NUR MISC – Pediatrics Exam: Questions & Answers

NUR MISC – Pediatrics Exam: Questions & Answers - Herzing University 1. The nurse cares for the child with suspected bacterial meningitis. Which action should the nurse take first? 1. Determine if the child has received the Haemophilus influenza type B and pneumococcal conjugate vaccines 2. Decrease environmental stimuli 3. Place the child on droplet precautions 4. Assess the child's level of pain 2. A student nurse present a conference on hematological disorders in children. The student nurse identifies which information should be included in the presentation about immune thrombocytopenia purpura (ITP)? 1. Immune thrombocytopenia purpura occurs as a complication from shock/hypoxia 2. Immune thrombocytopenia purpura is caused by a profound depression of red blood cells. The white blood cells and platelets are also depressed. 3. Immune thrombocytopenia purpura is caused by excessive destruction of platelets. There is discoloration due to petechiae and the bone marrow is normal. Peds book page 1731 4. Immune thrombocytopenia purpura is the process that stops bleeding when a blood vessel is injured. 3. The nurse counsels the mother of a four year old diagnosed with group A B-hemolytic streptococcus infection of the upper airway. Which statement, is made by the mother to the nurse, indicates an understanding of the nurses instructions? 1." when my child feels better, they can stop taking the medication." 2. I will keep my child home until they complete the antibiotic therapy. 3. I will buy my child a new toothbrush tomorrow 4. I should not offer my child solid food for 72 hours. 4. The nurse performs a nutritional assessment on the 3 month old infant. Which question best assists the nurse to obtain a dietary history from the infants parents? 1. Does your baby like to look at different foods in a book? 2. When did you start feeding your baby solid foods? 3. How many ounces of formula does your infant drink each day? 4. How much did you weigh when you were born? 5. The nurse instruct the family of the child diagnosed with sickle cell disease on how to minimize the vaso-occlusive crisis. The nurse determines that further teaching is required if the family makes which statement? 1. I offer my child ice pops and frozen drinks. 2. I should contact the health care provider if my child has a fever. 3. I will encourage my child to drink fluids after playing. 4. If my child experiences pain, I will apply cold compresses. 6. The nurse cares for a child after a tonsillectomy. The child vomits bright red blood. Which action should the nurse take first? 1. Contact the healthcare provider. 2. Turn the child to the side. 3. Place an NPO sign above the child's bed. 4. Observe the child's throat. 7. The child is in the emergency room for a puncture wound contaminated with dirt. The nurse knows that the health care provider will order which medications? 1. Captopril 2. Tetanus immune globulin 3. Acetaminophen 4. Diazepam 8. The nurse plans care for infants on the pediatric unit. The nurse understands that careful assessment of the infant’s fluid and electrolyte balance is required for which reason? 1. Infant kidneys are able to concentrate and dilute urine. 2. Infants have a smaller body surface area than adults 3. Infants have larger amounts of extracellular fluids (ECF) than adults. 4. Infants have a lower metabolic rate than adults 9. The nurse at the local high school is discussing hypercholesterolemia and health class. Which statement if made by a student to the nurse, indicates the need for further teaching? 1. There is no treatment for hypercholesterolemia 2. My mom likes to use olive oil and canola oil in her cooking. 3. I'll ask my health care provider to check my blood for cholesterol and triglycerides. 4. If my lipid levels are elevated now, they will probably be elevated when I am an adult. 10. The school nurse administer glucagon intramuscularly (IM) to a child with type 1 diabetes. The child immediately begins to vomit. Which action should the nurse take first? 1. Contact the child's family. 2 Contact the child health care provider. 3. Inform the teacher that the child will not be returning to class. 4. Place the child on the side. 11. The nurse in the pediatric clinic assesses a 12 month old infant. The infant fell to the floor from a high chair. It is most important for the nurse to assess for which injury? 1. Fractured leg. 2. Ruptured spleen. 3. Fractured arm. 4. Head injury 12. The pediatric nurse cares for the 4-year-old admitted with Hirschsprungs disease. The nurse expects to find which signs and symptoms? 1. Projectile vomiting, epigastric fullness, and anorexia. 2. Abdominal pain, diarrhea, and blood in the stool. 3. Constipation, abdominal distention and ribbon like stools. 4. Right lower quadrant abdominal pain, diarrhea, and rigid abdomen. 13. The nurse discusses dental hygiene with the parents of a 12 month old infant. Which statement, if made by the parents to the nurse, indicates the need for further instruction? 1. We use toothpaste to polish the teeth. ---? Kaplan has conflicting info on this one 2. We wipe the teeth with a damp cloth. 3. We use only water to clean the teeth. 4. Good dental hygiene starts as soon as the first tooth erupts. 14. The nurse cares for the child diagnosed with Wilms tumor. Preoperatively, it is most important for the nurse to include which action in the plan of care? 1. Monitor intake and output. 2. Palpate the child's abdomen. 3. Measure the child's abdominal girth. 4. Assess for hypotension 15. The school nurse plans scoliosis screening for a class of fifth graders. Which is the correct screening procedure for scoliosis? 1. Instruct the child to bend forward from the waist. 2. Observe the back for a small dimple containing a tuft of hair 3. Ask the child to sit up from a prone position. 4. Flex the child's neck 16. The nurse observes the 10 year old child diagnosed with attention deficit hyperactivity disorder ADHD. The nurse expects to observe which behavior? 1. The child engages in a conversation with his mother. 2. The child sits quietly and read a book. 3. The child wonders the hallways. Peds book page 1902 4. The child plays a card game with another child. 17. The nurse cares for the child with a diagnosis of rule out aplastic anemia. To confirm the diagnosis, the nurse expects the health care provider to order which test? 1. Red blood cell indices. 2. Blood glucose 3. Bone marrow aspiration 4. Complete blood count 18. The nurse performs an assessment on a 15-month-old. The infant's parents tell the nurse that the child has started to walk, is eating with a spoon, and build a two- block tower. During the visit, the parent mention that the toddlers’ right eyes sometimes "glows". Which response by the nurse is best? 1. I will tell the healthcare provider about your observation.--- ? unable to find definitive answer 2. that is a normal response when light shines in a toddler's eyes. 3. Is light shining in the toddler's eyes when this happens? 4. I wouldn't worry about it. 19. The nurse cares for the school-aged child reporting joint pain in the extremities. The parents state that their child had a sore throat about 10 days ago that did not require treatment. The nurse anticipates the healthcare provider will order which test? 1. Red blood cell count. 2. Antistreptolysin O (ASO) titre 3. Blood glucose. 4. Hematocrit 20. The nurse instruct the mother of the young child diagnosed with moderate dehydration due to diarrhea. The nurse determines that teaching is successful if the mother makes which statement? 1. I will only give my child bananas, rice, and apples to eat. 2. I will frequently offer my child fruit juices and gelatin. 3. I will offer my child half a cup of oral rehydration after each diarrheal stool. 4. I will encourage my child to drink one cup beef broth 3 times a day 21. The nurse identifies which statement as a true statement about otitis media? 1. Otitis media is caused by dysfunction of the pharyngeal cavity. 2. Otitis media is caused by dysfunction of the Eustachian tubes. 3. Otitis media is caused by irritation of the nasopharyngeal tissues. 4. Otitis media is caused by a dysfunction of the middle ear. 22. The nurse cares for the child immediately after a supratentorial craniotomy to remove a brain tumor. The nurse notes that the child's apical pulse is elevated and the blood pressure is decreased. Which action should the nurse take first? 1. Contact the healthcare provider. 2. Place the Child flat with legs elevated above the level of the heart. 3. Increase the rate of IV fluids. 4. Repeat vital signs in 5 minutes. 23. The nurse prepares to administer digoxin to an infant. Which finding would cause the nurse to hold the infants digoxin and contact the health care provider? 1. The parent states the infant has a runny nose. 2. The infant is sitting in an infant seat. 3. The infant's apical pulse is 142 bpm and regular. 4. The parent reports the infant vomited 4 times during the night. 4. The nurse cares for a 7-year-old girl diagnosed with central precocious puberty. It is most important for the nurse to include which statement when counseling the child's mother? 1. If your child demonstrates affection for another person, the affection is sexual in nature. 2. Precocious puberty will present greater problems when your child is an adolescent. 3. Your child should dress in age appropriate clothing. 4. You do not have to worry because your child is not fertile . 25. The nurse cares for the 5-year-old diagnosed with asthma. The nurse demonstrates to the child's parents how to measure the peak expiratory flow rate. The nurse asks the child to forcefully exhale into the meter, and the nurse notes the results are in the red zone. The nurse knows that the red zone indicates which finding? 1. An acute exacerbation may be present. 2. Maintenance therapy may need to be increased 3. Asthma is well controlled 4. Severe airway narrowing maybe recurring. 26. The nurse in the pediatric clinic counsels the mother of a 6-year-old who has developed new-onset constipation. Which is the most common reason for a new-onset constipation in a 6 year old? 1. Dietary changes. 2. Lack of exercise. 3. Hirschsprung disease. 4. Beginning school 27. The home care nurse cares for the child diagnosed with a seizure disorder. The child's parent calls to report that the child had a tonic-clonic seizure. It is most important for the nurse to follow up on which statement made by the child's parent? 1. When the seizure first began, I tried to move my child to the bed. 2. I timed the seizure episode. 3. I removed my child eyeglasses. 4. I cleared the area on the floor around my child. 28. The nurse in the pediatric clinic assesses a child reporting chronic headaches. Which statement, if made by the child to the nurse, requires immediate follow-up? 1. My headaches have started causing me to awaken at night. 2. Slow, deep breathing helps relieve my headache. 3. My mother has periodic migraine headaches. 4. My headaches seem to happen late in the day. 29. The nurse cares for a young child diagnosed with a respiratory infection. The nurse understands that children are more prone to respiratory infections for which reason? 1. The child's trachea is longer than an adult's neck. 2. The child's larynx is lower in the neck than found it is in adults 3. The child's airway is a smaller diameter than is found in adults. -- ? not sure about this one 4. The child epiglottis is shorter than is found in adults 30. The nurse presents a conference about gastrointestinal dysfunction and children. The nurse discusses the difference between ulcerative colitis and Crohn's disease. The nurse determines that further teaching is required if an attendee makes which statement? 1. Abdominal pain occurs with ulcerative colitis. 2. Ulcerative colitis can cause anemia 3. Weight loss is severe in Crohn's disease 4. Bloody diarrhea is common in Crohn's disease 31. The nurse cares for the child diagnosed with cardiac dysrhythmia. The nurse knows that which dysrhythmia is not a common one found in children? 1. Sinus tachycardia 2. Supraventricular tachycardia 3. Sinus bradycardia 4. Ventricular tachycardia 32. The nurse admits the infant suspected of having intussusception. During the nursing assessment, the nurse expects to obtain which information? 1. The nurse palpates an Olive-shaped mass in the infant's epigastrium. 2. The nurse notes that the infant is coughing and choking 3. The parents state that the infant has constipation. 4. The parents state that the infant stools look like currant jelly 33. The nurse counsels the parents of a child diagnosed with iron deficiency anemia. The nurse instructs the parents about how to administer the prescribed liquid iron supplement. Which instruction is the most important for the nurse to include? 1. Administer the liquid iron supplement with food. 2. Administer the liquid iron supplement with a medicine cup. 3. Administer the liquid iron supplement with a spoon. 4. Administer the liquid iron supplement through a straw. 34. The school nurse discusses triggers that precipitate asthma with school-aged children. The nurse determines that teaching is effective if a parent makes which statement? 1. Watching TV can aggravate my child's asthma. 2. Cold air can trigger my child's asthma. Peds book page 691 3. Having difficulty with homework can trigger my child's asthma. 4. Playing outside and 70 degree weather for more than one hour can trigger an asthma attack. 35. The charge nurse of a newborn nursery and instructs mothers on how to assess their infants hearing. Which statement, if made by the mother to the nurse, indicates that teaching is successful? 1. My baby will start hearing noises at about eight months of age. 2. If my baby has hearing, she will startle when I rock the bassinet 3. If my baby maintains eye contact with me, it indicates good hearing. 4. My baby may startle when I make a loud noise close to her head. 36. The parents of an infant bring the child to the pediatric clinic because of noticing the infant has edema of the hands and feet. The nurse observes widely spaced nipples and a low posterior hairline. The nurse knows these findings are consistent with the diagnosis of which genetic disorder? 1. Klinefelter syndrome. 2. Triple X syndrome. 3. Turner syndrome. 4. Fragile X syndrome 37. The nurse admits a child diagnosed with hemophilia A. It is most important for the nurse to assess for which symptom? 1. Joint pain. 2. Constipation. 