Quizlet Nursing Care of Children
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following lab values should the nurse expect? A. platelets 500,00 B RBCs 2.5 million C. WBCs 4000 D Hct 60%
B, this is below the expected range
A nurse is teaching a newly hired nurse about caring for an infant who is postoperative following a myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications? A. hydrocephalus B. congenital hypotonia C. otitis media D. osteomyelitis
A this surgery causes the pathway for cerebral spinal fluid to be altered
A nurse is providing teaching to an adolescent who was recently diagnosed with type 1 DM. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions? A. hip B upper arm C. thigh D lower leg
A vigorous exercise can enhance the absorption of insulin from an involved extremity.
A nurse is assessing an adolescent who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect? A. increased BP B. lanugo over the back C. oily skin with acne D. elevated body temp
B, other manis include hypothermia, hypotension and dry skin
A nurse is performing a physical assessment on a 6-month old infant. Which of the following reflexes should the nurse expect to find? A. stepping B babinski C. extrusion D. moro
B stepping disappears in 4 weeks moro reflex is gone by 3-4 months
A nurse is assessing a child who sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the child's nose. Which of the following actions should the nurse take? a. perform nasotracheal suctioning B test the nasal secretions for glucose C maintain direct lighting on the child D lower the head of the bed
B
A nurse is caring for a 4-year old child who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect? A. crying and screaming B. inactivity and thumb sucking C. showing interest in nearby toys D. attempting to escape and find the parent
B
A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse perform? A. place the child in a supine position B apply pressure to the childs nose using the thumb and forefinger C. have the child tilt his head back D apply a warm cloth to the bridge fo the childs nose E keep the child calm
B,E
A nurse is providing preoperative education for an 8-year old child prior to cardiac surgery. Which of the following actions should the nurse take? a. provide education for the child immediately before surgery B. plan a teaching session that will last no longer than 60 minutes C. use a doll with tubes and an incision to explain the surgery D. discuss methods to cover the scar once healing has occured
C teaching should be done up to 1 day before the procedure teaching should last no longer than 20 minutes
A nurse is caring for a toddler. Which of the following lab findings should the nurse report to the provider? A BUN 8 B uric acid is 3.0 C creatinine 0.9 D urine specific gravity 1.010
C the expected reference range is 0.3-0.7 expected BUN is 5-18 uric acid 2.0-5.5 specific gravity 1.001-1.030
A nurse is caring for a 12 month old infant following the surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments? A. spoon B. straw C. firm nipple D. cup
D
a nurse in the emergency department is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take? A. ask the child if his parents are responsible for the abuse B. notify the facility's risk manager C. interview the child with his parents present D. report the suspected abuse to local authorities
D
A nurse is caring for a 7-year old child who is in skeletal traction following a complete fracture of the femur. Which of the following diversional activities should the nurse offer the child? A. puzzle with large pieces B. building blocks C. finger paint D. chapter books
d Preschooler should get the puzzle preschooler should get the blocks toddler does finger painting
Varicella
may first present with a maculopapular rash that progresses to vesicles on erythematous bases, which eventually rupture and crust over
Measles
might develop Koplik spots, a transient cephalocaudal rash of maculopapular eruptions of the upper trunk and face. The rash becomes more confluent as it spreads to lower areas of the body
Fifth disease
usually begins with bright red cheeks, "slapped cheek", then a rash appears on the extremities and trunk. the rash fades centrally, giving lacy (reticulated) appearance)
Tetanus
will have lockjaw and muscle rigidity. no rash
A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions? A. side-lying B. semi-recumbent C. flexed sitting D. supine
D, with legs in a frog position
A nurse is caring for a 16-year old client who reports dysmenorrhea and asks about alternative therapies for treatment. Which of the following statements should the nurse make? A. herbal medication can be effective but should be monitored by your provider B. you should place a cold compress on your lower abdomen to decrease inflammation C. you should limit exercise, which can increase the pain D. avoid touching the painful areas because this can increase your discomfort
A
A nurse is caring for a group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? A. transposition of the great arteries B. ventricular septal defect C. coarctation of the aorta D. patent ductus arteriosus
A
A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the family to expect the preschooler to have which of the following concepts of death? A. people can come back to life after they die B death eventually occurs for all people C death is a scary monster that causes people to die D. people are unable to be anything but alive
A
A nurse is creating a plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include? A. monitor the child's O2 sat B. administer prescribed antibiotics to the child C. increase the child's fluid intake D. apply warm compresses to the child's affected joints
