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A child is administered fentanyl during outpatient surgery. The nurse understands
which criteria must be met before the child can be discharged?
- answer-Child is alert, and
Child's pain is at baseline
Child's vital signs are stable
A new mother asked why she has to use a new bottle of formula after I've been
open for four hours. The nurse is best response is:
- answer-Bacteria can grow rapidly and warm milk
A nine month old has often reached the following milestones:
- answer-Understand the objects continue to exist, even when they are not seen
(object constancy)
Can grasp objects between the tip of thumb and index finger
Waves goodbye
A nine-year-old child with type one diabetes is prone to having hypoglycemic
episodes in the morning. Which intervention would be included in the school
nurses plan of care for the child?
- answer-Ask the child what they had for breakfast each day
A nurse is preparing an education program on safety for an older team group based
on the majority causes of mortality and morbidity for this group the nurse should
focus on
- answer-Automobile safety
A parent is talking during a healthcare visit. Their child is in elementary school.
The parent says "I just don't understand why he just goes along with a crowd and
doesn't stand up for himself."
, The nurse knows what developmental stage may be affecting this behavior?
- answer-Industry versus inferiority - the child is struggling to meet this
developmental milestone, and is acting passively
A two year-old child was admitted to the hospital for surgical repair of a club foot
is standing in the crib, crying, and refuses to comforted for while calling further
parent. A nurse approaches the crib to provide morning care and bathing. The child
screams louder. Which is the most appropriate nursing intervention?
- answer-Sitting by the crib and bathing later, when the anxiety is decreased
A typical four month baby should
- answer-Play with the rattle when it's placed in their hands, but won't be able to
pick it up if dropped
According to Jean Paget's theory of development, the infant is in the first period of
development. Successful completion of the stage would be characterize by?
- answer-Object permanence
An infant was born to diabetic mother two hours. After delivery, we plan to take a
bloke glucose reading on the neonate. You are aware of the symptoms of
hypoglycemia, and a neonate can include which of the following?
- answer-High pitch cry
Jitteriness
? Hypotonic muscles.
And caring for a preterm infant, which of the following complications is thought to
be a result of high arterial blood oxygen level?
- answer-Retinopathy of prematurity (ROP)
And teaching parents to use a bulb syringe to orally suction and infant the nurse
should teach them to?
- answer-Insert this syringe into the sides of the mouth
At what age should a person be able to meet this developmental milestone?
" differentiates between real and pretended, wants to be like friends, can stand on
one foot for 10 seconds, can somersault easily understood by others. Tell stories
uses future tents count to 10 draws a person with six body parts and print some
letters and numbers."
- answer-Five years