3. Irritability. 4. Pink gums 38. The nurse instructs the parents of the 4-year-old diagnosed with grade II vesicoureteral reflux. It is most important for the nurse to include which statement in discharge teaching? 1. Your child will be receiving a continuous low dose antibacterial. 2. Your child should have no reoccurrence if you comply with treatment. 3. Do not allow your child to play sports. 4. Encourage your child to void frequently. 39. The nurse cares for the child diagnosed with nephrotic syndrome. The nurse knows that which finding is a common characteristic associated with nephrotic syndrome? 1. Skin color appears red. 2. Hyperalbuminemia. 3. Urine specific gravity 1.005. 4. Weight gain 40. The student nurse prepares to discuss cardiac defects that cause increased pulmonary blood flow. The nurse identifies which cardiac defect increases pulmonary blood flow? 1. Atrial septal defect. 2. Tetralogy of below. 3. Coarctation of the aorta. 4. Tricuspid atresia 41. The nurse admits the infant suspected of having pyloric stenosis. During the nursing history, the nurse expects the parents to make which statement? 1. My baby has frequent projectile vomiting. 2. My baby smiles at me frequently. 3. My baby seems to be constipated. 4. My baby has been gaining weight. 42. This nursing student presents at a conference about signs of cerebral palsy (CP). Which statement will the nursing student include in the presentation? 1. The infant has poor head control after 3 months of age. 2. The infant crawls using both arms and legs. 3. The infant smiles by 3 months of age. 4. The infant sits with support by 5 months of age. 43. The nurse cares for an infant admitted to the emergency room. The mother reports that the child fell off the changing table. The nurse performs an assessment and identifies which symptom as an early sign of increased intracranial pressure (ICP)? 1. Decreased head circumference. 2. Constricted scalp veins. 3. Fixed and dilated pupils. 4. Bulging fontanel. 44. The nurse cares for the young child scheduled to receive the hepatitis B vaccine. The nurse identifies which method is best to administer the vaccine? 1. Intradermally in the right forearm. 2. Subcutaneously in the left thigh 3. Intramuscularly in the ventrogluteal muscle. 4. Intramuscularly in the deltoid muscle. 46. The pediatric nurse performs an exam on the three year old. The nurse suspects the child may have strabismus. Which observation, made by the nurse, may indicate this type of visual impairment? 1. The nurse notes grey opacities in the child's lens. 2. The nurse observes that the child closes one eye when looking around the room. 3. The child States, I can't see with this eye 4. When looking at a book, the child holds the book close to the eyes. 47. The nurse cares for the 2 week old infant diagnosed with developmental dysplasia of the hip. The nurse notes which finding is consistent with the diagnosis of DDH? 1. Elongation of the femur. 2. Positive Trendelenburg sign 3. Asymmetry of the gluteal fold. 4. Negative Ortolani test. 48. The nurse performs an assessment on the 5 year old suspected of having Duchenne muscular dystrophy. Which assessment data obtained from the parent will assist the medical team with this diagnosis? 1. My child can't ride a bike. 2. My child resist eating healthy foods. 3. My child is really defiant. 4. My child likes to sleep 8 to 10 hours a day. 49. The nurse cares for the infant receiving oxygen through an oxygen hood. Which observation requires an intervention by the nurse? 1. A nurse uses a bulb syringe to suction the infant's nose and mouth. 2. The oxygen sensor is secured to the great toe and sole of the foot. 3. The infant's parent covers the infant with a brightly colored nylon blanket. 4. The grandparent places a stuffed animal on the bedside table. 50. The nurse cares for the young child diagnosed with heart failure (HF). The nurse recognizes which finding is one of the earliest indications of heart failure? 1. Sudden weight loss. 2. Tachycardia. 3. Sudden burst of energy. 4. Bradycardia 51. The nurse cares for the 18-month-old diagnosed with stage IV neuroblastoma. During a discussion with the child's parents, the parents shout at the nurse, "I have brought my child in for all of the checkups. The healthcare provider should have found this sooner." Which response by the nurse is most appropriate? 1. “You appear angry that this has happened to your child.” 2. “Are you afraid your child is going to die?” 3. “We are doing everything we can.” 4. “Most children are diagnosed after the tumor metastasizes.” – peds page 1846 but we should still discuss 52. The nurse cares for a 10-month-old admitted for surgical repair of Coarctation of the aorta. The nurse expects which finding? 1. Bounding pulses in the arms and weak femoral pulses. 2. Hypotension and tachycardia. 