ATI PN PEDS Exam 3

A nurse is developing a plan of care for a child with rubella (German measles). In gathering items to provide direct care to the child, the nurse obtains: - mask, gloves, and gownu a home care nurse visits a 3 y/o w/chickenpox. mother asks nurse for advise as child keeps scratching at night. - place soft cotton gloves on child's hands at night A teenager dx w/Epstein-Barr virus, teen ask how it is transmitted. what is the appropriate response - saliva When prepping to administer immunization to 11 y/o, where is best place to administer IM injection? - deltoid A 6-month-old child w/hx of severe local reactions to previous DTP immunizations. When planning for future DTP immunizations administration, what technique should the nurse use that is effective in reducing local irritation? - 1" NEEDLE A nurse is preparing to administer an inactivated polio virus vaccine to a child. Which assessment question should the nurse ask the mother before administering this vaccine? - allergic reaction to neomycin A nurse is planning home care for a 9-year-old child who is newly diagnosed with type 1 diabetes mellitus. Which is an age-appropriate activity for health maintenance? - self-administration of insulin A newborn infant receives the first dose of hepatitis B vaccine within 12 hours of birth. The nurse instructs the mother regarding the immunization schedule for this vaccine and tells the mother that the second vaccine is administered at: - 1-2 month of age, then 6 month after inital dose A school nurse is performing health screening for scoliosis on children ages 9 to 15. To assess for scoliosis a nurse should: - Ask the child to stand with weight equally on both feet with the legs straight and the arms hanging loosely at both sides A nurse is monitoring a depressed female adolescent who may be suicidal. Which behavior observed by the nurse indicates that the client is at high risk for suicide? - The client gives her special book of poems to another client. A 17-year-old female with severe nodular acne is considering treatment with isotretinoin. What does the nurse instruct the client to do prior to beginning the medication? - Enroll in a risk management plan. A 9-month-old infant with eczema has lesions that are secondarily infected. Which recommendation is the most appropriate to help the parents best meet the needs of the child? - Play with the child every day. After the nurse teaches the mother of a child with atopic dermatitis how to bathe her child, which statement by the mother indicates effective teaching? - "When my child gets out of the tub I just pat the skin dry." A school-age child brought to the clinic with several superficial sores on the front of the left leg is diagnosed with impetigo. Which instructions should the nurse give the parent? - Allow the child to go back to school after 24 hours of treatment When developing the teaching plan for the mother of a toddler diagnosed with scabies, what information should the nurse expect to include? - The entire family should be treated. A school-age child has just spilled hot liquid on his arm, and a 4-inch (10-cm) area on his forearm is severely burned. His mother calls the emergency department. What should the nurse advise the mother to do? - Ensure parental support during the dressing changes A school-age child who has received burns over 60% of his body is to receive 2,000 mL of IV fluid over the next 8 hours. At what rate (in milliliters per hour) should the nurse set the infusion pump? Round your answer to a whole number. - 250 mL/h Which interventions would be most appropriate to institute when a school-age child with burns becomes angry and combative when it is time to change the dressings and apply mafenide acetate? - Allow the child to assist in removing the dressings and applying the cream.