ACCURATE AND VERIFIED ANSWERS
Terms in this set (84)
The nurse is giving pre-op "I understand that I will be in a body cast and
instructions to a 14 yr old female I will show you how you taught me to turn"
scheduled for surgery to correct a
spinal curvature. Which stmt best
demonstrates that leaning has taken
place?
To take the v/s of a 4 month old, RR - HR - rectal temp
which ordered will give the most
accurate results?
During routine screening at a Ask the child if they have had a cold, runny
school clinic, an otoscope exam nose, or any ear pain lately
reveals a tympanic mb that is pearly
gray, slightly bulging, and not
movable. What action should the
nurse take next?
Which restraint should be used Elbow
for a toddler after a cleft palate
repair?
What pre-op nsg intervention Observe for projectile vomiting
should be included in the POC for
an infant w/ pyloric stenosis? (remember that projectile vomiting leads to
metabolic alkalosis)
,A 6 month old returns from surgery Remove the restraints one at a time and
w/ elbow restraints in place. What provide ROM exercises
nsg care should be included when
caring for any restrained child? (Removing them 1 at a time is safer than all at
once)
A 2 yr old w/ Down syndrome is Congenital heart disease
brought to the clinic for his regular
physical exam. The nurse knows (CHD is the most common associated defect w/
which problem is requently Downs. - also, remember Professor Moore said
associated w/ Downs? that heart and ear problems go hand in
hand)
When assessing a child w/ asthma, Inspriation
the nurse should expect intercostal
retractions during
When planning the care for a child Stresses the suture line
who has had a cleft lip repair, the
nurse know that crying should be
minimized because it
A full-term infant is admitted to Choking , coughing, and cyanosis
the newborn nursery. After
careful (this answer includes the 3 "C"s of esophageal
assessment, the nurse suspects that atresia caused by the overflow of secretions to
the infant may have an esophageal the trachea)
atresia. Which sx's is this newborn
likely to have exhibited?
Which behavior would the nurse Display possessiveness of toys
expect a 2 yr old to exhibit?
(they are egocentric and unable to share w/
others)
, the other of a preschool-aged Do not give if they have chicken pox, the flue, or
child asks the nurse if it is all right any other viral illness
to administer Pepto Bismol to her
son when he has a tummy ache. (ASA can cause Reye's syndrome)
After
reminding her to check the label of
all OTC meds for the presence of
ASA, which instruction should the
nurse include when replying to the
mom's question?
the nurse observes a 4 yr old boy in Demonstrates aggressiveness by boasting when
a daycare. Which behavior telling a story
should the nurse consider normal
for this
child?
A burned child is brought to the ER. Head and neck
In estimating the % of body burned,
the nurse uses a modified "Rule (a child's head and neck are proportionately
of Nines." Which part of the body larger to their body than an adult's)
is
calculated as a larger % of total
body surface than an adult?
The nurse receives a lab report Pass the info on in the report
stating a child w/ asthma has a
theophylline level of 15mcg/dL. (therapeutic level is 10-20)
What action will the nurse take?
A 12 month old is admitted w/ Have a bulb syringe readily available to remove
a respiratory infection and secretions
possible pneumonia. He is placed
in a mist (patent airway has the highest priority.
tent w/ O2. Which nsg intervention Humidification will liquefy the nasal secretions
has the greatest priority? - thereby increasing the amt of secretions
and making that a priority)