The nurse has documented that a baby's level of focus is obtunded. Which describes this stage
of focus?
A. Slow reaction to energetic and repeated stimulation
b. Impaired decision making
c. Arousable with stimulation
d. Confusion concerning time and vicinity
ANS: C
Obtunded describes a stage of consciousness in which the child is arousable with stimulation.
Stupor is a kingdom in which the child remains in a deep sleep, responsive most effective to full
of life and repeated stimulation. Confusion is impaired selection making. Disorientation is
confusion regarding time and region.
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Parents are worried that their 6-12 months-vintage son keeps to once in a while wet the bed.
What does the nurse explain?
A. This is in all likelihood due to increased pressure at domestic.
B. Enuresis generally ceases among 6 and 8 years of age.
C. Drug remedy might be prescribed to treat the enuresis.
D. Testing might be essential to determine what kind of kidney problem exists
ANS: B
Further records should be amassed before the prognosis of enuresis is made. Enuresis is the
inappropriate voiding of urine at least twice per week. This child does meet the age criterion, but
the parents want to be puzzled approximately and preserve a diary at the frequency of activities.
If the bedwetting is rare, mother and father may be recommended that the kid might also
develop out of this conduct. Drug remedy will no longer be prescribed until a extra entire
assessment is accomplished. Additional evaluation information need to be collected, however at
the moment, there's no indication of renal sickness.
A nurse is preparing for the admission of a child with a prognosis of acute-level Kawasaki
sickness. On evaluation of the kid, the nurse expects to note which scientific manifestation of
the acute degree of the disorder?
A) cracked lips
,b) a ordinary look
c) conjunctival hyperemia
d) desquamation of the pores and skin
c) conjunctival hyperemia
Which signs and signs and symptoms would lead a nurse to suspect a child has tetralogy of
Fallot? Select all that practice.
Murmur
History of squatting
Cyanosis
Tachypnea
A nurse is worrying for an toddler with congenital heart ailment is tracking the toddler closely for
symptoms of congestive coronary heart failure (CHF). The nurse check the little one for which
early signal of CHF?
Tachycardia
A infant with Kawasaki disease is receiving low-dose aspirin. The mother calls the medical
institution and states that the child has been exposed to influenza. Which advice should the
nurse make? Select all that practice.
Stop the aspirin
Watch for fever.
Discharge teaching for a 3-month-vintage little one with a cardiac illness who is to obtain digoxin
must consist of which information? Select all that practice.
A. Give the medicine at normal intervals.
B. Mix the medication with a small quantity of breast milk or components.
C. Repeat the dose one time if the kid vomits straight away after administration.
D. Notify the HCP of bad feeding or vomiting.
E. Make up any neglected doses as soon as found out.
F. Notify the HCP if extra than two consecutive doses are missed.
A. Give the medication at regular durations.
D. Notify the HCP of negative feeding or vomiting.
, F. Notify the HCP if greater than consecutive doses are neglected.
When growing the release coaching plan for a child with chronic renal failure and the own family,
the nurse ought to emphasize restriction of which of the following nutrients?
1. Ascorbic acid.
2. Calcium.
3. Magnesium.
Four. Phosphorus.
Four. Phosphorus.
The nurse is creating a plan of care for a infant who's at risk for seizures. Which interventions
observe if the kid has a seizure? Select all that follow.
1. Time the seizure.
2. Restrain the kid.
Three. Stay with the kid.
Four. Place the kid in a prone role.
Five. Move furniture faraway from the kid.
6. Insert a padded tongue blade in the child's mouth.
1. Time the seizure.
3. Stay with the child.
5. Move fixtures faraway from the kid.
Rationale: A seizure is a disease that occurs as a result of immoderate and unorganized
neuronal discharges in the brain that prompt related motor and sensory organs. During a
seizure, the child is located on his or her facet in a lateral role. Positioning at the side prevents
aspiration due to the fact saliva drains out the nook of the kid's mouth. The toddler is not
restricted due to the fact this could reason harm to the child. The nurse might loosen clothing
around the child's neck and make sure a patent airway. Nothing is located into the kid's mouth in
the course of a seizure due to the fact this motion can also reason injury to the kid's mouth,
gums, or teeth. The nurse would stay with the kid to reduce the risk of damage and allow for
statement and timing of the seizure.
The nurse creates a plan of care for a toddler at risk for tonic-clonic seizures. In the plan of care,
the nurse identifies seizure precautions and documents that which item(s) need to be positioned
at the child's bedside?
1. Emergency cart