PEDS chapter 23, 24, 28, 30, & 33 EAQs

Upon reviewing the x-ray examination report of an obese patient with musculoskeletal dysfunction, the nurse finds that the femoral head and epiphysis remain in the acetabulum. The patient limps and complains of severe thigh pain. Which disorder does the nurse expect to find in the patient?

Coxa vara

The nurse is collecting data on a 5-year-old child with delayed motor development. After reviewing the laboratory report, the nurse concludes that the child has Duchenne's muscular dystrophy. Which finding in the laboratory report supports the nurse's conclusion?

Increased serum creatine phosphokinase levels

Which describes the general mental ability impairment that affects everyday communication, reasoning, and self-management functioning before the age of 18 years?

Intellectual disability

Which are probable behavioral findings seen in children of alcoholics? Select all that apply.

Maturity beyond the child's age Poor grades Acting-out behavior

The nurse is caring for a 15-year-old boy after left lower extremity amputation surgery after a diagnosis of osteosarcoma. The patient reports that his "left foot is in severe pain." Which nursing intervention should be performed first?

Medicate for pain as ordered.

A patient with hypertrophy of the calf muscles has Gowers' maneuver and contractures of the ankles and hips. The laboratory reports of the patient indicate an increase in serum creatine phosphokinase levels. Which medication will be beneficial for the patient?

Prednisone

After collecting data on a patient, the nurse concludes that the patient has scoliosis. Which finding enabled the nurse to reach this conclusion?

Presence of an S-shaped spine

The nurse is caring for a patient who is in Russell skin traction. The nurse anticipates that the patient has a risk of thrombus formation in the leg. Which intervention would the nurse expect to be beneficial to prevent this risk in the patient? Select all that apply.

Providing a foot pump to the patient Providing antiembolic stockings to the patient

The nurse is evaluating a student nurse who is applying a biological dressing to a child with burns. Which action by the student nurse indicates a need for further teaching?

Refreezing the dressing after thawing

The nurse is collecting data on a child with obsessive-compulsive disorder (OCD). Which factors would the nurse assess for in the child? Select all that apply.

Ritualistic behavior Normal growth and development

The nurse is collecting the data on a child with pain, inflammation, and swelling in the leg. After reviewing the x-ray reports of the child, the nurse suspects that the child is the victim of physical abuse. The presence of which findings support the nurse's suspicion?

Spiral femur fracture

The nurse is collecting data on a patient with a right femur fracture. The nurse instructs the patient to do range-of-motion (ROM) exercises on unaffected extremities regularly. Which risks can be prevented in the patient by this intervention? Select all that apply.

Stiffness Deformities Muscle atrophy

Which is a common, harmless hemangioma that may become apparent a few weeks after birth and usually disappears without treatment?

Strawberry nevus

The nurse is caring for a child with severe burns after a fire. The nurse suspects that the child may have inhaled the flames. Which findings in the child enabled the nurse to reach such a conclusion? Select all that apply.

Stridor Cyanosis Singed nasal hairs

A child has lesions and severe itching on the head, the palms, and the soles of the feet caused by a Sarcoptes scabiei infection. Which instructions for the home would the nurse provide to the parent of the child?

Stuffed toys should be stored in bags for 1 week before reuse.

The nurse is caring for a postpartum patient who has undergone a forceps-assisted delivery. Upon reviewing the medical history, the nurse finds that the patient's fetus was in the breech position during birth, and therefore the patient has congenital hip dysplasia. Which musculoskeletal disorder would the nurse expect to find in the patient's neonate?

Torticollis

Which are appropriate interventions when caring for a child in traction? Select all that apply.

Use of trapeze for positioning Skin integrity monitored regularly Neurovascular checks performed regularly

The nurse is caring for a patient who is receiving a selective serotonin reuptake inhibitor (SSRI) for depression. What behaviors can increase a patient's risk for developing serious side effects? Select all that apply.

