Peds exam 3 study test
The nurse is speaking with a parent of a child diagnosed with scoliosis. The parent states, "I hate to think about my child having to wear a huge brace to treat this disorder. My best friend growing up had to wear one and she hated it." What is the best response by the nurse? "Unfortunately, bracing is the only option for treating this disorder. I'm sure your child will get used to it after a few weeks." "Braces have been replaced with surgical intervention. Your child will only wear a brace for a few weeks after the surgery." "The newer type of braces fit under the arms and are made to fit under clothing. They aren't nearly as big as they used to be." "The newer braces only have to be worn while the child is asleep and don't have to be worn at school."
"The newer type of braces fit under the arms and are made to fit under clothing. They aren't nearly as big as they used to be."
A school nurse who cares for children with overuse injuries and refers them for treatment is developing a presentation for the local parent group on prevention of and care for these types of injuries. Which of the following would the school nurse most likely include in the presentation? Select all that apply. Immobilizing the muscles that are involved Avoiding the causative activity for 6 to 8 weeks Avoiding using NSAIDs for pain control Applying ice to the injured area to reduce inflammation Having the coach monitor the treatment program for sports injuries
Avoiding the causative activity for 6 to 8 weeks Applying ice to the injured area to reduce inflammation
After teaching a group of nursing students about sprains and strains, the instructor determines that the teaching was successful when the students describe a strain as which of the following? Tearing of the musculotendinous unit Separation of the growth plate Tear in a ligament caused by pulling Ligamental stretching from twisting
Tearing of the musculotendinous unit
The nurse is caring for an infant with myelomeningocele prior to having repair surgery. What nursing intervention(s) is necessary to include in this infant's plan of care? Select all that apply. protecting knees and elbows from skin breakdown providing a pacifier for nonnutritive sucking using a high-calorie, concentrated formula for feeds positioning of paralyzed legs to prevent contractures keeping the skin clean and dry
positioning of paralyzed legs to prevent contractures protecting knees and elbows from skin breakdown keeping the skin clean and dry
An adolescent girl has spinal instrumentation surgery at 16 years of age. Immediately after this procedure, the nurse would teach her to: sit up, although this may hurt. plan on 6 months of hospitalization. wait to be log-rolled before turning from one side to the other. always sleep prone.
wait to be log-rolled before turning from one side to the other
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever? "This disorder is caused by genetic factors." "The onset and progression of this disorder is rapid." "Children who have this diagnosis may have had strep throat." "Being up-to-date on immunizations is the best way to prevent this disorder."
"Children who have this diagnosis may have had strep throat."
The nurse is taking a health history of a 6-week-old boy with a suspected cardiovascular disorder. Which response by the mother would lead the nurse to suspect that the child is experiencing heart failure? "He does not seem short of breath." "He does not seem sick." "He seems to have a normal appetite." "He gets sweaty when he eats."
"He gets sweaty when he eats."
A nurse is caring for a child with spina bifida. The child's mother asks the nurse what she did to cause the birth defect. Which statement would be the nurse's best response? "It's a common complication of amniocentesis." "It has been linked to maternal alcohol consumption during pregnancy." "The cause is unknown and there are many environmental factors that may contribute to it." "Older age at conception is one of the major causes of the defect."
"The cause is unknown and there are many environmental factors that may contribute to it."
The caregiver of a child who has had a cast applied to the leg observes the nurse putting adhesive tape strips around the edge of the cast. The caregiver asks the nurse why she is doing this. The best response by the nurse would be: "These make a smooth edge on the cast so the skin is better protected." "These will help the cast look more attractive so the child won't feel self-conscious." "In case the child has an accident and misses the bedpan, these can be changed to keep the area dry." "We put these on so the child will not pull the padding from under the cast."
"These make a smooth edge on the cast so the skin is better protected.
The nurse is caring for a child with aplastic anemia. The nurse is reviewing the child's blood work and notes the granulocyte count is about 500, platelet count is over 20,000, and the reticulocyte count is over 1%. The parents ask if these values have any significance. Which response by the nurse is appropriate? "The doctor will discuss these findings with you when he comes to the hospital." "I'm really not allowed to discuss these findings with you." "These labs are just common labs for children with this disease." "These values will help us monitor the disease." SUBMIT ANSWER
"These values will help us monitor the disease."
