ANSWERS A+ GRADED
a nurse is planning care for a child who has severe diarrhea. Assess fluid balance
which of the following actions is the nurse priority?
A nurse is caring for a toddler who's parent states that the child Instruct the parent to avoid pressing on the abdominal area
has a mass in his abdominal area and his urine is a pink color.
Which of the following actions is the nurse's priority?
A nurse is caring for a child who has acute glomerulonephritis. Check the Childs weight daily
Which of the following actions is the nurse's priority?
A nurse is caring for a child who has a suspected diagnosis of Administer antibiotics when available
bacterial meningitis. Which of the following is the nurse's
priority?
A nurse is collecting data from an adolescent. Which of the Active psychiatric disorder (Mark, mental problems, patients mind is unstable)
following represents the greatest risk for suicide?
A nurse is collecting data from an infant who has otitis media Tugging on the affected ear lobe
(middle ear infection). The nurse should expect which of the
following findings?
A nurse is reinforcing reaching with a parent of a 1 month old "I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of
infant who is to undergo the initial surgery to treat the colon, and then apply temporary colostomy, after a couple of months they will suture
Hirschsprung's disease (a ganglionic megacolon, part of the it together)
colon isn't connected to the nerves or not functioning, so there
will be an increase size of the colon and stool gets stuck in
there). Which of the following statements should indicate to
the nurse that the parent understanding the goal of surgery?
A nurse is caring for an infant who is 1 day postoperative Apply an antibiotic ointment to the suture site
following surgical repair of a cleft lip. Which of the following
actions should the nurse take?
1/13
, A nurse is reinforcing discharge instructions with a parent of a "I will make sure my child washes her hands before eating"
child who has cystic fibrosis. Which of the following statements
by the parent indicates an understanding of the teaching?
A nurse working at a clinic speaks on the telephone with a "Bring your infant into the clinic today to be seen"
parent of a 2-monthold infant. The parent tells the nurse that
the infant has projectile vomiting followed by hunger after
meals. Which of the following response by the nurse is
appropriate?
A nurse is caring for a 4 year old child who is 2 days lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure,
postoperative following the insertion of a ventriculoperitoneal irritability
shunt. Which of the following findings should the nurse identify
as the priority . (causes icp hydrocephalus)
a nurse is caring for a child following an open reduction and Perform neurovascular checks of the affected extremity (check for infection, color,
internal fixation of a fractured femur and application of a cast. capillary refill, redness)
The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first?
2/13