PN Nursing Care of Children Practice. GRADED A PLUS, Download Now

ATI Notes Test B A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching? - Secure the child in the booster seat using the motor vehicle’s shoulder-lap seat belt— booster seats do not have built in straps A nurse is contributing to the plan of care for a child who is in Buck’s traction. Which of the following interventions should the nurse include in the plan? - Maintain the leg in an extended position—this position decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms. A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when his child will no longer be contagious. Which of the following responses should the nurse make? - Six days after lesions appear if they are crusted—as long as they are crusted over. A nurse is caring for a toddler who has otitis media and a temperature of 102.4 F. Which of the following actions should the nurse take first? - Administer an antipyretic—to decrease the toddler’s body temperature A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? - Depression—experience mental status changes, such as suicidal thoughts, aggression, emotional lability, and depression. A nurse is contributing to the plan of care for a 10 month old infant who is postoperative following a cleft palate repair. Which of the following actions should the nurse include in the plan of care? - Place the infant in side-lying position—promote healing and prevent injury to the surgical site. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1 month old infant. Which of the following statements by the parent indicates an understanding of the teaching? - I will allow my baby to have a pacifier while sleeping—decreases the risk for SIDS. A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant’s heart rate? - Apical—to obtain the infant’s heart rate and count it for a full minute, because it gives a reliable rate and rhythm and provides accurate baseline assessment—the apical heart rate is auscultated at the fourth intercostal space lateral to the midclavicular line. This study source was downloaded by from CourseH on :07:18 GMT -05:00 A nurse is reinforcing teaching with the guardians of a school-age child who has frequent nosebleeds. Which of the following instructions should the nurse include? - Apply pressure to the child’s nose—for a least 10 min to decrease bleeding—also instruct the guardians to tilt the child’s head forward, because this position prevents aspiration of the blood. During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? - Provide the toddler with a favorite toy at bedtime—help the toddler to feel more secure and facilitate sleep. A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child’s parent tells the nurse, “I’m a bad parent, and I can’t deal with this.” Which of the following responses should the nurse make? - Tell me more about what you are feeling—use open-ended statements that will allow the parent to share his feelings and emotions. During times of grief, the parent needs to express his emotions. The use of open ended statement relays the message that it is safe to do so with the nurse. A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend? - Yellow corn—unable to process gluten, a protein found in wheat, barley, rye and oats— client’s diet is restricted to foods that are free of gluten, such as corn, rice and millet. A nurse is collecting data from a child during a well child visit. The nurse should recognize that which of the following findings places the child at a higher risk for abuse? - The child was born at 30 weeks of gestation—children who are born prematurely are at greater risk for abuse because of the potential for impaired bonding during early infancy. A nurse is reinforcing dietary teaching with the parent of a 2 year old toddler. Which of the following should the nurse include in the teaching? - An appropriate serving size is 1 tablespoon of food per year of age—serving size for a 2 year old toddler is 1 tbsp of food per year of age. A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the following is the priority goal for this child? - The child will maintain an effective breathing pattern—manifestations of cystic fibrosis, such as chronic cough, pulmonary infection and bronchiolar obstruction lead to severely impaired ventilation and gas exchange, which causes long-term pulmonary complications. Therefore, when utilizing the airway, breathing, circulation approach to client care, maintaining an effective breathing pattern is the priority goal for the child who has cystic fibrosis. This study source was downloaded by from CourseH on :07:18 GMT -05:00 A nurse is collecting physical data from a 4 year old child who has diarrhea and has been vomiting for 24 hr. which of the following sites should the nurse grasp to determine the child’s skin turgor? - The child’s abdomen—exhibit manifestations of dehydration, such as a decrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the child’s abdomen, pull it taut, and release it quickly. The child who is dehydrated will have a prolonged period of tenting. A nurse is collecting data from a 12 month old infant during a well child visit. At birth, the infant’s weight was 3.6 kg (8 lb) and his length was 50.8 cm (20 in). Based on this data, which of the following findings should the nurse expect? - The infant is 76.2 cm (30 in) long—length