NURS 4030 NURSING CARE OF CHILDREN PROCTORED EXAM 2024

A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first? a. A toddler who has nephrotic syndrome and facial edema b. a preschool-age child who has a muffled voice and no spontaneous cough c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL - a preschool-age child who has a muffled voice and no spontaneous cough A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of the following actions should the nurse take? a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding c. Elevate the infant's head to a 10 degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day - discontinue the feeding A nurse is caring for an adolescent who is 1 hour post-operative following an appendectomy. Which of the following findings should the nurse report to the provider? a. Heart rate 63/minute e rigidity c. temperature 36.4 Celsius (97.5 Fahrenheit) d. abdominal pain - muscle rigidity nurse is assessing an infant who has severe dehydration due to gastroenteritis which of the following findings should the nurse expect? a. Increased respiratory rate b. capillary refill of 2 seconds c. Hypertension d. increased urine output - increased resp rate A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect? a. sausage-shaped abdominal Mass b. board like abdomen c. Constipation d. increased urinary output - sausage shaped mass A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the clients potassium level is 3.2 meq L which of the following assessment findings should the nurse expect? a. Hypertension b. Hyporeflexia c. hyperactive bowel sounds d. Oliguria - hyporeflexia Droplet precautions for children with epiglottis (first 24 hours after start of antibiotics) administer droplet precautions first - Dehydration in infants is HGB of 12 and HCT of 51%, tachy - Hypoglycemia give 8 oz of milk or 4 oz of oj - Child with cleft palate restrain at elbows and feed with a cup - A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? - encourage parents to rock the infnt Monitor 02 sats in a child who has epiglottis and a barking cough - Expect lethargy in a child with a blood glucose level of 280 - Expect lethargy in a child with a blood glucose level of 280 - Expect facial edema with glomerulonephritis - Infant with rotavirus who is moderately dehydrated expect weight loss of 7% - When admitting an infant with GERD which is a priority assessment finding- regurgitation - Acute diarrhea in a toddler is an indication for contact precautions - A serum protein of 4.2 should be expected in a child with nephrotic syndrome - Give 11 month old child electrolyte solution with acute diarrhea and dehydration - A toddler who has nephrotic syndrome and facial edema should be seen first when prioritizing patients to see - Thirst is an indication for hyperglycemia in a school age child with diabetes - When planning care for a child following a meckel diverticulum you should include maintaining a NG tube for decompression in the plan of care - Hyporeflexia is an expected finding of gastroenteritis due to low potassium normal potassium level is 3.4-4.7 - expect an increased respiratory rate in an infant with severe dehydration due to gastroenteriti - NORMAL LAB LEVELS IN KIDS: Sodium- 135-145 Serum creatinine- 0.5-1.0 Calcium- 8.5-10.2 Potassium- 3.4-4.7 Magnesium- 1.4-1.7, newborn- 1.4-2 HCT- 30-44 HGB- 13.5 Platelet count- 250,000-450,000 - A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? Absence of peristalsis - A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? - A. The nurse should identify this area of the client's abdomen as McBurney's point. This area of the right lower quadrant located about two-thirds of the way between the umbilicus and the client's anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain and tenderness A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? - Give morphine 0.05mg/kg IV The nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the inter professional team should the nurse initiate a referral? - Speech therapist A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment? - Sodium 140 mEq/L A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? - "I will give myself a shot of regular insulin 30 minutes before I eat breakfast." A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurses priority? - tachypnea A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler? - Oral rehydration solution A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? - "Allow the stent to drain into your infants diaper." The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to prevent kinking or twisting that can interfere with urine flow. A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? - Decreased edema: A child who has nephrotic syndrome can experience edema due to the increased glomerular permeability, which increases protein loss. Prednisone decreases glomerular permeability, which causes fluid to shift from the extracellular spaces, resulting in decreased edema. A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? - Monitor the childs oxygen saturation: The nurse should monitor the child's oxygen saturation level because the child is experiencing acute respiratory distress and it is necessary to determine if the child is responding to treatment. A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.) - -Vomiting -Lethargy A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include? - "Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days.": The nurse should instruct the parents to apply a thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then continue to apply petroleum jelly to the area for several weeks to promote healing.