A
A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy in children? A. cow's milk B. wheat bread C. corn syrup D. eggs
A
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants? A. they provide direct stimulation of auditory nerve fiber B. they conduct sound waves through the mastoid bone to the cochlea C. they process digital sound to amplify several sound frequencies D. they convert vibrations in the ear's structures to electrical signals
A
A nurse is assessing a 4-year old child. The nurse should expect the child to be able to perform which of the following activities? A fastening buttons on a shirt B tying shoelaces C parting and combing hair D cutting the meat at dinner
A A 7 year old can part their hair and cut tender pieces of meat
a nurse is planning care for a 4-year old child who has nephrotic syndrome. Which of the following actions should the nurse take? a. provide thorough skin care B. test for blood type and cross-match C. allow ample hydrating fluids D. maintain a low-carbohydrate diet
A, important due to edema fluid restriction may be necessary the childs diet might require protein, sodium, and fat restrictions
A nurse is caring for an infant who is experiencing dehydration. Which of the following assessment is the nurse's priority? A. measure the client's weight daily B check for tears C palapte the fontanel D. assess skin turgor
A, most sensitive indicator of fluid balance in clients of all ages
A nurse is preparing to administer routine immunizations to a 6-year old child. In addition to the DTap vaccine; the MMR, and the varicella vaccine, which of the following immunizations should the nurse plan to administer? A inactivated poliovirus B Hib C pneumococcal conjugate vaccine (PCV) D. Hepatitis B
A. the fourth dose of this is done between 4-6 years of age (the first 3 doses are administer between 2-18 months Hib at age 2,4, and 6 months as well as at age 12-15 PCV 2, 4, 6, and 12-15 months of age HBV within 12 hours of birth, then at 1-2 months, then 6-18 months
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in the teaching? A. your child's immunizations today will be half doses B. the pneumococcal and influenza vaccines are recommended for your child C. immunizations will be delayed until your child tests HIV negative D. your child will need to restart the immunization schedule once your child;s laboratory values are within the reference range
B
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor? A. preeclampsia B alcohol consumption C placenta previa D late prenatal care
B
A nurse is planning care for an infant who has heart failure. Which of the following interventions should the nurse include in the plan to meet the nutritional needs of the infant? a. offer the infant a feeding every 2 hours b allow 30 min to complete each feeding C. gradually increase the caloric density of the formula D. position the infant semi-upright during feedings E provide gavage feeding if RR exceeds 80/min
B, C, D, E
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? A. bradycardia B. nausea C. hypertension D. urticaria E. stridor
BDE tachycardia will exhibit. Hypotension will occur
A charge nurse is providing education about child maltreatment to a group of newly licensed nurses. Which of the following pieces of information should the charge nurse include in the teaching? A preschoolers have the highest rates of maltreatment B in a single-parent household, the parent's non-biological partner is typically the abuser of the child C children who were born prematurely are more likely to be maltreated D. child maltreatment occurs equally across all socioeconomic groups
C
A nurse in the emergency department is caring for a 12-year old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? A. the absence of oral burns excludes the possibility of esophageal burns B treatment focuses on neutralization of the chemical C injury by a corrosive liquid is more extensive than by a corrosive solid D. immediate administration of activated charcoal is warranted
C
A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult? A. less extracellular fluid B reduced body surface area C. longer intestinal tract D. decreased rate of metabolism
C
A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? A. apply cold compresses to the child's extremities B. administer meperidine every 4 hours until the crisis has resolved C. maintain the child on bedrest D. decrease the child's fluid intake for 8 hours
C
A nurse is reviewing the lab values for a 6-month old infant who has acute renal failure. Which of the following findings should the nurse expect? a. BUN 5mg/dL B. creatinine 0.2 C. sodium 125 D. potassium 4.2
C
a nurse is caring for a school-aged child who had an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complication related to the casting? A. the child reports a pain level of 5 on a scale of 0-10 B. the child's hands are cool bilaterally C. the child reports tightness at the wrist D. the child's grasp is weak
C
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which of the following statements by the parent indicates an understanding of the teaching? a. impetigo is caused by a virus B impetigo is contagious for 48 hours after vesicles rupture C. i will wash my childs clothes in hot water D. my child now has immunity against impetigo
C, this will kill the bacteria, also keep towels/washcloths separate spread from direct contact and is contagious until the time of initial appearance of lesions until all have healed
