Exam (elaborations) Hesi pediatrics peds

The nurse is assessing a 9 year old boy who has been admitted to the hospital with possible poststreptococcal glomerulonephritis. in obtaining his history which information is MOST significant A sore throat last week The nurse is measuring the frontal occipital circumference of a 3 month old and notes that it has increased 5 inches since birth and the childs head appears large in relation to body size. what action is most important for the nurse to take next? palpate the anterior fontanel for bulging and tension A female infant admitted with vomiting and diarrhea weighs 10kg. previously she weighed 11kg. what % of body weight was lost 9 % A male high school student with TYpe 1 diabetes tests his blood glucose level before playing soccer, and he obtains a reading of 180. based on the reading, which action should the nurse take Tell him to eat a sandwich and fruit before beginning the game. A 7 year old child is admitted to the hospital with a diagnosis of acute rheumatic fever. in obtaining a health history from the child's mother, the recent occurrence of which illness is MOST significant? sore throat A mother brings her 2 year old son to the clinic for a well baby exam. during the assessment the nurse finds that the right testicle is not descended into the scrotum but the left is palpable. which action should the nurse take? Ask if the right testicle has been seen in the scrotum before The nurse is assessing a 6 month old infant. which response requires further evaluation by the nurse? Demonstrates startle (moro) reflex A 4 year old girl returns to the pediatrician's office for a post-op visit following minor surgery. when observing the child in the waiting area which behavior should the nurse consider normal for this age child talks to an imaginary friend A pre-school age child experiencing respiratory distress is brought to the ER. the child is anxious, has a temperature of 102.8 and is drooling while leaning forward while sitting. which action should the nurse prepare the child for next obtain bedside trays for intubation or tracheotomy by the healthcare provider