A 7-year-old child diagnosed with Duchenne muscular dystrophy (DMD) uses a wheelchair for mobility. The child's parent tells the nurse "I want my child to participate in activities with peers but I am so concerned about my child's health." Which comment(s) is appropriate for the nurse to make? Select all that apply. "Each day engage in active or passive range-of-motion exercises." "Wheelchair team sports might be something your child would enjoy." "Encourage your child to remain active but to also take time to rest." "Your child's diagnosis will not allow him or her to engage in activities with peers." "You can assist your child in riding a stationary bicycle."
"Wheelchair team sports might be something your child would enjoy." "Encourage your child to remain active but to also take time to rest."
Based on knowledge of the progression of muscular dystrophy, which activity would a nurse anticipate the client having difficulty with first? swallowing sitting standing breathing
Standing
The nurse is caring for a child who is receiving peripheral intravenous (IV) chemotherapy. The child tells the nurse that the IV "hurts." The nurse finds that the insertion site is reddened and edematous. Which is the first action the nurse should take? Retape the infusion site. Stop the infusion. Apply a warm pack to the IV site. Provide distraction.
Stop the infusion
The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which response by the mother could indicate that the child is experiencing hypercyanotic spells? "He takes one nap a day and is fairly active." "He walks very quickly and never stops moving." "He likes to stop and squat wherever he walks." "He does not seem to have difficulty breathing."
"He likes to stop and squat wherever he walks."
The nurse is conducting a health assessment of a 6-year-old girl with spinal bifida. During the interview, the girl keeps interrupting and shouting to get her mother's attention. The mother instantly responds to every interruption and attempts to placate her with promises of a trip to the ice cream store. Which response by the nurse would be most appropriate to address the mother's response to her daughter's demands? "Does your daughter interrupt you like that on a regular basis? "She is certainly demanding, isn't she?" "How do you feel when your daughter interrupts you?" "Aren't you embarrassed by your daughter's behavior?"
"How do you feel when your daughter interrupts you?"
A hospitalized child is postoperative from having a brain tumor resected. Which assessment(s) will the nurse perform to detect if increased intracranial pressure (ICP) is occurring? Select all that apply. Monitor increased heart rate. Note increased irritability. Assess eyes for pupil size and reactivity. Observe for sunsetting eyes. Assess work of breathing
Assess eyes for pupil size and reactivity. Note increased irritability. Observe for sunsetting eyes.
A nurse is administering a blood transfusion to a child. About 35 minutes after beginning the transfusion, the child develops pruritus and urticaria. Some wheezing is noted. Which action would the nurse take first? Ask the health care provide for a prescription for a diuretic. Obtain a blood culture. Give an iron-chelating agent. Discontinue the transfusion
Discontinue the transfusion.
After teaching a group of students about hemophilia, the instructor determines that the students have understood the information when they identify hemophilia A as involving a problem with: plasmin. platelets. factor IX. factor VIII.
Factor VIII
The nurse is teaching a health and wellness course to young women of childbearing age. Which vitamin will the nurse encourage all to take daily? Calcium Niacin Ascorbic acid Folic acid
Folic acid
A nurse is providing care to a hospitalized child diagnosed with cerebral palsy. The nursing is preparing the family for discharge. What action by the nurse will most ensure the family's success after discharge? Arrange for a home care nurse to visit the family weekly. Ask the family what they perceive as their greatest challenge. Have the family meet with a case manager before discharge. Provide pamphlets that outline resources for cerebral palsy.
Have the family meet with a case manager before discharge
A child is diagnosed with sickle cell anemia. Which test will the nurse expect the primary health care provider to prescribe for this client? Thrombocyte level Metabolic screening test Hemoglobin level Leukocyte level
Hemoglobin level
A nurse is providing care to a child hospitalized with a hematologic disorder. Which nursing intervention(s) will provide support for the family? Select all that apply. Provide information on community resources related to the child's disorder. Create opportunities for the family to participate in the child's care. Include the family in client care conferences. Ask the family to leave the child's room during treatments. Tell the family that there is no need to worry about the child.
