NURS 406 Assessment_Nursing_Care_of_Children.

1. 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." 2. 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 3. 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." 4. A nurse is completing an assessment following suctioning of a child who has a tracheostomy. Which of the following findings should the nurse identify as anindication that the procedure has been effective? Increased respiratory rate Decreased oxygen saturationClear breath sounds Increased oral secretions 5. A nurse is developing a plan of care for a 4-year-old child who has hemophilia and isexperiencing acute hemarthrosis. Which of the following interventions should the nurse include in the plan? Have the child perform passive range-of-motion exercises.Administer aspirin as needed for pain. Place ice packs on the affected joints. Position the lower extremities below the level of the heart. 6. A nurse in the emergency department is caring for a preschooler who hasepiglottitis. Which of the following actions should the nurse take? Place the child in a left lateral position. Obtain a specimen from the child's throat for a culture. Inspect the child's throat with a padded tongue depressor.Initiate droplet precautions for the child. 7. A nurse is providing teaching to the parent of a child about home care following a cardiac catheterization. Which of the following statements should the nurse include? "You should give your child aspirin if they report pain at the site." "You can remove the pressure dressing 8 hours after the procedure.""Your child can soak in the bathtub 24 hours after the procedure." "Your child should avoid strenuous physical activities for several days." 8. A nurse is admitting a child who has pertussis. Which of the following isolationprecautions should the nurse initiate? Droplet Contact Airborn e Protective environment 9. 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 toesAchild 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 10. 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 11. 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. 12. 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 Constipatio nBack pain Urticaria 13.A nurse is providing discharge teaching to the parents of a child who has sickle cellanemia and was hospitalized after experiencing a vasoocclusive crisis. Which of thefollowing instructions should the nurse include in the teaching? "Avoid immunizing your child with the meningococcal vaccine.""Restrict the time your child spends playing outdoors." "Increase your child's intake of oral fluids." "Provide your child with a high-protein diet."