NURS 2600 School-aged children EAQ

NURS 2600 School-aged children EAQ A 6-year-old boy is hospitalized with an exacerbation of nephrotic syndrome. The mother asks the nurse what she should bring for her son to play with during the hospitalization. What should the nurse suggest? Stuffed animals, large puzzles, and blocks Checkers, simple card games, and crayons Children's magazines, a model plane kit, and laptop computer A nurse is obtaining the health history of a 5-year-old child who has been admitted to the child health unit with acute glomerulonephritis. What does the nurse expect the child's mother to report? The child had a sore throat a few weeks ago. The child has just recovered from the measles. The child's father has a family history of urinary tract infections. The child's immunizations were administered at the start of school. A nurse is teaching the parents of a school-aged child with celiac disease about the nutrients that must be avoided in a gluten-free diet. What nutrients should the nurse teach the parents to avoid? Saturated oils and fats Milk and hard cheeses Corn and rice products Wheat and oat products What is the most appropriate approach for the school nurse to take regarding children who are to be given medications while in school? Assuring the children that their privacy will be respected Teaching each class about taking medications in the school setting Encouraging the children to tell their friends that they are taking a medication Asking teachers to answer questions when other students ask about medications given in school A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention? Barrel chest Audible wheezing Heart rate of 105 beats/min Respiratory rate of 30 breaths/min The nurse is providing instruction to a parent of a child with influenza. Which statement by the parent indicates the need for further instruction? "I'll manage the fever with baby aspirin." "We'll make sure to get a flu shot next season." "Providing fluids will help relieve the symptoms." "Staying home from school will prevent transmission." The parents of a school-aged child with recently diagnosed leukemia ask the nurse why they were told that their child has too many white blood cells. How should the nurse respond? "The doctor is the best one to answer that question for you." "You seem to be focusing on your child's white blood cells." "You apparently don't understand what occurs in this disease." "The bone marrow is not controlling your child's white blood cell production as it should." A 7-year-old child is admitted for surgery. What is the prioritynursing action? Allowing a favorite toy to remain with the child Documenting the child's ASO titer and C-reactive protein level Inspecting the child's mouth for loose teeth and reporting the findings Encouraging a parent to stay until the child leaves for the operating room A school-aged child is to receive a blood transfusion. What should the nurse do first if an allergic reaction to the blood occurs? Shut off the infusion. Slow the rate of flow. Administer an antihistamine. Call the healthcare provider. What can a nurse do to help confirm a suspected diagnosis of intestinal infestation with pinworms in a 6-year-old child? Teach the mother the procedure for an anal cellophane tape test Ask the mother to collect stools for 3 consecutive days for culture Have the mother bring in the child's stools for visual examination for 3 days Help the mother schedule a hypersensitivity test of the child's blood serum A parent receives a note from school reporting that a student in class has head lice. The parent calls the school nurse to ask how to check for head lice. What instruction should the nurse provide? "Ask the child where it itches." "Check to see whether your dog has ear mites." "Look at your child's head along the scalp line for white dots." "Inspect your child's hands and look between the fingers for red lines." A child is found to be allergic to dust. The nurse is preparing a teaching plan for the parents. What should the nurse include in the plan? Housework must be done by professional housecleaners. Damp-dusting the house will help limit dust particles in the air. The condition must be accepted because dust cannot be limited. The house must be redecorated because the environment must be dust free. A school nurse is planning to teach the importance of hand washing to the children in first grade. What is the most effective approach for this age group? Showing a video of the correct hand washing technique Demonstrating hand washing and asking for return demonstrations Involving them in a discussion about the importance of hand washing Describing how germs cause illness and how hand washing prevents disease A mother brings her 6-year-old child to the pediatric clinic, stating that the child has not been feeling well, is weak and lethargic, and has a poor appetite, headaches, and smoky-colored urine. What additional information should the nurse obtain that will aid diagnosis? Rash on palms and feet Shoulder and knee pain Recent weight loss of 2 lb (0.9 kg) Strep throat in the past two weeks The nurse is providing discharge instructions to the parents of a child who has undergone surgical correction of hypospadias. What is the priority information for the nurse to include? Ensuring that the child's privacy is maintained Increasing the time that the catheter is clamped Maintaining the surgically implanted tension device Teaching parents how to care for the catheterization system A nurse is preparing a teaching plan for the parents of a child with celiac disease. What information on the basic problem in celiac disease does the nurse include? Green stools Intolerance of gluten Absence of intestinal villi Susceptibility to severe dehydration A 10-year-old child is admitted to the pediatric unit in vaso-occlusive sickle cell crisis. The