Include the family in client care conferences. Provide information on community resources related to the child's disorder. Create opportunities for the family to participate in the child's care.
A nurse is giving instructions to the father of a boy who is receiving chemotherapy (including methotrexate) regarding how best to care for the boy during this period of treatment. What should the nurse mention to him? Give the boy folic acid supplements Keep him away from people with known infections Be sure that the boy receives only live-virus vaccines Give him aspirin to help manage pain
Keep him away from people with known infections
A 15-year-old boy has been diagnosed with osteogenic sarcoma of the distal femur. He also demonstrates a chronic cough, dyspnea, and chest pain, along with chronic leg pain. Based on these findings, the nurse should suspect metastasis to which body area? Rib cage Heart Lungs Brain
Lungs
The nurse is caring for a child with heart failure related to a congenital heart defect. One of the nursing diagnoses identified includes "Excess fluid volume." During a family care planning conference. the parents ask why this diagnosis applies to their child. What is the best response by the nurse? "The heart is a pump and it isn't pumping effectively." "It is a difficult process to understand. Rest assured that we are doing everything in your child's best interest." "We have standardized care plans for children with congenital heart defects and this nursing diagnosis is on the care plan." "Cardiac problems cause the heart to not pump effectively, which causes swelling in the body and fluid in the lungs."
"Cardiac problems cause the heart to not pump effectively, which causes swelling in the body and fluid in the lungs."
The nurse is assessing a 8-month-old infant who has symptoms of poor feeding, a poor gag reflex, listlessness and a weak cry. What is the most important question the nurse should ask the parent about these symptoms? "What is the source of your family's water supply?" "Has your infant had any unpasteurized milk to drink?" "Have you given your infant any honey?" "When did these symptoms begin?"
"Have you given your infant any honey?"
The nurse is teaching the parents of a 7-year-old child with sickle cell disease and enuresis. What statement(s) will the nurse include in the teaching? Select all that apply. "Because of your child's condition, the urine output is greater than the capacity of the bladder." "Your child's kidneys are unable to concentrate urine." "After 7 pm, restrict oral fluids to minimize the need to use the bathroom during sleeping hours." "To prevent bedwetting, have your child get up and go to the bathroom periodically at night." "Adequate hydration is essential to maintain blood flow."
"To prevent bedwetting, have your child get up and go to the bathroom periodically at night." "Adequate hydration is essential to maintain blood flow." "Because of your child's condition, the urine output is greater than the capacity of the bladder." "Your child's kidneys are unable to concentrate urine."
The nurse is speaking to the mother of a dying child about the best ways to manage pain and discomfort. Which is the best response by the nurse? "We will keep the lights and a television on in the room at all times so your child doesn't become scared." "We will provide pain medication to your child whenever she seems to be in pain." "We will not be repositioning your child since it seems to hurt him." "We will provide pain medication around the clock to help prevent recurrence or escalation of pain."
"We will provide pain medication around the clock to help prevent recurrence or escalation of pain."
The nurse is caring for a 2-year-old girl with spina bifida. The mother confides that she is depressed and feels that she has somehow contributed to her daughter's condition. Her guilt is compounded by her mother-in-law's accusations that the mother's poor nutrition during pregnancy caused the spina bifida. What should the nurse tell the mother? "You didn't do anything wrong. Don't be too hard on yourself." "It's not good to feel guilty. What do you think you did wrong?" "Let's talk about ways you could learn to ignore her comments." "Your feelings are normal, and it is important to talk about this."
"Your feelings are normal, and it is important to talk about this."
An important nursing intervention to institute with an infant prior to surgery for a Wilms' tumor is to place a sign over his crib that reads: "no intramuscular injections." "no milk or milk products allowed." "no blood sampling in lower extremities." "do not palpate abdomen."
"do not palpate abdomen."
The nurse cares for a child with for aplastic anemia with the note above. Based on the findings noted, what should the nurse include in the teaching? Select all that apply. "A referral to an endocrinologist may be needed." "Facial hair may begin to appear in the coming days." "Voice deepening is an expected change." "Your child may have a sudden growth spurt." "Using safety razors may be necessary for the hair that develops with puberty."