Using diet pills to lose weight Drinking alcoholic beverages Taking recreational drugs

Which findings in a patient would be consistent with the diagnosis of bulimia nervosa? Select all that apply.

Signs of self-induced vomiting Eating lots of food very frequently

While applying traction to a patient with femoral fracture, the primary health care provider inserts a wire pin into the distal segment of the femur and places the lower leg in a boot cast. Which type of traction is the primary health care provider applying to the patient?

Skeletal traction

Upon reviewing the medical history of a child after an accident, the nurse finds that the child's first and ninth cranial nerve roots were damaged by a head injury. Which function is the child likely to be deficient in as a result of the head injury?

Smell and taste

The nurse is evaluating a 3-month-old child for cerebral palsy. Which finding is a symptom of cerebral palsy?

Spasticity

During assessment of visual acuity, the nurse observes that the child is tilting the head to see an object and misses the object on reaching it. Which condition would the nurse expect in the child?

Strabismus

While caring for a Vietnamese child, the nurse finds that the child has welts on the back caused by "coining." Which conclusion does the nurse reach from this finding?

It is a cultural practice to allay diseases.

A patient who has severe burns has been prescribed diphenhydramine. The reduction of which assessment finding will indicate the medication is effective?

Itching

Which condition is a result of protein-energy malnutrition?

Kwashiorkor

The nurse teaching an expectant parents class would identify which prenatal integumentary developments and functions that occur by 36 weeks gestation? Select all that apply.

Lanugo hair Adipose tissue Vernix caseosa Subcutaneous glands Initially very transparent skin

The nurse is caring for a child with suspected osteosarcoma. Which diagnostic test would the nurse expect to find?

Long bone x-ray

The nurse is caring for a pregnant patient with swayback. Which skeletal abnormality does the nurse expect to find in this patient?

Lordosis

The nurse finds that a child has lost 5% of her body weight. Skin turgor is normal and the urine output is adequate. The nurse observes that the child's anterior fontanelle is flat. Which degree of dehydration is the child exhibiting?

Mild dehydration

Which condition presents with thick, oily, crust-like scales on the forehead and scalp, which resembles eczema without itching?

Seborrheic dermatitis

The nurse is caring for a child who is a victim of abuse. Which intervention will be beneficial to developing problem-solving skills in the child? Select all that apply.

Teaching refusal skills Teaching value-based decision making Teaching about good and bad touching

Which would be a finding in a child who has a conduct disorder?

Tends to violate the rules of society

Which anatomical difference causes children to be more prone to ear infections than adults?

The Eustachian tube in children is short, wide, and straight.

The nurse has provided teaching to the parents of an infant with gastroesophageal reflux disease. Which statement made by the parents would the nurse recognize requires further teaching?

"After a feeding I can sit the baby upright in an infant seat."

The parent of a child is worried and tells the nurse, "My child's feet turn inward while walking and running." Which piece of advice would the nurse give to the child's parents? Select all that apply.

"Ask the child to join ballet and in-line skating classes." "Teach the child about proper sitting and body mechanics."

While collecting data on an 18-month-old child, the nurse finds that the child is unable to walk independently. Which is the best directive the nurse can give to the child's parents?

"Consult the primary health care provider immediately."

An infant has gastroenteritis. Which information would the nurse include when teaching the parents?

"Continue to breastfeed the infant in addition to giving oral rehydration solution."

A child presents to the clinic with suspected functional constipation. Which question would the nurse ask?

"Has your child ever been incontinent of stool?"

The mother of a 3-year-old child tells the nurse she is concerned about her child's bow-legged appearance. Which is the best response from the nurse?

"Is your child having any pain or difficulty walking?"

The nurse has provided teaching for a parent whose child is scheduled to have a capsule endoscopy. Which parent statement indicates an understanding of the teaching?

"My child is nervous about wearing a wireless device."

Which instructions would help prevent atelectasis in a patient who has undergone lower limb fracture surgery?

"Perform deep-breathing exercise with an incentive spirometer."

