RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
1. A nurse is caring for a Potential Condition:
toddler. Otitis media
Nurses' Notes Actions to Take:
0900: Educate guardian about sweat chloride testing
Toddler brought to the Prepare toddler for chest physiotherapy.
provider's office to-
day for report of a Parameters to Monitor:
cough that won't go Oxygen saturation level
away and recurring Stools
respiratory infections.
Upon recognizing and analyzing client findings, the nurse's priority hy-
Guardian states tod-
pothesis is that the toddler is most likely experiencing cystic fibrosis and
dler has been coughing
that is it important to generate solutions and take actions by planning to
the past several weeks
educate the guardian about sweat chloride testing for the toddler and
with wheezing starting
prepare the toddler for chest physiotherapy. The toddler is most likely
overnight. S1 and S2
experiencing cystic fibrosis, as evidenced by reports of recurring respi-
auscultated, no mur-
ratory infections, wheezing, coughing, tachypnea, tachycardia, labored
mur noted. Respira-
respirations, decreased oxygen saturation, nasal congestion, inability to
tions labored; rhonchi
gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To
auscultated. Nasal con-
evaluate the toddler's response to these interventions, the nurse should
gestion noted. Child
monitor the toddler's oxygen saturation level and stools. These are pa-
is lethargic and irri-
rameters that indicate if the toddler is further experiencing respiratory
table. Guardian states
distress, inadequate intake, and dehydration, which can lead to further
the toddler is "often
complications, including pneumothorax, respiratory failure, and failure to
sweaty, and when I kiss
thrive.
them, it tastes salty."
States the child has
been eating well pri-
or to today but won't
gain weight. Loose, fat-
ty stool in diaper. Vi-
tal signs and labs ob-
, RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
tained.
Vital Signs
0900:
Temperature 37.4° C
(99.3° F)
Heart rate 150/min
Respiratory rate
40/min
Blood pressure 82/42
mmHg
Oxygen saturation 92%
on room air
Laboratory Results
1200:
Sodium 128 mEq/L (136
to 145 mEq/L)
2. A nurse is caring for B) Epinephrine
a school-age child who
is receiving Cefazolin This child is most likely experiencing an anaphylactic reaction to the cefa-
via intermittent IV bo- zolin. According to evidence-based practice, the nurse should first admin-
lus. The child suddenly ister epinephrine to treat the anaphylaxis. Epinephrine is a beta-adren-
develops diffuse flush- ergic agonist that stimulates the heart, causes vasoconstriction of blood
ing of the skin and vessels in the skin and mucous membranes, and triggers bronchodilation
angioedema. After dis- in the lungs.
continuing the medica-
tion infusion, which of
the following medica-
tions should the nurse
administer first?
, RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
A) Prednisone
B) Epinephrine
C) Diphenhydramine
D) Albuterol
3. A nurse in a provider's A) "We should apply a skin emollient immediately after bathing our
office is caring for child."
a preschooler. Which
of the following state- B) "We should keep our child's fingernails trimmed short."
ments by a guardian
E) "We should use a mild detergent for our laundry."
indicate that the dis-
charge teaching was ef-
"We should apply a skin emollient immediately after bathing our child"
fective? Select all that
is correct. An emollient is an oil that moisturizes the skin and should be
apply.
applied immediately after bathing, while the skin is damp, to prevent
drying. Therefore this statement by the guardian indicates the teaching
A) "We should apply a
has been effective.
skin emollient immedi-
ately after bathing our
"We should keep our child's fingernails trimmed short" is correct. The
child."
child's fingernails and toenails should be kept short, trimmed, and filed
to prevent scratching with sharp edges. Therefore this statement by the
B) "We should keep
guardian indicates the teaching has been effective.
our child's fingernails
trimmed short."
"We should use a mild detergent for our laundry" is correct. The use of
mild detergents for laundry helps prevent allergens and itching. Therefore
C) "We should rub the
this statement by the guardian indicates the teaching has been effective.
sores vigorously to re-
move scabs."
D) "We should allow our
child to take a bubble
bath prior to bed."
, RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
E) "We should use a
mild detergent for our
laundry."
F) "We should apply a
large amount of the
ointment to the sores."
4. A nurse is providing dis- C) "Pulmonary function tests will be performed every 12 to 24 months to
charge teaching to the evaluate how your child is responding to therapy."
parent of a school-age
child who has moder- The nurse should inform the parent that their child will need pulmonary
ate persistent asthma. function tests every 12 to 24 months to evaluate the presence of lung dis-
Which of the following ease and how the child is responding to the current treatment regimen.
instructions should the As children grow, sometimes their manifestations can improve or decline,
nurse include? and treatment needs to change accordingly.
A) "You should give
your child their sal-
meterol inhaler every
4 hours when they
are having an acute
episode of wheezing."
B) "You should moni-
tor your child's weight
weekly while they are
receiving inhaled corti-
costeroid therapy."
