A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair.
WHich of the following actions should the nurse take? - correct answersAdminister
opioids for pain
A nurse is assessing a 10-day-old client. Which of the following should the nurse
understand is a clinical manifestation of pyloric stenosis? - correct answersProjectile
vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the
stomach and the duodenum, resulting in projectile vomiting.
A nurse is planning care for an adolescent who is postoperative following scoliosis
repair with Harrington rod instrumentation. Which of the following interventions
should the nurse include in the plan of care? - correct answersInitiate the use of a
PCA pump for pain control
A nurse is assessing an adolescent who has attention deficit hyperactivity disorder
(ADHD). Which of the following findings should the nurse expect? - correct
answersImpulsivity
A nurse is reviewing the laboratory results of a client who has acute leukemia and
received an aggressive chemotherapy treatment 10 days ago. Which of the following
hematologic laboratory values should the nurse expect? (Select all that apply.) -
correct answersDecreased platelet count
Decreased leukocyte count
Decreased erythrocyte count
A nurse is preparing to administer the first measles, mumps, and rubella (MMR)
immunization to 15-month-old toddler. Which of the following findings is a
contraindication for this immunization? - correct answersThe child has a congenital
immunodeficiency
A nurse is providing health promotion teaching to the parents of an infant. Which of
the following conditions should the nurse identify as the leading cause of death
among this age group? - correct answersCongenital amnomalies
A nurse is caring for an infant who has a congenital heart defect. Which of the
following defects is associated with increased pulmonary blood flow? - correct
answersPatent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to
flow through the patent ductus arteriosus and back to the pulmonary artery and lungs.
A nurse is assessing a 3-month-old infant. Which of the following findings should the
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, nurse report to the provider? - correct answersInability to raise head when in prone
position.
Ak3kmonth-
oldkinfantkshouldkbekablektokraisekherkheadkandkshoulderskfromkpronekposition;ktherefore
,ktheknursekshouldkreportkthiskfindingktokthekprovider.
Akschoolknursekiskperformingkakroutinekhealthkassessmentkforkakschool-
agekchild.kWhichkofkthekfollowingkfindingskindicatesktheknursekshouldkinvestigatekfurther
kforkpediculosiskcapitis?k-kcorrectkanswersPrurituskofkthekscalp
Pediculosiskcapitiskiskankinfestationkofkheadklice.kGenerally,kthe.konlykmanifestationkisksc
alpkitchiness.
Aknursekiskcaringkforkakclientkwhokhaskacutekosteomyelitis.kWhichkofkthekfollowingkinte
rventionskisktheknurse'skpriority?k-kcorrectkanswersAdministerkantibioticsktokthekclient
Thekgreatestkriskktokthiskclientkiskbacteremiakcausedkbykthekinfectionkwhichkcankleadktok
septickshock;ktherefore,kthekprioritykinterventionkiskantibioticktherapy.kThekclientkmightkre
quirekmultiplekantibioticskforkankextendedktime.
Aknursekiskpreparingktokassistkwithkapplyingkakcastktokakpreschooler'skarm.kWhichkofkth
ekfollowingkactionskshouldktheknursektake?k-
kcorrectkanswersWrapkthekarmkofkthekchild'skdollkorktoykpriorktokthekprocedure.
Aknursekiskcaringkforkakchildkwhokiskpostoperativekfollowingkventriculoperitonealk(VP)ks
huntkplacement.kInkwhichkofkthekfollowingkpositionskshouldktheknursekplacekthekclient?k-
kcorrectkanswersOnkthekunoperativekside
Aknursekiskprovidingkanticipatorykguidancekaboutkchildkdevelopmentktokthekparentskofkak
toddler.kWhichkofkthekfollowingkdevelopmentalktaskskshouldktheknursekincludekaskexpecte
dkofkaktoddler?k-
kcorrectkanswersSeparateskeasilykformkprimarykcarekgiverkforkshortkperiodskofktime
AknursekiskteachingkakclientkwhokhaskakfamilykhistorykofkhemophiliakAkaboutkmanifestat
ionskofkthekdisorder.kTheknursekshouldkincludekwhichkofkthekfollowingkmanifestationskin
kthekteaching?k-kcorrectkanswersDisablingkjointkpaink
cankhavekdisablingkjointkpainkoverktime,kespeciallykofkthekkneekandkhip,kbecausekofkhem
orrhagekintokthekjoints.
Aknursekiskobtainingkakhealthkhistorykfromkakchildkwhokhasksuspectedkacutekrheumatickf
ever.kWhichkofkthekfollowingkquestionskshouldktheknursekask?k-
kcorrectkanswers"Haskyourksonkhaskaksorekthroatkrecently"?k
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