Comprehensive Pediatric Nursing guide with questions & verified answers

Comprehensive Pediatric Nursing guide with questions & verified answers Suggested Nursing Care of Children Learning Activity: Hospitalization and Illness. The nurse is reinforcing teaching the parents of an infant with tonsillitis caused by group A ß-hemolytic streptococci about the importance of compliance with antibiotic therapy. What teaching regarding this infection is important to share with the parents? - ANSWER as Complete the full course of antibiotics, as incomplete treatment can lead to complications like rheumatic fever. Describe four (4) warning signs of possible maltreatment in children. - ANSWER as Unexplained injuries, fearfulness around caregivers, delay in seeking medical care, and signs of malnutrition. The nurse is providing support to the parents of a chronically ill child. What are some common concerns or reactions that family members may have, when caring for a chronically ill child? - ANSWER as Stress and exhaustion, financial strain, guilt as caregivers, and concerns about the child’s future quality of life. A nurse is assisting with discharge planning of a 4-month-old baby who has undergone a cleft lip and palate repair. What instructions would the nurse want to reinforce, regarding the feeding of this baby? - ANSWER as Use specialized feeding devices, clean the surgical site after feeding, and feed the baby upright to prevent aspiration. A nurse is reinforcing education to the parents of a 4-month-old infant regarding introduction of solid food. What guidelines should be followed? - ANSWER as Start with single-grain cereals, introduce one new food every 3-5 days, and avoid honey or cow’s milk until age one. The nurse is caring for a client who is diagnosed with Nephrotic Syndrome. What four (4) nursing interventions would the nurse do when providing nursing care to this client? - ANSWER as Monitor daily weight, administer diuretics, monitor urine output, and encourage a low-sodium diet. A nurse is caring for a client with asthma who is prescribed Albuterol, a beta2-adrenergic agonist. Identify two (2) adverse effects of this medication therapy. - ANSWER as Tremors and increased heart rate. A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old infant during a well-baby visit. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER "My baby will receive his third DTaP vaccine today." A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary catheter. Which of the following actions should the nurse take when performing this procedure? - ANSWER Apply 2% lidocaine lubricant into the urethral meatus A nurse is reinforcing teaching with the guardians of a school-age child who has frequent nosebleeds. Which of the following instructions should the nurse include? - ANSWER Apply pressure to the child's nose. A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical procedure to repair a hypospadias. Which of the following instructions should the nurse include? - ANSWER Wait 1 week before giving the infant a tub bath A nurse is preparing to assist a provider with a lumbar puncture for a school-age child. Which of the following actions is the nurse's priority? - ANSWER Maintaining the child's position A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of human immunodeficiency virus (HIV). Which of the following statements made by the parent indicates an understanding of the teaching? - ANSWER "I should bring my child in for immunizations on schedule." A nurse is reinforcing dietary teaching with an adolescent who is a lacto-vegetarian and has iron deficiency anemia. The nurse should recommend which of the following as the best source of iron? - ANSWER 1 cup (8 oz) shredded wheat cereal A nurse is preparing to administer an IM injection to an 11-month-old infant. In which of the following areas should the nurse administer the injection? - ANSWER Vastus lateralis A nurse is reinforcing teaching with the parent of a 4-month-old infant who has a new prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the following instructions should the nurse include in the teaching? - ANSWER Continue nystatin for 2 weeks after the symptoms disappear. A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? - ANSWER Droplet precautions A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching? - ANSWER Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt. A nurse is collecting data from an 18-month-old toddler. Which of the following is a deviation from expected growth and development that the nurse should report to the provider? - ANSWER The toddler is unable to recognize familiar objects by name. A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-old infant who has a urinary tract infection and started taking an oral antibiotic the day before. The mother reports the infant spits the medication out after administration. What response should the nurse make? - ANSWER "Mix the medicine with 1 teaspoon of applesauce before giving it to your baby." A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic. Which of the following data should the nurse investigate further? - ANSWER Blood pressure 120/80 mm Hg A nurse is caring for a toddler who has otitis media and a temperature of 39.1° C (102.4° F). Which of the following actions should the nurse take first? - ANSWER Administer an antipyretic. A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet? - ANSWER Vitamin D A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the following should the nurse recommend as an age-appropriate activity for the toddler? - ANSWER Putting together a large-piece puzzle A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend? - ANSWER Yellow corn A nurse is caring for a 1-month-old infant who has a NG tube in place for intermittent feedings. Which of the following actions should the nurse take? - ANSWER Position the head of the crib at a 30 degree angle between feedings A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following sites should the nurse grasp to determine the child's skin turgor? - ANSWER The child's abdomen A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the