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A nurse is reinforcing discharge teaching about preventing infections with the parent of a child
who is receiving chemotherapy and has a platelet count of 100,000/mm3. Which of the following
statements by the parent indicates an understanding of the teaching? - Answer>>> "I will inspect
the inside of my child's mouth for sores every day."
The nurse should instruct the parent to inspect the child's mouth daily for lesions, sores, or
ulcerations. Conscientious mouth care is crucial to prevent infection of ulcerated areas because
gingival bleeding can lead to mucositis.
A nurse is caring for a 4-year-old child who has pneumonia due to varicella zoster. The parent
asks the nurse what types of activities are available for the child. Which of the following play
activities should the nurse recommend? - Answer>>> Playing an alphabet flash card game with
the parent
The nurse should recommend playing an alphabet flash card game with the parent in the child's
room. A child who requires airborne and contact precautions must remain in the assigned
isolation room to prevent the spread of the infection to other children on the unit. Also, any toys
brought into the room will require disinfection before and after each use.
A nurse is caring for a preschooler immediately following the application of a long-leg plaster
cast due to a fracture. Which of the following actions is the nurse's priority? - Answer>>>
Monitor capillary refill of the casted extremity.
,The first action the nurse should take when using the airway, breathing, circulation method of
client care is to monitor the circulatory status of the casted extremity. The extremity can continue
to swell following application of the cast, increasing the risk for compartment syndrome.
A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a
wheelchair. Which of the following observations made by the nurse indicates that the family
needs support and resources to cope with the child's condition? - Answer>>> The parent is
withdrawn and rarely interacts with the child
The parent is exhibiting avoidance behavior in response to the child's condition. This is an
unexpected finding that requires intervention by the nurse.
A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a
prescription for corticosteroids. Which of the following interventions should the nurse
recommend? - Answer>>> Provide a low-sodium diet.
The nurse should recommend providing the child with a low-sodium diet to decrease edema
associated with nephrotic syndrome.
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the
following physical findings and parental reports should cause the nurse to suspect child
maltreatment? - Answer>>> A toddler has a spiral fracture, and the parent reports a fall from a
swing.
The nurse should recognize the incompatibility between the parent's report and the presence of a
spiral fracture, which is caused by the twisting of an extremity. This incompatibility should cause
the nurse to suspect child maltreatment.
A nurse is assisting with providing care for an adolescent client who has neuropathic pain.
Which of the following medications should the nurse anticipate administering? - Answer>>>
Gabapentin
, The nurse should identify that neuropathic pain results from injury to peripheral nerves and does
not respond to opiojds. However, gabapentin, an anticonvulsant medication, is effective for
treatment of neuropathic pain.
A nurse is collecting data from a child who recently experienced a psychomotor seizure. Which
of the following findings should the nurse expect? - Answer>>> Amnesia
The nurse should identify that amnesia is an expected manifestation after a seizure. Children
often do not remember the seizure activity.
A nurse is collecting data from a toddler who has mild dehydration. Which of the following
findings should the nurse expect? - Answer>>> Moist mucus membranes
The nurse should expect a toddler who has mild dehydration to exhibit moist mucus membranes.
Other manifestations include a slight thirst, decreased urine output, and the presence of tears
when crying.
A nurse is caring for a 13-month-old toddler who has a prescription for a urinary catheter. Which
of the following urinary catheters should the nurse use? - Answer>>> 5 French
The nurse should use this urinary catheter size for a 13-month-old toddler.
A nurse is reviewing the medical records of several children in an outpatient clinic. The nurse
should identify that which of the following infections is included on the list of nationally
notifiable conditions? - Answer>>> Pertussis
Pertussis is known.as whooping cough, an infention that causes paroxysmal coughing fever, and
shortness of breath It is transmitted by direct contact