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The mother of a 4-year-old child asks the nurse what she can do to help her other children cope
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with their sibling's repeated hospitalizations. Which is the best response that the nurse should
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offer?
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A. Inform the parent that the child is too young to visit the hospital.
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B. Suggest that the child visit a grandmother until the sibling returns home.
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C. Ask the mother if the child asks when the sibling will be discharged.
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D. Encourage the mother to have the children visit the hospitalized sibling. - Correct Answers D.
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Encourage the mother to have the children visit the hospitalized sibling.
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Il` When planning the care for a child who has had a cleft lip repair the nurse knows that crying
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A. Increases salivation.
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B. Increases the respiratory rate.
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C. Stresses the suture line.
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D. Leads to vomiting. - Correct Answers C. Stresses the suture line.
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Il` The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's
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Il` increasing temperature over the past 24 hours. Which statement is accurate and should be
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A. An RN should be assigned to take temperatures frequently.
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B. Tympanic and oral temperatures are equally accurate.
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C. The PN should take rectal temperatures on this child.
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D. The pediatrician should decide how to assess the temperature. - Correct Answers B.
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Tympanic and oral temperatures are equally accurate.
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,Il` A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction
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Il` should the nurse include in the parents' teaching plan?
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A. Invite other children home to share meals
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B. Accept that he will eat when he is hungry.
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C. Reward the child with a nap after eating.
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D. Consistently follow a set mealtime routine. - Correct Answers D. Consistently follow a set
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mealtime routine.
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Il` What preoperative nursing intervention should be included in the plan of care for an infant with
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A. Monitor for signs of metabolic acidosis.
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B. Estimate the quantity of diarrhea stools.
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C. Place in a supine position after feeding.
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D. Observe for projectile vomiting. - Correct Answers D. Observe for projectile vomiting.
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Il` The nurse is assessing a 2-year-old. What behavior indicates that the child's language
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Il` development is within normal limits? Il` Il` Il` Il`
A. Is able to name four colors.
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B. Half of child's speech is understandable.
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C. Can count five blocks.
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D. Is capable of making a three word sentence. - Correct Answers B. Half of child's speech is
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understandable.
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Il` The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl.
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Il` What action will the nurse take?
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A. Pass the information on in the report.
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B. Notify the healthcare provider because the value is high.
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C. Repeat the lab study because the value is too high.
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,D. Hold the next dose of theophylline. - Correct Answers A. Pass the information on in the
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report.
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Il` A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The mother
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Il` appears irritated with the child and asks the nurse, "Is this normal behavior for a child this age?"
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Il` The nurse's response should be based on which information?
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A. Role conflict is a common problem of children this age. She is just wondering where she fits into
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society.
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B. Children need to retain a sense of initiative without impinging on the rights and privileges of
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others.
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C. Negative feelings of doubt and shame are characteristic of 4-year-old children.
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D. At this age children compete and like to produce and carry through with tasks. She is just
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competing with her mother. - Correct Answers B. Children need to retain a sense of initiative
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without impinging on the rights and privileges of others.
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Il` A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which
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Il` observation by the nurse warrants immediate intervention? Il` Il` Il` Il` Il` Il`
A. Sweating across the forehead.
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B. Doesn't suck well.
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C. Apical heart rate of 60.
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D. Respiratory rate of 30 breaths per minute. - Correct Answers C. Apical heart rate of 60.
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Il` Which restraint should be used for a toddler after a cleft palate repair?
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A. Elbow.
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B. Clove hitch.
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C. Mummy.
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D. Jacket. - Correct Answers A. Elbow.
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, Il` When taking the health history of a child, the nurse know what which finding is an early indication
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Il` of hypothyroidism in children?
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A. Hyperactive behavioral traits.
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B. Delay in the eruption of permanent teeth.
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C. Slow sexual development, but within normal range.
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D. Cessation of growth in a child that had been normal. - Correct Answers D. Cessation of growth
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in a child that had been normal.
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Il` The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to
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Il` her son when he has a "tummy ache" After reminding the mother to check the label of all OTC
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Il` drugs for the presence of aspirin, which instruction should the nurse include when replying to this
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Il` mother's question? Il`
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
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B. Do not give if the child has chickenpox, the flu, or any other viral illness.
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C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
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D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - Correct
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Answers B. Do not give if the child has chickenpox, the flu, or any other viral illness.
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Il` Which growth and development characteristic should the nurse consider when monitoring the
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Il` effects of a topical medication for an infant? Il` Il` Il` Il` Il` Il` Il`
A. A thin stratum corneum that increases topical absorption.
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B. A lower sensitivity reactions to skin irritants.
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C. A smaller percentage of muscle mass.
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D. A greater body surface area that requires larger dosages. - Correct Answers A. A thin stratum
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corneum that increases topical absorption.
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Il` The nurse is preparing a health teaching program for parents of toddlers and preschoolers and
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Il` plans to include information about prevention of accidental poisonings. It is most important for
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Il` the nurse to include which instruction?
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