unit #7

Which statement made by parents of a child with cystic fibrosis indicates that "I should give the enzymes 1 hour after meals." "Enzymes should be given with meals and snacks." "Enzymes will improve my child's breathing." "The enzymes are stopped if my child begins wheezing."

"Enzymes should be given with meals and snacks."

Which statement made by a mother is consistent with a developmental delay? "My 12-month-old child does not get herself to a sitting position or pull to stand." "My 5-month-old infant is not rolling over in both directions yet." "I notice my 9-month-old infant responds consistently to his name." "I am so happy when my 1 1/2-month-old infant smiles at me."

"My 12-month-old child does not get herself to a sitting position or pull to stand."

The nursing student is asked to administer a tepid bath to a child with a fever. The student avoids which of the following when performing this procedure? Uses a water toy to distract the child during the bath Applies alcohol-soaked cloths over the child's body Squeezes water over the child's body, using the washcloth Places lightweight pajamas on the child after the bath

Applies alcohol-soaked cloths over the child's body

What is the nurse's first action when planning to teach the parents of an infant with a CHD? Discuss the plan with the nursing team. Secure a quiet place for teaching. Gather literature for the parents. Assess the parents' anxiety level and readiness to learn.

Assess the parents' anxiety level and readiness to learn.

The nurse is caring for a child with a diagnosis of a right-to-left cardiac shunt. On review of the child's record, the nurse would expect to note documentation of which of the following most common assessment findings? Higher than normal body weight Asymptomatic findings Severe bradycardia Cyanosis

Cyanosis

The nurse is assessing a child for epiglottitis. What findings are consistent with this condition? (Select all that apply.) Decreased oxygenation Distressed inspiratory efforts Dysphagia Dysphonia Drooling

Dysphagia Dysphonia Drooling

The ambulatory care nurse makes a follow-up telephone call to the mother of a child who underwent a myringotomy with insertion of tympanostomy tubes on the previous day. The mother of the child tells the nurse that the child is complaining of discomfort. The nurse would instruct the mother to: Give the child children's aspirin, and call the physician if it does not help. Call the local pharmacist regarding a stronger over-the-counter analgesic. Call the physician immediately. Give the child acetaminophen (Tylenol) for the discomfort.

Give the child acetaminophen (Tylenol) for the discomfort.

A nurse is caring for four infants. Which one should the nurse assess first? Irregular respiratory pattern Respiratory rate of 55 breaths/min Nasal flaring Abdominal breathing

Nasal flaring

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if which conditions occur? (Select all that apply.) Respiratory rate of 36 at rest New, frequent coughing Turning blue or bluer than normal Temperature above 37.7° C (100° F) Appetite slowly increasing

New, frequent coughing Turning blue or bluer than normal Temperature above 37.7° C (100° F)

A child with pulmonary atresia exhibits cyanosis with feeding. On reviewing this child's laboratory values, the nurse is not surprised to notice which abnormality? Dehydration Polycythemia Infection Anemia

Polycythemia

A 5-year-old child is brought to the emergency department with copious drooling and a croaking sound on inspiration. Her mother states that the child is very agitated and only wants to sit upright. What action by the nurse takes priority? Obtain vital signs and listen to breath sounds. Examine the child's oropharynx and call the provider. Obtain a throat culture for respiratory syncytial virus (RSV). Prepare intubation equipment and call the provider.

Prepare intubation equipment and call the provider.

In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? Move from prone to sitting position. Roll from abdomen to back. Sit erect without support. Roll from back to abdomen.

Roll from abdomen to back.

Which statement is the most accurate about moral development in the 9-year-old school-age child? The school-age child conforms to rules to please others. The child obeys parents because of fear of punishment. Parents are the determiners of right and wrong for the school-age child. Right and wrong are based on physical consequences of behavior.

The school-age child conforms to rules to please others.

Which assessment should the nurse perform last when examining a 5-year-old child? Heart Throat Lungs Abdomen

Throat

An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension. On further testing, it is discovered the child has a cardiac abnormality. The initial treatment of secondary hypertension initially involves administration of beta-adrenergic receptor blockers. treating the underlying disease. weight control and diet. administration of digoxin.

treating the underlying disease.