A nurse is helping a school-age child who has celiac disease select menu items for the
next day's meals and snacks. Which of the following foods should the nurse encourage
the client to choose? - 🖋A cheese omelet with orange juice.
A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an
understanding of the teaching? - 🖋"I will steam carrots and cut them into small pieces
of her"
A nurse is reviewing the results of the newborn screening for a newborn who is 1 week
old. Results include total T4 0.8 mcg/dL, phenylalanine 0.7 mg/dL, and negative
galactosemia. Which of the following interventions should the nurse include in the plan
of care? - 🖋Instruct the newborn's parent about how to administer levothyroxine
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus
influenzae type B. Which of the following actions should the nurse take? (Select all that
apply). - 🖋Begin droplet precautions, Initiate IV access, Monitor oxygen saturation
A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the
following actions should the nurse include in the plan of care? - 🖋Use a bulb syringe to
suction the nares
A nurse is providing discharge teaching to the parents of a preschool aged child who
has heart-failure and a new prescription for digoxin oral solution. Which of the following
instructions should the nurse include? - 🖋"Rinse your child's mouth with water after
giving the medication"
A nurse is assessing a 24-month-old toddler. Which of the following findings should the
nurse report to the provider? - 🖋Has a vocabulary of 30 words (increases to about 300)
A nurse is assessing a child who is 2 hr postoperative following cardiac catheterization
and finds the dressing is saturated with blood. Which of the following actions should the
nurse take first? - 🖋Apply pressure just above the insertion site
A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the following instructions should the nurse include in the teaching?
- 🖋"You can replace milk with non-dairy sources of calcium"
A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full-
thickness burn to 10% of this body. Which of the following findings should the nurse
report to the provider? - 🖋Increased restlessness
, A nurse is assessing a preschool-age child who is in the immediate postoperative
period following a tonsillectomy. Which of the following assessment findings is the
priority? - 🖋The child swallows frequently (indications of bleeding. ABCS compromised)
A nurse is providing teaching to a parent of an 11-month-old infant who has acute
diarrhea and dehydration. Which of the following fluids should the nurse instruct the
parent to provide to the infant? - 🖋Oral electrolyte solution
A nurse in an emergency department is caring for a child who experienced a
submersion injury. Which of the following is the priority action for the nurse to take? - 🖋
Assist with intubation
A nurse is caring for a school-age child who is in 90 degree/90 degree skeletal traction.
Which of the following actions should the nurse take? - 🖋Place the child on alternating
pressure mattress
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the
nurse include in the teaching? - 🖋"The test will measure the amount of chloride in your
baby's sweat"
A nurse is assessing a preschool-age child who has celiac disease. Which of the
following findings should the nurse expect? Inflammation caused by gluten foods. - 🖋
Steatorrhea
A nurse is caring for a toddler who is postoperative following cleft palate repair. Which
of the following actions should the nurse take? - 🖋Use a bulb syringe to suction oral
secretions
A nurse is caring for a 3-year-old child who is recovering from surgery. Which of the
following methods should the nurse use to assess the child's pain level? - 🖋Oucher
Scale
A nurse is preparing to perform a venipuncture to collect a blood sample from an infant.
Which of the following restraints should the nurse plan to use for this procedure? - 🖋
Mummy (aka swaddling)
A nurse is reviewing the laboratory results of a preschool-age child who has hematuria.
Which of the following results should the nurse report to the provider? - 🖋BUN 21
mg/dL (normal: 10-20)
**A nurse is planning care for a child immediately following the insertion of a chest tube
for continuous suction with a close drainage system. Which of the following
interventions should the nurse include in the plan of care? - 🖋Ensure continuous
bubbling is present in the suction control chamber