NGN PN NURSING CARE OF CHILDREN ONLINE PRACTICE 2020(100% CORRECT ANSWERS AND RATIONALE) LATEST UPDATED 2023(VERIFIED & GRADE A)

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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-- 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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-Instill medication immediately after cleansing the eye A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program - answer-The leading cause of death in adolescents is physical injury -MVC (motor vehicle crashes) are the leading cause of death in adolescent population. A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of human immunodefiency virus (HIV). Which of the following statements made by the parent indicates an understanding of the teaching? - answer-"I should bring my child in for immunizations on schedule." Immunizations provide protection from communicable diseases A nurse is reinforcing teaching about home care with the guardian of a 14month old toddler who has spatic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching? - answer-"I will perform daily stretching exercises to my toddler's affected muscles Stretching prevents muscle contractures. 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? - answer-The child's abdomen. The nurse should expect the child who has diarrhea and has been vomiting to exhibit 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. A child who has been vomiting and had diarrhea for 24 hr will have a prolonged period of tenting. A nurse is screening a group of school age children for abuse. The nurse should identify that which of the following conditions places a child at risk for physical abuse? - answer- A child who has ADHD due to the increased emotional and physical demands the conditon can place of the child's parents A nurse is providing care to parents immediately following their child;s unexpected death. Which of the following actions should the nurse take? - answer-Offer the parents the opportunity to bathe and dress the child's body -this can facilitate the grieing process and allow them to provide care for their child one last time 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? - answer-Provide the toddler with a favorite toy at bedtime.