A nurse is providing discharge to the parents of a school aged child following
placement
of a ventriculoperitoneal shunt. The nurse should determine the teaching was
effective when the parents identify which of the following as an indicator that the
shunt has been displaced? - ANSWER-Elevated temperature
A nurse is reviewing laboratory results of a school aged child. Which of the
following
findings to the nurse reports the provider? - ANSWER-Platelets 110,000
A nurse is planning care for a child immediately following the insertion of a chest
tube for continuous suction with a closed drainage system. Which of the following
interventions should the nurse include in the plan of care? - ANSWER-Ensure
continuous bubbling is present in the suction control chamber
A nurses caring for an infant who has heart failure and is receiving digoxin. Which
of the following findings indicates a positive response to the medication? -
ANSWER-Urine output 2 mL/kg/hr
A nurse is assessing a six month old infant who has respiratory syncytial virus.
The nurse
,should immediately report which of the following findings to the provider? -
ANSWER-Tachypnea
A nurse is reviewing the results of the newborn screening of a newborn who is
one week old. Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative
galactosemia. Which of the following nursing include in the plan of care? -
ANSWER-nstruct the newborns parent about how to administer levothyroxine
A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of
the
following actions should the nurse take first. - ANSWER-Initiate contact
precautions
A nurse is caring for toddler who post operative following cleft palate repair.
Which of the following actions should the nurse take? - ANSWER-Administer
opioids for mouth pain
A nurse is providing teaching to the parents of a school aged child who has ADHD.
Which of the following instructions should the nurse include? - ANSWER-Place the
childs daily activities on an organizational chart
A nurse is caring for a child who has sickle cell anemia. Which of the following
findings is
, a priority for the nurse to report to the provider? - ANSWER-Facial twitching
A nurse in the PACU is caring for a school aged child immediately after a
tonsillectomy. Which of the following actions should the nurse take? - ANSWER-
Place the child in a side lying position
A nurse in the ER is caring for an adolescent who was requesting testing for STIs.
Which
of the following actions is appropriate for the nurse to take? - ANSWER-Obtain the
written consent from the client
A nurse is providing teaching about medication administration to the parents of
the toddler who has a new prescription for liquid ferrous sulfate. Which of the
following instructions should the nurse include? - ANSWER-Dilute the drops of
water prior to administration
A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an
understanding of the teaching? - ANSWER-I will steam carrots and will cut them
into small pieces for her
a nurse is caring for a child who s 2 days post-op following an appendectomy due
to the