An adolescent complains of cold sores with a tingling sensation on the lips. Which is the correct way for the nurse to advise the adolescent?

"Refrain from kissing and sharing lipstick when the lesions are active."

The nursing instructor is teaching a group of nursing students about Reye's syndrome. Which statement by a student nurse indicates the need for further teaching?

"Reye's syndrome is a chronic inflammatory hepatopathy."

The nurse is providing instructions to the parents of an older child being placed in Buck's skin traction. Which statement made by the parents indicates effective understanding of this type of traction?

"The child's body supplies countertraction."

The parents of a child who underwent myringotomy ask, "What will happen to the tubes that are inserted in my child's ear?" Which is the appropriate response by the nurse?

"The tubes usually fall out in 6 months."

The nurse is educating parents of an infant who has been diagnosed as having a hemangioma without ulceration. Which piece of advice is correct?

"This lesion is harmless and may disappear at the age of 10."

The nurse is preparing to teach a parent about the scheduled Schilling test for a child with failure to thrive. Which information would the nurse include?

"This test will assess the absorption capacity of the lower ileum."

The nurse responding to a parent of an infant inquiring about preventing food allergies states that current recommendations encourage feeding infants peanut- and egg-containing foods in a safe medium as early as which age?

6 months

The nurse is caring for children in a pediatric clinic. Which child would the nurse refer to the child abuse assessment team?

A 10-year-old with a spiral femur fracture

The nurse is caring for a child with a suspected contusion. Which clinical manifestations would the nurse expect to find? Select all that apply.

A hematoma Edema at area of injury

A patient is being treated for meningitis. Which assessment finding is most likely for this patient?

A high WBC count and decreased level of consciousness

The nurse assessing a child with a hemangioma on the chin recognizes that this type of vascular birthmark is often associated with which type of condition?

Airway problems

Which diagnosis does the nurse expect for a 10-year-old child with receptive language problems, expressive language difficulty, information processing dysfunctions, memory problems, orientation issues, and behavioral difficulties?

Attention-deficit hyperactivity disorder (ADHD)

Which neurodevelopmental disorder does the nurse suspect in a child with reported difficulties in social interaction and communication, repetitive behaviors, the use of rigid rules in play, and a preference for solitary play?

Autism spectrum disorder

A child with musculoskeletal disorder has abnormal side-to-side curvature of the spine and uneven hips and shoulders. The curves of the spine are at an angle of 30 degrees. Which treatment strategy will be beneficial for the child?

Applying a Milwaukee brace

The nurse is caring for an infant who has cradle cap. Which nursing intervention is beneficial for the infant?

Applying baby oil to the scalp

The nurse is caring for a patient with polyarthritis. Which nursing interventions will help provide effective care to the patient? Select all that apply.

Applying resting splints while sleeping Encouraging pool exercises and biking Providing hot packs and whirlpool baths

A patient with an ankle fracture has severe inflammation at the site of a fracture. The patient's laboratory reports indicate an increase in the number of white blood cells (WBCs) and erythrocyte sedimentation rate (ESR). Which treatment will be beneficial for this patient?

Arthroscopy

Which medication may cause Reye's syndrome in children?

Aspirin

The nurse is caring for a 2-year-old patient with spasticity caused by cerebral palsy. Which treatment strategy would the nurse expect the primary health care provider to include in the care plan?

Baclofen implants

Which treatment strategies does the nurse expect to be ordered for the child diagnosed with autism spectrum disorder? Select all that apply.

Behavior modification Structured school environment Well-structured home environment Medication matched to specific problem

Which characteristics indicate impulsivity in a child? Select all that apply.

Being overly talkative Causing trouble for others Extreme excitability

A child is suspected to have intussusception. Which assessment finding would the nurse anticipate?

Bilious emesis

Which is the most accurate diagnostic tool in diagnosing suspected osteomyelitis in a pediatric patient?

Bone scan

Which condition is characterized by recurrent episodes of uncontrolled binge eating followed by self-induced vomiting and the misuse of laxatives or diuretics?

