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A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of
the following findings should the nurse identify as an indication that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure
A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is
now ready to resume oral intake which of the following dietary choices should the nurse offer
the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should identify that
the defect is a switch of the following locations of the heart. ( you will find hot spots to select in
the artwork below. Select only the hot spot that corresponds to your answer)
, Answer: B
A nurse is caring for a 10 month old child was brought to the emergency department by his
parents following a head injury. Which of the following actions should the nurse take first?
a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma =
urgent, after respiratory status is confirmed)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving chest
physiotherapy treatment. The nurse should identify which of the following findings as an
indication of the therapy has been effective?
a. Increased urine output
b. increase expectoration
c. reduced pain
d. increased heart rate
A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which of the
following interventions should the nurse include in the plan of care?
a. Place the infant in a semi-private room
b. keep the television on in the room to provide background noise
c. Pad the side rails of the crib
d. provide for you can range of motion to the neck and shoulders
A nurse is reviewing the medical record of a child with cystic fibrosis which of the following
should the nurse report to the provider? Click on the exhibit button for additional information
about the client.
a. heart rate
b. HbA1c (13.45%)
c. oxygen saturation
, d. WBC
A nurse is assessing an infant who has severe dehydration due to gastroenteritis which of the
following findings should the nurse expect?
a. Increased respiratory rate
b. capillary refill of 2 seconds
c. Hypertension
d. increased urine output
A charge nurse is planning care for an infant who has failure to thrive. Which of the following
actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
, c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of
the following instruction should the nurse include in the teaching?
a. Wash your clients hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine.
Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction ( too much “Adult”
terminology/jargon for preschooler to understand)
d. sometimes, when a child has to take medication, they feel sad.
A nurse is teaching the parents of a school-age child about bicycle safety. Which of the following
instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated on the bicycle
c. you should try to keep the bicycle at least three feet from the curb while riding in the
street
d. your child should ride the bicycle against the flow of traffic
A nurse is caring for a school-age child following the application of a cast to a Fractured right
tibia. Which of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain medication
d. Elevate the child's leg
A nurse is assessing an infant who has acute otitis media. Which of the following findings should
the nurse expect (select all that apply).
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