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A charge nurse in an emergency department is preparing an inservice for a group of newly licensed
nurses about the manifestations of child maltreatment. which manifestations should the charge nurse
include as potential indications of physical abuse
- recurrent urinary tract infections
- symmetric burns of the lower extremities
- failure to thrive
- lack of subcutaneous fat - Answer -symmetric burns of the lower extremities
a hospice nurse is caring for preschooler with terminal illness one parent of patient tells the nurse that
they cannot cope anymore and are thinking about moving out of the house which of the following
statements should the nurse make
- it is important that you provide emotional support for your family at this time
- you have to do what you feel is best everything will turn out fine
- i know how you fee this is an extremely stressful time for your family
- let's talk about some of the ways you have handled previous stressors in your life - Answer -let's
talk about some of the ways you have handled previous stressors in your life
a nurse in a provider's office is preparing to administer immunizations to toddler during a well-child visit
which actions should the nurse plan to take (tuberculin skin test (TST), measles, mumps, and rubella
(MMR) vaccine, Inactivated influenza vaccine, diphtheria, tetanus, and pertussis (DTaP) vaccine, rr
24/min, hr 115/min, temp 36.9 C (98.4 F), age 15 months, height 71.1 cm (28 in), allergies neomycin
(anaphylactic reaction), caregiver reports rhinitis with clear nasal drainage for 2 days, occasional
nonproductive cough for 2 days, history of asthma)
- withhold the measles, mumps, and rubella (MMR) vaccine
- withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine
- withhold the influenza vaccine
- withhold the tuberculin skin test (TST). - Answer -withhold the measles, mumps, and rubella
(MMR) vaccine
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
, - elevate the head of the child's bed
- insert a large bore IV catheter for a child
- determine the allergen that caused the child's reaction
- administer epinephrine IM to the child - Answer -administer epinephrine IM to the child
a nurse in an emergency department is caring for a school-age child who has appendicitis and rates their
pain as 7 on a 0-10 scale which of the following actions should the nurse take
- instill a 500ml tap water enema
- give morphine 0.05mg/kg IV
- administer polyethylene glycol 1g/kg PO
- apply a heating pad to the child's abdomen - Answer -give morphine 0.05mg/kg IV
a nurse in an emergency department is caring for toddler who has partial thickness burns on their right
arm which of the following actions should the nurse take
- insert a nasogastric tube
- initiate prophylactic antibiotic therapy
- cleanse the affected area with mild soap and water
- apply a topical corticosteroid to the affected area. - Answer -cleanse the affected area with mild
soap and water
a nurse in an emergency department is performing a physical assessment on a 2 week old male newborn
which of the following findings is priority for the nurse to report to the provider
- excoriated scrotal area
- multiple capillary hemangiomas
- depressed posterior fontanel
- substernal retractions - Answer -substernal retractions
a nurse is admitting a school-age child who has pertussis which of the following actions should the nurse
take
- place the child in a room with positive-pressure airflow.
- place the child in a room with negative-pressure airflow.
- initiate contact precautions for the child.
- initiate droplet precautions for the child. - Answer -initiate droplet precautions for the child.
a nurse is assessing a 3 y/o toddler at a well-child visit which manifestations should the nurse report to
the provider