A referral to an endocrinologist may be needed." "Facial hair may begin to appear in the coming days." "Using safety razors may be necessary for the hair that develops with puberty." "Voice deepening is an expected change.
The nurse is caring for an 8-year-old with Duchenne muscular dystrophy (DMD) who is experiencing cardiomyopathy. The provider has prescribed carvedilol as part of the child's treatment plan. Which assessment(s) would be important for the nurse to complete before administering this agent? Select all that apply. Radial pulse Respiratory rate Blood pressure Cardiac output Apical pulse
Apical pulse Blood pressure
The nurse is caring for a 9-year-old client with sickle cell disease experiencing a vaso-occlusive crisis affecting the right shoulder and elbow. What should the nurse do to provide pain control for the client? Select all that apply.' Transfuse blood products as prescribed. Apply warm compresses. Immobilize the affected arm. Administer factor VIII replacement as prescribed. Teach the client and parents biofeedback techniques.
Apply warm compresses. Transfuse blood products as prescribed. Teach the client and parents biofeedback techniques.
A child with a congenital heart defect comes to the clinic with flulike symptoms, parental report of not eating, and weight loss. What assessment(s) should the nurse complete for this child? Select all that apply. Assess skin turgor. Auscultate heart sounds. Assess temperature. Inspect the color of the conjunctiva. Assess the abdomen.
Assess temperature. Inspect the color of the conjunctiva. Assess the abdomen. Auscultate heart sounds
A nurse is applying a cast to a 12-year-old boy with a simple fracture of the radius in the arm. What is most important for the nurse to do when she has finished applying the cast? Apply a tube of stockinette over the cast Assess the fingers for warmth, pain, and function Cut a window in the cast over the wrist X-ray the cast to make sure the bones are aligned properly
Assess the fingers for warmth, pain, and function
A child with acute lymphoblastic leukemia (ALL) is starting treatment with methotrexate in an attempt to eradicate the leukemic cells. Which stage of therapy is the child undergoing? Delayed intensive-therapy stage Consolidation stage Sanctuary stage Induction stage
Consolidation stage
A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The caregiver has been unable to stop the bleeding and brings the child to the pediatric clinic. The nurse is gathering data during the admission process and notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child most likely has a deficiency of which blood factor? Factor XIII Factor X Factor V Factor VIII
Factor VIII
The nurse is caring for an 8-year-old newly diagnosed cancer patient. Which of the following nursing interventions is the most helpful for the patient at this time? Initiate palliative care when treatments such as radiation and chemotherapy begin. Initiate palliative care for this patient now. Initiate palliative care as soon as an order has been received from the attending physician. Initiate palliative care for this patient when all medical interventions have failed and the patient is expected to die soon.
Initiate palliative care for this patient now.
A 12-year-old child is suspected of having Hodgkin lymphoma. When preparing the child and family for diagnostic testing, which test would the nurse describe as being used to confirm the diagnosis? 24-hour urine test Lymph node biopsy Liver function tests Chest computed tomography SUBMIT ANSWER
Lymph node biopsy
What is the priority nursing action for a dying child who is restless, moaning, and vomiting? pain assessment and control assessment of intake and output oral care administration of PO fluids
Pain assessment and control
The nurse is caring for a client with terminal cancer who is experiencing dyspnea and increasing levels of pain. What would be the priority for pain management with this child? following the health care provider's rigid guidelines regarding dosages preventing and alleviating pain monitoring the child's vital signs frequently preventing addiction to the opioid medications
Preventing and alleviating pain
The nurse enters the hospital room of a child undergoing tests for a possible malignancy. The parent is sitting alone in the corner crying softly. Which therapeutic action(s) is appropriate in this situation? Select all that apply. Say "hello" and shut the door for privacy. Ask the parent if an antianxiety medication is needed. State to the parent that this must be very difficult. Offer to call the spouse to provide the parent support. Pull up a chair and offer the parent a tissue. Offer to listen the parent if the parent would like to talk.
Pull up a chair and offer the parent a tissue. State to the parent that this must be very difficult. Offer to listen the parent if the parent would like to talk.