A nurse is caring for a toddler who has otitis media and a temperature of 39.1 C (102.4 F). Which of the following actions should the nurse take first? A reduce the temperature of the child's room B. redress the child in minimal clothing C. apply cool compresses to the child's forehead D. administer an antipyretic to the child
D
A nurse is planning to use guided imagery for an early school-aged child who continues to have mild discomfort following the administration of an analgesic. Which of the following techniques should the nurse plan to use? A. give the chil a kaleidoscope and ask the child to find different desgins B. encourage the child to take a deep breath and let the body go limp on the exhale C. teach the child to picture a stop sign whenever the pain begins D. encourage the child to focus on a recent pleasurable experience
D
A nurse is assessing the fine motor skills of a 3-year old preschooler. Which of the following findings should the nurse expect? A. the preschooler can draw a stick figure that has 7 parts B. the preschooler can print her first name C. the preschooler can cut out a picture using scissors D. the preschooler builds a tower of 9 cubes
D a 5 year old can draw the stick figure with 7-9 parts a 5 year old can write a few letters or numbers such as her first name a 4 year old preschooler can cut out a picture
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse expect? A. generalized petechia B jaundice C obesity D chronic diarrhea
D along with FTT and weight loss
A nurse is assessing a 6-month old infant at a well-child visit. Which of the following findings indicates the need for further assessment? A the infant is grabbing the fett and pulling them to the mouth B the infant has a closed posterior fontanel C the infant's legs remain crossed and extended when supine D. the infants birth weight has doubled
C, at this age the legs should flex at the knees when the infant is supine. This may be associated with CP at this age should also be able to pick up a dropped object and hold a bottle, (anterior closes by 18 months, posterior by 2 months)
A nurse is assessing a 10-month old infant at a well-infant checkup. Which of the following assessment findings should the nurse report to the provider? A. the infant is unable to walk independently B. the infant's moro reflex is absent C. the infant's anterior fontanel is open D. the infant needs assistance to sit up
D, should be able to sit up unsupported by 8 months
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take? A. administer aspirin B. tilt the child's head back and apply pressure C. have the child lie down and rest D. apply continuous pressure to the lower part of the child's nose
D, apply pressure for 10 minutes tilting the head back allows blood to flow down the back of the throat, causing nausea
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? A. restrict the child's potassium intake B. administer acetaminophen to the child twice daily C. weigh the child once each week D. keep the child away from people who have an infection
D a child who has acute glomerulonephritis should have restricted potassium intake corticosteroids are the first-line treatment
A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognized as an adverse effect of opioids? A. dilated pupils B tremors C yawning D pruritis
D along with constipation, resp depression, N, V, agitation, ortho hypo, hallucinations
A nurse is teaching a parent of a 12 month old infant about development during the toddler years. Which of the following statements should the nurse include? A. your child should be referring to himself using the appropriate pronouns by 18 months of age B a toddler first shows interest in looking at pictures at 20 months of age C a toddler should have daytime control of his bowel and bladder by 24 months of age D your child should be able to scribble spontaneously using a crayon at 15 months of age
D pronouns don't occur until 30 months 15 months of age for pictures bladder control by 30 months
A nurse is providing teaching to a parent of a preschooler who has tinea capitis. Which of the following instructions should the nurse include in the teaching? A apply aluminum acetate solution compresses to the lesions B apply hydrocortisone cream to the lesions twice daily C. seal nonwashable toys in a plastic bag for 2 weeks D. leave the medicated shampoo on the scalp for 5-10 minutes
D shampoo is 2% ketoconazole or 1% selenium sulfide
A nurse is planning care for a 6 year old child who is receiving chemotherapy. The child has a platelet count of 20,000. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care? A. provide foods high in iron B. avoid people who have infections C. administer PRN oxygen D. encourage quiet play
D since at risk for bleeding
A nurse is assessing the development of a 3-year old child. Which of the following gross motor skills should the nurse expect the child to be able to perform? A. skipping around the room B hopping on 1 foot C. throwing ball overhead D. standing on 1 foot
D the rest are done by a 4 year old
A nurse in a pediatric clinic is caring for a 3-year old child who has a blood lead level of 3mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following pieces of information is appropriate for the nurse to include? A. decrease the child's vitamin C intake until the blood lead level decreases to zero B. administer a folic acid supplement to the child each day C. give pancreatic enzymes to the child with meals and snacks D. ensure the child's dietary intake of calcium and iron is adequate
D this reduces the absorption of and effects from lead (drink milk)
a nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take? A. wash and dry the infant's genitalia and perineum thoroughly B. apply a small coating of water soluble lubricant to the skin of the infant's perineal area C. avoid placing the scrotum inside the collection bag D. wait several hours after positioning the device before checking it
A, this promotes application fo the adhesive of the collection device
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include? A. machine-wash clothing in cold water B. dry clothing in a hot dryer for at least 20 minutes C. soak combs and brushes for 5 minutes in boiling water D. seal non-washable items in a bag for 7 days
B soak for 10 minutes seal for 14 days
A nurse in an emergency department is assisting with the care of a 4-year old child who ingested toilet bowl cleaner. The child has hemoptysis, is crying, and states "It burns". Which of the following actions should the nurse perform? A. identify how much cleaner was in the bottle B administer activated charcoal C. perform immediate gastric lavage D. insert a IV for morphine admin E apply a pulse ox
ADE
A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. The nurse should expect which of the following findings? A. 8 deciduous teeth B. ability to build a tower of 6 blocks C. vocabulary of 10-20 words D. slighty bowed or curved leg appearance E. head circumference greater than chest circumference
B, D should have 16 teeth 300 word vocab
A nurse is assessing a 4-year old child for growth and developmental milestones during a well-child visit. Which of the following findings suggests a possible delay in development? A. inability to tie shoes B. adding 3 parts to a stick figure C. speaking using 2-3 word sentences D. inability to walk backward
C should be speaking 4-5 word sentences, other is for 2 year olds (walking backward is done by 5 year olds)
A nurse is providing education to the parent of a toddler who is about to receive an MMR immunization. Which of the following statements by the parent indicates an understanding of the teaching? A. my child should not play with other children for 2 days B. i will need to return in 2 weeks for my child to receive the varicella immunization C. i will help my child to blow bubbles during the injection D my child may have some drainage from the injection site
C this child is not contagious these vaccines can be administered at the same time
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant? A. side-lying B. supine C. prone D. semi-fowlers
C this position reduces pressure and the risk of trauma to the sac
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection? A. koplik spots B. peripheral neuropathy C. chancre D. candidiasis
D, thrush is often the initial opportunistic infection in an HIV-positive child who is developing AIDS -Koplik spots are oral lesions that indicate rubeola, appear on the buccal mucosa -a chancre is a red, circumscribed, crusted oral lesion on the lip of someone with syphilis
A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of ambylopia? A. patch the unaffected eye B administer mydriatic eye drops daily C. obtain a prescription eyeglasses D. administer antihistamines
A amblyopia is a disorder of the eye which unilateral central blindness occurs as a result of another problem such as strabismus. With strabismus, muscle weakness allows an eye to wander so that the child cannot focus on an object with both eyes at the same time. Need tx by 6 years old. Will strengthen the weak eye muscles
a nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current BG level of 250 mg/dL. Which of the following actions should the nurse take? A. administer 5% dextrose in 0.9 % sodium chloride by continuous IV infusion B. give potassium as a rapid IV bolus C. administer 3 unit sof ultralente insulin subq D. obtain an HbA1c level stat
A, goal is to maintain BG levels between 120-240. if dextrose is not added, hypoglycemia may occur
a nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction? A. bradycardia B. respiratory depresison C. nasal flaring D. barking cough
C other indications include tachycardia, tachypnea, increasing restlessness, flaring nares, intercostal retractions
A nurse is providing teaching to the guardians of an infant who has FTT. Which of the following pieces of information should the nurse include in the teaching? A. add fortified rice cereal to the infant's formula B alternate feedings between several family members C. offer the infant juice between feedings D. provide feedings on demand rather than on a scehdule
A the nurse should inform parents to add fortified rice cereal or vegetable oil to the infant's formula to help promote weight gain
A nurse is assessing an 18-month old toddler during a well-child examination. Which of the following findings should the nurse report to the provider? A. The toddler is unable to remove his shoes B. the toddler is unable to draw a plus sign C. the toddler is unable to jump off a step D. the toddler is unable to turn 1 page of a book at a time
A 30 months should be able to draw 30 months can jump single page at 24 months (this age will turn multiple at once)
A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is/are the result of chronic vaso-occlusive phenomena? a. enlarged heart B enuresis C. leg ulcers D. extrahepatic cholestasis E. retinal detachment
A, B, C, E
A school nurse is providing dietary teaching for an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? A. i should eat extra food on busy days when I'm more active B i should wait for 2 hours after eating before going swimming with my friends C. I should increase my intake of sugar-free fluids when I am sick D. I should eat a snack 30 minutes before my baseball games start E. i should have a 16oz sports drink if I start feeling weak or shaky
