peds final

A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?

Dry, flushed skin

a nurse is planning care for a 2 month old infant following a surgical procedure. which pain rating scale should be used

FLACC

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Facial edema

When assessing an infant with a tracheoesophageal fistula, which findings would be expected? Select all that apply. Crying when not being held Gagging during bottle feeding Blue discoloration around the mouth Coughing after latching onto breast for feeding Abnormally high platelet count and thrombin level

Gagging during bottle feeding Blue discoloration around the mouth Coughing after latching onto breast for feeding

A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (SATA)

Murmur Weak pulses Hypotension

A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which fluid should a nurse select for the infant?

Oral electrolyte solution

nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching

Our car seat is an infant model and is anchored in the car."

A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contradiction for this immunization?

The child has a congenital immunodeficiency.

Which factor is important to include in the teaching plan for parents of a child withLegg-Calvé-Perthes disease?

There is a disturbance in the blood supply to the femoral epiphysis.

A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?

Urine specific gravity 1.015

what is the major concern guiding you treatment for the child with Legg-Calve-perthehs disease? a. avoid permanent deformity b. minimize pain c. maintain normal activities d. encourage new hobbies

a avoid permanent deformity

the nurse should assess a child who has had tonsillectomy for which of the following as the priority? a. frequenct swallowing b. inspiratory stridor c. swelling of the throat d. abnormal lung sounds

a frequent swallowing

A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

a. Replace the child's toothbrush after 24 hr on antibiotics.

a 6-month old infant is due for routine immunizations. The parent reports the infant was exposed to pertussis 2 days ago. The nurse should a. give the 6 month immunization as scheduled b hold the immunization until the next visit

a. give the immunization

Meperidine (Demerol) is not recommended for children in sickle cell crisis because it: a. may induce seizures. b. is easily addictive. c. is not adequate for pain relief. d. is given by intramuscular injection.

a. may induce seizures.

a nurse is assessing a toddler who has suspected lead poisoning. which of the following findings should the nurse expect the client to manifest with acute lead poisoning

anorexia

The nurse is caring for a child with a suspected diagnosis of rheumatic fever, the nurse reviews the lab results. which lab study should assist in confirming the diagnosis of RF?

antistreptolysin O titer

Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease? (Select all that apply.) a. Limit fluids at bedtime. b. Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs. c. Give penicillin as prescribed. d. Use ice packs to decrease the discomfort of vasoocclusive pain in the legs. e. Notify the health care provider if your child begins to develop symptoms of a cold.

b. Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs. c. Give penicillin as prescribed. e. Notify the health care provider if your child begins to develop symptoms of a cold.

A school-age child is admitted in vasoocclusive sickle cell crisis. The child's care should include: a. correction of acidosis. b. adequate hydration and pain management. c. pain management and administration of heparin. d. adequate oxygenation and replacement of factor VIII.

b. adequate hydration and pain management.

a lumbar puncture is performed on a child suspected of having bacterial meningitis. CSF is obtained for analysis. A nurse reviews the results if the CSF analysis and determines that which of the following results would verify the diagnosis? a. cloudy csf, decreased protein and glucose b. cloudy csf, elevated protein, and decreased glucose c. clear csf, elevated protein, and decreased glucose d. clear csf, decreased pressure, and elevated protein

b. cloudy csf, elevated protein and decreased glucose

which should the nurse teach parents to expect to observe in the prodromal phase of rubeola a. macular rash on the phase b, kopliks spots c. petechiae on the soft palate d, crops of vesicles on the trunk

b. kopliks spots

a nurse is caring for a 17 year old client who is expecting a relapse of leukemia and is refusing treatment. The client's mother insists that the client receives treatment. which of the following actions should the nurse take? a. initiate the IV per the patients request b. notify the provider of the situation c. administer a sedative to calm the client d. offer the client an antiemetic

