parents' first response be?

call the poison control center

A child with asthma is receiving theophylline. The nurse knows that theophylline is administered primarily to:

dilate the bronchioles.

The nurse is reinforcing the correct use of crutches to a client in the emergency. Which should the nurse include?

The crutches should end 2 in (5 cm) below the axilla.

When collecting data from a 6-year-old child who has a 20% deep partial-thickness (second-degree) burn of the arms and trunk, the nurse determines that the child has damage to what layer(s) of skin?

epidermis and part of the dermis

A 10-year-old child being treated for common warts asks about the cause. The nurse would reveal which virus as the cause?

human papillomavirus (HPV)

A child is receiving total parenteral nutrition (TPN). During TPN therapy, the most important nursing action is:

monitoring the blood glucose level closely.

A nurse working as part of a multidisciplinary team is caring for a school-age child who has cerebral palsy. The child has difficulty eating using regular utensils and requires extensive assistance. The nurse advocating for the child would seek out which team member to assist in promoting the child's independence?

occupational therapist

A parent of a 9-year-old-child scheduled to have surgery expresses concern about the potential for postoperative infection. A nurse provides the parent with information about the measures taken to maintain surgical asepsis. Typical surgical asepsis involves:

performing a preoperative surgical scrub for at least 3 to 5 minutes.

A 6-year-old child was admitted to the pediatric unit after sustaining a broken leg in a motor vehicle accident. Which specialist would be most important to involve in this child's care during hospitalization?

social worker

A charge nurse on a pediatric unit is giving a report to a licensed practical nurse (LPN) about four clients that the LPN will be caring for this shift. Which client should the LPN see first?

a 10-year-old client with asthma whose oxygen saturation levels are 89%

A 6-year-old child comes to the emergency department with a fever, severe vomiting, irritability, and confusion. The parents state that the child had a recent viral illness, but was recovering without difficulty. Numerous diagnostic studies are completed, yielding the results of acute encephalopathy as well as fatty degeneration of the liver and other abdominal organs. Reye's syndrome is diagnosed. Which medication should the nurse suspect was given to the child during the illness? Select all that apply.

aspirin

A nurse is examining the progress record of a client with femur fractures who has had bilateral leg skeletal traction applied. The nurse reinforces education of the child on performing Kegel exercises. What is the most important purpose of these exercises?

to maintain good perineal muscle tone by tightening the pubococcygeus muscle

A nurse is caring for a 9-year-old child who has a grave prognosis after receiving a closed injury from being struck by a car. Which health team member should approach the family about organ donation?

transplant coordinator

The nurse is assessing an 11-year-old female client. Which assessment finding must be reported to the health care provider?

visible decay of the two front teeth

The mother of a child with chickenpox (varicella) asks the nurse when her child may return to school. The nurse responds correctly by telling the mother that the child can return:

when all of the lesions are crusted over.

Which leisure activity does the nurse include in the care plan for a school-age child with hemophilia?

swimming