NGN PN Nursing Care of Children Online Practice 2020 LATEST UPDATES GRADE A.

NGN PN Nursing Care of Children Online Practice 2020 LATEST UPDATES GRADE A. A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? - answer-Droplet precautions The nurse should plan to initiate droplet precautions for this child, because bacterial meningitis caused by Haemophilus influenzae type B is transmitted through the air via large-particle droplets. A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has developed stomatitis. Which of the following instructions should the nurse include in the teaching? - answer-Frequently rinse the mouth with chlorihexidine mouthwash The nurse should encourage the guardian to rinse the toddler's mouth frequently with chlorhexidine mouthwash. A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? - answer-Wait 1 week before giving the infant a tub bath Keep the infants penis as dry as possible until the stent or cather is removed. The nurse should instruct the guardians to keep the infant's penis as dry as possible until the stent or catheter is removed. The parent should provide sponge-baths to the child until the stent or catheter is removed. A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being easily bruised. Which of the following laboratory values should the nurse report to the provider? - answer-Platelets 85,000/mm3 This value is below the expected reference range for a school-age child and should be reported to the provider. A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care? - answer-- Encourage an increased fluid intake to flush out ketones and prevent dehydration; this can lead to DKA The nurse should encourage an increased fluid intake to flush out ketones and prevent dehydration. Children who have diabetes mellitus and an acute illness are more likely to experience ketonuria and hyperglycemia. Dehydration increases the risk of the child developing diabetic ketoacidosis. A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan? - answer-Maintain the leg in an extended position -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates desired therapeutic effect of the medication? - answer-My baby is breathing easier than she used to -Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which will reduce respiratory demands A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of the following children is at risk for impaired elimation? - answer-A child who has hyperglycemia -A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A child who has hyperglycemia is at risk for dehydration A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I cant deal with this." Which of the following responses should the nurse make? - answer-I'm not sure I follow you. Can you explain? The nurse should use open-ended statements that will allow the parent to share their feelings and emotions. During times A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? - answer-Droplet precautions The nurse should plan to initiate droplet precautions for this child, because bacterial meningitis caused by Haemophilus influenzae type B is transmitted through the air via large-particle droplets. A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has developed stomatitis. Which of the following instructions should the nurse include in the teaching? - answer-Frequently rinse the mouth with chlorihexidine mouthwash The nurse should encourage the guardian to rinse the toddler's mouth frequently with chlorhexidine mouthwash. A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? - answer-Wait 1 week before giving the infant a tub bath Keep the infants penis as dry as possible until the stent or cather is removed. The nurse should instruct the guardians to keep the infant's penis as dry as possible until the stent or catheter is removed. The parent should provide sponge-baths to the child until the stent or catheter is removed. A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being easily bruised. Which of the following laboratory values should the nurse report to the provider? - answer-Platelets 85,000/mm3 This value is below the expected reference range for a school-age child and should be reported to the provider. A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing an acute illness. Which of the following actions should the nurse include in the plan of care? - answer-- Encourage an increased fluid intake to flush out ketones and prevent dehydration; this can lead to DKA The nurse should encourage an increased fluid intake to flush out ketones and prevent dehydration. Children who have diabetes mellitus and an acute illness are more likely to experience ketonuria and hyperglycemia. Dehydration increases the risk of the child developing diabetic ketoacidosis. A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan? - answer-Maintain the leg in an extended position -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates desired therapeutic effect of the medication? - answer-My baby is breathing easier than she used to -Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which will reduce respiratory demands A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of the following children is at risk for impaired elimation? - answer-A child who has hyperglycemia -A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A child who has hyperglycemia is at risk for dehydration A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I cant deal with this." Which of the following responses should the nurse make? - answer-I'm not sure I follow you. Can you explain? The nurse should use open-ended statements that will allow the parent to share their feelings and emotions. During times