A, C, D
A nurse at a clinic is preparing to administer immunizations to a 5-year old child. Which of the following immunizations should the nurse plan to give? A. DTap B. pneumoccoal PCV C. haemophilus influenzae type b (Hib) D. hepatitis B (hep B)
A, children should receive booster doses between the ages of 4-6 -infants should receive the PCV at 2 months, 4 months, and 6 months, as well as the 4th dose between 12-18 months -Infant should receive the Hib at 2 months, 4 months, and 6 months as well as a fourth dose around 12-18 months -the Hep B is given at birth, 1-2 months, and 6-18 months
A nurse is providing anticipatory guidance about the accidental ingestion of a toxic substance to the parents of a toddler. The nurse should instruct the parents to take which of the following actions first if the child ingests a hazardous substance? A. give the toddler milk B. go to an emergency department C. call the poison control center D. induce vomiting
C
A nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse give the guardian? A. children commonly begin having imaginary friends when they reach school age B notify your provider if the imaginary friend persists longer than 6 months C. have your child take responsibility for actions if he tries to blame the imaginary friend D. set limits by not allowing your child to have the imaginary friend present during family meals
C
An 18 month-old infant has pneumocystis carinii pneumonia. Results of enzyme-linked immunosorbent assay (ELISA) testing indicate that she is HIV positive. When planning care, the nurse should consider which of the following actions? A. the infant's mother is likely HIV positive B the infant's ELISA test result is probably a false positive for HIV C antiretroviral medications are inappropriate for infants and children who have HIV D. HIV-positive status is a contraindication for MMR immunizations
A
The nurse is providing teaching to the parent of a 4-year old child who stutters. Which of the following statements by the parent indicates an understanding of the teaching? A. i should ignore the stuttering and not interrupt her B. i should finish my child's sentence if she is stuck on a word C. i should reward my child when she doesnt stutter D. i should tell my child to slow down when she starts stuttering
A
A nurse is reviewing the medical record of a 2 month old infant who has rotavirus. The nurse notes a hemoglobin level of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? A. the infant might be dehydrated B. the infant might be anemic C. the infant might have received too much fluid D. the infant might have leukemia
A increased hematocrit levels indicate dehydration. This level rises when blood volume is decreased anemia would be decreased HgB over hydration causes Hct to decrease leukemia has a High WBC and low RBC
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled to receive moderate-term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the childs parent? a. the PICC line will last for several weeks with proper care B. the public health nurse will rotate the insertion site every 3 days C. you will need to ensure the arm board is in place at all times D. your child will go to the operating room to have the line placed
A not necessary to immobilize the arm PICC lines are inserted using a local anesthetic by a trained personnel
A nurse is assessing an infant who is at risk for increased ICP. Which of the following should indicate to the nurse that this complication is developing? A. high pitched cry b sunken fontanel C. tachycardia D. increased awake time
A other indications include bulging fontanel, increased sleeping, bradycardia
A nurse is providing teaching about immunization schedules to the parents of a newborn who is 1 week old. Which of the following pieces of information should the nurse include in the teaching? A. initial vaccines should be administered between birth and 2 weeks of age B. your child will need to begin the vaccination series over again if subsequent doses in the series are missed C. an allergic reaction to a vaccine is due to the active ingredient in the vaccine D. a vaccination should be postponed if your child has a rectal temperature of 99.5 F and head congestion
A, first does of Hep B should be done within the first 2 weeks
A nurse is caring for a preschooler who was brought to an outpatient clinic with a 2-day history of a vesicular, honey colored crusty region around the nose and mouth. If the provider determines the lesions to be impetigo contagiosa, what should the nurse anticipate teaching the child's parents about the illness? A. apply topical antibacterial ointment to the lesions B wash the child's bed linens daily with hot water C. administer acyclovir oral suspension to prevent recurrence D allow the crust covering the infected lesions to remain intact E. wash hands before and after contact with the affected area
ABE
A nurse is assessing a 6-month old infant who was recently admitted with acute V/D. Which of the following findings indicates the infant has moderate dehydration? A bulging anterior fontanel B bradycardia C tachypnea D polyuria
C
A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to prepare for the impending loss of their child. Which of the following statements should the nurse make? A. the nursing staff will bathe your child and take care of his daily needs B. your child will be most comfortable in a low-stimulation environment C. would you like assistance in planning where your child will die? D. would you like hospice to continue providing curative care in your home?
