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A nurse is contributing to the plan of care for a school-age child who
has acute poststreptococcal glomerulonephritis (APSGN) and is
mildly hypertensive. Which of the following actions should the nurse
include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest - ANSWERS--Restrict the child's sodium
intake
A nurse is collecting data from a toddler at a well-child visit. Which of
the following findings should the nurse identify as a possible
indication of child maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
,D. laceration on the side of the torso - ANSWERS--laceration on the
side of the torso
A nurse is reinforcing discharge teaching with the parent of a school-
age child who is being treated for nephrotic syndrome. The parents
asks the nurse why it is necessary to check the child's urine for
protein. Which of the following explanations should the nurse offer?
A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is
adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary
infection." - ANSWERS--"A decrease in urine protein indicates that
treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a
toddler. Which of the following parent statements indicates an
understanding of the teaching?
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet
tall."
C. "We will purchase a toy storage box with a lightweight lid."
D. "We will provide a healthy snack of peanuts." - ANSWERS--"We
will purchase a toy storage box with a lightweight lid."
,A nurse is contributing to the plan of care for a child who has sickle
cell anemia and is experiencing a vaso-occlusive crisis. Which of the
following is the priority intervention for the nurse to recommend to
include in the plan?
A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints - ANSWERS--promote oxygen
utilization
A nurse is reviewing the medical record of a female adolescent client
who has primary amenorrhea. Which of the following findings should
the nurse identify as a risk factor for this disorder? (select all that
apply)
A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress - ANSWERS--1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
, A nurse is reviewing the laboratory report of a preschooler who has
Wilms' tumor and is scheduled to begin treatment with an
antineoplastic medication regimen. Which of the following
laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - ANSWERS--Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy
for fluid replacement. Which of the following findings indicates the
infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - ANSWERS--Sodium level 145 mEq/L
A nurse is collecting data from a 12 month old infant during a well-
child visit. The nurse should identify which of the following findings
as a deviation from expected growth and development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled