Final Ill Child

A parent brings her 6-year-old daughter to the pediatrician's office for evaluation. The child recently started wetting the bed and running a low-grade fever. A urinalysis is positive for bacteria and protein. A urinary tract infection (UTI) is diagnosed, and the child is prescribed antibiotics. Which nursing interventions are appropriate? Select all that apply. -Limit fluids for the next few days to decrease the frequency of urination. -Assess the parent's understanding of UTI and its causes. -Instruct the parent to administer the antibiotic as prescribed, even if the symptoms diminish. -Provide instructions only to the parent, not the child. -Tell the parent to have the child wipe the back to the front after voiding and defecation.

-Assess the parent's understanding of UTI and its causes. -Instruct the parent to administer the antibiotic as prescribed, even if the symptoms diminish.

The nurse is preparing a treatment plan for a child with sickle cell anemia in vaso-occlusive crisis. What is the most important nursing intervention to include? A. Managing pain B. Providing a cool environment C. Immobilizing the affected part D. Restricting fluids

A. Managing pain

An adolescent with well-controlled type 1 diabetes has assumed complete management of the disease and wants to participate in gymnastics after school. To ensure safe participation, the nurse should instruct the client to adjust the therapeutic regimen by: A. eating a snack before each gymnastics practice. B. measuring urine glucose level before each gymnastics practice. C. measuring blood glucose level after each gymnastics practice. D. increasing morning dosage of intermediate-acting insulin.

A. eating a snack before each gymnastics practice.

The nurse is caring for a child with a new diagnosis of diabetes. The nurse teaches blood glucose monitoring by allowing the child to practice checking the blood sugar of a toy bear dressed in a hospital gown. The nurse recognizes this approach to be appropriate for what age level? A. preschool age (3 to 5 years) B. adolescence (10 to 19 years) C. school age (5 to 10 years) D. toddler (1 to 3 years)

A. preschool age (3 to 5 years)

A mother asks the nurse how to handle her 4-year-old child, who recently has had episodes of urinary incontinence after being completely toilet-trained. What is the best response by the nurse? A. "What have you done to prevent this from happening?" B. "Have your other children experienced this same thing?" C. "Has your child experienced any recent changes in routine?" D. "Is your child angry with you about something?"

C. "Has your child experienced any recent changes in routine?"

A parent of a child with sickle cell anemia confides in the nurse that the parent feels guilty about letting the child run and play with the neighborhood children and that if the parent had been a better parent, the child wouldn't have suffered a sickle cell crisis. Which response would be most appropriate? A."The child is just fine now. Don't worry." B. "Tell me more about how you feel." C. "But you know that children with sickle cell anemia often have crises." D. "You shouldn't be so protective."

B. "Tell me more about how you feel."

The nurse is providing teaching to the parents of a young child with a urinary tract infection. The nurse's goal is to help the parents understand their role in the treatment of the infection. Which statement by the parents lets the nurse know that the teaching has been successful? A. "We can treat the infection by increasing oral fluid intake." B. "We need to encourage cranberry juice to treat the infection." C. "We need to administer the oral antibiotics as prescribed." D. "We need to come to the emergency department for IV fluids."

C. "We need to administer the oral antibiotics as prescribed."

The nurse reviews with the parents how to care for their child with sickle cell anemia at home. The nurse determines that the parents understand the basic principles of home care when they state that they will implement which intervention? A. keeping the child with them at all times B. restricting the child's fluids at night C. encouraging their child to drink as much liquid as possible D. not allowing their child to play with other children

C. encouraging their child to drink as much liquid as possible

A 4-year-old child is having a sickle cell crisis. The initial nursing intervention should be to A. place ice packs on the client's painful joints. B. administer antibiotics. C. provide oral and I.V. fluids. D. administer folic acid supplements.

C. provide oral and I.V. fluids.

An overweight adolescent has been diagnosed with type 2 diabetes. What should the nurse do to increase the client's self-efficacy to manage the disease? A. Provide the client with a written daily food and exercise plan. B. Discuss eliminating junk food in the home with the parents. C. Arrange for the school nurse to weigh the child weekly. D. Utilize a peer with type 2 diabetes to role model lifestyle changes.

D. Utilize a peer with type 2 diabetes to role model lifestyle changes.