18mo dehydration. understands teaching:
"I will monitor my child's number of wet diapers"
nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. Steps to remove:
turn off iv pump
occlude the IV tubing
remove the tape securing the catheter
apply pressure over the catheter insertion site
nurse preparing to collect sample from a toddler for a sickle-turbidity test:
perform a finger stick
emergency department performing a physical assessment on a 2 weeks old male infant. Which of the following manifestations is the priority for the nurse
to report to the provider:
Substernal retractions
nurse is providing anticipatory guidance to the mother of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse
include in the teaching?
Expresses likes and dislikes
A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when her child will no longer be contagious. Which
of the following responses should the nurse make?
"When your child's lesions are crusted, 6 days after they appear."
A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the
following statements by the parents indicates an understanding of the teaching?
"My child will receive antibiotics for several weeks."
A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a
more extensive hearing evaluation?
m
er as
An infant who is 8 months old and is not yet making babbling sounds
A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is
co
developing diabetes insipidus?
eH w
Sodium 148 mEq/L
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following
o.
actions should the nurse take prior to the procedure?
rs e
Administer an analgesic to the child.
ou urc
nurse is providing teaching to the parents of a preschooler who has heart failure and who is to begin taking digoxin twice daily. Which of the following
instructions should the nurse include in the teaching?
"Brush the child's teeth after giving the medication.
A nurse in the emergency department is caring for a toddler who has partial-thickness burns on his right arm. Which of the following actions should the
o
nurse take?
aC s
Cleanse the affected area with mild soap and water.
a nurse in an ED, assesses a 3-month old infant w/ rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should
vi y re
the nurse ID as indication that the infant has MODERATE to SEVERE dehydration?
sunken anterior fontanel
A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse assess first?
A toddler who has a concussion and an episode of forceful vomiting
ed d
A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?
Steatorrhea
ar stu
A nurse is teaching the parent of a newborn about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the
nurse include?
"Give the infant a pacifier at bedtime."
A nurse is assessing the vital signs of a 10-year-old child following a burn injury. Which of the following clinical manifestations indicate early septic shock?
is
Temperature 39.1° C (102.4° F)
A nurse at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the
Th
nurse recognize as a manifestation of pertussis?
Dry, hacking cough
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? (Click on the audio
button to listen to the clip.)
Tachypnea-
sh
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse
include in the teaching?
"Encourage the child to perform independent self-care."
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the
medication?
The adolescent's serum potassium level is 4.1 mEq/L.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the
following laboratory values indicates effectiveness of the current treatment?
Sodium 140 mEq/L
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?
Schedule
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