3. A widened pulse pressure and bounding pulses. 4. Cardiomegaly and heart failure. 53. The school nurse monitors the kindergarten aged child diagnosed with HIV. The school nurse should intervene if which finding is observed? 1. The kindergarten teacher reports that the child bit another child. 2. The child is up to date on Immunizations 3. The playground attendant reports that the child plays soccer with classmates. 4. The child eats alone in the cafeteria. 54. The nurse plans care for the child diagnosed with cystic fibrosis (CF). The nurse determines which nursing action is most important? 1. Instruct family on how to perform chest physiotherapy. 2. Offer the child frequent opportunities for play. 3. Refer the family for counseling and support. 4. Ensure that the child receives proper exercise 55. The nurse counsels the school-aged child diagnosed with Type 1 diabetes. The child tells the nurse about sometimes going to the park after school to play with friends. It is most important for the nurse to include which instruction? 1. Do not take insulin on the days you play in the park with your friends. 2. Eat extra food before going to the park to play with your friends. 3. Take extra insulin prior to going to the park to play. 4. You do not have to do anything different before playing with your friends 56. The nurse cares for the infant diagnosed with respiratory syncytial virus (RSV) receiving ribavirin. The nurse should intervene in which action is observed? 1. The pregnant nursing assistant personnel gives the child a bath. 2. The nurse shuts off the SPAG and waits a few minutes before opening the tent. 3. The LPN / LVN enters the room wearing gloves and a gown 4. The medication is administered via small-particle aerosol generator (SPAG) 57. The nurse cares for the infant diagnosed with type 1 spinal muscular atrophy ( Werdnig-Hoffman disease ) The nurse identifies which statement is true for type 1 spinal muscular atrophy ( Werdnig-Hoffman disease)? 1. Type 1 Spinal muscular atrophy (Werdnig-Hoffman disease) is characterized by progressive weakness and wasting of skeletal muscles. 2. Type 1 spinal muscular atrophy (Werdnig-Hoffman disease) is an uncommon acute demyelinating polyneuropathy. 3. Type 1 spinal muscular atrophy (Werdnig-Hoffman disease) is a malformation of the spinal canal and cord. 4. Type 1 final muscular atrophy (Werdnig-Hoffman disease) is caused by an XO host and produced by the gram - positive Bacillus Clostridium tetani 58. The pediatric nurse instruct families of children diagnosed with diabetes about the difference between hypoglycemia and hyperglycemia. Which information should the nurse include in the presentation? 1. There is no change in respirations with hyperglycemia. 2. Hyperglycemia causes a fruity breath odor. 3. The onset of hypoglycemia is gradual. 4. Hypoglycemia causes the blood sugar to rise above 240 mg/dL. 59. The nurse performs a well-baby assessment on the 10 -month -old infant. The nurse should intervene if the mother makes which statement? 1. My baby pulls himself to a standing position. 2. My baby says, “Da da". 3. My baby drinks about 40 oz. of cow's milk each day. 4. My baby eats iron-fortified cereal. 60. The nursing student cares for clients in the pediatric clinic. The nursing student reports to the nurse that a 12-year-old child has a blood pressure of 150/ 90. Which response by the nurse is best? 1. Why did the Child come to the clinic today? 2. Is there a family history of hypertension? 3. Please show me the blood pressure cuff that you used. 4. Repeat the blood pressure in 15 minutes 61. The nurse instruct parents about car safety for infants, it is most important for the nurse to include which piece of information in the presentation? 1. Infants should be in a rear facing car seat.-- 2. Infants should only ride in cars equipped with airbags 3. Automobile injuries are the leading cause of accidental death in infants. 4. Any seat is safe if the infant is in an appropriate car seat 62. The nurse cares for the infant diagnosed with gastroesophageal reflux. The infant presents with anemia, forceful vomiting, and weight loss. To decrease the episodes of vomiting, the nurse should take action? 1. Thicken formula with rice cereal. 2. Offer large volume feeding several times per day. 3. Place in a supine position with the head elevated 4. Offer the infant fruit juice between meals. 63. The nurse cares for the pre-adolescent admitted with right lower quadrant abdominal pain, decreased bowel sounds, and fever. The healthcare provider suspects that the child has appendicitis. The nurse knows that the child’s appendix has ruptured if which finding is noted? 1. The pre-adolescent reports a sudden decrease in pain 2. The pre-adolescent refuses to talk with the nurse 3. The pre-adolescent is irritable. 4. The ore-adolescent is anorexic. 