Toddler

A toddler is having a tonic-clonic seizure. What should the nurse do first?

Remove objects from the child's surroundings.

Which nursing diagnosis takes highest priority for a child in the early stages of burn recovery?

Risk for infection

A 2-year-old child is brought to the emergency department in respiratory distress. The child is drooling, sitting upright, and leaning forward with the chin thrust out, mouth open, and tongue protruding. Which nursing action is most appropriate?

Support the child in an upright position on the parent's lap.

The nurse is caring for a child with a fractured leg. The parents become concerned when visiting they notice the child sucking their thumb, a behavior previously given up. What does this behavior indicate?

The child is responding to stress.

A child, age 2, with a history of recurrent ear infections is brought to the clinic with a fever and irritability. To elicit the most pertinent information about the child's ear problems, the nurse should ask the parent:

"Does your child tug at either ear?"

A toddler is diagnosed with iron deficiency anemia. When teaching the parents about using supplemental iron elixir, the nurse should provide which instruction?

"Give the elixir with water or juice."

The nurse in the pediatrician's office is teaching the mother of a 3-year-old about car seat safety. The mother questions the nurse as to why her son requires a car seat when he weighs 35 lb (15.9 kgs). Which response by the nurse is best?

"He should ride in the car seat until he's at least 40 pounds (18 kgs) and 4 years old."

The nurse is reinforcing teaching a group of parents about normal toddler development. When talking about toddlers' play, the nurse should include which point?

They play with similar objects nearby other children rather than with them.

A father expresses concern over his toddler's eating habits. He states the toddler eats very little and consumes only a single type of food for weeks on end. Which instruction is most helpful?

This is normal toddler behavior.

Which statement by the mother of a toddler with nephrotic syndrome indicates that the nurse's discharge teaching was effective?

"I've been checking the urine for protein so I'll be able to do it at home."

The primary health care provider prescribes penicillin G, 300,000 units IM, for a child who is 18 months old. Which site does the nurse select to administer this injection?

vastus lateralis muscle

The nurse is caring for a toddler who is visually impaired. What is the most important action for the nurse to take to ensure the safety of the child?

Maintain a tidy environment around the child.

What should the nurse do to ensure a safe hospital environment for a toddler?

Move the equipment out of reach.

The physician prescribes acetaminophen elixir, 160 mg every 4 hours, for a 14- month-old child who weighs 20 lb (9.08 kg). This drug, supplied in a bottle labeled 160 mg/tsp, has a safe dosage of 10 mg/kg/dose. The nurse should administer how many milliliters?

None because this isn't a safe dose

A 2-year-old child is admitted to the pediatric unit with the diagnosis of bacterial meningitis. Which nursing action would be appropriate for the nurse to perform first?

Place the toddler in respiratory isolation.

The nurse is caring for a toddler hospitalized with a diagnosis of croup (laryngotracheobronchitis). The health care provider prescribes treatment with a mist tent. As the parent attempts to put the toddler in the crib, the toddler cries and clings to the parent. What would be the best approach for the nurse to take to gain the child's cooperation with the treatment?

Encourage the parent to stand next to the crib and stay with the child.

The nurse is teaching parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?

Eustachian tubes

A parent calls the health clinic and tells the nurse that the toddler was found with an open and empty bottle of acetaminophen. The parent asks the nurse what to do. What is the nurse's priority intervention?

Give the parent instructions on how to call poison control.

During a well-child visit, the nurse is reinforcing education with the parents of a 2-year-old child. What is the best recommendation a nurse can give to the parents regarding frequent temper tantrums?

Ignore the behavior when it happens.

The nurse is preparing to administer morning care to a 24-month-old admitted with respiratory syncytial virus bronchiolitis. Keeping in mind the extent to which a child in this age-group can help to meet his own hygiene needs, the nurse can expect to:

allow the toddler to bathe as much of himself as he can with supervision.

When caring for a 2-year-old child, the nurse should offer choices, when appropriate, about some aspects of care. According to Erikson, doing this helps the child achieve:

autonomy.

The nurse is caring for a child whose mother is deaf and untrusting of staff. She frequently cries at the bedside, but refuses intervention from the social worker or the chaplain. Which issue is most important for the nurse to address with the mother to promote a trusting relationship?

communication barriers between the mother and staff

Which nursing intervention is appropriate to correct dehydration for a 2-year-old child with a history of asthma?

give warm liquids.

A 2-year-old hospitalized child is HIV positive with severe thrush. The child's anxious grandparents are at the bedside, continually calling the nurses with various concerns. The staff speak disparagingly about them because they are tired of responding to the frequent call lights. When working with the unit's staff, which response by the nurse manager would be appropriate in creating a more optimal care environment for the child?

"If we stop by the room before the light goes on, they may be less anxious."

During a well-baby visit, a toddler's parent states that the parent keeps all medications out of the toddler's reach in the kitchen cabinet. Which is an appropriate response by the nurse?

"Medications should be kept in a locked location."

The nurse is preparing to discharge a 3-year-old client with sickle cell disease. Which teaching will the nurse provide to the legal guardian?

"Report weakness, fever, and unsoothable crying to the health care provider right away."

A 2-year-old child's parent informs the nurse of a concern that the child may have attention deficit hyperactivity disorder (ADHD) because "my child has so much energy, doesn't pay attention for long, and is always getting into things." Which response by the nurse would be best?

"This behavior is normal. The child is exploring and learning about the world."

The nurse is reinforcing education for the parents of a toddler with congenital heart disease. Which information should the nurse include when reinforcing education regarding care?

"Try to maintain your child's usual lifestyle to promote normal development."

When teaching the parents of a toddler with congenital heart disease, the nurse should explain all medical treatments and emphasize which instruction?

