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A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus.
The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the
nurse administer first?
prednisone
epinephrine
diphenhydramine
albuterol - -correct ans- -epinephrine
A nurse is teaching the parent of an infant about ways to prevent sudden infant death
syndrome (SIDS). Which of the following instructions should the nurse include?
"Place the infant in a prone position to sleep."
"Allow the infant to sleep on a large pillow."
"Use a soft mattress in the infant's crib."
"Give the infant a pacifier at bedtime." - -correct ans- -"Give the infant a pacifier at
bedtime."
A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the
following findings should the nurse expect? (Select all the apply)
Negative Babinski reflex
,Ankle clonus
Exaggerated stretch reflexes
Uncontrollable movements of the face
Contractures - -correct ans- -Ankle clonus
Exaggerated stretch reflexes
Contractures
A nurse is providing discharge teaching to the parent of a child who is 1 week postoperative
following a cleft palate repair. For which of the following members of the inter professional
team should the nurse initiate a referral?
occupational therapist
speech therapist
respiratory therapist
physical therapist - -correct ans- -speech therapist
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head
injury. Which of the following interventions should the nurse include in the plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant. - -correct ans- -Implement seizure
precautions for the infant.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions
should the nurse take?
, Place a cardiac monitor on the adolescent prior to the procedure.
Apply topical analgesic cream to the site 1hr prior to the procedure.
Keep the adolescent in a semi-fowler's position for 4hrs following the procedure.
Restrict fluids for 2hrs following procedure. - -correct ans- -Apply topical analgesic cream
to the site 1hr prior to the procedure.
A nurse is providing teaching to the parent of a school-age child who has a new prescription
for oral nystatin for the treatment of oral candidiasis. Which of the following instructions
should the nurse include?
"Shake the medication prior to administration.".
"Provide the medication through a straw."
"Rinse the child's mouth with water immediately after giving the medication."
"Mix the medication with applesauce if the child dislikes the taste." - -correct ans- -"Shake
the medication prior to administration."
A nurse in an emergency department is performing a physical assessment on a 2 week old
male newborn. Which of the following findings is priority for the nurse to report to the
provider?
excoriated scrotal area
multiple capillary hemangiomas
depressed posterior fontanel
substernal retractions - -correct ans- -substernal retractions