Swift River Pediatrics Questions and Answers Latest Version Already Passed

Swift River Pediatrics Questions and Answers Latest Version Already Passed A 4-year-old child is admitted with a high fever and lethargy. What should the nurse do first? Assess vital signs and level of consciousness immediately. A toddler with a history of asthma presents with wheezing and labored breathing. What is the nurse’s first action? Administer a nebulized bronchodilator as prescribed. A 6-month-old infant is brought in for persistent vomiting and dry diapers. What should the nurse assess for? Signs of dehydration including sunken fontanel and decreased skin turgor. A child receiving IV antibiotics for pneumonia develops diarrhea. What is the most appropriate nursing action? Monitor for signs of superinfection and assess hydration status. A school-aged child complains of ear pain and fever. What finding would confirm otitis media? 2 Red, bulging tympanic membrane on otoscopic exam. A 3-year-old refuses to eat and is drooling with a high-pitched cry. What is the nurse’s priority concern? Possible epiglottitis; keep the child calm and avoid throat inspection. A 5-year-old recovering from tonsillectomy begins to swallow frequently. What should the nurse suspect? Possible postoperative bleeding and report to the provider immediately. A child with a broken arm suddenly complains of numb fingers and increasing pain. What should the nurse do? Assess for compartment syndrome and notify the provider right away. A febrile infant is irritable and has a bulging fontanel. What condition should the nurse suspect? Meningitis and initiate droplet precautions and monitoring. A child with cystic fibrosis has thick mucus secretions and cough. What is the nursing priority? 3 Perform chest physiotherapy and encourage fluid intake. A 2-year-old ingests an unknown substance. What is the nurse's immediate action? Call poison control and monitor airway and vital signs. A child receiving chemotherapy reports mouth pain. What is the appropriate nursing intervention? Assess for mucositis and provide oral care with a soft sponge. A newborn is jittery and irritable with a low glucose level. What should the nurse do? Administer a glucose solution as ordered and reassess levels. A teenager with sickle cell anemia reports joint pain and fever. What is the nurse's priority? Administer prescribed pain medication and assess for infection. A toddler is admitted with burns on the chest and arms from pulling down hot soup. What is the most important nursing action? Apply sterile dressings and begin fluid resuscitation. 4 A child has a barking cough and stridor. What should the nurse do first? Provide humidified air and monitor respiratory effort. A 6-year-old with type 1 diabetes becomes confused