b. notify the provider of the situation

the nurse is reviewing the lab results for a child scheduled for a tonsillectomy. The nurse determines that which lab value is most significant to review? a. creatine b. prothrombin time c. sedimentation rate d, BUN

b. prothrombin time

a nurse is caring for a 2 YO who is hospitalized and throws a tantrum when his parents leave, which of the following toys should the nurse provide to alleviate the Childs stress? a. set of building blocks bb. toy hammer and pounding board c. picture book about hospitals d, stuffed animals

b. toy hammer and pounding board

a nurse is caring for a preschooler who has partial thickness burn on her right forearm. what findings should the nurse expect

blisters present on skin sensitive to touch wound blanches with pressure

a nurse is caring for a child who has acute glomerulonephritis. which of the following actions is the nurses priority

check daily weight

a nurse is caring for a child who has acute glomerulonephritis. which of the following actions should the nurse take

check the childs BP Q4

a nurse is preparing to teach about communicable diseases. during which stage/ period is the disease contagious

communicability period

a nurse is caring for a 3 YO child who has had 160ml of urine output over the past 8 hours. the child weighs 33 lbs. which of the following actions should the nurse take

continue to monitor the client

the nurse is assessing a 15 month old. the child uses a cup well but rotates the spoon before it reaches the mouth. The nurse interprets from this observation that this is an appropriate development of what

fine motor skills

Salter-Harris fractures

fractures of the epiphyseal plate, also known as the growth plate or the physis of long bones. These fractures only arise in children and adolescents, whose skeletal growth is not yet complete

a nurse in a pediatric clinic is caring for a child who had iron deficiency anemia and a new prescription for ferrous sulfate. which of the following instructions should the nurse provide the parents regarding administration of this medication>

give with orange juice

a nurse is reinforcing teaching with the parents of a 4 month old who has GERD. which of the following statements by the parent indicates an understanding of the teaching

i will add 1 teaspoon of rice cereal per ounce to my babys formula

a nurse is providing teaching about self administration of insulin to a parent of a school age child who has DM. which of the following statements by the parent indicates a need for further teaching

i will be sure my child aspirates before injecting the insulin

a nurse is caring for a male infant who has palpable mass in the upper quadrant and stools mixed with blood and mucus. The nurse recognize that which of the following diagnosis in associated with these findings

intussusception

a nurse in the emergency department is assessing an infant who is dehydrated. which of the following findings should the nurse expect

irritability

a nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. what interventions should be in place

latex free environment

a nurse is caring for a 2 day old who has myelomeningoele. which of the following actions should the nurse take

measure the infants head circumference

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

measuring the head circumference every shift

a nurse in an emergency department is assessing a 3 YO who has a high fever, sever dyspnea, and is drooling. which of the following actions is the nurses priority

prepare for nasotracheal intubation

a nurse is teaching car seat safety to a parent of an infant who weighs 4.5kg. which car seat position should the nurse include in the teaching

rear-facing in the middle of the back seat

a nurse is providing teaching to a parent of a child who has celiac-disease. The nurse should include which food choice for the child>

rice

a nurse is assessing a 3 YO at a routine wellness check. which finding should the nurse expect

stands on one foot for a few seconds

a nurse is caring for a child who is admitted with suspected acute appendicitis. which of the following manifestations should indicate to the nurse that the childs appendix is perforated

sudden decrease in abdominal pain

a nurse is caring for a 4 YO who has superficial partial thickness burns over and 50% of his body. when planning for the nutritional needs of the child, which of the following actions should the nurse plan to take

supplement the Childs feeding with enteral feedings

a nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. which of the following info should the nurse include in the discharge instructions

the reason why the child is taking the medication, written info about the medication and the adverse effects of the medication

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

weight gain

the nurse is assessing a 15 month old girl. the Childs mother reports that the child is bed wetting and throws tantrums when made to sit on the potty seat. which response by the nurse is appropriate>

you can start toilet training when the child is 18 months

A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

"I should eat a snack half an hour before playing soccer."

