and answers13
A nurse is contributing to the plan of care of a 14-month old toddler who is 24 hour post-OP
following a cleft palate repair. Which of the following interventions should the nurse include in
the plan? - ANSWERS-Maintain elbow restraints on the toddler
A nurse is collecting data from an infant who has Gastroesophageal reflux (GERD) . Which of the
following findings should the nurse expect? ( select all that apply) - ANSWERS--Vomiting
-Weight Loss
-Wheezing
A nurse is caring for a toddlet who has intusussepction. Which of the following manifestations
should the nurse expect? - ANSWERS-Mucus in Stools
A nurse is caring for a 4-year old child who refuses to take his medication because of the bad
taste. Which of the following strategies should the nurse use to medication - ANSWERS-. Offer
the child an ice pop prior to administering the medication ( numb the tongue ...Nerves )
A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.5
mEq/L Which of the following findings should the nurse expect? - ANSWERS-Muscle
Hypotonicity
A nurse is planning care for a 4-year old child who has been admitted to the hospital. Which of
the following toys. Should the nurse plan to provide the child? - ANSWERS-Modeling Clay
A nurse is reincofrcing teaching about elimination with an adolescent who is paralyzed from the
waist down following a spinal cord injury. Which of the following statements by the adolescent
, indicates a need for further teaching ? - ANSWERS-" I need to catheterize myself twice a day. "
( Catheterize every 4-6 Hours )
A parent asks a nurse about toys to provide for a 10-month old infant. Which of the following
toys should suggest? - ANSWERS-Push- Pull Toy
a nurse is planning care for a child who has severe diarrhea. which of the following actions is the
nurse priority? - ANSWERS-Assess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal
area and his urine is a pink color. Which of the following actions is the nurse's priority? -
ANSWERS-Instruct the parent to avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is
the nurse's priority? - ANSWERS-Check the Childs weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the
following is the nurse's priority? - ANSWERS-Administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the greatest
risk for suicide? - ANSWERS-Active psychiatric disorder (Mark, mental problems, patients mind
is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse
should expect which of the following findings? - ANSWERS-Tugging on the affected ear lobe
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the
initial surgery to treat Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't
connected to the nerves or not functioning, so there will be an increase size of the colon and
stool gets stuck in there). Which of the following statements should indicate to the nurse that
the parent understanding the goal of surgery? - ANSWERS-"I'm glad that the ostomy is only