a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse priority?
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?
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?
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?
Administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?
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?
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?
"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and then apply
temporary colostomy, after a couple of months they will suture it together)
A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following
actions should the nurse take?
Apply an antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the following
statements by the parent indicates an understanding of the teaching?
"I will make sure my child washes her hands before eating"
, A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent tells the nurse that the
infant has projectile vomiting followed by hunger after meals. Which of the following response by the nurse is appropriate?
"Bring your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt.
Which of the following findings should the nurse identify as the priority . (causes icp hydrocephalus)
lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast.
The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?
Perform neurovascular checks of the affected extremity (check for infection, color, capillary refill, redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin. Which of the
following substances should the nurse administer to the toddler?
Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins)
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing factors, the nurse
should ask the parents which of the following questions?
Does anyone smoke in the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and
causes otitis media?) (otitis media is purulent color)
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?
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?
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?
Administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?
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?
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?
"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and then apply
temporary colostomy, after a couple of months they will suture it together)
A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following
actions should the nurse take?
Apply an antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the following
statements by the parent indicates an understanding of the teaching?
"I will make sure my child washes her hands before eating"
, A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent tells the nurse that the
infant has projectile vomiting followed by hunger after meals. Which of the following response by the nurse is appropriate?
"Bring your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt.
Which of the following findings should the nurse identify as the priority . (causes icp hydrocephalus)
lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast.
The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?
Perform neurovascular checks of the affected extremity (check for infection, color, capillary refill, redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin. Which of the
following substances should the nurse administer to the toddler?
Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins)
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing factors, the nurse
should ask the parents which of the following questions?
Does anyone smoke in the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and
causes otitis media?) (otitis media is purulent color)