Bulimia

An infant who has been vomiting is suspected of having a formula intolerance. Which intervention would the nurse include in the care of the infant?

Burp the infant after feeding.

The nurse is caring for a patient with an arm injury who has an arm cast. The patient complains of severe pain even after receiving acetaminophen. Which treatment strategy does the nurse expect to be beneficial for the patient?

Fasciotomy

While caring for a child with multiple fractures, the nurse also monitors for signs of hypoxia. Which secondary condition is the nurse attempting to prevent?

Fat embolism

Which skin manifestation may occur because of a chromosomal abnormality and tuberous sclerosis?

Café au lait macules

The nurse finds that a child has euphoria, tachycardia, agitation, and hallucinations. After interacting with the child's mother, the nurse finds that the child had mistakenly eaten something from a colorful packet that resembles a tea packet. Which drug did the child consume?

Cathinones

A patient with which condition would be advised against consuming wheat and wheat products?

Celiac disease

A newborn is returning to the neonatal intensive care unit after the initial surgery to correct an imperforate anus. For which procedure would the nurse anticipate providing postoperative care?

Colostomy

The nurse recognizes that the poor school performance of a 10-year-old child diagnosed with obsessive-compulsive disorder (OCD) is most likely related to which factor?

Compulsive repetitive behavior

Which action would the nurse take when caring for a child who is intellectually impaired?

Contact the school nurse and plan the child's school needs.

The nurse is caring for a child with salicylate poisoning. The physician prescribes vitamin K. Which assessment finding would the nurse anticipate if the vitamin K is effective?

Controlled bleeding

A child who has a habit of biting colored furniture is found to have neuritis and muscular incoordination. Which other symptoms might this child also be exhibiting? Select all that apply.

Convulsions Encephalitis

The nurse works in collaboration with which professional member of the health care team who has a master's degree from an accredited institution, specializes in a specific area such as substance abuse or counseling of children, and in most states must be licensed?

Counselor

A child is admitted to the emergency department with suspected intussusception. Which significant assessment finding supports this diagnosis?

Currant jelly stools

Which coping patterns do children of parents with alcoholism often display? Select all that apply.

Flight Perfect child Fight Super coper

Which supplement should be given to an epileptic child taking primidone?

Folic acid

An adolescent patient with acne has been prescribed an estrogen-containing oral contraceptive. Which finding would the nurse expect in the laboratory reports of the adolescent after this treatment?

Decrease in androgen levels

A patient with acetaminophen poisoning has been prescribed N-acetylcysteine. Which complication is the health care provider attempting to avoid by prescribing this medication?

Destruction of the liver

A 5-year-old is admitted to the health care unit with meningitis. Which nursing intervention would be included in the child's care plan?

Dimming the lights in the room

A patient who is complaining of bloating and abdominal pain after eating is diagnosed with anorexia nervosa. Which other symptoms would the nurse observe in the patient? Select all that apply.

Dry skin Amenorrhea Cold intolerance

Which is a sex-linked inherited musculoskeletal disorder in males?

Duchenne's muscular dystrophy

Which terminology applies when there is an intentional omission of verbal or behavioral actions that are necessary for development of a healthy self-esteem, including social or emotional isolation of a child?

Emotional neglect

Which procedure is the standard treatment for a child with advanced-stage unilateral retinoblastoma when there is no possibility to save the child's vision?

Enucleating the eye

The nurse observes a newborn experiencing abdominal distention after each breath. Which pathophysiological condition would the nurse suspect?

Esophageal atresia

The nurse is caring for a child with suspected muscular dystrophy. Which clinical manifestations would the nurse expect to find? Select all that apply.

Frequent falls Hypertrophied calf muscle Contractures of the ankles

Which evaluation will the nurse use to determine an infant's level of consciousness?

Glasgow coma scale

A child who was in an accident has swelling, pain, and discoloration in the lower arm. The x-ray reports indicate that the child's ulna is broken at one end and is bent from the other end. These findings indicate which type of fracture?

