2024/2025. COMPLETE WITH QUESTIONS AND
ANSWERS. A+ GRADE VERIFIED AND WELL
RESEARCHED.
1. Complete the diagram by dragging from the choices below to
specify what condition the client is most likely experiencing, 2
actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's progress.:
educate the guardian about sweat chloride testing for the toddler
and prepare the toddler for chest physiotherapy. The toddler is most
likely experiencing cystic fibrosis, as evidenced by reports of
recurring respiratory infections, wheezing, coughing, tachypnea,
tachycardia, labored respirations, decreased oxygen saturation, nasal
congestion, inability to gain weight, loose fatty stool, salty tasting
sweat, and hyponatremia. To evaluate the toddler's response to
these interventions, the nurse should monitor the toddler's oxygen
saturation level and stools. These are parameters that indicate if the
toddler is further experiencing respiratory distress, inadequate
intake, and dehydration, which can lead to further complications,
including pneumothorax, respiratory failure, and failure to thrive 2. A
nurse is caring for a school age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of
the skin and angioedema. After discontinuing the medication
infusion, which of the following medications should the nurse
administer first? Epinephrine This child is most likely experiencing an
anaphylactic reaction to the cefazolin.
According to evidence-based practice, the nurse should first
administer epinephrine to treat the anaphylaxis. Epinephrine is a
beta-adrenergic agonist that stimulates the heart, causes
vasoconstriction of blood vessels in the skin and mucous
membranes, and triggers bronchodilation in the lungs.
3. Which of the following statements by a guardian indicate
that the discharge teaching was effective?
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, RN PEDIATRIC NURSING ONLINE PRACTICE
2024/2025. COMPLETE WITH QUESTIONS AND
ANSWERS. A+ GRADE VERIFIED AND WELL
RESEARCHED.
Select all that apply: "We should apply a skin emollient immediately
after bathing our child" is correct. An emollient is an oil that moisturizes
the skin and should be applied immediately after bathing, while the skin
is damp, to prevent drying.
Therefore, this statement by the guardian indicates the teaching has
been effective. "We should keep our child's fingernails trimmed short" is
correct. The child's fingernails and toenails should be kept short,
trimmed, and filed to prevent scratching with sharp edges. Therefore,
this statement by the guardian indicates the teaching has been effective.
"We should use a mild detergent for our laundry" is correct. The use of
mild detergents for laundry helps prevent allergens and itching.
Therefore, this statement by the guardian indicates the teaching has
been effective.
4. A nurse is providing discharge teaching to the parent of a
school age child who has moderate persistent asthma. Which of
the following instructions should the nurse include? "Pulmonary
function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
The nurse should inform the parent that their child will need pulmonary
function tests every 12 to 24 months to evaluate the presence of lung
disease and how the child is responding to the current treatment
regimen. As children grow, sometimes their manifestations can improve
or decline, and treatment needs to change accordingly.
5. A nurse is monitoring oxygen saturation of an infant using
pulse oximetry. The nurse should secure the sensor to which of
the following areas on the infant? Great Toe
The nurse should secure the sensor to the great toe of the infant and
then place a snug-fitting sock on the foot to hold the sensor in place.
The nurse should also check the skin under the sensor site
frequently for temperature, color, and the presence of a pulse.
2/19
, RN PEDIATRIC NURSING ONLINE PRACTICE
2024/2025. COMPLETE WITH QUESTIONS AND
ANSWERS. A+ GRADE VERIFIED AND WELL
RESEARCHED.
6. After reviewing the information in the child's medical
record, which of the following findings should the nurse report
to the provider?
Select the 4 findings that the nurse should report to the provider.:
Arterial blood gases is correct. The child's arterial blood gases (ABCs)
indicate respiratory alkalosis, which is associated with complications of
asthma, such as hyperventilation and hypoxia. Therefore, the nurse
should report these findings to the provider.
WBC count is correct. The child's WBC count is above the expected
reference range, which could be an indication of infection or
inflammation. Therefore, the nurse should report this finding to the
provider.
Oxygen saturation level is correct. The child's oxygen saturation level has
decreased below the expected reference range despite the use of
supplemental oxygen.
Therefore, the nurse should report this finding to the provider.
Respiratory assessment is correct. The child's respiratory assessment
indicates increased respiratory distress, as evidenced by the
presence of tachypnea, retractions, and increased wheezing.
Therefore, the nurse should report these findings to the provider.
7. A school nurse is preparing to administer atomoxetine
1.2mglkglday PO to a school age child who weighs 75 lb.
Available is atomoxetine 40 mg/capsule. How many capsules
should the nurse administer per day? 1 capsule
8. A nurse is reviewing the lab report of a 7-yr old who is
receiving chemotherapy. Which of the following lab values
should the nurse report to the provider? I-Igbo 8.5/dL
A child receiving chemotherapy is at risk for anemia due to the
chemotherapy effects on the blood-forming cells of the bone marrow.
The development of anemia is diagnosed through laboratory testing of
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