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

"I will keep my baby in an upright position after feedings."

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

"Offer fluids to your child multiple times every day."

A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

"This test will confirm if your child had a recent streptococcal infection."

nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

"We will give our child pancreatic enzymes with snacks and meals."

the nurse is reviewing a health care providers prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. which prescription documented in the childs record should the nurse question? (SATA) 1. restrict fluid intake 2. position for comfort 3. avoid strain on painful joints 4. apply nasal oxygen at 2L/ min 5. provide a high-calorie high protein diet Did 6. give meperidine, 25mg IV Q 4 for pain

1. restrict fluid intake 6. give meperidine 25mg IV Q 4 for pain

a 10 year old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? 1. warm dry skin 2. decreased wheezing 3. pulse rate of 90 BPM 4. respirations of 18 breaths/min

2. decreased wheezing

a nurse is admitting a new 6 month old who has dehydration. which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected fluid imbalance

2ml/kg/hr

A nurse is collecting data on a child who is descending stairs by placing both beet on each step while holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?

3 years

a nurse is admitting an infant who has severe dehydration from acute gastroenteritis. which finding should the nurse expect

3% weight loss

a 2 YO is admitted to a hospital burn unit with partial thickness burns involving 35% of body surface area. after admission assessment and review of the health care providers prescriptions, the priority nursing intervention should focus on which action? a. inserting an NG tube 2, sedating with morphine sulfate 3. inserting an indwelling catheter 4. restricting IV administrated fluids

3. inserting an indwelling catheter

The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? 1."We need to encourage adequate fluid intake." 2."Coughing spells may be triggered by dust or smoke." 3."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." 4."Good hand-washing techniques need to be instituted to prevent spreading the disease to others."

3."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."

A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? 1. Eggs 2. Penicillin 3. Sulfonamides 4. A previous dose of hepatitis B vaccine or component

4. A previous dose of hepatitis B vaccine or component

An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? 1. Monitor the infant for a fever. 2. Bring the infant back to the clinic. 3. Apply a hot pack to the injection site. 4. Apply a cold pack to the injection site.

4. Apply a cold pack to the injection site.

The nurse prepares to administer an intramuscular injection to a four month old infant. The nurse selects which best site to administer the injection? 1. Ventrogluteal 2. Lateral deltoid 3. Rectus femoris 4. Vastus lateralis

4. Vastus lateralis

The clinic nurse instructs parents of a child with sickle cell anemia about precipitating factors rlated to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction? 1. stress 2. trauma 3. infection 4. fluid overload

4. fluid overload

a child with type 1 DM is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. anticipating the plan of care, the nurse prepares to administer which type of IV infusion 1. K infusion 2. NPH insulin infusion 3. 5% dextrose infusion 4. normal saline infusion

4. normal saline infusion

Lab studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the results, knowing which result indicates this type of anemia? 1. elevated hemoglobin 2. decreased reticulocyte count 3. elevated RBC count 4. red blood cells that are microcytic and hypochromic

4. red blood cells that are microcytic and hypochromic

a nurse participating in lead screening at a community center. The nurse should instruct parents to bring their children back for re-screening on a year for which of the following lab values

4mcg

What is the major concern guiding treatment for the child with Legg-Calvé-Perthes disease?

Avoid permanent deformity

You are assessing an infant who was found by a caregiver lying of the floor. You notice that the infant has a "bulging" fontanelle", which may be an indication of: A) dehydration B) elevated intracranial pressure C) external hemorrhage D) hypertension

B) elevated intracranial pressure

You are a nurse working in a pediatric clinic seeing patients of all races and cultures. You are assessing a family who is from Mexico. The father speaks some English and you were able to get from him that the mother has been giving their child Azarcon and Greta for the child's digestive problems but the problems have just gotten worse and the child's behavior has changed. Which of the following should the nurse be concerned about? A. Possible iron-deficiency anemia B. Lead poisoning from Azarcon and Greta C. Child abuse from not taking the child in sooner D. Father is Mexican and is probably working in construction

