RN Pediatric Nursing Online
Practice GRADE A+ SOLUTIONS
A nurse in an emergency department is caring for a school-age child
who is experiencing an anaphylactic reaction. Which of the following
is the priority action by the nurse?
Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client
care, the nurse should determine that the priority action is
administering epinephrine IM to the child. During an anaphylactic
reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes
decreased blood return to the heart.
A nurse in a pediatric emergency department is planning care for an
adolescent. Based on the information in the adolescent's medical
record, which of the following actions should the nurse plan to take?
Select all that apply.
Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report,
the adolescent could potentially have a pneumothorax. Also according
to the medical record and chest x-ray report, the adolescent's oxygen
saturation level is decreasing, which indicates hypoxia. Therefore,
the nurse should plan to administer supplemental oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report,
the adolescent could potentially have a pneumothorax. A pneumothorax
is the presence of air in the pleural cavity, which results in
decreased lung expansion. The adolescent could experience dyspnea,
tachypnea, tachycardia, hypoxia, and pain. This requires prompt
intervention by the provider, such as the placement of a chest tube
into the thoracic cavity to remove air and fluid from the pleural
space, if present, allowing the lung to re-expand.
0:03
/
0:15
,Brainpower
Read More
A nurse in an emergency department is caring for a school-age child
who has epiglottitis. Which of the following actions should the nurse
take?
Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation
level because the child is experiencing acute respiratory distress
and it is necessary to determine if the child is responding to
treatment.
A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which of the following
play activities should the nurse recommend for the child?
Playing dress-up
Rationale: The nurse should instruct the guardians that at the
preschool age, play should focus on social, mental, and physical
development. Therefore, playing dress-up is a recommended play
activity for this child.
A nurse is receiving change-of-shift report for four children. Which
of the following children should the nurse see first?
A school-age child who has sickle cell anemia and reports decreased
vision in the left eye
Rationale: When using the urgent vs. non-urgent approach to client
care, the nurse should determine the priority finding is a report of
decreased vision in the left eye. This finding indicates that the
child is experiencing a vaso-occlusive crisis and should be reported
to the provider immediately. Therefore, the nurse should see this
child first.
A nurse is providing teaching to the parents of a preschooler who has
heart failure and a new prescription for digoxin twice daily. Which
of the following instructions should the nurse include in the
teaching?
"Brush the child's teeth after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's
teeth after administering digoxin to prevent tooth decay caused by
the medication, which comes as a sweetened liquid to enhance the
taste.
A nurse is providing teaching to the parent of an infant who has
diaper dermatitis. The nurse should instruct the parent to apply
which of the following to the affected area?
, Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder
caused by contact with an irritant such as urine, feces, soap, or
friction, and takes the form of scaling, blisters, or papules with
erythema. Providing a protective barrier, such as zinc oxide, against
the irritants allows the skin to heal.
A nurse is caring for a client who has been receiving IV fluids via a
peripheral IV catheter. When preparing to discontinue the IV fluids
and catheter, which of the following actions should the nurse plan to
take? (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps.)
First, the nurse should turn off the IV pump. Next, the nurse should
occlude the IV tubing, and then remove the tape securing the catheter.
Last, the nurse should apply pressure over the catheter insertion
site.
A nurse is assessing a school-age child who has an acute spinal cord
injury following a sports injury 1 week ago. Identify the area the
nurse should tap to elicit the biceps reflex. (You will find hot
spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.)
A
A nurse is caring for a school-age child who is receiving
chemotherapy and is severely immunocompromised. Which of the
following actions should the nurse take?
Screen the child's visitors for indications of infection.
Rationale: A child who is severely immunocompromised is unable to
adequately respond to infectious organisms, resulting in the
potential for overwhelming infection. Therefore, the nurse should
screen the child's visitors for indications of infection.
A nurse is providing teaching to the parent of a school-age child who
has a new prescription for oral nystatin for the treatment of oral
candidiasis. Which of the following instructions should the nurse
include?
"Shake the medication prior to administration."
Rationale: The nurse should instruct the parent to shake the
medication prior to administration to disperse the medication evenly
within the suspension.
A nurse is teaching a group of parents about infectious mononucleosis.
Which of the following statements by a parent indicates an
understanding the teaching?
