c Version 1retake | Questions and
Verified Answers| 100% Correct| A
Grade
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
Cardiovascular assessment
WBC count
Hemoglobin
Oxygen saturation level
Respiratory assessment - ✔✔ANSWER✔✔>>Arterial blood
gases
WBC count
Oxygen saturation level
Respiratory assessment
A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse assess
first?
,An adolescent who was placed into halo traction 1 hr ago
and reports pain as 6 on a scale of 0 to 10
An adolescent who has infective endocarditis and reports
having a headache
A toddler who has a concussion and is experiencing an
episode of forceful vomiting
A school-age child who has acute glomerulonephritis and
brown-colored urine - ✔✔ANSWER✔✔>>A toddler who has a
concussion and is experiencing an episode of forceful
vomiting
For each assessment finding, click to specify if the finding is
consistent with nightmares, sleep terrors, or insomnia. Each
finding may support more than 1 disease process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian - ✔✔ANSWER✔✔>>
A nurse is providing discharge teaching to the guardians of
a toddler who had a lower leg cast applied 24 hr ago. The
nurse should instruct the guardians to report which of the
following findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral - ✔✔ANSWER✔✔>>B. Restricted
ability to move the toes
, A nurse is caring for an infant who has respiratory syncytial
virus (RSV). Which of the following actions should the nurse
implement for infection control?
Have a designated stethoscope in the infant's room.
Place the infant in a room equipped with negative airflow.
Administer palivizumab as prescribed for the infant.
Remove gloves after leaving the infant's room. -
✔✔ANSWER✔✔>>Have a designated stethoscope in the
infant's room.
A nurse is caring for an infant who is receiving IV fluids for
the treatment of tetralogy of Fallot and begins to have a
hypercyanotic spell. Which of the following actions should
the nurse take?
Place the infant in a knee-chest position.
Administer a dose of meperidine IV.
Discontinue administration of IV fluids.
Apply oxygen at 2 L/min via nasal cannula. -
✔✔ANSWER✔✔>>Place the infant in a knee-chest position.
The nurse should identify that which of the following
findings require immediate follow-up?
Select the 3 findings that require immediate follow-up.
Child is awake and crying
Partial- and full-thickness burns to the left upper anterior
chest and anterior neck
Non-productive cough
SaO2 89% on room air
Heart rate 150/min
Temperature 37.7° C (99.9° F)
Blood pressure 100/52 mm Hg - ✔✔ANSWER✔✔>>Partial-
and full-thickness burns to the left upper anterior chest and
anterior neck
SaO2 89% on room air