Which nursing diagnosis is most relevant in the first 12 hours of life for a neonate born with a myelomeningocele? constipation impaired physical mobility risk for infection delayed growth and development
Risk for infection
The nurse is administering a blood transfusion to a 9-year-old child with beta-thalassemia. About 30 minutes after beginning the transfusion, the child reports a rash with itching and trouble breathing. The child's temperature is now 101.2°F (38.4°C) up from a baseline of 98.8°F (37.1°C). Which action would the nurse do next? Give intravenous diphenhydramine. Stop the transfusion. Check the child's apical pulse. Collect a urine sample.
Stop the transfusion.
A newborn has been diagnosed with congenital heart disease. Which of the following congenital heart diseases is associated with cyanosis? aortic stenosis pulmonary stenosis Tetralogy of Fallot coarctation of the aorta
Tetralogy of Fallot
A nurse is preparing a class on neural tube disorders to present to a community group. What information regarding prevention is most important for the nurse to include in the teaching? dietary considerations early prenatal care genetic screening updated immunizations
dietary considerations
The nurse is providing suggestions on how to assist the child with a chronic degenerative musculoskeletal condition in completing personal care. Which suggestions are most helpful? Select all that apply. Place all products within reach. Begin care after a period of rest. Obtain assistive devices. Stress that care be provided independently. Complete rigorous care with assistance.
Obtain assistive devices. Place all products within reach. Begin care after a period of rest. Complete rigorous care with assistance.
A child diagnosed with hemophilia presents with warm, swollen, painful joints. Which action will the nurse take first? Assess the client's urine and stool for blood Document the presence of hemarthrosis in the client's chart Prepare to administer factor replacement medication Notify the client's primary health care provider
Prepare to administer factor replacement medication
Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder? Expect the skin to turn yellow. Prepare for seizures. Encourage progressive activity. Prevent dehydration
Prevent dehydration.
A nurse is providing teaching on the medication regimen for beta-thalassemia to an adolescent. What is the best way for the nurse to determine if the teaching was successful? Provide an opportunity for the adolescent to ask questions. Request that the adolescent teach the information to the nurse. Ask the adolescent if the teaching was understood. Provide written materials to reinforce teaching.
Request that the adolescent teach the information to the nurse
When developing the postoperative plan of care for a child with sickle cell anemia who has undergone a splenectomy, which would the nurse identify as the priority? Risk for delayed growth and development Impaired skin integrity Deficient fluid volume Risk for infection
Risk for Infection
A nurse is caring for a child who is experiencing heart failure. Which assessment data was most likely seen when initially examined? polyuria splenomegaly tachycardia bradycardia
Tachycardia
A mother asks why her infant with a cyanotic heart defect turns blue. What is the nurse's best explanation? This is due to a decreased amount of oxygen to the peripheral tissue. This is considered a medical emergency and the infant needs immediate surgery. This is due to the lack of oxygen to the brain. This is a sign of heart failure.
This is due to a decreased amount of oxygen to the peripheral tissue
The nurse is caring for an 8-month-old infant in Bryant traction for developmental dysplasia of the hip (DDH) and is monitoring for complications. Which assessment finding most concerns the nurse? decreased oral intake mild fussiness a weak pedal pulse temperature 100.2°F (37.9°C)
a weak pedal pulse
The nurse is caring for a school-aged child who has been diagnosed with congestive heart failure. The child has been prescribed digoxin. Prior to administering a scheduled dose of the medication, the nurse should: assess the child's apical heart rate for 1 minute. confirm the results of the child's latest chest x-ray. compare the child's radial pulses bilaterally. have the child perform deep breathing exercises, if possible.