"Try to maintain your child's usual lifestyle to promote normal development."

A 3-year-old child is being discharged from the emergency department after receiving three sutures for a scalp laceration. The nurse should tell the family to return for suture removal in how many days?

5 to 7 days

The nurse is planning a health teaching session for parents of a toddler. When describing a toddler's typical eating pattern, the nurse should mention that many children of this age exhibit:

strong food preferences.

A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening shift. Whose care should the RN assign to the LPN?

the 2-year-old child who has started eating soft, solid foods following a tonsillectomy

A 1-year-old underwent hypospadias repair yesterday; he has a urethral catheter in place and an IV. Which rationale is appropriate for administering propantheline on an as-needed basis?

to prevent bladder spasms while the catheter is present

When collecting data from a 2-year-old child, which finding would indicate to the nurse the possibility of growth hormone deficiency?

The child had normal growth during the first year of life but showed a slowed growth curve below the 3rd percentile for the second year of life.

Parents tell the nurse that they want to begin toilet training their 22-month-old child. What is the most important factor regarding toilet training that the nurse should stress to the parents?

developmental readiness of the child

The nurse is late by over an hour when administering an antibiotic to a child being treated for a urinary tract infection. The antibiotic is prescribed to be given every 4 hours. What action should the nurse take after documenting the medication on the medication administration record?

fill out a medication error/occurrence report

A 3-year-old child is receiving ampicillin for acute epiglottitis. Which sign would lead the nurse to suspect that the child is experiencing a common adverse effect of this drug?

generalized rash

The nurse is caring for a child in the early stages of burn recovery. Which nursing diagnosis does the nurse prioritize?

impaired skin integrity

The nurse is caring for a toddler with right lower lobe pneumonia. In order to improve gas exchange, which position should the child be placed in?

left side-lying

A nurse is observing a 2½-year-old child playing with another child of the same age in the playroom on the pediatric unit. What type of play should the nurse expect the children to engage in?

parallel play

An 18-month-old child comes to the primary health care provider's office for a well-baby checkup. Which foods should the nurse recommend as providing the best sources of dietary iron for the child?

peanut butter, green vegetables, and raisins

A nurse is obtaining data on a 3-year-old child with nuchal rigidity. Which sign would be documented on the chart to support this condition?

positive Kernig's sign

A client with bacterial meningitis is admitted to the inpatient unit. Which infection control measure should the nurse be prepared to use?

respiratory isolation

A client's caregivers state that they childproofed their home for their 2-year-old. During a home visit, the nurse discovers some situations that show the caregivers don't fully understand the developmental abilities of their toddler. Which situation displays misunderstanding by the caregivers?

toy chest in front of a second-story, locked window

The parents of a 2-year-old scheduled for surgical repair of an inguinal hernia are fearful and their fears are affecting their child. A play therapist is consulted to help with the child's care. The nurse should explain to the parents that the play therapist will:

use puppets to gain insight into how the child feels about his hospitalization and fears.

A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis. Which statement by the parents indicates effective discharge teaching?

"We'll go to the physician if our child pulls on his ears or won't lie down."

A 1-year-old infant is pale, but the physical examination is normal. Blood studies reveal the infant's hematocrit is 24%. Which question by the nurse to the parents would be most useful in helping to establish a diagnosis of anemia?

"What's the infant's usual daily diet?"

When collecting data on an 18-month-old child, the nurse determines that the child's height and weight fall below the 5th percentile on the growth chart. In all previous visits, the child's height and weight fell between the 30th and 40th percentiles. The child's mother expresses concern about the slowed growth rate. How should the nurse respond?

"Your child's height and weight should be checked again in 1 month."

The nurse is caring for a 30-month-old client in the pediatrician's office. The client is being assessed for autism spectrum disorder. While gathering data on the client with the health care provider, which clinical characteristics does the nurse anticipate documenting in the medical record? Select all that apply.

-avoiding eye-to-eye contact with others -using repetitive behaviors throughout the session

The nurse is gathering data regarding the physical development of a 33-month-old who is playing. Which of the following activities would the nurse anticipate the toddler being able to complete with minimal assistance? Select all that apply.

-washing and drying hands -removing his or her jacket -using a spoon for eating

A 2-year-old is brought to the emergency department with suspected croup. The child appears frightened and cries as the nurse approaches. The nurse needs to auscultate the child's breath sounds. What is the most appropriate way for the nurse to approach the child?

Allow the child to handle the stethoscope before listening to the lungs.

An 18-month-old toddler is admitted to the emergency department with dehydration. The nurse concludes that this child's crying when the parent leaves the room to complete the admission process is related to which major developmental stressor?

separation from the family

A 3-year-old is to receive 500 mL of dextrose 5% in normal saline solution over 8 hours. At what rate (in milliliters per hour) should a nurse set the infusion pump? Round your answer to a whole number.

63% To calculate the rate per hour for the infusion, the nurse should divide 500 mL by 8 hours: 500 mL divided by 8 hours = 62.5 mL/hour (63 mL/hour).

When assisting in developing a plan of care for a toddler with a seizure disorder, which of the following would be inappropriate?

Arm restraints while asleep

A pediatric nurse preceptor working on an oncology floor goes to see if the new graduate nurse caring for a 3-year-old terminally ill child requires assistance. The preceptor finds the new nurse in the lounge crying. What is the preceptor's best action?

Ask the graduate what has caused the crying.

A 3-year-old child has had surgery to remove a Wilms tumor. Which action should the nurse take first when the parent asks for pain medication for the child?

Assess the child's pain using a smiley face pain scale.

For a child with a circumferential chest burn, what is the most important factor for the nurse to monitor?

Breathing pattern