PN Nursing Care of Children Online Practice 2020 B
Questions and Answers (Verified Answers)
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused
by Haemophilus influenzae type B. Which of the following isolation guidelines should
the nurse plan to initiate?
Droplet precautions
The nurse should plan to initiate droplet precautions for this child, because bacterial
meningitis caused by Haemophilus influenzae type B is transmitted through the air via
large-particle droplets.
A nurse is reinforcing teaching to the guardian of a toddler who is receiving
chemotherapy and has developed stomatitis. Which of the following instructions should
the nurse include in the teaching?
Frequently rinse the mouth with chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month 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 infants penis as dry as possible until the stent or cather is removed.
The nurse should instruct the guardians to 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 or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling
tired and being easily bruised. Which of the following laboratory values should the nurse
report to the provider?
Platelets 85,000/mm3
This value is below the expected reference range for a school-age child and should be
reported to the provider.
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus
and is experiencing an acute illness. Which of the following actions should the nurse
include in the plan of care?
- Encourage an increased fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
, The nurse should encourage an increased fluid intake to flush out ketones and prevent
dehydration. Children who have diabetes mellitus and an acute illness are more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child
developing diabetic ketoacidosis.
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
-decreases the risk for further injury to the extremity and minimizes the occurrence of
muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a
prescription for digoxin. Which of the following statements by the parent indicates
desired therapeutic effect of the medication?
My baby is breathing easier than she used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary
edema, which will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should
identify that which of the following children is at risk for impaired elimation?
A child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion,
thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and
fruity breath. A child who has hyperglycemia is at risk for dehydration
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 cant deal with this." Which of
the following responses should the nurse make?
I'm not sure I follow you. Can you explain?
The nurse should use open-ended statements that will allow the parent to share their
feelings and emotions. During times of grief, the parent needs to express emotions. The
use of an open-ended statement relays the message that it is safe to do so with the
nurse.
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1month old infant. Which of the following statement 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 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 immediately after cleansing the eye
Questions and Answers (Verified Answers)
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused
by Haemophilus influenzae type B. Which of the following isolation guidelines should
the nurse plan to initiate?
Droplet precautions
The nurse should plan to initiate droplet precautions for this child, because bacterial
meningitis caused by Haemophilus influenzae type B is transmitted through the air via
large-particle droplets.
A nurse is reinforcing teaching to the guardian of a toddler who is receiving
chemotherapy and has developed stomatitis. Which of the following instructions should
the nurse include in the teaching?
Frequently rinse the mouth with chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month 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 infants penis as dry as possible until the stent or cather is removed.
The nurse should instruct the guardians to 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 or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling
tired and being easily bruised. Which of the following laboratory values should the nurse
report to the provider?
Platelets 85,000/mm3
This value is below the expected reference range for a school-age child and should be
reported to the provider.
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus
and is experiencing an acute illness. Which of the following actions should the nurse
include in the plan of care?
- Encourage an increased fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
, The nurse should encourage an increased fluid intake to flush out ketones and prevent
dehydration. Children who have diabetes mellitus and an acute illness are more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child
developing diabetic ketoacidosis.
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
-decreases the risk for further injury to the extremity and minimizes the occurrence of
muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a
prescription for digoxin. Which of the following statements by the parent indicates
desired therapeutic effect of the medication?
My baby is breathing easier than she used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary
edema, which will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should
identify that which of the following children is at risk for impaired elimation?
A child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion,
thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and
fruity breath. A child who has hyperglycemia is at risk for dehydration
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 cant deal with this." Which of
the following responses should the nurse make?
I'm not sure I follow you. Can you explain?
The nurse should use open-ended statements that will allow the parent to share their
feelings and emotions. During times of grief, the parent needs to express emotions. The
use of an open-ended statement relays the message that it is safe to do so with the
nurse.
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1month old infant. Which of the following statement 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 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 immediately after cleansing the eye
