Terms in this set (160)
A 2 year-old child is is A: Status of skin turgor
brought to the emergency
department at 2:00 in the
afternoon.
The mother states: "My child
has not had a wet diaper all
day." The nurse finds the
child
is pale with a heart rate of
13 What assessment data
should the nurse obtain
next?
A) Status of the eyes and
the tongue
B) Description of play
activity
C) History of fluid intake
D) Dietary patterns
,A 2 year-old child is is B: Continue with the regular diet and include oral
brought to the health care rehydration
provider's office with a chief fluids
complaint of mild diarrhea 7
for 2 days. Nutritional
counseling by the nurse
should include
which statement?
A) Place the child on clear
liquids and gelatin for 24
hours
B) Continue with the regular
diet and include oral
rehydration fluids
C) Give bananas, apples,
rice and toast as tolerated
D) Place NPO for 24 hours,
then rehydrate with milk
and water
A 3 year-old child is C: Potato chips
diagnosed as having celiac 9
disease attends a day care
center. Which
of the following would be
an appropriate snack?
A) Cheese crackers
B) Peanut butter sandwich
C) Potato chips
D) Vanilla cookies
,A 3 year-old child is is D: Pinworms
brought to the clinic by his 4
grandmother to be seen for
"scratching his bottom and
wetting the bed at night."
Based on these complaints,
the
nurse would initially assess
for which problem?
A) Allergies
B) Scabies
C) Regression
D) Pinworms
A 6 year-old child is seen is C: Fetal alcohol syndrome
for the first time in the clinic. 6
Upon assessment, the nurse
finds that the child has
deformities of the joints,
limbs, and fingers, thinned
upper lip, and
small teeth with faulty
enamel. The mother states:
"My child seems to have
problems in
learning to count and
recognizing basic colors."
Based on this data, the
nurse suspects
that the child is most likely
showing the effects of
which problem?
A) Congenital abnormalities
B) Chronic toxoplasmosis
C) Fetal alcohol syndrome
D) Lead poisoning
, A 7 month pregnant woman is B: Abdominal ultrasound
is admitted with complaints 11
of painless vaginal bleeding
over several hours. The
nurse should prepare the
client for an immediate
A) Non stress test
B) Abdominal ultrasound
C) Pelvic exam
D) X-ray of abdomen
An 8 year-old child is is C: Chicken strips, corn on the cob, milk
hospitalized during the 9
edema phase of minimal
change
nephrotic syndrome. The
nurse is assisting in
choosing the lunch menu.
Which menu is
the best choice?
A) Bologna sandwich,
pudding, milk
B) Frankfurter, baked
potato, milk
C) Chicken strips, corn on
the cob, milk
D) Grilled cheese sandwich,
apple, milk