C) "Pulmonary function
tests will be performed
every 12 to 24 months
Study online at https://quizlet.com/_gp2oep
1. A nurse is caring for a Potential Condition:
toddler. Otitis media
Nurses' Notes Actions to Take:
0900: Educate guardian about sweat chloride testing
Toddler brought to the Prepare toddler for chest physiotherapy.
provider's office to-
day for report of a Parameters to Monitor:
cough that won't go Oxygen saturation level
away and recurring Stools
respiratory infections.
Upon recognizing and analyzing client findings, the nurse's priority hy-
Guardian states tod-
pothesis is that the toddler is most likely experiencing cystic fibrosis and
dler has been coughing
that is it important to generate solutions and take actions by planning to
the past several weeks
educate the guardian about sweat chloride testing for the toddler and
with wheezing starting
prepare the toddler for chest physiotherapy. The toddler is most likely
overnight. S1 and S2
experiencing cystic fibrosis, as evidenced by reports of recurring respi-
auscultated, no mur-
ratory infections, wheezing, coughing, tachypnea, tachycardia, labored
mur noted. Respira-
respirations, decreased oxygen saturation, nasal congestion, inability to
tions labored; rhonchi
gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To
auscultated. Nasal con-
evaluate the toddler's response to these interventions, the nurse should
gestion noted. Child
monitor the toddler's oxygen saturation level and stools. These are pa-
is lethargic and irri-
rameters that indicate if the toddler is further experiencing respiratory
table. Guardian states
distress, inadequate intake, and dehydration, which can lead to further
the toddler is "often
complications, including pneumothorax, respiratory failure, and failure to
sweaty, and when I kiss
thrive.
them, it tastes salty."
States the child has
been eating well pri-
or to today but won't
gain weight. Loose, fat-
ty stool in diaper. Vi-
tal signs and labs ob-
, RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
tained.
Vital Signs
0900:
Temperature 37.4° C
(99.3° F)
Heart rate 150/min
Respiratory rate
40/min
Blood pressure 82/42
mmHg
Oxygen saturation 92%
on room air
Laboratory Results
1200:
Sodium 128 mEq/L (136
to 145 mEq/L)
2. A nurse is caring for B) Epinephrine
a school-age child who
is receiving Cefazolin This child is most likely experiencing an anaphylactic reaction to the cefa-
via intermittent IV bo- zolin. According to evidence-based practice, the nurse should first admin-
lus. The child suddenly ister epinephrine to treat the anaphylaxis. Epinephrine is a beta-adren-
develops diffuse flush- ergic agonist that stimulates the heart, causes vasoconstriction of blood
ing of the skin and vessels in the skin and mucous membranes, and triggers bronchodilation
angioedema. After dis- in the lungs.
continuing the medica-
tion infusion, which of
the following medica-
tions should the nurse
administer first?
, RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
A) Prednisone
B) Epinephrine
C) Diphenhydramine
D) Albuterol
3. A nurse in a provider's A) "We should apply a skin emollient immediately after bathing our
office is caring for child."
a preschooler. Which
of the following state- B) "We should keep our child's fingernails trimmed short."
ments by a guardian
E) "We should use a mild detergent for our laundry."
indicate that the dis-
charge teaching was ef-
"We should apply a skin emollient immediately after bathing our child"
fective? Select all that
is correct. An emollient is an oil that moisturizes the skin and should be
apply.
applied immediately after bathing, while the skin is damp, to prevent
drying. Therefore this statement by the guardian indicates the teaching
A) "We should apply a
has been effective.
skin emollient immedi-
ately after bathing our
"We should keep our child's fingernails trimmed short" is correct. The
child."
child's fingernails and toenails should be kept short, trimmed, and filed
to prevent scratching with sharp edges. Therefore this statement by the
B) "We should keep
guardian indicates the teaching has been effective.
our child's fingernails
trimmed short."
"We should use a mild detergent for our laundry" is correct. The use of
mild detergents for laundry helps prevent allergens and itching. Therefore
C) "We should rub the
this statement by the guardian indicates the teaching has been effective.
sores vigorously to re-
move scabs."
D) "We should allow our
child to take a bubble
bath prior to bed."
, RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_gp2oep
E) "We should use a
mild detergent for our
laundry."
F) "We should apply a
large amount of the
ointment to the sores."
4. A nurse is providing dis- C) "Pulmonary function tests will be performed every 12 to 24 months to
charge teaching to the evaluate how your child is responding to therapy."
parent of a school-age
child who has moder- The nurse should inform the parent that their child will need pulmonary
ate persistent asthma. function tests every 12 to 24 months to evaluate the presence of lung dis-
Which of the following ease and how the child is responding to the current treatment regimen.
instructions should the As children grow, sometimes their manifestations can improve or decline,
nurse include? and treatment needs to change accordingly.
A) "You should give
your child their sal-
meterol inhaler every
4 hours when they
are having an acute
episode of wheezing."
B) "You should moni-
tor your child's weight
weekly while they are
receiving inhaled corti-
costeroid therapy."
C) "Pulmonary function
tests will be performed
every 12 to 24 months
