A 16 yr vintage female pupil with a history of asthma controlled with both an oral antihistamine
and an albuterol inhaler (MDI) involves the faculty nurse. The scholar complains that she cannot
sleep at night time, feels shaky and her coronary heart feels like it is "beating a mile consistent
with minute". Which information is most vital for the nurse to achieve?
A. When she ultimate took the antihistamine
B. When her closing bronchial asthma attack came about
C. Duration of most bronchial asthma attacks
D. How regularly the MDI is used daily - ANS-D. How regularly the MDI is used daily
A sixteen 12 months old male purchaser who has been treated within the beyond for a seizure
sickness is admitted to the sanatorium. Immediately after admission he starts offevolved to have
a grand Mal seizure. Which action need to the nurse take?
A. Obtain help in maintaining him to prevent harm
B. Observe him cautiously
C. Call a code
D. Place a padded tongue blade among the teeth - ANS-B. Observe him cautiously
A 2 12 months vintage boy starts offevolved to cry whilst the mom starts to leave. What is the
nurses pleasant response in this situation?
A. Let me read this e-book to you
B. Two 12 months olds generally forestall crying the minute the parent leaves
C. Now be a big boy, mommy will be returned soon
D. Let's wave bye-bye to mommy - ANS-A. Let me read this book to you
A 2 year old is admitted to the medical institution with possible encephalitis, and a lumbar
puncture is scheduled. Which records have to the nurse offer this baby concerning the
technique?
A. Describe the side-lying, knees to chest role that need to be assumed throughout the process
B. Tell the kid to expect loud clicking noises throughout the method that can be barely disturbing
C. Reassure the kid that there could be no regulations on interest after the manner is finished
D. Explain that fluids can not be taken for 8 hours before the method and for 4 hours after the
process - ANS-A. Describe the side-mendacity, knees to chest position that should be assumed
at some point of the procedure
, A 3 year old boy in a daycare facility scratches his head often and the nurse confirms the
presence of head lice. The nurse washes his hair with permethrin (Nix) shampoo and calls his
mother and father. Which instructions should the nurse offer to the mother and father about the
treatment of head lice?
A. Wash the kid's bed linens and apparel in warm soapy water
B. Dispose of the child's brushes, combs, and different hair add-ons
C. Rewash the child's hair following a 24 for isolation period
D. Take the child to a hair salon for a shampoo and shorter haircut - ANS-A. Wash the kid's bed
linens and clothing in hot soapy water
A 3 12 months antique infant with HIV infection is staying with a foster circle of relatives who is
being concerned for three other foster kids in their home. When one of the youngsters acquires
pertussis, the foster mom calls the sanatorium and asks the nurse what she must do. What
motion have to the nurse take first?
A. Remove the kid who has HIV from the foster domestic
B. Report the publicity of the child with HIV to the fitness branch
C. Place the child who has HIV in reverse isolation
D. Review the immunization documentation of the child who has HIV - ANS-D. Review the
immunization documentation of the child who has HIV
A four month old lady is added to the medical institution by her mother because she has had a
chilly for 2 or three days and awakened this morning with a hacking cough and difficulty
respiration. Which extra assessment locating should alert the nurse that the kid is in acute
breathing distress?
A. Bilateral bronchial breath sounds
B. Diaphragmatic breathing
C. A resting respiratory price of 35 breaths in keeping with minute
D. Flaring of the nares - ANS-D. Flaring of the nares
A 6 12 months antique who has asthma is demonstrating a prolonged expiratory phase and
wheezing and has a 35% of high-quality top expiratory glide charge (PEFR). Based on these
findings, what moves should the nurse take first?
A. Administer a prescribed bronchodilator
B. Encourage the child to cough and deep breath
C. Report findings to the fitness care issuer
D. Determine what triggers prompted this attack - ANS-A. Administer a prescribed
bronchodilator
A 7 year old infant is admitted to the medical institution with acute glomerulonephritis (AGN).
When obtaining the nursing history which finding have to the nurse expect to obtain?