B- Azarcon and Greta are orange powders that contain lead. They are commonly given in Mexican culture for digestive problems. (A- this can increase absorption of lead, but no info is given to suspect anemia. C- the child's cultural remedies are not child abuse D- this is stereotyping)

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

B/P of 92/55

a nurse is assessing an adolescent who experienced blunt trauma to the abdomen. which of the following findings is the nurses priority

BP 92/50

a nurse is reviewing the labs of an adolescent who has glomerulonephritis. what finding should be expected

BUN 50

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis.

Cardiovascular

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

Chloride sweat test

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse determines that the procedure was effective with which of the following findings?

Clear breath sounds

A nurse at a pediatric office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. what instructions should the nurse provide the parents

contact poison control center

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever.

"Has your son had a sore throat recently?"

a nurse is caring for an 8-year old child who has rheumatic fever. which of the following assessments is the nurses priority immediately after admission? 1. auscultating the rate and characteristics of the Childs heart sounds 2. using a pain-rating tool to determine the severity of the joint pain 3. identifying the degree of parental anxiety related to diagnosis 4. assessing the Childs erythematous rash

1. auscultating the rate and characteristics of the Childs heart sounds

the mother of a 4 year old child tells the pediatric nurse that the childs abdomen seems to be swollen. During further assessment of subjective data, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of willms tumor, should avoid doing what during the physical exam? 1. palpating the abdomen for a mass 2. assessing the urine for the presence of hematuria 3. monitoring the temperature for the presence of a fever 4. monitoring the blood pressure for hypertension

1. palpating the abdomen for a mass

Depth of chest compressions for infants:

About 1.5 inches

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Albuterol

what is the priority nursing intervention for a 6-month-old infants hospitalized with diarrhea and dehydration? a. estimating insensible fluid loss b. collecting urine for culture and sensitivity c. palpating the posterior fontanel d. measuring the infants weight

D. measuring the infants weight

A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Encourage parents to rock infant

A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?

Influenza, live attenuated (LAIV)

A nurse is admitting a toddler who has Respiratory Syncytial Virus (RSV). Which action should the nurse take?

Initiate airborne precautions.

A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdominal area and that his urine is a pink color. Which of the following actions is the nurse's priority?

Instruct the parent to avoid pressing on the abdominal area.

a nurse is preparing to administer vaccines to a 1-year old child. Which of the following vaccines should the nurse give? (SATA)

Measles, mumps, and rubella (MMR) Varicella (VAR)

A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine in the diaper. Which of the following disorders should the nurse suspect?

Wilms Tumor

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

Place the child on droplet precautions.

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Placing her child on the back when sleeping will decrease the risk of SIDS.

A school nurse is performing a routine health assessment for a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis?

Pruritus of the scalp

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take?

Reposition the child every 2 hr.

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Scoliosis

A nurse is caring for a school-aged child who has sickle cell anemia and was admitted for a vaso-occlusive crisis. Which of the following findings should the nurse report to the provider immediately?

Slurred speech

the nurse is assessing a 3-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect?

Stands on one foot for a few seconds

metabolic acidosis is a trigger for sickle cell crisis t/f

T

Which factor should the nurse include when teaching a parent about the care of a newborn in a Pavlik harness for hip dysplasia?

