NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
Assessment_Nursing_Care_of_Children
• 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
, NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
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
, NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
identify as anindication that the procedure has been effective?
Increased respiratory rate
, NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
Decreased oxygen
saturationClear breath
sounds Increased oral
secretions
• A nurse is assessing a toddler who has infective endocarditis. Which of the
followingfindings should the nurse expect?
New heart
murmurWeight
gain Bradycardia
Decreased body temperature
• A nurse is assessing a child who has a congenital heart defect. The nurse should
recognize that which of the following defects is associated with increased
pulmonaryblood ow?
Coarctation of the
aortaPatent ductus
arteriosusTetralogy
of Fallot Tricuspid
atresia
• A nurse working on an outpatient surgical unit is providing discharge teaching
to the parent of a preschooler following placement of tympanoplasty tubes. The
parentasks the nurse, "What should I do if the tubes fall out?" Whichof the
following responses should the nurse make?
"Gently put the tubes back into the child's ears."
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
Assessment_Nursing_Care_of_Children
• 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
, NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
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
, NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
identify as anindication that the procedure has been effective?
Increased respiratory rate
, NURS 406
Assessment_Nursing_Care_of_Children
LATEST UPDATE 2021/2022 GRADED A+
Decreased oxygen
saturationClear breath
sounds Increased oral
secretions
• A nurse is assessing a toddler who has infective endocarditis. Which of the
followingfindings should the nurse expect?
New heart
murmurWeight
gain Bradycardia
Decreased body temperature
• A nurse is assessing a child who has a congenital heart defect. The nurse should
recognize that which of the following defects is associated with increased
pulmonaryblood ow?
Coarctation of the
aortaPatent ductus
arteriosusTetralogy
of Fallot Tricuspid
atresia
• A nurse working on an outpatient surgical unit is providing discharge teaching
to the parent of a preschooler following placement of tympanoplasty tubes. The
parentasks the nurse, "What should I do if the tubes fall out?" Whichof the
following responses should the nurse make?
"Gently put the tubes back into the child's ears."
