The parents of a 2-year-old child with chronic otitis media are concerned that the
disorder has affected their child's hearing. Which behavior suggests that the child
has a hearing impairment? - ANSWER: Using gestures to express desires
When caring for a 2-year-old child, the nurse should offer choices, when appropriate,
about some aspects of care. According to Erikson, doing this helps the child achieve:
- ANSWER: autonomy.
During a well-child visit, the nurse is reinforcing education with the parents of a 2-
year-old child. What is the best recommendation a nurse can give to the parents
regarding frequent temper tantrums? - ANSWER: Ignore the behavior when it
happens.
A 2-year-old who's admitted to the pediatric unit for a tonsillectomy is in foster care.
The nurse assists the physician in gaining informed consent. Who can legally give
informed consent for this elective procedure? - ANSWER: Parents or guardian
A 1-year-old infant is pale, but the physical examination is normal. Blood studies
reveal the infant's hematocrit is 24%. Which question by the nurse to the parents
would be most useful in helping to establish a diagnosis of anemia? - ANSWER:
"What's the infant's usual daily diet?"
A 3-year-old child is given a preliminary diagnosis of acute epiglottitis. Which nursing
intervention is appropriate? - ANSWER: Don't attempt to visualize the epiglottis.
A 2-year-old child is being treated with rifampin for tuberculosis. Which finding does
the nurse expect to find in the client? - ANSWER: orange body secretions
The nurse is caring for a toddler with right lower lobe pneumonia. In order to
improve gas exchange, which position should hte child be placed in? - ANSWER: left
side-lying
The nurse is gathering data regarding the physical development of a 33-month-old
who is playing. Which of the following activities would the nurse anticipate the
toddler being able to complete with minimal assistance? Select all that apply. -
ANSWER: using a spoon for eating
washing and drying hands
removing his or her jacket
The nurse is caring for a 30-month-old client in the pediatrician's office. The client is
being assessed for autism spectrum disorder. While assessing the client with the
health care provider, which clinical characteristics does the nurse anticipate
, documenting in the medical record? Select all that apply. - ANSWER: avoiding eye-to-
eye contact with others
using repetitive behaviors throughout the session
Which intervention prevents a 17-month-old child with spastic cerebral palsy from
going into a scissoring position? - ANSWER: Place the child on the hip.
Which nursing diagnosis takes highest priority for a child in the early stages of burn
recovery? - ANSWER: Risk for infection
For a child with a Wilms' tumor, which preoperative nursing intervention takes
highest priority? - ANSWER: Avoiding abdominal palpation
An 18-month-old Hispanic toddler admitted to the hospital with bronchitis has red
marks on his upper chest over both sides of his body. The mother states that she has
been treating him at home. Which treatment has the mother most likely been
administering to her toddler? - ANSWER: Coin rubbing
The nurse is preparing to administer morning care to a 24-month-old admitted with
respiratory syncytial virus bronchiolitis. Keeping in mind the extent to which a child
in this age-group can help to meet his own hygiene needs, the nurse can expect to: -
ANSWER: allow the toddler to bathe as much of himself as he can with supervision.
A 2-year-old child has been admitted with a diagnosis of diabetes. Which cardinal
sign would support this diagnosis? - ANSWER: frequent urination
Parents tell the nurse that they want to begin toilet training their 22-month-old
child. What is the most important factor regarding toilet training that the nurse
should stress to the parents? - ANSWER: developmental readiness of the child
An 18-month-old child comes to the primary health care provider's office for a well-
baby checkup. Which foods should the nurse recommend as providing the best
sources of dietary iron for the child? - ANSWER: peanut butter, green vegetables,
and raisins
The nurse is caring for a 3-year-old client being treated for severe status
asthmaticus. After comparing clinical manifestations with laboratory results
(reported as shown), a nurse determines that this client has progressed to which
condition? - ANSWER: respiratory acidosis
A toddler is diagnosed with iron deficiency anemia. When teaching the parents
about using supplemental iron elixir, the nurse should provide which instruction? -
ANSWER: "Give the elixir with water or juice."
For a child with a circumferential chest burn, what is the most important factor for
the nurse to monitor? - ANSWER: Breathing pattern