assess the child's apical heart rate for 1 minute
When assessing an infant born at 32 weeks' gestation, which finding would lead the nurse to suspect that the newborn has a patent ductus arteriosus (PDA)? continuous murmur on auscultation high diastolic arterial pressure decreased pulse rate weak, thready pulse
continuous murmur on auscultation
The nurse is planning to teach the parents of a child with newly diagnosed muscular dystrophy about the disease. Which definition should the nurse use to best describe this condition? degeneration of muscle fibers lesions of the brain cortex upper motor neuron lesions a demyelinating disease
degeneration of muscle fibers
An infant has been born and diagnosed with a meningocele. Which action will the nurse incorporate into each contact with this infant? careful supine positioning inspection of the cystic sac on the child's back for leakage auscultation for bowel sounds listening for a shrill cry
inspection of the cystic sac on the child's back for leakage
The health care provider suspects an infant may have a ventricular septal defect. The parents ask the nurse what diagnostic tests the infant will need to have to determine this diagnosis. For what test(s) should the nurse provide education to the family? Select all that apply. stress test computed tomography (CT) echocardiogram cardiac catheterization magnetic resonance imaging (MRI)
magnetic resonance imaging (MRI) echocardiogram cardiac catheterization
A 2-year-old is diagnosed with osteomyelitis. Which of the following would you anticipate as a primary nursing intervention to include in the child's plan of care? restricting fluid to encourage red cell production maintaining intravenous antibiotic therapy assisting the child with crutch walking keeping the child quiet while in skeletal traction
maintaining intravenous antibiotic therapy
A nursing student tells the staff nurse on the pediatric orthopedic unit that she has heard of a musculoskeletal disorder in which there is an infection of the bone. Which disorder does this statement describe? osteosarcoma muscular dystrophy osteomyelitis juvenile idiopathic arthritis
osteomylitis
The type of traction in which a pin, wire, tongs, or other device is surgically inserted through a bone is: Buck extension traction. skin traction. skeletal traction. Russell traction.
skeletal traction
The nurse is caring for a newborn who is scheduled for cardiac surgery to correct a diagnosed defect. Which statements by the mother demonstrate understanding of the situation? Select all that apply. "I'm sure it is likely that my baby will be in intensive care after surgery. I believe I can pump so he can still receive my milk." "Since having the surgery my baby sometimes nurses for almost an hour." "I have read that human milk fortifier can be added to my breast milk for additional calorie needs if necessary." "I hope my baby doesn't have to have feeding through a feeding tube after surgery, but I know that is a possibility." "I know my child uses up a lot of energy feeding but it doesn't seem to cause distress when I breastfeed."
"I know my child uses up a lot of energy feeding but it doesn't seem to cause distress when I breastfeed." "I'm sure it is likely that my baby will be in intensive care after surgery. I believe I can pump so he can still receive my milk." "I hope my baby doesn't have to have feeding through a feeding tube after surgery, but I know that is a possibility." "I have read that human milk fortifier can be added to my breast milk for additional calorie needs if necessary."
A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates an understanding of the information? "I am glad I can still eat some salty foods." "I will just drink protein shakes until I lose the weight." "I have to stop eating after 6:00 in the evening." "I should eat plenty of fresh fruits and vegetables."
"I should eat plenty of fresh fruits and vegetables."
What is the best response by the nurse to the parents of a child with leukemia who express guilt because they did not take immediate action when their child seemed to develop one respiratory infection after another? "Keep in mind that the signs of leukemia are often subtle and difficult to recognize." "You need to focus on the present treatment now and not worry about the past." "Don't feel bad. Children get lots of colds." "Young children develop minor illness easily and often. Stop being hard on yourselves."
"Keep in mind that the signs of leukemia are often subtle and difficult to recognize."
A nurse is providing teaching to the parents of a child diagnosed with sickle cell anemia. The discussion is focused on precipitating factors for sickle cell crisis. Which statement by the parents requires the nurse to reinforce the teaching? "We always take water along when we are on an outing." "I make sure my child wears a good warm coat and gloves during winter." "Our family is taking a fun hiking trip up in the mountains next week." "I make sure our child is up to date on all immunizations."
"Our family is taking a fun hiking trip up in the mountains next week."
A nurse is providing instructions for home cast care. Which response by the parent indicates a need for further teaching? "We need be aware of odor or drainage from the cast." "The casted arm must be kept still." "Pale, cool, or blue skin coloration is to be expected." "We must avoid causing depressions in the cast."
"Pale, cool, or blue skin coloration is to be expected."
