Assessment_Nursing_Care_of_Children
A nurse on a pediatric unit is receiving change-of-shift report
for a group of clients.Which of the following clients should the
nurse see first?
A child who is postoperative following a tonsillectomy and reports moderate
throat pain
A child who had a cardiac catheterization using the femoral artery and has
blanching of the toesA child who has bacterial pneumonia and is due for
their initial dose of IV antibiotics
A child who has juvenile idiopathic arthritis and needs assistance with
application of prescribedsplints
A nurse in a pediatric clinic is performing a history and physical
for a toddler who isscheduled to receive a measles, mumps, and
rubella (MMR) immunization. Which of the following findings
indicate that the immunization should be withheld?
Temperature of 38° C (100.4° F)
Family history of sudden infant death
syndrome (SIDS)Taking an
antihistamine for seasonal allergies
Receiving prednisone for nephrotic
syndrome
, A nurse is instilling optic drops into an 18-month-old child's ears.
Which of the followingmethods should the nurse use?
Pull the pinna down and
back. Insert the dropper
into the ear canal.
Administer the ear drops at 5.5° C (42°
F).Massage the area behind the ear.
A nurse is providing teaching to an adolescent who has a new
prescription for cefazolin. For which of the following adverse
effects should the nurse instruct theadolescent to monitor and
report to the provider?
Dry mouth
,Constipat
io nBack
pain
Urticaria
A home health nurse is providing teaching about post seizure
management to the parents of a school age child who has epilepsy
and experiences tonic-clonic seizures.Which of the following
instructions should the nurse include in the teaching? (Selectall that
apply.)
"Hyperextend your child's head for 5 minutes
following a seizure." "Immediately following a
seizure, give your child 6 ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure.""Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are
unequal after aseizure."
A nurse in a pediatric clinic is discussing the pathophysiology of
Reye syndrome with a newly licensed nurse. Which of the following
statements by the newly licensednurse indicate an understanding of
the disorder?
, "Reye syndrome causes fatty changes in
the liver." "Reye syndrome leads to
venous thrombus formation."
"Reye syndrome is associated with misuse of
acetaminophen.""Reye syndrome is linked to
decreased serum ammonia levels
A nurse is teaching the parents of a toddler about strategies
to manage tempertantrums. Which of the following
instructions should the nurse include in the teaching?
"Honor the child's request if she holds
her breath.""Establish a structured
daily routine for the child."
"Place the child in her room alone until the temper
tantrum ends.""Comfort the child during the
temper tantrum."
A nurse is completing an assessment following suctioning of a
child who has a tracheostomy. Which of the following findings
should the nurse
A nurse on a pediatric unit is receiving change-of-shift report
for a group of clients.Which of the following clients should the
nurse see first?
A child who is postoperative following a tonsillectomy and reports moderate
throat pain
A child who had a cardiac catheterization using the femoral artery and has
blanching of the toesA child who has bacterial pneumonia and is due for
their initial dose of IV antibiotics
A child who has juvenile idiopathic arthritis and needs assistance with
application of prescribedsplints
A nurse in a pediatric clinic is performing a history and physical
for a toddler who isscheduled to receive a measles, mumps, and
rubella (MMR) immunization. Which of the following findings
indicate that the immunization should be withheld?
Temperature of 38° C (100.4° F)
Family history of sudden infant death
syndrome (SIDS)Taking an
antihistamine for seasonal allergies
Receiving prednisone for nephrotic
syndrome
, A nurse is instilling optic drops into an 18-month-old child's ears.
Which of the followingmethods should the nurse use?
Pull the pinna down and
back. Insert the dropper
into the ear canal.
Administer the ear drops at 5.5° C (42°
F).Massage the area behind the ear.
A nurse is providing teaching to an adolescent who has a new
prescription for cefazolin. For which of the following adverse
effects should the nurse instruct theadolescent to monitor and
report to the provider?
Dry mouth
,Constipat
io nBack
pain
Urticaria
A home health nurse is providing teaching about post seizure
management to the parents of a school age child who has epilepsy
and experiences tonic-clonic seizures.Which of the following
instructions should the nurse include in the teaching? (Selectall that
apply.)
"Hyperextend your child's head for 5 minutes
following a seizure." "Immediately following a
seizure, give your child 6 ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure.""Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are
unequal after aseizure."
A nurse in a pediatric clinic is discussing the pathophysiology of
Reye syndrome with a newly licensed nurse. Which of the following
statements by the newly licensednurse indicate an understanding of
the disorder?
, "Reye syndrome causes fatty changes in
the liver." "Reye syndrome leads to
venous thrombus formation."
"Reye syndrome is associated with misuse of
acetaminophen.""Reye syndrome is linked to
decreased serum ammonia levels
A nurse is teaching the parents of a toddler about strategies
to manage tempertantrums. Which of the following
instructions should the nurse include in the teaching?
"Honor the child's request if she holds
her breath.""Establish a structured
daily routine for the child."
"Place the child in her room alone until the temper
tantrum ends.""Comfort the child during the
temper tantrum."
A nurse is completing an assessment following suctioning of a
child who has a tracheostomy. Which of the following findings
should the nurse