The harness is used to maintain the infant's hips in flexion and abduction and external rotation.

a nurse is assessing a toddler at a well-child visit. at what point in the physical should the nurse examine the childs tympanic membrane

at the end

a nurse is providing teaching about iron deficiency anemia to the parents of a toddler. recommendations to prevent iron deficiency anemia

avoid a diet that consists primarily of milk

a nurse is providing education to a school age child who has a new diagnosis of asthma. which statement should the nurse include in the teaching

avoid triggers that cause an attack

If the HR is less than 60, begin what?

chest compressions

a nurse is caring for an infant who has a tracheoesophageal fistula. what findings should the nurse expect?

coughing apnea cyanosis frothy saliva

a nurse is teaching a client about positive signs of pregnancy which findings should the nurse include

fetal heart tones detected by ultrasound

a nurse is caring for a 6 month old. which findings indicates pain

furrowed brow

Which is not recognized as a trigger or an intensifier for Sickle cell crisis? A. dehydration; B. Hirschsprung Disease; C. deoxygenation; D. acidosis

hirschsprung disease

a nurse is assessing an infant following a motor vehicle crash. which of the following findings should the nurse monitor for identifying increased intracranial pressure?

increased sleeping

a nurse is caring for a pre0school age child who has epiglottis with barking cough. which acton should the nurse take

monitor oxygen saturation

a nurse is assessing a preschooler who has a calcium level of 8 what finding would the nurse expect

muscle tremors

a nurse is providing anticipatory guidance about child development to the parents of a preschooler. which of the following developmental tasks should the nurse include as being expected of a preschooler

participates in imaginary play

a nurse is caring for an infant who has congenital heart defect. which defect is associated with increased pulmonary blood flow

patent ductus arteriosus

a nurse is planning care for a client who has ingested a large amount of acetylsalicylic acid. which of the following actions should the nurse take

perform gastric lavage with activated charcoal

a nurse is planning care for a child who has suspected epiglottis. which action should the nurse take

place the child in an upright position

a nurse is teaching a school age child who has type 1 DM and his parents about his illness management

test the urine for ketones

True or false: the most common cause of sickle cell crisis is related to dehydration?

true

a nurse is providing health promotion teaching to an adolescent. which of the following info should the nurse teach

your need for sleep will increases during periods of growth

a nurse is providing discharge teaching to the parent of a child who has a new diagnosis of DM. which statement by the parent indicates understanding

my son might complain of feeling shaky when he has low blood glucose level

a nurse is providing teaching to a parents of a child who has a fx of an epiphyseal plate. which statement should the nurse make

normal bone growth will be affected

A health care provider prescribes laboratory studies for an infant of a woman positive for human immunodeficiency virus (HIV). The nurse anticipates that which laboratory study will be prescribed for the infant?

p24 antigen assay

a nurse is caring for a toddler who is having difficulty sleeping during hospitalization. which of the following actions should the nurse take to promote sleep

provide a bed time ritual

a nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which action indicated the teaching has been effective?

takes axillary temp

a nurse is obtaining vital signs from 2 month old infant. the infants heart rate is 190 and his temp is 40C the father asks why the infants heart rate is beating so fast

the fever is causing an increase in your babys heart rate

a nurse is caring for an infant who has GERD. the nurse should recognize what findings associated with this condition

vomiting weight loss wheezing

a nurse is providing teaching to the parents of a 1 week old infant who has prescription for home oxygen and pulse oximetry monitoring. which of the following statements by the parents indicate an need for further teaching

we will rotate the probe of the pulse oximeter every 24 hours

a nurse is preparing to assist with applying a cast to a preschoolers arm. whihc action should the nurse take first>

wrap the arm of the childs doll or toy prior to the procedure

a nurse is assessing a toddler who has acute nephrotic syndrome. which of the following findings should the nurse report

yellow nasal discharge

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). on the basis of this finding, which is the most appropriate nursing action? 1. initiate strict enteric precautions 2. move the infant to another room with another child with RSV 3. leave the infant in the present room because RSV is not contagious 4. inform the staff that they must wear a mask, gloves, and a gown when caring for the child.

