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A nurse is assessing the pain level of a 3 year old toddler. Which of the
following assessment scales should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - ✔✔A. FACES
The nurse should use the FACES pain rating scale for pediatric clients who
are 3 years old and older. this scale allows the toddler to point to the face
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,that depicts their current level of pain. the nurse can then determine the
need for pain management.
A nurse is planning an educational program to teach parents about
protecting their children from sunburns. Which of the following instructions
should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am and
2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun exposure."
D. "reapply sunscreen every 4 hours." - ✔✔B. "choose a waterproof
sunscreen with a minimum SPF of 15."
The nurse should instruct parents to apply a waterproof sunscreen with a
minimum SPF of 15 for children. the parents should apply the sunscreen
prior to sun exposure to reduce the risk of sunburn.
A nurse is performing hearing screenings for children at a community
health fair. Which of the following children should the nurse refer to a
provider for a more extensive hearing evaluation?
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,A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than
alone
D. an 8 month old infant who is not yet making babbling sounds - ✔✔D. An
8-month-old who is not yet making babbling sounds.
The nurse should refer an infant who is not making babbling sounds by the
age of 7 mo to a provider for amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old infant who
has rotavirus and is experiencing acute vomiting and diarrhea. Which of the
following manifestations should the nurse identify as an indication that the
infant has moderate to severe dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - ✔✔C. sunken anterior fontanel
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, The nurse should recognize that a sunken anterior fontanel is an indication
of moderate to severe dehydration due to the acute loss of fluid.
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthrisis. Which of the following instructions should the
nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
D. "schedule a 2 hour daily nap for the child in the afternoon." - ✔✔B.
"encourage the child to perform independent self-care."
The nurse should teach the family the importance of encouraging the child
to perform independent self-care. This will minimize the child's pain while
maximizing mobility. encouraging an praising the child's effort for
independence will also increase their self-esteem.
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