Peds B 2023

My child will need to use a compression garment to decrease blood supply to the scarred tissue"

Increase fat content in the child's diet to 40% of total calories.

A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make?

when your Childs lesions are crusted, usually 6 days after they appear

A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema?

palpate the dorsum of the Childs feet

nurse in an emergency department is performing a physical assessment on a 2-week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider?

substernal retractions

A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0º C (100.5º F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How many mL should the nurse administer to the infant per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2ml per dose

A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?

For 24 hr following initiation of antimicrobial therapy

A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching?

I should secure the car seat using lower anchors and testers instead to the seat belt

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

deep respirations of 32/ min

A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?

denies discomfort during assessment of injuries

A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

difficulty concentrating

nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?

nasal flaring

A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler?

oral rehydration solution

A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take?

perform a finger stick

A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider?

petechiae on the lower extremities

A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?

place the child in a side lying position

A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take?

provide the child with a book about adventure

A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider?

rest of 45 per min

A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment?

sodium 140

A nurse is providing discharge teaching to the guardian of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the interprofessional team should the nurse initiate a referral?

speech therapist

A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?

white rice

A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?

your baby might pull at their ears when they are teething

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1

The nurse is caring for the child 4 days after admission. After reviewing the child's assessment, which of the following findings should the nurse address first? Complete the following sentence by using the lists of options.

dropdown 1- temperature dropdown 2- pain

A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider?

restricted ability to move the toes

A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching?

I will teach challenging academic subjects to students who have ADHD in the morning."

The nurse is caring for the child 14 days after admission. The child has returned to the unit following the procedure. Which of the following actions should the nurse take? Select all that apply.

CORRECT: provide 100% oxygen check anterior neck and chest dressing for bleeding place a warm blanket on the child keep the Childs head in a neutral position

A nurse is receiving change of shift report for four children. Which of the following children should the nurse assess first?

A toddler who has a concussion and is experiencing an episode of forceful vomiting

A nurse on a pediatric unit is admitting a preschooler.After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions? Complete the following sentence by using the list of options.

dropdown 1: splenomegaly dropdown 2: positive mononucleosis rapid test

A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?

flank pain

A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take?

give morphine 0.05

A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?

great toe

A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control?

have a designated stethoscope in the infants room

A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?

hub 8.5

A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis?

increase protien concentration

A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

increase the fat connect to 40% of total cals

A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?

initiate seize precautions for the child

A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make?

lets talk about some of the ways you have handled previous stressors in your life

nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect?

loud harsh murmer

A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?

a toddler who has a concussion and an episode of forceful vomiting

A toddler who has a concussion and is experiencing an episode of forceful vomiting

difficulty concentrating

A nurse is caring for a toddler who has acute otitis media and a temperature of 40º C (104º F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature?

dress the toddler in minimal clothing

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?

epi

nurse is teaching the parent of an infant about ways to prevent sudden unexplained infant death (SUID). Which of the following instructions should the nurse include?

give the infant a pacifier at bedtime

A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?

Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."

school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect?

a unilateral rib hump

A nurse is assessing a school-age child who has peritonitis. Which of the following findings should the nurse expect?

abdominal distention

A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take?

administer the imms using a 24 gauge needle

Which of the following statements by a guardian indicate that the discharge teaching was effective? Select all that apply.

apply skin emollient keep the fingernails trimmed short use a mild detergent for laundry

A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first?

check the Childs resp. rate

A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?

use a semipermeable transparent dressing to cover the site

A nurse in an emergency department is caring for a 4-year-old child who was rescued from a home fire by emergency medical services (EMS). Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated? For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the child.

Apply sterile gauze soaked with cool 0.9% sodium chloride to the burn areas- contraindicated. Insert an indwelling urinary catheter- anticipated Provide 100% oxygen via face mask.- anticipated Weigh the child-anticipated.

The nurse is providing discharge teaching to the child and their parent 36 days after admission. Select 6 statements by the parent that indicate an understanding of the discharge teaching.

CORRECT: I should apply a moisturizer to the scar tissue" I will use a measured spoon or medicine cup to give my child hydroxyzine" "I can give my child hydroxyzine every 6 hours as needed" "Puppet play can be helpful for my child" "I need to assess for any redness or open skin areas before applying my child's left arm splint" My child will need to use a compression garment to decrease blood supply to the scarred tissue"

the nurse is continuing care for the child After examining the child during hydrotherapy, the provider enters prescriptions into the child's medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the child.

Change the morphine route to family-controlled analgesia via a PCA pump.- ANTICIPATED Obtain a wound culture.- ANTICIPATED Place the child on a pressure-reduction mattress.- ANTICIPATED Limit daily protein intake.- CONTRAINDICATED

A nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. Which of the following actions should the nurse take?

cleanse the affected area with mild soap and water

nurse in an emergency department is caring for a 4-year-old child who was rescued from a home fire by emergency medical services (EMS). The nurse should identify that which of the following findings require immediate follow-up? Select the 3 findings that require immediate follow-up.

partial and full thickness burns to the left upper anterior neck sao2 89% on room air heart rate of 150

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

middle- cystic fibrosis educate the parents on sweat chloride testing and prepare for chest physiotherapy monitor the oxygen saturation and stools

A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?

place the infant in a knee chest position

0830:Child is alert and responsive to stimuli. Skin is warm and dry. Capillary refill less than 3 seconds. Respirations regular and shallow. Mild intercostal retractions noted. Expiratory wheezes auscultated in the anterior and posterior lung bases. Abdomen is soft, flat, and non-distended.

arterial blood gases, WBC, oxygen sat, respiratory assessment

A nurse is planning an educational program to teach caregivers about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?

choose a waterproof sunscreen with a minimum of spf of 15

For each assessment finding, click to specify if the finding is consistent with nightmares, sleep terrors, or insomnia. Each finding may support more than 1 disease process.

When analyzing cues, the nurse should recognize that manifestations of nightmares include awakening during the night after a scary dream. Nightmares are sleep disturbances that cause distress after the dream is over. The child might be crying, fearful of returning to sleep, and believe the dream is real. Sleep disturbances cause interruptions in the sleep-wake cycle and can cause impaired concentration, daytime fatigue, and impulsive behaviors. When analyzing cues, the nurse should recognize that manifestations of sleep terrors include partial awakening during a deep sleep. Sleep terrors are sleep disturbances that cause a child to exhibit behaviors such as thrashing, screaming, moaning, and diaphoresis that disappear once the child awakens. The child does not remember the episode and is not comforted by others during the disturbance. The child usually falls asleep easily afterwards. Sleep terrors cause interruptions in the sleep-wake cycle and can cause impaired concentration, daytim

Nurses' Notes​ 1000, 1 week ago: Parent presents to primary care provider's office with 13-month-old. Parent states the toddler is having trouble passing stool. States this has been happening on and off for the last few months. Toddler is awake and alert. S1 and S2 auscultated, no murmur. Respirations unlabored. Hypoactive bowel sounds. Provider recommended over-the-counter stool softener and encouraged hydration and increasing fruits and vegetables in diet.

Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again highlight: When recognizing cues, the nurse should identify that the assessment findings of lethargy, disinterest in eating, hypoactive bowel sounds, distended abdomen, palpable fecal mass, ribbon-like, foul-smelling stools and elevated blood pressure require follow-up. These findings indicate the toddler's constipation has worsened and the toddler needs further evaluation for suspected Hirschsprung's disease.

A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider

potassium chloride