nurse manager is planning to assign a room. Which child is the best roommate option for this client? Child with thalassemia Child with osteomyelitis Child with viral pneumonia Child with acute pharyngitis A nurse is counseling the family of a child with AIDS. What is the most important concern that the nurse should discuss with the parents? Risk for injury Susceptibility to infection Inadequate nutritional intake Altered growth and development A 6-year-old child with Reye syndrome is admitted to the pediatric intensive care unit. What clinical finding does the nurse deem the most significant when assessing this child? Increased vomiting Bleeding tendencies Spiking temperatures Altered consciousness A school nurse is teaching a group of teachers' aides about the cause of lead poisoning in children. What should be considered in terms of prevention? Lead poisoning is known to be caused by the ingestion of foods that are high in fat. Lead poisoning is attributed to an indigent and passive parent who fails to supervise the children. Environmental factors are involved because lead is available for ingestion and inhalation. Increasing milk intake will counteract the adverse effects of lead ingestion. A child returns to his room after left-side cardiac catheterization. What is involved in the postprocedure nursing care? Encouraging early ambulation Monitoring the insertion site for bleeding Comparing blood pressures in the two extremities Restricting fluids until the blood pressure has stabilized A 12-year-old child is to be bedridden at home for several weeks after orthopedic surgery. What activity should the nurse encourage the parents to plan? Drawing pictures Playing card games Watching television Continuing schoolwork A 9-year-old child with chronic kidney disease is undergoing peritoneal dialysis. For which associated complication should the nurse monitor the child? Petechiae Abdominal bruit Cloudy return dialysate Increased blood glucose level What is the first activity of daily living (ADL) that the nurse should help teach a developmentally disabled 8-year-old child? Dressing Toileting Self-feeding Combing hair A hospitalized 10-year-old child is apathetic about eating. What is the best nursing intervention to support the child's nutrition? Asking the parents to visit at mealtimes Having a nursing assistant feed the child Providing diversional activity at mealtimes Eliminating the child's between-meal snacks A child has cystic fibrosis. Which verbalization by the parents about their plan for the child's dietary regimen provides evidence that they understand the nurse's instructions? Restrict fluids during mealtimes. Discontinue the use of salt when cooking. Provide high-calorie foods between meals. Add whole-milk products from the diet. nurse is teaching a school-aged child with juvenile idiopathic arthritis (JIA) activities to prevent the loss of joint function. What should the nurse caution the child to avoid? Bicycle riding Walking to school Isometric exercises Sedentary activities An 8-year-old girl who is hospitalized for intravenous antibiotic therapy tells the nurse that she is bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by the father indicates a need for further teaching? "I'll bring a radio and CD player." "I'll bring homework and school supplies." "She'll enjoy having a rubber baseball and plastic bat." "She'll enjoy rubber stamps and a pretty box to keep them in." A school nurse is teaching a health class of 12-year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease? "You can catch it while you're getting a tattoo." "You're more likely to get it in crowded living conditions." "The disease is passed from person to person by casual contact." "People working at restaurants can give it to you if they don't wash their hands." A preadolescent brings home a note from the school nurse informing the parents that the child should be evaluated for scoliosis. The mother calls the school nurse to ask for a description of scoliosis. Before responding, what does the nurse recall about scoliosis? The concave lumbar curvature is exaggerated. There are pathological changes in the vertebrae. There is a rotary deformity of the lateral curvature of the spine. The curvature of the thoracic spine has an increased convex angulation. A nurse is caring for a school-aged child with type 1 diabetes. There have been problems maintaining euglycemia. What laboratory test does the nurse expect to be prescribed that will reveal the effectiveness of the diabetic regimen over time? Serum glucose Glucose tolerance Fasting blood sugar Glycosylated hemoglobin he nurse anticipates that the family of a child with cerebral palsy is at risk for difficult parenting issues. What does the nurse conclude is the probable basis for this difficulty? Lack of social support Unrealistic expectations Loss of the expected healthy child Having a child with cognitive impairment The parents of an 11-year-old child with a terminal illness appear overwhelmed and anxious. What is the best response by the nurse? Explaining the diagnosis in a variety of ways Encouraging the parents to express their feelings Recommending that the parents talk with other parents Offering assurance that surgery will probably correct the problem What teaching must the nurse emphasize to the family when preparing a school-aged child with persistent asthma for discharge? A cold, dry environment is desirable. Limits should not be placed on the child's behavior. The health problem is gone when symptoms subside. Medications must be continued even when the child is asymptomatic. A nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy. How does the nurse explain this choice to the parents? The child has minimal step ability in the lower extremities. It provides for two points of support on the floor at all times. It provides for equal but