Toddler

A nurse is assessing a child who recently received an antibiotic for an ear infection. The parent states that the child seems to have a harder time hearing than before and that the child reported ringing in the ears. The nurse suspects the child is taking an antibiotic from which class?

aminoglycosides

A 2-year-old child brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. What should the nurse try first?

Allow a parent to assist.

When developing the teaching plan for the mother of a toddler diagnosed with scabies, what information should the nurse expect to include?

The entire family should be treated.

A client is brought to the emergency department in respiratory distress caused by acute epiglottiditis. Which assessment finding is most concerning for the nurse?

severe sore throat, drooling, and inspiratory stridor

Which of the following objects poses the most serious safety threat to a 2-year-old client in the hospital?

side rails in the halfway position

A boy, age 2, is diagnosed with hemophilia. The nurse explains to the father how the gene for hemophilia is transmitted. Which statement by the father indicates an understanding of gene transmission?

"Our newborn daughter may be a carrier of the trait."

A nurse is caring for a toddler admitted for long-term treatment of a chronic illness. Which action should the nurse take to promote normal childhood growth and development?

Consult with a play therapist about activities in which the child can participate.

When assessing for pain in a toddler, which method would be the most appropriate?

Observe the child for restlessness.

Parents of a 2-year-old child with chronic otitis media are concerned that the disorder has affected their child's hearing. Which behavior suggests that the child has a hearing impairment?

babbling continuously

When caring for a toddler with epiglottitis, the nurse should first:

place a tracheotomy tray at the bedside.

The nurse teaches the parents of a 2-year-old child how to instill antibiotic eardrops. Which statement about the direction to pull on the earlobe indicates that the child's father has understood the teaching?

"I should pull the earlobe down and backward."

The parents of a child with rheumatic fever express concern that their other children will develop the disease. Which response from the nurse is best?

"This disease is not contagious."

A parent asks the nurse about the nutritional needs of her toddler. Which response by the nurse would be most appropriate?

"Toddlers have definite food preferences."

A pediatric nurse preceptor working on an oncology floor goes to see if the new graduate nurse caring for a 3-year-old terminally ill child requires assistance. The preceptor finds the new nurse in the lounge crying. What is the preceptor's best action?

Ask the graduate what has caused the crying.

As two toddlers play side by side, their parents note that they are not sharing their toys with each other and one cries when a toy is taken by the other child. The nurse hears the parents telling their children to share. Which is the nurse's best response?

Do nothing as this is normal behavior for a toddler.

When performing a physical assessment on an 18-month-old child, which measure would be best?

Have a parent hold the toddler.

The nurse is giving discharge instructions to parents of a child following the placement of tympanostomy tubes. Which of the following instructions will the nurse include in the plan of care? Select all that apply.

Have the child wear earplugs if swimming in a lake. Encourage the child to drink generous amounts of fluid. Be alert to tympanostomy tubes becoming dislodged from the ear.

Parents ask the nurse for advice about handling their 2-year-old's negativism. What is the best recommendation?

Set realistic limits for the child, and then be sure to stick to them.

A child with a tracheostomy suddenly becomes diaphoretic and has an increased heart rate, an increased work of breath, and a decreased oxygen saturation level. What should the nurse do first?

Suction the tracheostomy.

Anticipating that a preschool-age child in traction will have need for diversion, what should the nurse offer the child?

a video game

When assessing a toddler's growth and development, the nurse understands that a child in this age group displays behavior that fosters which developmental task?

autonomy

For a client with a Wilms' tumor, which preoperative nursing intervention takes highest priority?

avoiding abdominal palpation

A client with Down syndrome is admitted to the pediatric unit with asthma. The client does not enunciate words well and holds onto furniture when walking. The nurse should ask the caregiver

how the client's condition today differs from their normal condition.

After teaching the mother of a toddler with iron deficiency anemia about diet modifications, the nurse determines that the teaching was initially effective when the mother verbalizes she will make which dietary change?

increased intake of iron-rich solids and decreased milk intake

The nurse advises a mother with a 2-year-old child to avoid encouraging excessive milk consumption by the toddler because excess milk consumption can lead to which problem?

iron deficiency

The nurse is caring for a young child who has been admitted to the hospital with pertussis. To prevent the spread of the infection, which of the following is the most important action of the nurse?

provide masks for everyone entering the room

A mother brings her 18-month-old child to the clinic because the child eats ashes, crayons, and paper. Which information would be most important to obtain about this toddler?

whether the toddler is experiencing changes in the home environment

The mother of a toddler who has just been admitted with severe dehydration secondary to gastroenteritis says that she cannot stay with her child because she has to take care of her other children at home. Which response by the nurse would be most appropriate?