following is the priority goal for this child? - ANSWER The child will maintain an effective breathing pattern. A nurse is assisting with the care of a 4-year-old who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? - ANSWER Discuss the benefits of the procedure, Give the child needleless IV to play with, & Allow the child to perform the procedure with a doll A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following interventions should the nurse include in the plan? - ANSWER Maintain the leg in an extended position A nurse is preparing to obtain a peak expiratory flow rate from an adolescent. Which of the following actions should the nurse take? - ANSWER Have the client stand during the procedure. A nurse is preparing to administer levalbuterol via nebulizer to a child with asthma. Which of the following data should the nurse collect prior to administering the medication? - ANSWER Lung sounds A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should the nurse make? - ANSWER "Tell me more about what you are feeling." A nurse is reinforcing teaching with the parent of a child who is being treated with diphenhydramine for allergic rhinitis. The nurse should tell the parent to monitor the child for which of the following? - ANSWER Drowsiness A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of a school-age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching? - ANSWER "I will give this medication to my child with a straw." A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the following actions should the nurse take to identify the toddler? - ANSWER Ask the guardian to verify the child's name. A nurse is reinforcing anticipatory guidance to the parents of an adolescent. Which of the following recommendations should the nurse include? - ANSWER Be open to the adolescent's point of view A nurse is administering an injection of epinephrine to a child who is experiencing manifestations of anaphylaxis. The nurse should monitor for which of the following adverse effects? - ANSWER Increased systolic blood pressure A nurse in a provider's office is caring for a preschool who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse? - ANSWER "My child has refused to drink any fluids for the past 8 hours." A nurse is preparing to leave the room after performing nasal suctioning for an infant who has respiratory syncytial virus (RSV). Identify the sequence in which the nurse should remove the following PPE. - ANSWER Gloves, Goggles, Gown, & Mask A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the nurse include? - ANSWER Instill medication immediately after cleansing the eye. A nurse is caring for a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider? - ANSWER Continuous swallowing A nurse is contributing to the plan of care for a 10-month-old infant who is postoperative following a cleft palate repair. Which of the following actions should the nurse include in the plan of care? - ANSWER Place the infant in side-lying position A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication? - ANSWER "My baby is breathing easier than she used to." A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program? - ANSWER The leading cause of death in adolescents is physical injury. A nurse is reinforcing teaching about home care with the guardian of a 14-month-old toddler who has spastic cerebral palsy. Which of the following statements by the guardian indicates an understanding of the teaching? - ANSWER "I will perform daily stretching exercises to my toddler's affected muscles." A nurse is collecting data from a 12-month-old infant during a well-child visit. At birth, the infant's weight was 3.6 kg (8 lb) and his length was 50.8 cm (20 in). Based on this data, which of the following findings should the nurse expect? - ANSWER The infant is 76.2 cm (30 in) long A nurse is reinforcing teaching with the guardian of a child who has a new prescription for levalbuterol solution for use in a nebulizer. Which of the following statements by the guardian indicates an understanding of the teaching? - ANSWER "My child might experience palpitations after taking this medication." A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months? - ANSWER Glycosylated hemoglobin A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider? - ANSWER Sits with support by leaning on hands. A nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicates that the teaching has been effective? - ANSWER "I should give my child 4 ounces of orange juice followed by cheese and crackers." A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? - ANSWER Depression A nurse is reinforcing teaching about vital signs with the guardian of a 1-year-old toddler. Which of the following statements by the guardian indicates an understanding of the teaching? - ANSWER "My child's pulse could increase to 150 beats a minute with activity." A nurse is reinforcing dietary teaching with an adolescent who is a lacto-vegetarian and has iron deficiency anemia. Which of the following findings should the nurse expect? - ANSWER Hgb 9.0 g/dL A nurse is assisting with the care for a 7-month-old infant who has a cleft palate. Which of the following actions should the nurse take to decrease the infant's risk for aspiration? - ANSWER Burp the infant frequently during feedings. During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? - ANSWER Provide the toddler with a favorite toy at bedtime. A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the following should the nurse include in the teaching? - ANSWER "An appropriate serving size is 1 tablespoon of food per year of age." A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints? - ANSWER Mummy restraint A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate? - ANSWER Apical A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching? - ANSWER "My child might have a period of irregular movement of the extremities." A nurse is collecting data from a child during a well-child visit. The nurse should recognize that which of the following findings places the child at a higher risk for abuse? - ANSWER The child was born at 30 weeks of gestation