2. move the infant to another room with another child with RSV

The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. which intervention should the nurse perform immediately? 1. reinforce the dressing 2. notify the health care provider 3. document the findings and continue to monitor 4. circle the area of drainage and continue to monitor

2. notify the health care provider

the mother of a 6 YO child who has type 1 DM calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the childs urine and it was positive for ketones. The nurse should instruct the mother to take which action? 1. hold the next dose of insulin 2. come to the clinic immediatedly 3. encourage the child to drink liquids 4. administer an additional dose of regular insulin

3. encourage the child to drink liquids

A child hospitalized with pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has provided instructions to the parents for home care of the child. Which statement by a parent indicates a need for further teaching? 1. "It is important that my child drinks plenty of fluids." 2. "A quiet environment helps to prevent episodes of coughing spells." 3. "We need to teach the other members of the family how to use good hand washing techniques to prevent the spread of infection." 4. "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them."

4. "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them." Rationale:Pertussis is transmitted by direct contact or respiratory droplets from coughing. The infectious period occurs during the catarrhal stage (from the first to second week until the fourth week). Respiratory isolation is not required during the convalescent stage.

a new parent expresses concern to the nurse regarding SIDS. she asks the nurse how to position her new infant for sleep. in which position should the nurse tell the parent to place the infant? 1. side or prone 2. back or prone 3. stomach with the face turned 4. back rater than on the stomach

4. back rather than on the stomach

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. which statement should the nurse make to the parent? 1. the immunization schedule will need to be altered 2. the child should not receive any hepatitis vaccines 3. the child will receive all of the immunizations except for the polio series 4. the child will receive the recommended basic series of immunization along with a yearly influenza vaccine

4. the child will receive the recommended basic series of immunization along with a yearly influenza vaccine

A mother brings her 4-month-old infant to the well-baby clinic for immunizations. Which immunizations should be administered to this infant? 1.Diphtheria, tetanus, acellular pertussis (DTaP), Measles, mumps, rubella (MMR), inactivated poliovirus vaccine (IPV) 2.Varicella and hepatitis B vaccines 3.MMR, Hib, DTaP 4.DTaP, Hib, IPV, pneumococcal vaccine (PCV)

4.DTaP, Hib, IPV, pneumococcal vaccine (PCV)

a nurse is collecting data from an infant at a well-child visit. the nurse should understand that birth weight typically doubles by what age

5 months

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. The nurse should recognize these findings are associated with which of the following diagnoses?

Bronchiolitis

a nurse is caring for a child who has a suspected diagnosis of bacterial meningitis what action should the nurse perform

administer antibiotics when available

a nurse is caring for a toddler who is 24 hrs post cleft palate repair. which action should the nurse take?

administer opioids for pain

a home heath nurse is teaching a childs parents about endotracheal suctioning. what info should the nurse include in the teaching

apply suction for less than 10 seconds

a nurse is caring for a child who is having a tonic-clonic seizure and vomiting. which of the following actions is the nurses priority? a. place pillow under head b, position side lying c loosen restrictive clothing d, clear area of hazard

b position side lying

The nurse is preparing to care for a child after a tonsillectomy, The nurse documents on the plan of care to place the child in which position? a. supine b.b side-lying c. high fowlers d. trendelenburg

b. side lying

after a tonsillectomy, the nurse reviews the health care providers post op prescriptions. which prescription should the nurse question? a. monitor for bleeding b. suction every 2 hours c. give no milk or milk products d. give clear, cool liquids when awake and alert

b. suction every 2 hours

a nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. The nurse should recognize these findings as

bronchiolitis

a nurse is caring for a school-aged child who has acute glomerulonephritis with peripheral edema and it is producing 35ml of urine per hour. the nurse should place the client on which diet

low sodium fluid restriction

a nurse us admitting a 6 month old who had dehydration. which amount of urinary output should indicate that the treatment has corrected the fluid imbalance>

2ml/kg/hr

a nurse is assessing an 11 month old infant. which finding is associated with CNS infection?

