peds.docx

A nurse is providing discharge teaching to the parents of a school-age child who has epilepsy and a new prescription for phenytoin extended-release capsules. Which of the following instructions should the nurse include in the teaching? A nurse is preparing to obtain a blood sample for an aPTT from a child who has hemophilia. Which of the following actions should the nurse plan to take? A nurse is planning a community education series for teachers of children who have attention-deficit hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? A nurse is caring for an infant who has pyloric stenosis and a new prescription for 0.9% sodium chloride with 10 mEq of potassium chloride. The infant is lethargic and has a potassium level of 3.5 mEq/L. which of the following actions should the nurse take? A nurse is providing discharge teaching to the parents of a child following an open reduction and internal fixation of the right forearm with casting. Which of the following instructions is the nurse’s priority? A nurse is providing discharge teaching to the parents of a school-aged child who is immobilized following spinal surgery. Which of the following nutritional recommendations should the nurse include? A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following statements should the nurse identify as an indication the teaching has been understood? A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the following manifestation should the nurse identify as an early indication of increased intracranial pressure (ICP)? A nurse is caring for an infant who has returned to the pediatric unit following action should the nurse take? A nurse is planning care for an adolescents client who has sickle cell anemia and is experiencing a vaso- occlusive crisis. Which of the following intervention is the nurse’s priority? A nurse on a pediatric unit is admitting a 5-year old child who has a submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make? A nurse is caring for a 3-year old child who has viral meningitis. Which of the following findings should the nurse expect? A nurse is caring for a 6-month old infant who has acute vomiting and diarrhea. Which of the following manifestation should the nurse identify as an indication of moderate dehydration? A nurse is teaching an adolescent female client who reports frequent urinary tract infections. Which of the following instructions should the nurse include in the teaching? A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestation indicates a possible brain tumor (VCIP) A nurse is providing home care instructions to the parents of a child who has nephrotic syndrome. which of the following instructions should the nurse include in the teaching? A nurse is planning care for a child who is postoperative following a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care? Perform active and isotonic range-of-motion exercise A nurse in the emergency department is caring for a preschool-aged who has hemophilia A and sustained an abdominal trauma following a motor vehicle crash. Which of the following actions should the nurse take? Administer factor VII Assess for change in LOC (vii, loc) A nurse is assessing a 4-month old infant at a well-child visit. Which of the following findings should the nurse expect? The infant has an absent grasp reflex A nurse is providing teaching about infection prevention to the parent of a school-age child who has HIV and has a CD level of 750 cells/uL. Which of the following instructions should the nurse include? “your child should receive the pneumococcal vaccine” A nurse is assessing a 4-year-old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt. Which of the following findings is the nurse’s priority? Lethargy A nurse is assessing a toddler who has pneumonia. Which of the following findings should the nurse identify as an indication of potential child maltreatment? Circular burns on the sole of the toddler’s feet A nurse is teaching the parent of a school-age child who has cystic fibrosis about home care. Which of the following statements by the parent indicates an understanding of the teaching? “I will give my child stool softeners for constipation” A nurse is education the parent of an infant who carries the gene for hemophilia about manifestation of the disease. Which of the following should the nurse include as a possible manifestation of hemophilia in the infant? The infant’s knees are reddened and edematous A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following pain tools should the nurse use? FLACC Scale A nurse is assessing an infant who has Tetralogy of Fallot. Which of the following clinical manifestation should the nurse expect? A heart murmur Cyanotic spells A nurse is planning care for an infant who has respiratory syncytial virus (RSV) and a respiratory rate of 46/min. which of the following interventions should the nurse include in the plan of care? Initiate contact precautions A nurse is caring for an adolescent client who has anorexia nervosa. Which of the following laboratory test should the nurse identify as the priority? Complete metabolic panel CMP A nurse is providing teaching about food choices to the parent of a school-age child who has celiac disease. Which of the following statements by the parent indicates an understanding of the teaching? “I can offer her popcorn as a snack food” A nurse is teaching a school-age child how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching? “I will record the highest reading of the three attempts” A nurse is reviewing the admission laboratory report of a school-age child who has glomerulonephritis. Which of the following laboratory results should the nurse expect? BUN 32 mg/dL A nurse is teaching about injury prevention to the parent of a toddler. Which of the following safety measures should the nurse include in the teaching? Place a throw rug under the crib A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? Baclofen A nurse in an emergency department is caring for a child who has ingested kerosene. The child is lethargic, grunting, and gagging. Which of the following actions should the nurse take? Prepare for intubation with a cuffed endotracheal tube A nurse is providing pre-procedure teaching to the parents of a preschooler who has nephrotic syndrome and is scheduled for a percutaneous renal biopsy. Which of the following statements should the nurse include? “your child will have a pressure dressing on the biopsy site following the test” A nurse is assessing a child who has heart failure. Which of the following clinical manifestation should the nurse expect? Distended neck veins A nurse is caring for a child who has cancer and is undergoing chemotherapy. The child’s parents tell the nurse that they want to stop all treatments and take their child home. Which of the following responses should the nurse make? “tell me more about your reasons for making this decision” A nurse is caring for a child who has bacterial meningitis. Which of the following actions should the nurse take first? Initiate droplet precautious A nurse is planning to obtain a rectal temperature from a toddler. Which of the following actions should the nurse take? Place the child in a prone position A nurse is assessing a 9-month old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration? Absence of tears when crying A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include? Place knee pads on the child A nurse is assessing a child who has full-thickness burns of the legs. Which of the following manifestation should the nurse expect? Burns are cream to black in color A nurse is assessing a 10-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? The infant cannot sit steadily without support A school nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. The nurse should identify which of the following responses by the child indicates an understanding of the teaching? “I should eat extra food on busy days when I am more active” “I should increase my intake of sugar-free fluids when I am sick” “I should eat a snack 30 minutes before my baseball game starts” A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? “I will add rice cereal to my baby’s feedings” A nurse is creating a plan of care for a school age child who has moderate partial thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan? Administer pain medication to the child 30 mins before physical therapy A nurse is providing nutritional teaching to the parents of a 2-year-old child. Which of the following statements by the parent indicates an understanding of the teaching? “I should feed my child 1 cup of vegetables per day” A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following findings is the priority for the nurse to report to the provider? Profuse sweating A nurse is providing discharge teaching to the parent of a 5 year old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicate an understanding of the teaching? “I will make sure I inspect my son’s mouth every day for sores” A nurse is providing discharge teaching to the parents of a school-age child who has juvenile idiopathic arthritis (JIA). The nurse should identify that which of the following responses by the parent indicates an understanding of the teaching? “I will have my child wear splints during the night” A nurse is caring for a Toddler who is experiencing hyperglycemia. Which of the following manifestation should the nurse expect? Lethargic mood