unit 5 Nclex
The nurse reinforces instructions to the parents of a child with leukemia regarding measures related to monitoring for infection. Which statement by the parents indicates the need for further teaching?
"I need to take my child's rectal temperature daily."
The nurse reinforces home-care instructions to the parents of a 3-year-old child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching?
"I will avoid immunizations and dental hygiene treatments for my child."
The nursing instructor asks a student nurse to describe osteogenic sarcoma. Which statement by the student indicates the need to further research the disease?
"The child does not experience pain at the primary tumor site."
A corticosteroid cream is prescribed by a health care provider for a child with atopic dermatitis (eczema). The nurse reinforces instructions to the mother regarding how to apply the cream. Which instruction is appropriate?
Apply a thin layer of cream, and rub it into the area thoroughly.
Permethrin (Elimite) is prescribed for a 4-year-old child with a diagnosis of scabies. The nurse reinforces instructions to the mother regarding the use of this treatment. Which instruction is appropriate?
Apply the lotion to cool, dry skin at least half an hour after bathing.
The nurse, caring for a child with aplastic anemia, is reviewing the laboratory results and notes a white blood cell (WBC) count of 6000 cells/mm3 and a platelet count of 20,000 cells/mm3. Which nursing intervention should be incorporated into the plan of care?
Encourage quiet play activities.
A mother of a 3-year-old child tells the nurse that the child has been continuously scratching the skin and has developed a rash. On data collection, which finding indicates that the child may have scabies?
Fine, grayish-red lines
The nurse reinforces instructions to the mother of a child with sickle cell disease regarding the precipitating factors related to pain crisis. Which, if identified by the mother as a precipitating factor, indicates the need for further teaching?
Fluid overload
The nurse is reviewing the health record of a 14-year-old child who is suspected of having Hodgkin's disease. Which is the primary characteristic of this disease?
Painless, firm, and movable lymph nodes in the cervical area
A 4-year-old child is hospitalized with a suspected diagnosis of Wilms' tumor. The nurse reviews the plan of care and should question which intervention that is written in the plan of care?
Palpate the abdomen for a mass.
