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Terms in this set (99)
a nurse is planning care for a child who has severe Assess fluid balance
diarrhea. which of the following actions is the nurse
priority?
, A nurse is caring for a toddler who's parent states that Instruct the parent to avoid pressing on the abdominal area
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?
A nurse is caring for a child who has acute Check the Childs weight daily
glomerulonephritis. Which of the following actions is the
nurse's priority?
A nurse is caring for a child who has a suspected Administer antibiotics when available
diagnosis of bacterial meningitis. Which of the following
is the nurse's priority?
A nurse is collecting data from an adolescent. Which of Active psychiatric disorder (Mark, mental problems, patients mind is unstable)
the following represents the greatest risk for suicide?
A nurse is collecting data from an infant who has otitis Tugging on the affected ear lobe
media (middle ear infection). The nurse should expect
which of the following findings?
A nurse is reinforcing reaching with a parent of a 1 month "I'm glad that the ostomy is only temporary " (1st there going to cut the
old infant who is to undergo the initial surgery to treat nonfunctioning of the colon, and then apply temporary colostomy, after a couple
Hirschsprung's disease (a ganglionic megacolon, part of of months they will suture it together)
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?
A nurse is caring for an infant who is 1 day postoperative Apply an antibiotic ointment to the suture site
following surgical repair of a cleft lip. Which of the
following actions should the nurse take?
A nurse is reinforcing discharge instructions with a parent "I will make sure my child washes her hands before eating"
of a child who has cystic fibrosis. Which of the following
statements by the parent indicates an understanding of
the teaching?
A nurse working at a clinic speaks on the telephone with "Bring your infant into the clinic today to be seen"
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?
A nurse is caring for a 4 year old child who is 2 days lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure,
postoperative following the insertion of a irritability
ventriculoperitoneal shunt. Which of the following
findings should the nurse identify as the priority . (causes
icp hydrocephalus)
a nurse is caring for a child following an open reduction Perform neurovascular checks of the affected extremity (check for infection,
and internal fixation of a fractured femur and application color, capillary refill, redness)
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?
A nurse is an urgent care clinic is assisting with the care Activated charcoal (can work with toxin, poison. Given through ng tube absorbs
of a toddler who ingested 30 tablets of aspirin. Which of toxins)
the following substances should the nurse administer to
the toddler?
A nurse is caring for a 3 year old client who has Does anyone smoke in the same house as your daughter? (smoking can cause
persistent otitis media. To help identify contributing irritation, cause mucus in respiratory and causes otitis media?) (otitis media is
factors, the nurse should ask the parents which of the purulent color)
following questions?
A nurse is collecting data from a 2 year old toddler who Candidiasis (also called oral thrush)
has AIDS. The nurse should inspect inside the toddler
mouth for which of the following opportunistic infections
(fungus infections is usually opportunistic infections)?