64. The nurse cares for the adolescent diagnosed with major depression. The client tells the nurse, “I feel empty.” Which response by the nurse is the most therapeutic? 1. “You should not say that.” 2. “You have your whole life ahead of you.” 3. “You feel empty because you are depressed.” 4. “You have been feeling empty?” 65. The nurse prepares to discharge a new mother and the newborn. It is most important for the nurse to include which discharge instructions about preventing Sudden Infant Death Syndrome (SIDS)? 1. “No harm will come to your infant when in the same room with smoking adults.” 2. “Place your infant on the back during sleep.” 3. “Make sure that the room temperature in the infant’s room is greater than 75 degrees F (24 C).” 4. “Your infant will find that a small stuffed animal placed in the crib is a comforting sight.” 66. The nurse in the pediatric clinic performs a well child assessment on the 6-month-old infant. As the infant is sitting quietly on the mother’s lap, the nurse obtains an apical heart rate of 190 bpm. Which action by the nurse is most appropriate? 1. Ask the mother if the infant has been crying 2. Recount the apical pulse in 15 minutes 3. Obtain the infant’s temperature 4. Record the results in the chart 67. The nurse monitors a 13-month-old for speech and hearing development. To better understand the child’s speech development, it is most important for the nurse to ask the parents which question? 1. “Does your child enjoy interacting with family members?” 2. “Does your child say ‘da’,’na’, or ‘ya ya’.” 3. “Does your child walk alone?” 4. “Does your child grasp objects with the hands?” 68. The nurse cares for the 4-year-old child with a suspected diagnosis of cystic fibrosis. The quantitative sweat chloride test (pilocarpine iontophoresis) is administered. The nurse knows that which result confirms the diagnosis of cystic fibrosis? 1. 69 mEq/L 2. 39 mEq/L 3. 10 mEq/L 4. 25 mEq/L 69. The nurse cares for the 1-year-old diagnosed with suspected osteogenesis imperfecta. It is most important for the nurse to include which implantation in the infant’s plan of care? 1. Hold the infant by the ankles when changing the diaper 2. Offer eight ounces of fluid daily 3. Turn and position the child carefully 4. Discourage the parents from hold the child 70. The nurse cares for the infant diagnosed with Down syndrome. The nurse discusses Down syndrome with the parents. The nurse determines that further instruction is required if the infant’s mother makes which statement? 1. “I should wrap my child in a blanket before I pick her up.” 2. “There is a greater risk of having a child with Down syndrome if the mother is under the age of 35.” 3. “I should push solid food toward the back and side of my baby’s mouth.” 4. “Most cases of Down syndrome are caused by an extra chromosome 21.” 71. The nurse plans care for the 3-year-old just diagnosed with pneumonia. A private room is not available at this time on the unit. Which room placement is appropriate for this child? 1. In a room with a client diagnosed with a fractured pelvis 2. In a room with a client diagnosed with pneumonia 3. In a room with a client who has burns to the chest area 4. In a room with a client who has lacerations to the face 72. The nurse cares for the 7-year-old child diagnosed with osteomyelitis of the right arm. Which finding would the nurse expect to observe? 1. The child holds the right arm in a semi-flexed position 2. The right arm feels cold to the touch. 3. The child denies experiencing pain. 4. The child’s sedimentation rate is decreased. 73. The nurse cares for a preterm infant diagnosed with patent ductus arteriosus (PDA) receiving indomethacin 0.1 mg/kg intravenously (IV). The infant’s mother asks the nurse why her baby is receiving the medication. Which response by the nurse is best? 1. “Indomethacin will help your baby breathe more easily.” 2. “Indomethacin is an antibiotic given to prevent infection.” 3. “Indomethacin will help decrease your baby’s heart rate.” 4. “Indomethacin is given to close the patent ductus arteriosus.” 74. The nurse performs discharge teaching for parents with a child in a hip spica cast. The nurse determines further teaching is necessary if one of the parents make which statement? 1. “I need to keep a clear path for my child.” 2. “I will place my child in a supine position to eat.” 3. “I should restrict my child’s activities for the first few days.” 4. “I should call the health care provider if there is swelling or discoloration of any extremity.” 75. The nurse reviews the record of the child diagnosed with acute glomerulonephritis. The nurse identifies which finding is most commonly associated with the diagnosis? 1. A history of hypotension 2. A fracture of the ulnar 4 weeks ago. 3. Impetigo 14 days ago 4. Frequent use of acetaminophen for fever.