Greenstick fracture

The nurse is caring for a patient who has a cervical fracture. Which treatment would the nurse expect to be the most beneficial to the patient?

Halo traction

Which feature would the nurse check to determine brain growth in infants?

Head circumference

Which illegal drug does the street name smack refer to?

Heroin

What is the presence of blood in the anterior chamber of the eye called?

Hyphema

Which behaviors in a child may be reflective of nervous tension? Select all that apply.

Nail-biting Stuttering Finger-sucking

Which solution would the nurse use to ensure the safe administration of an enema in a child with Hirschsprung's disease?

Normal saline

The basic staff of the modern child guidance clinic is comprised of which members who provide diagnostic and treatment services? Select all that apply.

Nurse Pediatrician Psychiatrist Psychologist Social worker

The nurse is caring for a child with severe burns who is on fluid therapy in an emergency care unit. The registered nurse inserts a urinary catheter and instructs the nurse to record the child's fluid intake and output. Which condition is the nurse attempting to prevent?

Oliguria

Which signs and symptoms would alert the nurse to the possibility of intussusception? Select all that apply.

Onset is sudden Kicking and drawing of legs Bile stained vomit Currant jelly stools

Which are manifestations of compartment syndrome? Select all that apply.

Pallor of digits Swelling of digits Decreased pulse rate

The nurse assesses a client in traction with a humeral fracture for symptoms of muscle anorexia and reflex vasospasm. Which client risk(s) are most likely concerning this nurse? Select all that apply.

Paralysis Contractures

Which coping pattern involves a child trying to gain love from alcoholic parents by never causing any trouble?

Perfect child

The nurse is caring for a patient with a lower limb fracture who is in traction. The nurse finds that the patient has a risk of impaired skin integrity. Which nursing intervention will be beneficial for protecting the bony areas from bedsores?

Placing a sheepskin under the patient's hips and back

The nurse is caring for a child who is in Bryant's traction. Which nursing intervention facilitates countertraction in the child?

Placing the buttocks of the child slightly off the bed

Which condition presents with pink lesions on the skin at birth that darken with age?

Port-wine nevus

The nurse is caring for an infant with suspected osteomyelitis. Which test results would the nurse expect to find? Select all that apply.

Positive bone scan Elevated WBC count

Which clinical manifestation suggests pyloric stenosis?

Projectile vomiting

Deep muscle damage from an electrical burn can cause which complication?

Renal impairment

The nurse is collecting data on a child with a musculoskeletal disorder. The nurse finds that the child is very clumsy and falls frequently while walking. The nurse also finds that the child has Gower's maneuver and contractures at the ankles and hips. What does the nurse infer from these findings?

The child has Duchenne's muscular dystrophy.

The nurse is treating a child with an eye dysfunction and has covered the right eye of the child with a patch. What is the reason behind this intervention?

The child has amblyopia.

After reviewing the x-ray report of a child, the nurse suspects that the child is a victim of physical abuse. Which finding in the x-ray report supports the nurse's suspicion?

The child has multiple fractures at different healing stages.

The nurse is caring for an infant who has bruises on the back and soles of the feet. The nurse anticipates that the child was physically abused 2 to 5 days ago. Which finding supports the nurse's assumption?

The child has red bruises.

The nurse squeezes the patient's toe and observes that blanching persists for more than 3 seconds after releasing the pressure. This finding allows the nurse to reach which conclusion?

The patient has impaired circulation.

Which condition presents as a severe fungal infection with small raised skin lesions in the inner aspects of the thighs and scrotum?

Tinea cruris

What is the purpose of a lumbar puncture (LP)?

To analyze cerebrospinal fluid

The nurse is caring for an adolescent suffering from depression after a failed suicide attempt. The nurse instructs the adolescent to draw two boxes and to write things that make him feel happy in one box and things that make him feel sad in the other box. What is the rationale behind this instruction?

