Verified Answers
Page | 1 A nurse is reinforcing teaching with the parents of a child who has cerebral palsy. Which of
the following statements should the nurse make? - - Your child will need a botulinum
toxic A injection to help with muscle spasticity. Children who have cerebral palsy have
spasticity in their muscles. The child can receive botulinum toxin type A injections into
affected muscles, which aid in reducing the spasticity.
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every
8 hr to a school-age child who weighs 50lb. Available is diphenhydramine oral solution 12.5
mg/5mL. How many mL should the nurse administer per dose? - - 15
A nurse is caring for a child who has epistaxis. Which of the following actions should the
nurse take? - - Apply continuous pressure to the child's nose for at least 10mins.
A nurse is collecting data from an adolescent who has sustained a broken tibia. Following
the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the
limb. Which of the following actions should the nurse take first? - - Assess for
manifestations of circulatory impairment
A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling
and the nurse notes that the child has allergies to insect stings. Which of the following
findings should the nurse expect if the child develops anaphlyaxis? - - Nausea
Urticaria
Stridor
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take? - - Check the child's blood pressure every 4hr.
, A nurse is caring for 4 year old child who has pneumonia. The child's mother left 2 hr ago
and he is currently experiencing the despair stage of separation anxiety. Which of the
following findings should the nurse expect? - - Inactive and thumb sucking
Page | 2
note:
A child who is sucking his thumb and refusing to eat or drink is displaying manifestations of
the second stage of separation anxiety, which is despair.
A nurse is preparing to administer acetaminophen 240 mg PO to a child who has a
temperature of 38.9 C (102F). The amount available is acetaminophen oral solution 160
mg/5mL. How many mL should the nurse administer per dose? - - 7.5
A nurse is reinforcing teaching with the parents of a 10 year old child who has iron
deficiency anemia. Which of the following statements by a parent indicates an
understanding of the teaching? - - I will administer the iron tablet with orange juice
A nurse is reinforcing teaching with a parent of an infant who has colostomy. Which of the
following statements by the parent indicates an understanding of the teaching? - -I
need to apply paste to the back of the wafer on my child's appliance
A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the
following actions should the nurse take to prevent complications? - - Check for
pulses in the affected leg every 4 hr.
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings
should be the nurse's priority? - - A child who has sickle cell anemia and a urine
specific gravity of 1.030
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