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Assessment Quiz Nursing Care Of Children (Answered)

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Assessment Quiz Nursing Care Of Children (Answered) 46. A nurse is assessing a 4-year-old child following a surgical procedure. Which of the following pain rating scales should the nurse use? Oucher pain rating scale Word-Graphic rating scale Numeric rating scale Visual analog scale 47. A school nurse is assessing a child who fell from playground equipment and landed head-first. Which of the following manifestations should the nurse recognize as indicating the presence of increased intracranial pressure? Report of diplopia Hyperactivity Nuchal rigidity Report of sore throat 48. A nurse is assessing an infant who has hydrocephalus. Which of the following clinical manifestations should the nurse expect? Depressed scalp veins Sunken anterior fontanels Bulging eyes Separated cranial sutures 49. A nurse is preparing a teaching plan for the parent of a school-age child who has asthma. Which of the following manifestations should the nurse include as an indication of an exacerbation of asthma? Green zone reading on peak expiratory ow meter Rhinitis Axillary temperature of 37.2° C (99° F) Hacking, nonproductive cough 50. A nurse is reviewing the laboratory values of a school-age child who reports increased bruising. Which of the following laboratory values should the nurse expect? WBC count 8,000/mm3 Platelets 120,000/mm 3 Triiodothyronine 200 ng/dL Hgb 13 g/dL 51. A nurse is caring for an infant following a cleft lip and palate repair. Which of the following…................................................. Period? Encourage the use of a pacifier. Provide hard toys. Administer analgesic 52. A nurse is providing dietary education to the mother of infant. What recommendation Diet should the nurse make. Select all apply Solds can be introduced between 4 and 6 months of age. Iron-fortified rice cereal should be offered firt. New foods should be introduced one at time over a 5 to 7 day period to obse………….. Vegetables or fruit are first started between 6 and 8 months of age. Milk, eggs, wheat, citrus, peanut butter and honey can be given after 6 months……

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ASSESSMENT
QUIZ NURSING
CARE OF
CHILDREN
(ANSWERED)

, Assessment sabado

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? (Select
all 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 a
seizure."

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 licensed
nurse 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 temper
tantrums. 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 an
indication that the procedure has been effective?

Increased respiratory rate

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