RN Pediatric Nursing Online Practice 2023 A
RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_hbudux
1. A nurse in a pediatric emergency department is plan- Apply supplemental oxy-
ning care for an adolescent. gen is correct. Accord-
Exhibit 1 ing to the medical record
Exhibit 2 and chest x-ray report, the
Exhibit 3 adolescent could poten-
Nurses' Notes tially have a pneumotho-
2245: rax. Also according to the
Adolescent arrived via stretcher by Emergency Medical medical record and chest
Transport (EMT) following a motor-vehicle crash.EMT x-ray report, the adoles-
personnel report: cent's oxygen saturation
Client was found conscious at the scene inside of the level is decreasing, which
vehicle with airbag deployed, wearing a seat belt. indicates hypoxia. There-
Vital signs: heart rate: 94/min, respiratory rate 20/min, fore, the nurse should plan
blood pressure 100/60 mm Hg to administer supplemen-
18-gauge peripheral IV inserted in left antecubital. tal oxygen.
Guardians contacted and report the child has no med-
ical conditions.2300:Adolescent reports sharp pain in Prepare for chest tube in-
chest. Rates pain as 6 on a scale of 0 to 10. Respira- sertion is correct. Accord-
tions fast and shallow. Diminished breath sounds in ing to the medical record
left lung. S1 and S2 regular and rapid. and chest x-ray report, the
adolescent could poten-
Apply Supplemental Oxygen tially have a pneumoth-
Prepare for chest tube orax. A pneumothorax is
Place adolescent in supine position the presence of air in the
Obtain consent for a paracentesis pleural cavity, which re-
Administer a levalbuterol inhaler sults in decreased lung ex-
pansion. The adolescent
could experience dysp-
nea, tachypnea, tachycar-
dia, hypoxia, and pain.
This requires prompt in-
tervention by the provider,
, RN Pediatric Nursing Online Practice 2023 A
RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_hbudux
such as the placement of
a chest tube into the tho-
racic cavity to remove air
and fluid from the pleural
space, if present, allowing
the lung to re-expand.
2. A nurse is reviewing the laboratory report of a A low hematocrit level
school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as The nurse should identi-
an indication of anemia? fy that a low hematocrit
level indicates anemia. A
A low hematocrit level child who has anemia can
An elevated BUN exhibit fatigue, lighthead-
An increased neutrophil count edness, tachycardia, dysp-
A low uric acid level nea, and pallor due to the
decreased oxygen-carry-
ing capacity of the blood
cells.
3. A nurse is teaching the parent of a preschooler about d. I should keep my child
ways to prevent acute asthma attacks. Which of the indoors when I mow the
following statements by the parent indicates an under- yard
standing of the teaching?
a. I will use a humidifier in my child's room at night
b. I will give my child a cough suppressant every 6
hours if he ha a cough
c. I should avoid using a wet mop on the floors when I
am cleaning
d. I should keep my child indoors when I mow the yard
4. A nurse on a pediatric unit is caring for a toddler. Anticipated:
Hx Hemophilia Administer factor VIII is
, RN Pediatric Nursing Online Practice 2023 A
RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_hbudux
Guardian reports that the toddler fell at home while anticipated. The child is
experiencing an acute
playing w/ toys. Since the fall, the toddler been very
episode of hemophilia
irritable, crying uncontrollably, + grabbing at their left
due to a recent fall. Dur-
knee. The toddler can walk but insists being picked up.
Toddler is alert during exam. Extremities are warm ing this acute episode,
+ dry to touch. Decreased movement of the left leg there is potential for inter-
observed. Tenderness noted w/ palpation of the left nal bleeding into the joint
knee joint. Pain level 6/10 using FLACC scale. spaces. Therefore, admin-
istering factor VIII is an-
Toddler is fussy + crying. Pain assessed as 8 on scale of
0 to 10 using the FLACC scale. ticipated to control bleed-
Left knee observed to be ecchymotic + edematous. ing.
Temp 36.9° C (98.4° F) Apply ice packs to the af-
HR 110/min fected joints is anticipat-
RR 28/min ed. The child is experienc-
O₂ Sat 98% on room air ing an acute episode of
hemarthrosis due to a re-
Administer factor VIII. cent fall, as evidenced by
Apply ice packs to the affected joints. the bruising and swelling
Administer morphine PRN pain. of the knee joint. There-
Perform passive range-of-motion (ROM) exercises dur- fore, applying ice packs to
ing the first 12 hr following injury. the affected joints is antic-
Elevate the affected joints. ipated to manage discom-
fort and decrease bleed-
ing into the joint.
