peds post test
A nurse working in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the parent about this disorder, which of the following statements should the nurse include in the teaching?
"Because of this disorder, your child is at an increased risk for injury."
A school-age child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal. Which question by the nurse would most likely help determine the etiology of the child's abdominal pain?
"Have there been any changes in your child's school or home life recently?"
When discharging a newborn, which injury prevention instruction would be of highest priority to tell the parents?
"Never leave the baby unattended on a raised, unguarded area."
A nurse is conducting a well child visit for a 4 month old and the mother states that she wants to start introducing baby food into the infant's diet. What statement by the mother indicates the need for further teaching?
"The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."
a nurse is caring for a 3-year old child whose parents report that she has an intense fear of painful procedure such as injections. which of the following strategies should the nurse add to the child's plan of care?
- have a parent stay with the child during procedures - perform the procedure as quickly as possible - allow the child to keep a toy from home with her
A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help foster the child's sense of autonomy?
Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe. AKA ADMINISTER THEIR OWN MEDICATIONS
What medication should be given to a child with transposition of the great vessels?
prostaglandin E
the mother of a 13 year old girls tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The child's mother asks the nurses for advice about what to do about her daughters weight gain. Which of the following should the nurse do?
inform the child's mother that it is common for teen girls to gain weight during puberty
A nurse is performing a developmental assessment on a child. Which of the following would be an appropriate developmental task for a 4 year old child?
kick and throw a ball / able to walk forward heel to toe
The nurse is teaching family members how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. The nurse should include in the parental education to:
Check at least two or three times a day for red areas under the straps
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Check the child's daily weight.
The nurse is providing care to a toddler-age child. Which assessment finding is indicative of abuse?
Inconsistency of stories between caregivers
A 7-month-old has a low-grade fever, nasal congestion, and a mild cough. What should the nursing care management of this child include?
Instilling saline nose drops and bulb suctioning.
A toddler is diagnosed with iron deficiency anemia which is found to be dietary in nature. What recommendation would the nurse make to the parents to enhance dietary iron intake to promote growth and development?
Limit milk to no more than 32 ounces a day.
The mother of a child who has been exposed to chickenpox telephones the pediatric clinic for advice. The triage nurse asks about which of the following before responding to the mother's request for information?
The child's exposure and immune status
The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response? "
Thirty minutes before feeding the child breakfast.
The patient fractured their left femur and receives a cast, six hours post-application the nurse notices that the patient's toes are edematous, what is the priority action?
check pedal pulses
A child is admitted to the unit with suspected pertussis. What type of precautions would this child be on?
droplet precautions
