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A nurse is planning care for a school age child who has a tunneled central venous access
device. Which of the following interventions should the nurse include in the plan?
Use sterile scissors to remove the dressing from the site.
Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use.
Access the site using a noncoring angled needle.
Use a semipermeable transparent dressing to cover the site. - -correct ans- -Use a
semipermeable transparent dressing to cover the site.
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following
expected behavior characteristics of toddlers should the nurse include?
Controls impulsive feelings
Understands right from wrong
Easily separates from parents for long periods of time
Expresses likes and dislikes - -correct ans- -Expresses likes and dislikes
A nurse is providing discharge teaching to the parent of a school age child who has
moderate persistent asthma. Which of the following instructions should the nurse include?
"You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."
,"You should monitor your child's weight weekly while they are receiving inhaled
corticosteroid therapy."
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
"When using the peak expiratory flow meter, record your child's average of three readings." -
-correct ans- -"Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema.
Which of the following findings indicates effectiveness of the medication?
Reports an absence of nausea and vomiting
Reports experiencing an onset of loose stools within 15 min of administration
Serum potassium level 4.1 mEq/L
Blood pressure 86/52 mm Hg - -correct ans- -Serum potassium level 4.1 mEq/L
A nurse is assessing an infant who has pneumonia. Which of the following findings is the
priority for the nurse to report the provider?
Nasal flaring
WBC count 11,300/mm3
Diarrhea
Abdominal distension - -correct ans- -Nasal flaring
A nurse is providing discharge teaching to the guardian of a school age child who has
undergone a tonsillectomy. Which of the following statements by the guardian indicates an
understanding the teaching?
, "My child can resume usual activities since this was just an outpatient surgery."
"My child will be able to drink the chocolate milkshake I promised to get for them tonight."
"I will notify the doctor if I notice that my child is swallowing frequently."
"I will have my child gargle with warm salt water to relieve their sore throat." - -correct ans- -
"I will notify the doctor if I notice that my child is swallowing frequently."
A nurse is discussing organ donation with the parents of a school age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
Inform the parents that written consent is required prior to organ donation.
Provide written information to the parents about organ donation.
Ask the provider to explain misconceptions of organ donation to the parents.
Explore the parents' feelings and wishes regarding organ donation. - -correct ans- -Explore
the parents' feelings and wishes regarding organ donation.
A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of
the following medications should the nurse expect the provider to prescribe?
Desmopressin
Luteinizing hormone-releasing hormone
Recombinant growth hormone
Levothyroxine - -correct ans- -Recombinant growth hormone
A nurse is providing discharge teaching to he parents of a 3 month old infant following a
cheiloplasty. Which of the following instructions should the nurse include?
"Clean your baby's sutures daily with a mixture of chlorhexidine and water."