A Nurse Collecting Data for an Adolescent with Asthma after Albuterol Treatment.
Improvement Indication? correct answers Respiratory rate 20/min
A Nurse Collecting Data from an 18-Month-Old Toddler at Urgent Care. Further
Investigation? correct answers Blood pressure 120/80 mm Hg
A Nurse Collecting Data from a School-Age Child. Manifestation of Physical Abuse? correct
answers Bruises at various stages of healing
Nurse Teaching Parents of a 7-Year-Old about Behavioral Expectations. Include Behavior?
correct answers Spends a lot of time by themselves
Nurse Teaching Guardian of Child with Iron Deficiency Anemia. Understanding of
Teaching? correct answers "I will give this medication to my child with a straw."
Nurse Assisting Infant with Heart Failure on Digoxin. Desired Therapeutic Effect? correct
answers "My baby is breathing easier than they used to."
Nurse Administering Ophthalmic Drops to a Child. Correct Action? correct answers Apply
pressure to the lacrimal punctum for 1 min following administration
Nurse Administering Furosemide to a Toddler with Heart Defect. Identify the Toddler?
correct answers Ask the guardian to verify the child's name
Nurse Assisting Child Receiving Blood Transfusion. Hemolytic Reaction Indication? correct
answers Chills and flank pain
Nurse Caring for Child in Sickle Cell Crisis. Calculating Oral Intake? correct answers 690
mL
Parent statement requiring immediate intervention by the nurse for a preschooler with croup
correct answers My child has refused to drink any fluids for the past 8 hours.
Immunization to plan for an adolescent with previous immunizations up to age 6 correct
answers Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Expected finding in a preschooler suspected to have Wilms tumor correct answers Decreased
Hgb level
Isolation guidelines for a toddler with bacterial meningitis caused by Haemophilus influenza
type B correct answers Droplet precautions
Parent understanding of immunization schedule for a 6-month-old infant correct answers My
baby will receive their third DTaP vaccine today.
Laboratory test to verify average blood glucose level over the past 2 months in a child with
type 1 diabetes mellitus correct answers Glycosylated hemoglobin
, Action to prevent infection in a child with enterobiasis correct answers Trim the child's
fingernails short
Action to take when an adolescent shows signs of physical abuse correct answers Report the
suspected abuse to the authorities
Instruction for glucose monitoring in a child with type 1 diabetes mellitus correct answers Put
your child's finger under warm, running water prior to collecting blood.
Understanding of home care for a 14-month-old toddler with spastic cerebral palsy correct
answers I will perform daily stretching exercises to my toddler's affected muscles.
A nurse in an Emergency Department is assisting in the care of a toddler. Click to highlight
the findings that require follow-up. correct answers Parent reports the child's voice sounds
muffled when they speak. Toddler's chin is thrust forward with tongue protruding, excessive
drooling present. Inspiratory stridor auscultated, mild suprasternal retractions visible.
Temperature 39.3°C (102.8°F). Heart rate 142/min. Respiratory rate 34/min. Oxygen
saturation 91% on room air.
A nurse in an Emergency Department is assisting in the care of a toddler. For each toddler
finding, click to specify if the finding is consistent with Acute Epiglottitis, Acute
Laryngotracheobronchitis, or Acute Spasmodic Laryngitis. correct answers Acute
Epiglottitis: Age, Lung sounds, Parent report of voice characteristics, Temperature. Acute
Laryngotracheobronchitis: Age, Lung sounds. Acute Spasmodic Laryngitis: Age, Lung
sounds.
A nurse has reviewed the Nurses' Notes and Vital Signs at 0100 and Provider Prescriptions at
0105. Complete the following sentence by using the lists of options. correct answers Ensure
resuscitation equipment is readily available. Administering humidified oxygen.
The Nurse is assisting in planning care for the toddler as part of the interprofessional team.
Select 2 interventions the nurse should recommend including in the toddler's care plan.
correct answers Maintain the toddler on continuous pulse oximetry. Instruct visitors to wear a
surgical mask in the toddler's room.
The nurse is reinforcing teaching with the toddler's parents. Which of the following
statements should the nurse include when reinforcing teaching? (Select all that apply) correct
answers "The members of your household may require treatment with antibiotics.". "Your
child will need to have blood work drawn to make sure their vancomycin levels are in a safe
range.". "Your child will need to take oral antibiotics after completing their IV antibiotics."
Click to highlight the findings that indicate the toddler's condition is worsening and should be
reported immediately. correct answers Respiratory rate 45/min. Oxygen saturation 90% on
humidified oxygen. Breathing is shallow. Lips and nail beds have blue-grey pigmentation.
A nurse is assisting in the care of an adolescent who has Sickle Cell Anemia. Which of the
following laboratory findings should the nurse expect? correct answers A decreased
hemoglobin level.