EAQs 6-10: School Age

EAQs 6-10: School Age Which intelligence quotient (IQ) in a school-age child indicates special learning needs? - 60 The day after undergoing an abdominal appendectomy, a school-aged child is prepared for ambulation. Which nursing action would be most effective before the start of ambulation? - Administering the prescribed pain medication The parents of a school-aged child with fever, headache, and a stiff neck ask that the child be tested for meningitis. Which test should the nurse tell the parents is used to confirm the diagnosis of meningitis? - lumbar puncture After abdominal surgery, a 5-year-old child is experiencing pain, and an opioid analgesic is prescribed. What should the nurse consider about children in pain and their response to opioid analgesics when an opioid analgesic is prescribed? - Even though children do not like taking medicines, analgesics will make them more comfortable. Methylphenidate (Ritalin) has been prescribed for a 7-year-old child with attention deficit-hyperactivity disorder (ADHD) and is to be taken with meals. What rationale should the nurse provide for the parents about the timing of medication administration? - Ritalin depresses the appetite. A 4-year-old girl decided to surprise her mother by making hot chocolate and spills hot water on her legs, resulting in partial-thickness burns. Because of the child's age, the nurse's discharge instructions to the parents should emphasize the importance of: - Teaching their child basic safety rules A 10-year-old child who is developmentally delayed and blind must be fed all meals. The child has problems swallowing and frequently chokes and coughs during the feeding. What technique should the nurse use when feeding this child? - Seating the child in a wheelchair, giving small bites of food with metal tableware, and encouraging participation nurse anticipates that dialysis will be necessary for a 12-year-old child with chronic kidney disease when the child begins to exhibit: - Hypervolemia How should a nurse turn a 10-year-old child in a spica cast? - Correct1 By log-rolling the body as one unit A nurse is caring for a school-age child with type 1 diabetes. There have been problems maintaining euglycemia. What laboratory test does the nurse expect to be prescribed that will reveal the effectiveness of the diabetic regimen over time? - Glycosylated hemoglobin A nurse is caring for an anemic, malnourished 11-year-old child who has celiac disease. The health team develops a plan to help the parents correct their child's nutritional problems. What should the parents be encouraged to do? - Provide foods high in folic acid, iron, and vitamin B12 to correct the anemia During chemotherapy, altered nutrition is a common side effect. Knowing that compromised nutrition can contribute to an increased risk of infection and other problems, the nurse: - Correct1 Provides oral supplements A school-age child with a fracture of the femur near the epiphyseal plate is admitted to the hospital. The parents ask if there will be any aftereffects when the bone heals. Before responding, what should the nurse consider? - Correct1 Growth of that leg may be affected. A mother tells the clinic nurse that her 6-year-old child has been wetting the bed for the past 3 weeks. Previously there had been no problems. How should the nurse respond? - "You did the right thing to bring your child in to be examined." The parents of a 12-year-old boy with cystic fibrosis (CF) ask the nurse why he needs a glucose tolerance test. What information should the nurse consider before replying? - Correct1 Pancreatic scarring predisposes the child to diabetes. The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiological factor has the greatest impact on the child's health status and is of priority in the care plan? - Correct1 Extremely thick mucus causes obstructed airways. An 8-year-old child is found to have Legg-Calvé-Perthe disease. The health care provider orders an abduction brace 23 hours a day and non-weight-bearing activity. What should the nurse teach the parents to do? - Correct1 Have the child transfer to a wheelchair, using the unaffected leg A woman and her children, who have not received immunizations for childhood diseases, immigrate to the United States. Before being immunized, one of the school-aged children contracts varicella (chickenpox). The nurse teaches the mother that varicella is: - orrect1 Communicable until all vesicles are dry