"I understand, but feel free to visit or call anytime to see how your child is doing."

During a well-baby visit, a toddler's parent states that the parent keeps all medications out of the toddler's reach in the kitchen cabinet. Which is an appropriate response by the nurse?

"Medications should be kept in a locked location."

A nurse is caring for an infant being treated for an upper respiratory infection. The physician would like to order a series of X-rays for the infant, who has been in a foster home for 4 months. How should the nurse obtain consent?

Obtain consent from the foster parents.

An 18-month-old child immobilized with traction to the legs has a nursing diagnosis of Deficient diversional activity related to immobility. Which diversional activity is most appropriate for the nurse to include in the care plan?

playing with a pounding board

A 14-month-old child returns from surgery for an undescended testicle. When planning for the child's discharge, the nurse should remind the parents to observe their child for which complication?

redness or swelling at the incision site

A nurse observes two 2-year-old children playing. The nurse documents what form of play as normal for this age group?

sitting side-by-side building sand castles

A toddler has a temperature above 101°F (38.3°C). The healthcare provider orders acetaminophen, 120 mg suppository, to be administered rectally every 4 to 6 hours. The nurse should question an order to administer the medication rectally if the child has a diagnosis of:

thrombocytopenia.

The parent of a young child diagnosed with low-dose lead exposure asks about long-term effects. Which conditions should the nurse mention as possible long-term effects to this parent? Select all that apply.

aggression hyperactivity impulsiveness

A parent voices concern to the nurse that a 2-year-old toddler never seems to want to play with other children at the park. What would be the nurse's best response?

"That is considered normal at this age."

The nurse is reviewing the laboratory data for a young client in acute kidney failure and notes an elevated serum potassium level. What is the priority assessment action for the nurse based on the laboratory data?

Institute telemetry monitoring.

A toddler has been admittied to the pediatric unit with pneumonia. While assessing a toddler the nurse finds bruise marks consistent with a belt buckle on the buttocks. The nurse suspects the toddler is being abused. What action should the nurse take?

Report the case to local authorities.

A mother brings a 15-month-old child to the well-baby clinic. She states the child has been taking approximately 18 to 20 oz (540 to 600 mL) of whole milk per day from a bottle with meals and at bedtime. The nurse should suggest that she begin weaning the child from the bottle to avoid risking:

dental caries.

A toddler is brought to the clinic with symptoms of weakness and sores at the corners of the mouth. The parent states that the child eats poorly and will drink only cow's milk. Based on this information, which of the following laboratory tests would be a priority for the nurse to evaluate?

ferriten level

A mother asks the nurse, "How did my children get pinworms?" The nurse explains that pinworms are most commonly spread by which route?

hands

While examining a 2-year-old client, the nurse sees that the anterior fontanel is open. The nurse should

notify the physician.

The nurse is educating the parents of a 2-year-old child regarding immunizations. When the parents ask where the injections will be given the nurse answers that the most appropriate site for an intramuscular injection for a child this age is the:

vastus lateralis muscle.

A 29-month-old child who is dehydrated as a result of vomiting requires oral rehydration. Which concept regarding oral rehydration therapy should the nurse consider?

Give 1 to 3 teaspoons (5-15 mL) of fluid every 10 to 15 minutes.

A 15-month-old client is being discharged after treatment for severe otitis media and bacterial meningitis. Which statement by the caregivers indicates effective discharge teaching?

"We'll go to the physician if our child pulls on the ears or won't lie down."

After teaching the parents of a 15-month-old child who has undergone cleft palate repair how to use elbow restraints, which statement by the parents indicates effective teaching?

"We'll remove the restraints temporarily, one at a time, at least three times a day to check his skin, then put them right back on."

The primary care provider prescribes an eye patch for a child with strabismus. Which statement by the child's mother would indicate the need for additional teaching about this treatment?

"You see, his problem eye is patched."

A nurse is providing health teaching about pediatric immunizations to the parents of a child. Which of the following is the most appropriate information for the nurse to give the parents about immunizations?

"Your child may need medication for a low-grade fever."

In an initial screening for lead poisoning, a toddler is found to have a minimally elevated lead level. What is the most important action the nurse should take?

Educate parents on ways to reduce lead in the environment.

Which desired outcome demonstrates effective parent teaching about disciplining a toddler?

The parents will call immediate attention to undesirable behavior.

A nurse is caring for a client with tetralogy of Fallot. The client's caregiver becomes concerned when visiting the client and notices the client thumb sucking, a behavior that had been previously given up. What does this behavior indicate?

The client is responding to stress.