Pediatric Care

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take? Initiate droplet precautions for the child. CORRECT The nurse should initiate droplet precautions for a child who has pertussis, also known as whooping cough. Pertussis is transmitted through contact with infected large-droplet nuclei that are suspended in the air when the child coughs, sneezes, or talks. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take? CORRECT The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on ways to prevent exposure. A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? The nurse should inform the parent that protective factors against SIDS include breastfeeding and the use of a pacifier when the infant is sleeping. A nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. Which of the following actions should the nurse take? Cleanse the affected area with mild soap and water. CORRECT The nurse should wash the affected area with mild soap and water to remove any loose tissue that could cause infection. A nurse is assessing a school-age child who has peritonitis. Which of the following findings should the nurse expect? Abdominal distention CORRECT The nurse should identify that abdominal distention is an expected finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal wall. This inflammation in the abdomen, along with the ileus that develops, causes abdominal distention. Other manifestations include chills, irritability, and restlessness. A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? 'Your daddy will be back after you eat." CORRECT Preschoolers make sense of time best when they can associate it with an expected daily routine, such as meals and bedtime. Therefore, the child comprehends time best when it is explained to them in relation to an event they are familiar with, such as eating.