To help the adolescent understand his problems

The nurse is caring for a patient with soft tissue injury in the leg. The nurse applies an elastic bandage at the site of the injury and frequently performs neurovascular checks in the patient. Which are the possible reasons for this nursing intervention? Select all that apply.

To monitor ischemic conditions in the patient To monitor compartment syndrome in the patient To ensure adequate tissue perfusion in the patient

The nurse is caring for a patient with a femur fracture who is in Buck's extension. The nurse avoids placing the patient's bed in high-Fowler's position. Which is the reason behind this nursing intervention?

To promote countertraction

Which is the gastrointestinal capacity of a 1-year-old infant?

Up to 360 mL

Which symptom is considered a manifestation of retinoblastoma?

Yellowish-white reflex seen in the pupil

The nurse, while caring for an infant with diarrhea, finds scaling skin eruptions around the chin and neck of the infant in a horseshoe-shaped configuration. Which finding would the nurse expect in the laboratory reports of the infant?

Zinc deficiency

The nurse is collecting data on an 8-month-old infant. After interacting with the infant's parents, the nurse anticipates that the infant has a risk of retinal hemorrhage. Which statement by the parent supports the nurse's anticipation?

"I shake my baby to wake her up."

The nurse is teaching a 13-year-old child about the proper care for acne. Which statement by the adolescent indicates a need for further teaching?

"I should avoid food like peanuts and chocolates."

The nursing instructor is teaching a student nurse about addressing a hearing-impaired child. Which statement by the student nurse indicates the need for further teaching?

"I should use exaggerated facial expressions."

The nurse is teaching a parent about the measures to be taken when the child is affected with conjunctivitis. Which statement by the parent indicates the need for further teaching? Select all that apply.

"I will apply ointment during the day." "I will stop the medication when symptoms subside."

The nurse has provided teaching for a parent about fluid and nutrition replacement for a child at risk for dehydration. Which statement made by the parent indicates further teaching is required?

"I will offer my child some orange juice."

The nurse is teaching a mother to instill ear drops into a 3-year-old's ears. Which statement made by the mother indicates effective understanding?

"I will pull the pinna of the ear up and back."

A child's parent tells the nurse, "My child complains of pain and discomfort in the lower leg after running on the floor." Which statement provides the best advice to the child's parents?

"Your child may have shin splints, so provide well-fitting shoes."

The nurse is caring for children in a pediatric clinic. Which child would the nurse assess first?

A 4-year-old walking on their toes.

Which condition does the nurse suspect in an adolescent female with a 15-pound weight loss over the past month, dry skin, amenorrhea, low blood pressure, and abdominal pain?

Anorexia nervosa

While communicating with a child, the nurse finds that the child self-induces vomiting because of fears of gaining weight. Which is the first intervention that the nurse should implement to manage the patient?

Establish trust with the child.

The nurse is caring for a child with severe burns in an emergency care unit. Which instructions would the nurse expect to be included in the child's diet plan? Select all that apply.

Feed the child a high-calorie diet. Provide the child with a large amount of fluids. Administer vitamin supplements to the child.

The nurse providing care to a 5-year-old child with second-degree burns over 50% of the body plans for which differences in responses of children to burn injuries? Select all that apply.

Immature response systems in young children can cause shock and heart failure. The increased basal metabolic rate (BMR) of a child results in increased protein and calorie needs. Less muscle and fat in the child's body results in protein and caloric deficiencies when oral intake is limited. The skin is more elastic in children, causing pulling on the scarring areas and resulting in formation of a larger scar.

Which types of skin grafts are considered permanent? Select all that apply.

Isografts Autografts

Which is the most important nursing intervention to identify and minimize compartment syndrome?

Perform frequent neurovascular checks.

Which action would the nurse expect the primary health care provider to perform to differentiate the ear pain related to otitis externa from otitis media?

Perform manipulation of the auricle.

Which characteristic is definitive for oppositional defiant disorder?

Persistent hostile responses

Which condition is characterized by the eating of nonfood substances?