should increase by about 50% by 12 months of age. A nurse is preparing to leave the room after performing nasal suctioning for an infant who has respiratory syncytial virus (RSV). Identify the sequence in which the nurse should remove the following personal protective equipment (PPE). - Gloves—the most contaminated - Googles—they do not interfere with removing the other PPE - Gown—to decrease exposure to the disease - Mask—to decrease exposure to the disease A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of HIV. Which of the following statements made by the parent indicates an understanding of the teaching? - I should bring my child in for immunizations on schedule—provide protection from communicable disease and should be administered on schedule. A nurse is reinforcing teaching about vital signs with the guardian of a 1 year old toddler. Which of the following statements by the guardian indicates an understanding of the teaching? - My child’s pulse could increase to 150 beats a min with activity—a pulse rate of 150/min is within the expected reference range for a toddler during physical activity. A nurse is reinforcing teaching with an adolescent who has an inflamed, non perforated appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the following instructions should the nurse include in the teaching? - You will sit in your chair at least twice a day after surgery—and will be encouraged to ambulate as soon as possible following surgery. This activity will enhance lung function and help prevent postoperative complications. A nurse is caring for a 3 year old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure? - Apply 2% lidocaine lubricant into the urethral meatus to assist in decreasing the discomfort the child might experience during catheterization. This study source was downloaded by from CourseH on :07:18 GMT -05:00 A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler? - Ask the guardian to verify the child’s name—the nurse must correctly identify the toddler using two identifiers. The nurse should ask the guardian to verify the identify of the child and use the identification band as the second identifier. A nurse is preparing to administer levalbuterol via nebulizer to a child with asthma. Which of the following data should the nurse collect prior to administering the medication? - Lung sounds—levalbuterol is a bronchodilator used to increase air exchange. The nurse should evaluate lung sounds prior to and after the administration of the medication to determine changes in respiratory status. A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a schoolage child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching? - I will give this medication to my child with a straw—prevent staining the child’s teeth A nurse is reinforcing teaching with the parent of a 4 month old infant who has a new prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the following instructions should the nurse include in the teaching? - Continue nystatin for 2 weeks after the symptoms disappear—to prevent relapse A nurse is preparing to administer an intramuscular injection to an 11 month old infant. In which of the following areas should the nurse administer the injection? - The nurse should administer an IM injection in the vastus lateralis muscle of an 11 month old infant. The vastus lateralis is a well developed muscle that is safe to use for infants and small children. A nurse if reinforcing teaching with the guardian of a school age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the nurse include? - Instill medication immediate after cleansing the eye A nurse is caring for a 1 month old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take? - Position the head of the crib at a 30 angle between feedings—30 to 45 to prevent aspiration. A nurse is collecting data from a school age child. The nurse should identify that which of the following findings is a manifestation of physical abuse? - Bruises at various stages of healing—clinical manifestations of physical abuse A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take? This study source was downloaded by from CourseH on :07:18 GMT -05:00 - Have the client stand during the procedure—will allow the nurse to get an accurate reading A nurse is collecting data from an 18 month old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider? - The toddler is unable to recognize familiar objects by name—should be able to accomplish this task by 12 months of age A nurse is assisting with the care of a 4 year old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? - Discuss the benefits of the procedure - Give the child needless IV supplies to play with - Allow the child to perform the procedure with a doll A nurse is preparing to assist a provider with a lumbar puncture for a school age child. Which of the following actions is the nurse’s priority? - Maintaining the child’s position—maintain the child’s position to prevent trauma. The greatest risk to the child is injury to the spinal nerves or the major vessels. A nurse is reinforcing discharge teaching with the guardians of a 6 month old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? - Wait 1 week before giving the infant a tub bath—keep the infant’s penis as dry as possible until the stent or catheter is removed. The parent should provide sponge baths to the child until the stent