ATI PN Nursing Care of Children Practice A

A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? "We will turn the pot handles toward the back of the stove." The nurse should instruct the parents to turn pot handles toward the back of the stove to prevent the toddler from pulling a pot of f the stove, resulting in a burn. A nurse is caring for an adolescent child who is practicing Jehovah's Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she cannot receive a blood transfusion. Which of the following responses should the nurse make? "Let's discuss the possibility of you needing a blood transfusion with your parents." The nurse should offer to involve the child's parents to understand the family's beliefs about blood transfusions. A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results should the nurse report to the provider? Lead 14 mcg/dL This lead level is above the expected reference range for a preschooler. Therefore, the nurse should report this result to the provider. A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should identify which of the following findings as a deviation from expected growth and development?* Birth weight doubled The nurse should identify this finding as a deviation from expected growth and development. The infant's birth weight should triple by 12 months of age. Therefore, the nurse should report this finding to the provider. A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of the following instructions should the nurse include? "Keep your child away from crowded areas." The nurse should instruct the guardian to keep the child away from crowds and visitors who have an illness to decrease the risk for infection. A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer? Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent should receive the Tdap vaccine now. A nurse is reinforcing teaching with the parent of a child who has a new prescription for ferrous sulfate. The nurse should reinforce that the parent should administer the medication with which of the following fluids to enhance medication absorption?* Orange Juice The nurse should reinforce with the parent that administering ferrous sulfate with orange juice will enhance medication absorption. A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to observe first?* Hives The nurse should observe for hives first because this is an early manifestation of an anaphylactic reaction. A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is recovering from acute glomerulonephritis. Which of the following food choices by the parents indicates an understanding of the teaching? Apples The nurse should instruct the parents that apples are low in sodium and supply the child with energy needed for recovery. A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? BP 115/70 mm Hg The nurse should identify that this BP is above the expected reference range for a 12-month-old infant and report this finding to the provider. 90 to 110/55 to 75 mm Hg A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA). Which of the following statements by the parent indicates an understanding f the teaching?* "I will have my child sleep in knee, wrist, and hand splints." The nurse should reinforce with the guardian that splinting the child's joints at night will decrease pain and enhance joint function. A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify that which of the following findings puts the client at risk for a nutritional deficits? The clients skips eating dinner for track practice three times per week. The nurse should identify that adolescents are often at risk for developing poor eating habits. Skipping dinner twice each week puts this client at risk for nutritional deficits. A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child? Speak at the child's eye level. The nurse should instruct the guardian to speak at the child's eye level and ensure that there is adequate lighting on the speaker's face to facilitate lipreading and communication. A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn on the right hip. Which of the following actions should the nurse take first? Administer pain medication to the client. According to evidence-based practice, the nurse should first provide pain medication to the client to reduce discomfort during the procedure. A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of the following laboratory results should the nurse report to the provider? Sodium 150 mEq/L Hypernatremia is an adverse effect of prednisone. This level is above the expected reference range for a school-age child. Therefore, the nurse should report this value to the provider. A nurse in a community center is reinforcing teaching about poison control with a group of parents. A parent asks what to do if a child ingests a large quantity of acetaminophen. Sequence the actions.* Determine if the child is breathing Empty the child's mouth of remaining pills and residue. Identify the medication and dosage strength. Call a poison control center The child's respiratory and cardiovascular status should be checked first to determine if CPR is necessary. Then, the child's mouth should be emptied of pills and residue to prevent additional exposure to the medication. Next, the parent should identify the medication and dosage strength by looking at the medication container. Lastly, the parent should contact a poison control center for advice on the next course of action. A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the parent to administer for an acute asthma attack? Albuterol The nurse should inform the parent to administer albuterol, a short-acting beta 2 agonist, to the preschooler for acute asthma attacks. A nurse is assisting with the care of an infant who has spina bifida and recently had a ventriculoperitoneal shunt placed for hydrocephalus. Which of the following findings should the nurse identify as an indication of increased intracranial pressure?* High-pitched cry The nurse should identify that a high-pitched cry is an indication of increased intracranial pressure. A nurse is reinforcing discharge teaching with the guardian of a school-age child who has a new prescription for home oxygen therapy. Which of the following statements by the guardian indicated an understanding of the teaching? "I will make sure that electrical devices in the house are grounded." This response by the guardian indicates an understanding of the nurse's instructions. Due to the combustible nature of oxygen, all pieces of electrical equipment in the home should be grounded to decrease the risk of a fire caused by an electrical spark. A nurse is caring for a school-age girl who is being treated for frequent, severe urinary tract infections. The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs?* "My daughter has bowel movements every 4 to 5 days." This nurse should recognize that this frequency indicates the child is constipated. Therefore, large stool masses might prevent complete emptying of the bladder and lead to urinary stasis and infection. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a preschooler. The nurse should recognize which of the following statements by the parent as a contraindication to receiving the immunization? "My child received an immunoglobulin last month." The nurse should identify that a preschooler who received an immunoglobulin less than 1 month ago should not receive MMR vaccine on this day. The nurse should instruct the parent to reschedule the immunization after 3 months have elapsed, since the child received passive immunity via administration of an immunoglobulin. A nurse is reinforcing teaching with the guardian of child who has scabies and a new prescription for premethrin 5% cream. Which of the following information should the nurse include? * "The medication will eliminate your child's itching within 2 to 3 weeks." The nurse should instruct the guardian that, although the medication kills the mites, itching can continue for 2-3 weeks following application of the medication. A nurse is collecting data from an infant who has severe dehydration. Which of the following findings should the nurse expect? Weight loss of 10% The nurse should expect an infant who has severe dehydration to experience weight loss of 10% or greater. A nurse is assisting with the administration of a NG enteral feeding for an infant. Which of the following actions should the nurse take?* Place the infant in semi-Fowler's position for 1 hr after the feeding The nurse should elevate the head of the infant's bed by 30-45 degrees for 30 min to 1 hr after the feeding. A nurse is assisting with the care of a 3-year-old child who is prescribed a lumbar puncture. Which of the following actions should the nurse take to prevent complications? Maintain the child in a flat position after the procedure. After a lumbar puncture, the optimal position for the client is flat and supine to prevent headaches. A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris and a new prescription for isotretinoin. Which of the following information should the nurse include?* "You will need to have two negative pregnancy tests prior to starting this medication." The nurse should reinforce with the client that isotretinoin is teratogenic. Pregnancy must be ruled out prior to administration and before each subsequent refill. The client should use two effective forms of contraception while taking this medication.