Child Health Nursing (NURS 4140) Exam 1 Questions & Answers

Child Health Nursing (NURS 4140) Exam 1 Questions & Answers-the public health nurse is aware that suicide in teens is a significant health issue. which child is most at risk? - the 17y/o native american boy the nurse is assisting low income families to access health care. the nurse is aware that in today's society which of the following most accurately defines the diversity in a modern family? - a family is whatever the child and family say it is the parents of a 5y/o bring their son to the ED because of significant eyelid edema. the mother states, "he scratched himself near his eye a couple of days ago while playing outside in the yard." The nurse suspects periorbital cellulitis based on which of the following - purplish discoloration of the eyelid the nurse is administering pain medicatin for a child with continuous pain from internal injuries. which of the following methods would be ordered to dispense the medication - administer the medication around the clock at timed intervals a child admitted with HF secondary to AV canal. which of the following should be included in the plan of care - diuretics strict I&O after teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful - the shorter and wider eustachian tubes of an infant increase the risk for which of the following children would nonopiod analgesics be recommended - a child with juvenile arthritis the nurse is caring for a 3y/o boy with encephalitis. which of the following actions would demonstrate atraumatic care? - providing EMLA (lidocaine) prior to lumbar puncture. A child weighs 8 pounds 12 ounces. ordered med: gentamicin 2.5mg/kg q8h. what dose will you administer in a single dose. round to tenths. - 12/16=0.66 + 8 = 8.75lbs / 2.2kg = 3.977kg * 2.5mg = 9.94 ~ 9.9mg child weighs 14.8kg, ordered: D5 1/2 NS w/ 20 mEq KCl/L @ maintenance. what is the appropriate hourly rate? round to the nearest tenths - 10kg * 100ml = 1,000ml 4.8kg * 50ml = 240 ml 1,000 + 240 = 1,240ml/day 1,240ml/24hrs = 51.7ml/hr IV + PO to equal maintenance. child weighs 6.3kg. At 0745 child drinks 46mL formula. adjust the rate for the next four hours. round to tenths. - 14.8ml The safe dose range for drug A is 200-400mg/kg/day. ordered: 618mg q6hrs. child weighs 9lbs 8oz. is the dose ordered safe and appropriate? - 9.5lbs / 2.2 = 4.318kg. *200 = 863.63 minimum. * 400 = 1,727.27 maximum. ordered 618 q6 = 2472 daily Dose is not safe