The nurse is caring for an infant suspected of having tricuspid atresia. What essential assessment(s) will the nurse complete for this infant? Select all that apply. Auscultate lung fields for crackles. Determine ability to suck. Auscultate heart rate. Inspect for peripheral cyanosis. Measure respiratory rate.
Auscultate heart rate. Measure respiratory rate. Determine ability to suck. Auscultate lung fields for crackles.
A 12-year-old female client has been diagnosed with scoliosis with a curvature of 30 degrees. What type of treatment would the nurse anticipate being started on this client? Bracing Surgery Traction Exercise
Bracing
The pediatric nurse caring for orthopedic patients knows that priorities for care of a child with a splint or brace focus on ensuring that the device is fitted and used correctly and on maintaining skin integrity. Which of the following nursing interventions help to achieve this goal? Select all answers that apply. Daily baths or skin care with thorough drying minimizes skin irritation. Milwaukee or Boston braces must be worn between 8 and 12 hours per day. A wrist or knee splint used during acute arthritic phases or after injury can be removed during periods of inactivity. Wearing polyester clothing under the device can minimize skin irritation. The Pavlik harness must be worn at all times for 4 to 6 weeks. A brace or splint can be removed for bathing, sleeping, or exercise.
Daily baths or skin care with thorough drying minimizes skin irritation. The Pavlik harness must be worn at all times for 4 to 6 weeks. A wrist or knee splint used during acute arthritic phases or after injury can be removed during periods of inactivity. A brace or splint can be removed for bathing, sleeping, or exercise
The nurse cares for adolescents with cancer. Which recommended psychosocial interventions will the nurse use to help the adolescents cope with their disease? Select all that apply. Control the amount of information given out about an adolescent's condition. Discourage relationships with other adolescents who have cancer. Postpone return to school for as long as possible to ensure an eventual successful return. Encourage the adolescents to make plans for the future. Encourage adolescents to engage in their usual activities. Be an advisor as well as a friend to the adolescents to promote cooperation in the care plan.
Encourage adolescents to engage in their usual activities. Encourage the adolescents to make plans for the future. Control the amount of information given out about an adolescent's condition. Be an advisor as well as a friend to the adolescents to promote cooperation in the care plan
Parents of a 7-year-old with spina bifida inform the nurse that they never go out unless one of the parents is at home with the child, because they are afraid to leave the child with anyone. What intervention can the nurse provide to assist them with this issue? Inform the parents that if they never go out, they will most likely end up divorced. Tell the parents that the nurse would be willing to babysit anytime they want to go out. Inform them that this is one of the pitfalls of having a special needs child and they will have to accept that they won't have the opportunity to go out alone. Encourage the parents to express their anxieties about leaving the child with someone else.
Encourage the parents to express their anxieties about leaving the child with someone else
An experienced nurse is orienting a new nurse to the oncology unit. Which action by the new nurse would require intervention? wearing gloves when administering chemotherapy washing hands well after administering chemotherapy providing information about nausea, mucositis, and susceptibility to infection pouring unused chemotherapy medicine into a sink drain
pouring unused chemotherapy medicine into a sink drain
The nurse is preparing a child for discharge following a sickle cell crisis. Which statement by the mother indicates a need for further teaching? "She has been down, but playing in soccer camp will cheer her up." "I bought the medication to give to her when she says she is in pain." "I put her legs up on pillows when her knees start to hurt." "She loves popsicles, so I'll let her have them as a snack or for dessert."
"She has been down, but playing in soccer camp will cheer her up.
An emergency room nurse prepares a pamphlet to use as a teaching tool for the proper care of sprains. What information might be included in this guide? Select all that apply. Bear weight under the arms, not on the hands, when walking with crutches. Perform ROM exercises for ankle and wrist injuries. Perform quadriceps and hamstring exercises for knee sprains. Wrap the extremity starting distal from the affected area. Promote early motion after acute injury of the soft tissue. Immobilize grade I and II ankle sprains with a temporary cast.
Promote early motion after acute injury of the soft tissue. Perform quadriceps and hamstring exercises for knee sprains. Perform ROM exercises for ankle and wrist injuries. Wrap the extremity starting distal from the affected area
