Assessment_Nursing_Care_of_Children
A nurse on a pediatric unit is receiving change-of-shift report for a group
of clients.Which of the following clients should the nurse see first?
A child who is postoperative following a tonsillectomy and reports moderate throat pain
A child who had a cardiac catheterization using the femoral artery and has blanching of
the toesA child who has bacterial pneumonia and is due for their initial dose of IV
antibiotics
A child who has juvenile idiopathic arthritis and needs assistance with application of
prescribedsplints
A nurse in a pediatric clinic is performing a history and physical for a toddler
who isscheduled to receive a measles, mumps, and rubella (MMR)
immunization. Which of the following findings indicate that the
immunization should be withheld?
Temperature of 38° C (100.4° F)
Family history of sudden infant death syndrome
(SIDS)Taking an antihistamine for seasonal
allergies Receiving prednisone for nephrotic
syndrome
A nurse is instilling optic drops into an 18-month-old child's ears. Which of
the followingmethods should the nurse use?
Pull the pinna down and back.
Insert the dropper into the ear
canal.
Administer the ear drops at 5.5° C (42°
,F).Massage the area behind the ear.
A nurse is providing teaching to an adolescent who has a new prescription for
cefazolin. For which of the following adverse effects should the nurse instruct
theadolescent to monitor and report to the provider?
Dry mouth
,Constipatio
nBack pain
Urticaria
A home health nurse is providing teaching about post seizure management to
the parents of a school age child who has epilepsy and experiences tonic-clonic
seizures.Which of the following instructions should the nurse include in the
teaching? (Selectall that apply.)
"Hyperextend your child's head for 5 minutes following a
seizure." "Immediately following a seizure, give your child 6
ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure.""Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are unequal after
aseizure."
A nurse in a pediatric clinic is discussing the pathophysiology of Reye
syndrome with a newly licensed nurse. Which of the following statements by
the newly licensednurse indicate an understanding of the disorder?
"Reye syndrome causes fatty changes in the
liver." "Reye syndrome leads to venous thrombus
formation."
"Reye syndrome is associated with misuse of
, acetaminophen.""Reye syndrome is linked to decreased
serum ammonia levels
A nurse is teaching the parents of a toddler about strategies to
manage tempertantrums. Which of the following instructions should
the nurse include in the teaching?
"Honor the child's request if she holds her
breath.""Establish a structured daily routine
for the child."
"Place the child in her room alone until the temper tantrum
ends.""Comfort the child during the temper tantrum."
A nurse is completing an assessment following suctioning of a child who
has a tracheostomy. Which of the following findings should the nurse
A nurse on a pediatric unit is receiving change-of-shift report for a group
of clients.Which of the following clients should the nurse see first?
A child who is postoperative following a tonsillectomy and reports moderate throat pain
A child who had a cardiac catheterization using the femoral artery and has blanching of
the toesA child who has bacterial pneumonia and is due for their initial dose of IV
antibiotics
A child who has juvenile idiopathic arthritis and needs assistance with application of
prescribedsplints
A nurse in a pediatric clinic is performing a history and physical for a toddler
who isscheduled to receive a measles, mumps, and rubella (MMR)
immunization. Which of the following findings indicate that the
immunization should be withheld?
Temperature of 38° C (100.4° F)
Family history of sudden infant death syndrome
(SIDS)Taking an antihistamine for seasonal
allergies Receiving prednisone for nephrotic
syndrome
A nurse is instilling optic drops into an 18-month-old child's ears. Which of
the followingmethods should the nurse use?
Pull the pinna down and back.
Insert the dropper into the ear
canal.
Administer the ear drops at 5.5° C (42°
,F).Massage the area behind the ear.
A nurse is providing teaching to an adolescent who has a new prescription for
cefazolin. For which of the following adverse effects should the nurse instruct
theadolescent to monitor and report to the provider?
Dry mouth
,Constipatio
nBack pain
Urticaria
A home health nurse is providing teaching about post seizure management to
the parents of a school age child who has epilepsy and experiences tonic-clonic
seizures.Which of the following instructions should the nurse include in the
teaching? (Selectall that apply.)
"Hyperextend your child's head for 5 minutes following a
seizure." "Immediately following a seizure, give your child 6
ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure.""Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are unequal after
aseizure."
A nurse in a pediatric clinic is discussing the pathophysiology of Reye
syndrome with a newly licensed nurse. Which of the following statements by
the newly licensednurse indicate an understanding of the disorder?
"Reye syndrome causes fatty changes in the
liver." "Reye syndrome leads to venous thrombus
formation."
"Reye syndrome is associated with misuse of
, acetaminophen.""Reye syndrome is linked to decreased
serum ammonia levels
A nurse is teaching the parents of a toddler about strategies to
manage tempertantrums. Which of the following instructions should
the nurse include in the teaching?
"Honor the child's request if she holds her
breath.""Establish a structured daily routine
for the child."
"Place the child in her room alone until the temper tantrum
ends.""Comfort the child during the temper tantrum."
A nurse is completing an assessment following suctioning of a child who
has a tracheostomy. Which of the following findings should the nurse
