correct answers
A nurse is assessing the pain level of a 3 year old toddler. Which of the
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following assessment scales should the nurse use?
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A. FACES ||
B. Numeric||
C. CRIES
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D. Visual analog - CORRECT ANSWERS ✔✔A. FACES
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The nurse should use the FACES pain rating scale for pediatric clients who are
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3 years old and older. this scale allows the toddler to point to the face that
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depicts their current level of pain. the nurse can then determine the need for
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pain management.
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A nurse is planning an educational program to teach parents about protecting
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their children from sunburns. Which of the following instructions should the
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nurse plan to include?
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A. "allow your child to play outside during the hours between 10:00am and
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2:00pm."
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B. "choose a waterproof sunscreen with a minimum SPF of 15."
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C. "dress you child in loose weave polyester fabric prior to sun exposure."
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D. "reapply sunscreen every 4 hours." - CORRECT ANSWERS ✔✔B. "choose a
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waterproof sunscreen with a minimum SPF of 15."
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,The nurse should instruct parents to apply a waterproof sunscreen with a
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minimum SPF of 15 for children. the parents should apply the sunscreen
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prior to sun exposure to reduce the risk of sunburn.
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A nurse is performing hearing screenings for children at a community health
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fair. Which of the following children should the nurse refer to a provider for a
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more extensive hearing evaluation?
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A. an 18 month old toddler who has unintelligible speech
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B. a 3 month old infant who has exaggerated startle response
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C. a 4 year old preschooler who prefers playing with others rather than alone
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D. an 8 month old infant who is not yet making babbling sounds - CORRECT
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ANSWERS ✔✔D. An 8-month-old who is not yet making babbling sounds.
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The nurse should refer an infant who is not making babbling sounds by the
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age of 7 mo to a provider for amore extensive eval of hearing
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A nurse in an emergency department is assessing a 3 month old infant who
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has rotavirus and is experiencing acute vomiting and diarrhea. Which of the
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following manifestations should the nurse identify as an indication that the
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infant has moderate to severe dehydration?
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A. HR 124 || ||
B. increased tear production
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C. sunken anterior fontanel
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D. capillary refill 2 seconds - CORRECT ANSWERS ✔✔C. sunken anterior
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fontanel
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, The nurse should recognize that a sunken anterior fontanel is an indication of
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moderate to severe dehydration due to the acute loss of fluid.
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A nurse is providing teaching to the family of a school-age child who has
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juvenile idiopathic arthrisis. Which of the following instructions should the
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nurse include in the teaching?
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A. "limit movement of the child's large joints"
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B. "encourage the child to perform independent self-care."
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C. "provide the child with a soft mattress for sleeping."
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D. "schedule a 2 hour daily nap for the child in the afternoon." - CORRECT
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ANSWERS ✔✔B. "encourage the child to perform independent self-care."
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The nurse should teach the family the importance of encouraging the child to
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perform independent self-care. This will minimize the child's pain while
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maximizing mobility. encouraging an praising the child's effort for
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independence will also increase their self-esteem.
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A nurse is planning care for a school age child who has a tunneled central
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venous access device. Which of the following interventions should the nurse
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include in the plan?
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A. use sterile scissors to remove the dressing from the site
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B. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride solution
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when not in use
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C. access the site suing a noncoring angle needle
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D. use a semipermeable transparent depressing to cover the site - CORRECT
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ANSWERS ✔✔D. use a semipermeable transparent depressing to cover the
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site
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