Administer morphine PRN
pain is anticipated. The
child is experiencing se-
vere pain. Opioids can
be administered in the
inpatient setting to re-
lieve pain. Otherwise, ac-
etaminophen can be given
RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_hbudux
1. A nurse in a pediatric emergency department is plan- Apply supplemental oxy-
ning care for an adolescent. gen is correct. Accord-
Exhibit 1 ing to the medical record
Exhibit 2 and chest x-ray report, the
Exhibit 3 adolescent could poten-
Nurses' Notes tially have a pneumotho-
2245: rax. Also according to the
Adolescent arrived via stretcher by Emergency Medical medical record and chest
Transport (EMT) following a motor-vehicle crash.EMT x-ray report, the adoles-
personnel report: cent's oxygen saturation
Client was found conscious at the scene inside of the level is decreasing, which
vehicle with airbag deployed, wearing a seat belt. indicates hypoxia. There-
Vital signs: heart rate: 94/min, respiratory rate 20/min, fore, the nurse should plan
blood pressure 100/60 mm Hg to administer supplemen-
18-gauge peripheral IV inserted in left antecubital. tal oxygen.
Guardians contacted and report the child has no med-
ical conditions.2300:Adolescent reports sharp pain in Prepare for chest tube in-
chest. Rates pain as 6 on a scale of 0 to 10. Respira- sertion is correct. Accord-
tions fast and shallow. Diminished breath sounds in ing to the medical record
left lung. S1 and S2 regular and rapid. and chest x-ray report, the
adolescent could poten-
Apply Supplemental Oxygen tially have a pneumoth-
Prepare for chest tube orax. A pneumothorax is
Place adolescent in supine position the presence of air in the
Obtain consent for a paracentesis pleural cavity, which re-
Administer a levalbuterol inhaler sults in decreased lung ex-
pansion. The adolescent
could experience dysp-
nea, tachypnea, tachycar-
dia, hypoxia, and pain.
This requires prompt in-
tervention by the provider,
, RN Pediatric Nursing Online Practice 2023 A
RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_hbudux
such as the placement of
a chest tube into the tho-
racic cavity to remove air
and fluid from the pleural
space, if present, allowing
the lung to re-expand.
2. A nurse is reviewing the laboratory report of a A low hematocrit level
school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as The nurse should identi-
an indication of anemia? fy that a low hematocrit
level indicates anemia. A
A low hematocrit level child who has anemia can
An elevated BUN exhibit fatigue, lighthead-
An increased neutrophil count edness, tachycardia, dysp-
A low uric acid level nea, and pallor due to the
decreased oxygen-carry-
ing capacity of the blood
cells.
3. A nurse is teaching the parent of a preschooler about d. I should keep my child
ways to prevent acute asthma attacks. Which of the indoors when I mow the
following statements by the parent indicates an under- yard
standing of the teaching?
a. I will use a humidifier in my child's room at night
b. I will give my child a cough suppressant every 6
hours if he ha a cough
c. I should avoid using a wet mop on the floors when I
am cleaning
d. I should keep my child indoors when I mow the yard
4. A nurse on a pediatric unit is caring for a toddler. Anticipated:
Hx Hemophilia Administer factor VIII is
, RN Pediatric Nursing Online Practice 2023 A
RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_hbudux
Guardian reports that the toddler fell at home while anticipated. The child is
experiencing an acute
playing w/ toys. Since the fall, the toddler been very
episode of hemophilia
irritable, crying uncontrollably, + grabbing at their left
due to a recent fall. Dur-
knee. The toddler can walk but insists being picked up.
Toddler is alert during exam. Extremities are warm ing this acute episode,
+ dry to touch. Decreased movement of the left leg there is potential for inter-
observed. Tenderness noted w/ palpation of the left nal bleeding into the joint
knee joint. Pain level 6/10 using FLACC scale. spaces. Therefore, admin-
istering factor VIII is an-
Toddler is fussy + crying. Pain assessed as 8 on scale of
0 to 10 using the FLACC scale. ticipated to control bleed-
Left knee observed to be ecchymotic + edematous. ing.
Temp 36.9° C (98.4° F) Apply ice packs to the af-
HR 110/min fected joints is anticipat-
RR 28/min ed. The child is experienc-
O₂ Sat 98% on room air ing an acute episode of
hemarthrosis due to a re-
Administer factor VIII. cent fall, as evidenced by
Apply ice packs to the affected joints. the bruising and swelling
Administer morphine PRN pain. of the knee joint. There-
Perform passive range-of-motion (ROM) exercises dur- fore, applying ice packs to
ing the first 12 hr following injury. the affected joints is antic-
Elevate the affected joints. ipated to manage discom-
fort and decrease bleed-
ing into the joint.
Administer morphine PRN
pain is anticipated. The
child is experiencing se-
vere pain. Opioids can
be administered in the
inpatient setting to re-
lieve pain. Otherwise, ac-
etaminophen can be given