C
A nurse is planning preoperative teaching for a school-age child who is scheduled for cardiac surgery. Which of the following actions should the nurse plan to take when teaching the child? a. limit teaching sessions to 10 minutes B use simple, concrete terms when giving explanations C. use photographs to help explain the procedure D. conduct the teaching session 2 days before the procedure
C can use correct medical terminology preoperative teaching for no more than 1 day prior to the procedure
A nurse is planning care for a 3-month-old infant who has an ileostomy. Which of the following interventions should the nurse include in the plan? A. avoid laying the infant on his abdomen B. avoid tucking the appliance into the infants diaper C. check the bag for stool every 4 hours D. replace the appliance every 3 days
C replacing should happen once a week
A nurse is caring for a toddler who as asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety? a. provide privacy B. give the child a thorough explanation before providing care C. encourage rooming-in D. tell the child you will help fix her
C, rooming-in is the most effective means of providing emotional support for a toddler--the family's presence provides a sense of security that increases the child's ability to cope with an unfamiliar environment school aged children are more concerned about privacy a nurse should provide, short, simple explanations for a toddler refrain for the word "fix", use "I will help make you feel better" instead
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should reply that peek-a-boo helps develop which of the following concepts in the child? a. hand-eye coordination B. sense of trust C. object permanence D. egocentrism
C, this means knowing objects still exist even when out of sight
A nurse is providing teaching to the parents of a school-aged child who has type 1 DM about managing hypoglycemia. Which of the following responses by a parent indicated an understanding of the teaching? A. i will make sure my child drinks 240 mL of milk ASAP B. i will give my child 2 units of regular insulin C. i will insist that my child lie down and rest for 30 min D. i will check my child's urine for glucose twice daily
A, giving the child 10-15 grams of simple carbs will elevate BG
A nurse is teaching about clinical manifestations of tracheomalacia to the parent of an infant who had tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching? A. absence of bowel sounds B. neck contortions C. barking cough D. projectile vomiting
C, weakened trachea (also include stridor, wheezing, cyanosis, apnea)
a nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. head lagging when the infant is pulled from a lying to a sitting position B. absence if startle and crawl reflexes C. inability to pick up a rattle after dropping it D. rolling from back to side
A
A nurse is caring for a 3-year old child on a pediatric unit. The nurse should identify which of the following as an appropriate toy for the child? A. jump rope B. coloring book and crayons C. checkers game D. jack in the box
B 5 year old for jump rope 6 year old for checkers infant for jack in a box
A nurse is caring for a 6-week old infant following a pyloromyotomy. Which of the following forms of feeding should the nurse anticipate for the infant 6 hour after the procedure? A. bottle formula with added protein B. small frequent feedings of electrolyte solution C. continuous nasoduodenal tube feedings D. bolus feedings via gastrostomy tube
B feedings should begin 4-6 hours after procedure
A nurse is assessing a 3-year old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate? A. stacking 10 blocks B printing 1 letter C. tying shoe laces D. using 7-word sentences
A cant print letters until 5, no tying shoes until 5, and uses 3-4 word sentences at this age (7 is at 5)
A nurse is providing education for a group of parents about toddler language development during a well-child visit. Which of the following findings should the parent expect in an 18-month old toddler? A. ability to refer to self by name B vocabulary of 10 or more words C following simple directional commands D naming a single color
B a 2 year old child can state his/her name a 2 year old can follow simple commands toddler cannot name a color until 30 months of age
