PN VATI Nursing Care of Children, Questions and answers, 2022/2023. Rated A

PN VATI Nursing Care of Children, Questions and answers, 2022/2023. Rated A Document Content and Description Below PN VATI Nursing Care of Children, Questions and answers, 2022/2023. Rated A A nurse is contributing to the plan of care for a preschooler who has moderate partial-thickness burns on both lower ex tremities. Which of the following interventions should the nurse recommend? - Ensure the child receives pain medication 30 to 45 min prior to therapy. The nurse should ensure that the preschooler receives pain medication 30 to 45 min prior to physical therapy sessions. The nurse should monitor the child's pain levels and treat them as needed. This will minimize or eliminate pain from moving tight skin at joints, which will encourage the child to participate in physical therapy. If the child is in pain during therapy, it will be a challenge to get the child to participate in future sessions. A nurse is assisting with care for an adolescent client who has asthma and a new prescription for albuterol by metered-dose inhaler. Which of the following statements by the client indicates that they might be experiencing an adverse effect of albuterol? - "My heart feels like it's fluttering after taking my medication," The nurse should identify that the client might be experiencing palpitations or tachycardia, common adverse effects of albuterol. A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider? - "Inoticed some blood in my stool this morning." The nurse should identify that bloody stools are an adverse effect of long-term therapy with ibuprofen. The nurse should question the adolescent regarding a new onset of abdominal pain and should report the client's statement to the provider. A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The parent asks the nurse how to minimize the child's pain when monitoring blood glucose levels. Which of the following statements by the parent indicates an understanding of the teaching? - "My child should hold their finger under warm water before obtaining a sample. Holding the finger under warm water will'promote blood flow to the finger, making the puncture less painful. A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infection. Which of the following statements by the parent indicates an understanding of the teaching? - "I will keep my child's towels separate from those of the rest of the family." The nurse should identify that a child who has an upper respiratory infection should use separate towels, utensils, and cups to prevent the infection from spreading. A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend? - Provide a low-sodium diet. The nurse should recommend providing the child with a low-sodium diet to decrease edema associated with nephrotic syndrome. A nurse is collecting data from a child who recently experienced a psychomotor seizure. Which of the following findings should the nurse expect? - Amnesia The nurse should identify that amnesia is an expected manifestation after a seizure. Children often do not remember the seizure activity. A nurse is collecting data from a 5-month-old infant who is postoperative following umbilical hernia repair. Which of the following measures should the nurse use to evaluate the infant's pain level? - FLACC pain rating scale The nurse should use the FLACC pain rating scale to evaluate this infant's pain level following outpatient surgery to repair an umbilical hernia. The FLACC scale is a postoperative pain rating tool used for children ranging from 2 months old to 7 years old. The acronym stands for Face, Legs, Activity, Cry, and Consolability. The scoring ranges from 0, indicating "no pain behaviors" to 10, indicating "most possible pain behaviors." A nurse is assisting in the admission of a 9-month-old infant who has gastroenteritis with vomiting and diarrhea. Which of the following findings is the nurse's priority? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) - Potassium level When using the urgent vs. nonurgent approach to client care, the nurse should identify that the priority finding is a potassium level of 3.2 mEq/L because this is below the expected reference range of 4.1 to 5.3 mEq/L for a 9-month-old infant. Hypokalemia, or a decreased potassium level, impacts the ability of smooth muscles to contract and can lead to cardiac arrythmias. Therefore, the nurse should identify this as the priority finding and notify the provider. A nurse is caring for a toddler who has a respiratory illness and a temperature of 39.3° C (102.7" F). Which of the following actions should the nurse take to reduce the toddler's temperature? - Remove the toddler's extra clothing. The nurse should remove the toddler's extra clothing after administering an antipyretic to reduce the toddler's temperature. A nurse is caring for a preschooler who has diabetes mellitus and is pale, diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL. Which of the following actions should the nurse take first? - Administer 1 tbsp of sugar to the child. When following evidence-based practice, the nurse should administer 15 g of simple carbohydrates. Foods, such as 1 tbsp of table sugar, will quickly bring the glucose level up and resolve the manifestations of hypoglycemia. This should be followed up by a complex carbohydrate to prevent rebound hypoglycemia. A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate? - Droplet The nurse should initiate droplet precautions for a child who has a disease that is transmitted through droplets larger than 5 microns, such as pertussis. Individuals providing care for the child should wear a mask and the child should be placed in a private room. A nurse is reinforcing teaching with the guardian of an adolescent who has ADHD and a prescription for methylphenidate. Which of the following statements by the guardian indicates an understanding of the teaching? - I will use charts to assist my child with organizing their day. The use of charts to assist with organization is a recommended modification of the environment to help the adolescent be more successful. A nurse is assisting with the care of a child following a tonsillectomy. Which of the following actions is the nurse's priority? - Monitor the child for frequent swallowing. The greatest risk to this child is hemorrhage following the tonsillectomy. Frequent swallowing is an early and obvious manifestation of postoperative Therefore, the nurse's priority action is to monitor the child for frequent swallowing. A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following medications should the nurse administer first? - Albuterol via nebulizer When using the airway, breathing, circulation approach to client care, the nurse should first administer albuterol, a short-acting betaz-adrenergic agonist, to relax the child's smooth muscles and promote bronchodilation. Status asthmaticus is a medical emergency and can result in respiratory failure: therefore, the priority action is to improve ventilation and decrease airway resistance. A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching? - "My child's intake of calcium should average 500 milligrams every day." The nurse should advise the parent that the toddler should receive approximately 500 mg of calcium daily to support adequate bone development. Milk, yogurt, cheese, and green, leafy vegetables are all foods high in calcium, and the nurse should recommend increasing these in the toddler's diet. A nurse is planning to reinforce teaching about head injuries with a group of parents of school-age children. The nurse should instruct the parents to monitor for and report which of the following manifestations? - Irritability The nurse should instruct the parents to monitor for irritability, which can indicate increased intracranial pressure following a head injury. A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take? - Ask the child to cough deeply. The nurse should have the child cough deeply to produce sputum that is from the lower respiratory tract. A nurse is reinforcing teaching with the parent of a preschooler who has amblyopia. Which of the following instructions should the nurse include in the teaching? - Patch the unaffected eye during the day. The nurse should instruct the parent to patch the unaffected eye during the day to strengthen the affected eye. A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis? - Bone marrow biopsy The nurse should inform the parent that the child will undergo a bone marrow biopsy to confirm the diagnosis of ALL. A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority? - Monitor capillary refill of the casted extremity. The first action the nurse should take when using the airway, breathing, circulation method of client care is to monitor the circulatory status of the casted extremity. The extremity can continue to swell following application of the ca