Pica

Which manifestations would the nurse observe in a child with isotonic dehydration? Select all that apply.

Rapid rate of respiration Dry mucous membranes Decreased urine output

A patient with inflammation of the joints has intermittent spiking fever with a temperature of 104° F (40° C) for 10 days. The patient's laboratory reports indicate an increase in the erythrocyte sedimentation rate (ESR) and C-reactive protein levels. Which type of arthritis do these findings indicate?

Systemic arthritis

The nurse is caring for a child with a viral infection. On data collection, the nurse finds that the child has developed Reye's syndrome. Which part of the patient's body would the nurse expect to be affected?

The liver and the brain

The nurse is caring for a patient with severe depression. The nurse finds that the patient feels lonely and socially withdrawn and asks her to draw "how you see yourself" on a paper. Why does the nurse ask the patient to perform this activity?

To determine the patient's self-esteem

The nurse is caring for a patient with soft-tissue injury in the lower arm. The nurse applies cold packs and elastic wraps to the patient alternately every 30 minutes. Which is the rationale for this nursing intervention? Select all that apply.

To reduce pain To reduce pain To reduce bleeding To reduce infection

Which seizure type involves generalized contraction of the body followed by jerkiness of the arms and legs?

Tonic clonic seizure

A 14-year-old girl has been diagnosed with scoliosis with a curve of 30 degrees. Which medical intervention will treatment include for this patient?

Use of a Milwaukee brace

Which precaution is the best to prevent sepsis?

Vaccinate the child with pneumococcal conjugate vaccine (PCV).

Which diagnosis is related to the development of Reye's syndrome in conjunction with aspirin administration in pediatric patients?

Varicella

Which components would the nurse assess when performing a cranial or neurological check? Select all that apply.

Vital signs Motor activity Pupil assessment Level of consciousness

Which infection is characterized by inflammation on the sebaceous gland of the eyelash?

Stye

The nurse is caring for a patient who has athlete's foot. Which intervention is beneficial for the patient?

Instructing the patient to keep the toes dry

The nurse may participate in which situation that is a planned event by others to get an individual into professional counseling for treatment of addiction or a life crisis?

Intervention

Which symptoms does the nurse monitor in an 11-year-old child during a well-child health visit who was recently diagnosed with depression? Select all that apply.

Irritability Weight loss Loss of appetite Social withdrawal Feelings of worthlessness

A patient in Russell skin traction is provided with a vertical pulley from the knee sling and a horizontal pulley from the footplate. Which risk can be prevented by this intervention?

Posterior subluxation of the tibia on the femur

The nurse is caring for a child with a leg fracture. Which nursing interventions help provide effective care to the child? Select all that apply.

Providing fiber-rich food to the child Encouraging the child to do deep-breathing exercises Encouraging the child to do range-of-motion exercises

The primary health care provider has prescribed eardrops to a 1-year-old infant with otitis media. What is the appropriate method for administering the eardrops?

Pull the pinna of the ear down and back.

A child whose parents are alcoholics refuses to talk about her family life, acts out frequently, and wants to stay away from home. Which intervention would the nurse perform immediately in this situation? Select all that apply.

Put the child in touch with someone from her school. Teach the child about obtaining help in an emergency.

Which interventions should characterize the nurse's role in autism spectrum disorders (ASDs)? Select all that apply.

Refer for follow-up care. Avoid sudden movements during examination. Identify abnormal behaviors as early as possible. Monitor for side effects of prescribed medications.

The primary health care provider prescribes ivermectin for a child who has severe itching on the palms and the soles of the feet. The nurse finds vesiculopustular lesions on the child. Which causative organism does the nurse expect to be the cause of this infection?

Sarcoptes scabiei

The nurse teaching a class for parents of children with learning disabilities states that dyslexia is characterized by which factors? Select all that apply.

Trouble with word recognition Difficulty in sounding out words Confusing words that sound alike Reading comprehension

Which condition can be diagnosed using a purified protein derivative (PPD) test?

Tuberculosis