questions and answer 100%
correct
C
Terms in this set (51)
A mother brings her 8 mo. old baby boy to C. Measure the infant's pulse
clinic because he has been vomiting and
had diarrhea for last 3
days. Which assessment is most important
for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a
virus
C. Measure the infant's pulse
d. Evaluate the infant's cry
While obtaining the vital signs of a 10-year- Inspect the posterior oropharynx
old who had a tonsillectomy this morning,
the nurse observes
the child swallowing every 2-3 minutes.
Which assessment should the nurse
implement?
parents of a 3-year old boy who has This is an inherited X-linked recessive disorder, which primarily
Duchenne muscular dystrophy ask, "How affects male children in the
can our son have this family
disease? We are wondering if we should
have any more children." What information
should the nurse
provide to parents?
, 2-weck-old female infant is hospitalized for Administer a PRN analgesic prescription
the surgical repair of an umbilical hernia.
After retuming to the postoperative
neonatal unit, her R and HR have increased
during the last hour. Which intervention
should the nurse implement?
2-year-old girl is brought to the clinic by her -Dental caries is associated with drinking soda
17-year-old mother. When the nurse -Toddlers should be drinking from a cup by age 2
observes that the child
is drinking sweetened soda from her bottle,
what information should the nurse discuss
with this mother?
mother brings her 3-month-old infant to the D.The diaper area shows severe skin breakdown
clinic because the baby does not sleep
through the night.
Which finding is most significant in
planning care for this family?
a. The mother is a single parent and
lives with her parents
b. The mother states the baby is
irritable during feedings
C the infant's formula has been changed
twice
D.The diaper area shows severe skin
breakdown
The nurse determines that an infant Document the finding
admitted for surgical repair of an inguinal
hernia voids a urinary stream from the
ventral surface of the penis. What action
should the nurse take?
16-year-old with acute myelocytic leukemia Flush mediport w/ saline and heparin solution
is receiving chemotherapy (CT) via an
implanted
medication port at the out-patient oncology
clinic. What action should the nurse
implement when the
infusion is complete?
mother brings her 3-week old infant to the Irregular palpable pulse
clinic because the baby vomits after
eating and always seems
hungry. Further assessment indicates that
the infant's vomiting is projectile, and the
child seems listless.
Which additional assessment finding
indicates the possibility of a life-threatening
complication?