bulging fontanel

which statement made by parents of a child with cystic fibrosis indicates that they understood the nurses teaching on pancreatic enzyme replacement? a. enzymes will improve my Childs breathing b. i should give the enzymes 1 hour after meals c. enzymes should be given with meals and snacks d. the enzymes are stopped if my child begins wheezing

c. enzymes should be given with meals and snacks

The nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki disease. when obtaining the childs medical history. which manifestation is likely to be noted?

conjunctival hyperemia

a nurse is caring for a child who is 2 hours post op following a tonsillectomy. which of the following fluid items should the nurse off the client at this time?

crushed ice

the clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. which, if identified by the parents as a precipitating factor, indicated the need for further instruction? a. stress b. trauma c. infection d. fluid overload

d. fluid overload

a child is admitted with a suspected diagnosis of wilms tumor. the nurse should place a sign with what warning over the bed

do not palpate the abdomen

A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents?

"Have your child sit with their head tilted forward and hold pressure on her nose for 10 minutes."

A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching?

"Our child's blood count will need to be monitored routinely for several weeks"

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

0.5 mL/kg/hr

What is the schedule for frequency of well-child visits?

-First week of life -2 weeks -1 months -2 months -4 months -6 months -9 months -12 months -15 months -18 months -2 years -2.5 years -3 years -Annually until age 6 years -Every 2 years from age 6 to adolescence -Adolescence: every 2 years for complete health maintenance, every year for risk-reduction visit

A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

1 cup ready-to-eat cereal flakes

A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?

A child who has nephrotic syndrome

A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?

Allow the infant to stand in the crib

A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?

An 11-year-old school-age child

When assessing an infant with a tracheoesophageal fistula, which findings would be expected? Select all that apply. Crying when not being held Gagging during bottle feeding Blue discoloration around the mouth Coughing after latching onto breast for feeding Abnormally high platelet count and thrombin level Gagging during bottle feeding

Blue discoloration around the mouth Coughing after latching onto breast for feeding

A nurse is caring for a child who has Kawasaki disease. Which ofthe following systems should the nurse monitor in response to thisdiagnosis.

Cardiovascular

A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?

Elbow

when collecting the history about a child who presents with signs of glomerulonephritis, the nurse should report which most important finding to the health care provider?

Streptococcal throat infection 2 weeks before diagnosis

When giving CPR to an infant, the cycle of compressions and breaths is

c. 30 chest compressions and 2 rescue breaths

When giving an infant CPR, how should you place your hands when giving chest compressions?

d. One hand on the forehead and two fingers on the center of the chest

a nurse is teaching the parents of an infant who has pavlik harness for the treatment of developmental dysplasia of the hop. the nurse should ID that which of the following statements by the parent indicates an understanding of the teaching a. i should remove the harness at night to allow my infant to stretch her legs b. i will need to adjust the straps on the harness once a week c. i should apply baby powder yo my infants skin twice daily d. i will place my infants diaper under the harness straps

d. i will place my infants diaper under the harness straps

the nurse is collecting data on a child with a diagnosis of rheumatic fever. which question should the nurse initially ask the mother of the child?

has the child complained of a sore throat within the past few months

a parent of a toddler ask a nurse at a well child visit how the childs frequent temper tantrums can best be handled. which actions should the nurse suggest to the parent

ignore the temper tantrums

a nurse is caring for an infant who had GERD. the nurse should place the infant in which position following a feeding

in the infant car seat

a nurse is caring for a toddler whos parents states while bathing the child she noticed a mass in his abdominal area and that his urine is a pink color

instruct the parent to avoid pressing on the abdominal area

a parent tells the nurse that her toddler drinks a quart of milk a day and has poor appetite for solid foods. the nurse should explain that the toddler is at risk for>

iron deficency anemia

a nurse administering ear drops to a toddler and pulls the auricle down and back. the mother as "why are you pulling the ear that way?" which is the nurses response

this technique opens the ear canal, allowing medication to reach the inner region

a nurse is caring for an infant who has diaper dermatitis. which action should the nurse take

use a moisturizer to wipe from the skin