Practice GRADE A+ SOLUTIONS
A nurse in an emergency department is caring for a school-age child
who is experiencing an anaphylactic reaction. Which of the following
is the priority action by the nurse?
Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client
care, the nurse should determine that the priority action is
administering epinephrine IM to the child. During an anaphylactic
reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes
decreased blood return to the heart.
A nurse in a pediatric emergency department is planning care for an
adolescent. Based on the information in the adolescent's medical
record, which of the following actions should the nurse plan to take?
Select all that apply.
Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report,
the adolescent could potentially have a pneumothorax. Also according
to the medical record and chest x-ray report, the adolescent's oxygen
saturation level is decreasing, which indicates hypoxia. Therefore,
the nurse should plan to administer supplemental oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report,
the adolescent could potentially have a pneumothorax. A pneumothorax
is the presence of air in the pleural cavity, which results in
decreased lung expansion. The adolescent could experience dyspnea,
tachypnea, tachycardia, hypoxia, and pain. This requires prompt
intervention by the provider, such as the placement of a chest tube
into the thoracic cavity to remove air and fluid from the pleural
space, if present, allowing the lung to re-expand.
0:03
/
0:15
,Brainpower
Read More
A nurse in an emergency department is caring for a school-age child
who has epiglottitis. Which of the following actions should the nurse
take?
Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation
level because the child is experiencing acute respiratory distress
and it is necessary to determine if the child is responding to
treatment.
A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which of the following
play activities should the nurse recommend for the child?
Playing dress-up
Rationale: The nurse should instruct the guardians that at the
preschool age, play should focus on social, mental, and physical
development. Therefore, playing dress-up is a recommended play
activity for this child.
A nurse is receiving change-of-shift report for four children. Which
of the following children should the nurse see first?
A school-age child who has sickle cell anemia and reports decreased
vision in the left eye
Rationale: When using the urgent vs. non-urgent approach to client
care, the nurse should determine the priority finding is a report of
decreased vision in the left eye. This finding indicates that the
child is experiencing a vaso-occlusive crisis and should be reported
to the provider immediately. Therefore, the nurse should see this
child first.
A nurse is providing teaching to the parents of a preschooler who has
heart failure and a new prescription for digoxin twice daily. Which
of the following instructions should the nurse include in the
teaching?
"Brush the child's teeth after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's
teeth after administering digoxin to prevent tooth decay caused by
the medication, which comes as a sweetened liquid to enhance the
taste.
A nurse is providing teaching to the parent of an infant who has
diaper dermatitis. The nurse should instruct the parent to apply
which of the following to the affected area?
, Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder
caused by contact with an irritant such as urine, feces, soap, or
friction, and takes the form of scaling, blisters, or papules with
erythema. Providing a protective barrier, such as zinc oxide, against
the irritants allows the skin to heal.
A nurse is caring for a client who has been receiving IV fluids via a
peripheral IV catheter. When preparing to discontinue the IV fluids
and catheter, which of the following actions should the nurse plan to
take? (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps.)
First, the nurse should turn off the IV pump. Next, the nurse should
occlude the IV tubing, and then remove the tape securing the catheter.
Last, the nurse should apply pressure over the catheter insertion
site.
A nurse is assessing a school-age child who has an acute spinal cord
injury following a sports injury 1 week ago. Identify the area the
nurse should tap to elicit the biceps reflex. (You will find hot
spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.)
A
A nurse is caring for a school-age child who is receiving
chemotherapy and is severely immunocompromised. Which of the
following actions should the nurse take?
Screen the child's visitors for indications of infection.
Rationale: A child who is severely immunocompromised is unable to
adequately respond to infectious organisms, resulting in the
potential for overwhelming infection. Therefore, the nurse should
screen the child's visitors for indications of infection.
A nurse is providing teaching to the parent of a school-age child who
has a new prescription for oral nystatin for the treatment of oral
candidiasis. Which of the following instructions should the nurse
include?
"Shake the medication prior to administration."
Rationale: The nurse should instruct the parent to shake the
medication prior to administration to disperse the medication evenly
within the suspension.
A nurse is teaching a group of parents about infectious mononucleosis.
Which of the following statements by a parent indicates an
understanding the teaching?
