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A nurse in a clinic is preparing to administer pre-k-kindergarten vaccines to a 5
year old child whose medical record indicates that his immunization are up to date
which of the following vaccines should the nurse plan to adminiser
- answer-Mealsles, mumps, rubella (MMR)
A nurse in a pediatric clinic is collecting data from a preschool age child who has
suspected impetigo contagiosa. Which of the following manifestations should the
nurse expect to find with this skin infection?
- answer-Red macule with honey colored crusts
A nurse in a provider's office is reinforcing teaching with a parent of a school age
child who has pediculosis capitis. Which of the following instructions should the
nurse include in the teaching?
- answer-Wash all bed linens and dry them in a dryer for at least 20 min
A nurse is a collecting data from an infant which of the following is a clinical
manifestation of pyloric stenosis?"
- answer-Projectile Vomiting after feedings
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested
30 tablets of aspirin. Which of the following substances should the nurse
administer to the toddler?
- answer-Activated charcoal (can work with toxin, poison. Given through ng tube
absorbs toxins)
A nurse is assisting with the admission of a child who has pertussis. Which of the
following actions should the nurse take?
- answer-Initiate droplet precautions
A nurse is assisting with the admission of an infant who has resp. Syncytial Virus
(RSV) which of the following rooms should the nurse assign the infant?
- answer-A private room with contact/droplet precautions
, A nurse is assisting with the care of a school age child who has respiratory failure
due to pneumonia. Which of the following positons should the nurse encourage to
allow maximal lung expansions?
- answer-Upright (orthopnic positon, semi fowler, high fowler)
A nurse is assiting with the care of a child with spina bifida. Which of the folloing
precations should nurse take while caring for this child?
- answer-Latex Precautions
A nurse is caring for a 2 week old infant who's mother requests additional
information about sudden infant death syndrome (SIDS). Which of the following
responses should the nurse make?
- answer-You should place your baby on her back when sleeping to decrease the
risk of SIDS
A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the
following questions?
- answer-Does anyone smoke in the same house as your daughter? (smoking can
cause irritation, cause mucus in respiratory and causes otitis media?) (otitis media
is purulent color)
A nurse is caring for a 4 year old child who has dehydration. Which of the
following findings should the nurse identify as the priority?
- answer-Potassium 2.5 mEq/L
A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should
the nurse identify as the priority . (causes icp hydrocephalus)
- answer-lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse
pressure, irritability
A nurse is caring for a 4-year old child who refuses to take his medication because
of the bad taste. Which of the following strategies should the nurse use to
medication
- answer-. Offer the child an ice pop prior to administering the medication ( numb
the tongue ...Nerves )
A nurse is caring for a 6 month old child. The childs provider has ordered a
diphtheria, tetanus, and pertussis (DTAP) vaccine to be administered. Which of the