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1. The nurse is planning care for a 5 - month-old with gastroesophageal reflux disease whose
weight has decreased by
... [Show More] 3 ounces since the last clinic visit one month ago. To increase caloric
intake and decrease vomiting, what instruction should the nurse provide this mother?
•Dilute the child's formula with equal parts of water
•Offer 10% dextrose in water between most feeding
•Give small amounts of baby food with each feeding
•Thicken formula with cereal for each feeding
2. A 4-years-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which
characteristic of the disease is most important for the nurse to focus on during the initial
teaching?
•Muscular strength can be regained with physical exercise and therapy
•Growth and development have been abnormal since birth
•Respiratory dysfunction and aspiration are prime concerns at this stage of the disease
•Lower legs become progressively weaker, causing a wedding, unsteady gait
3. In caring for an client with acute epiglottitis, which nursing action takes priority?
•Obtain a STAT CBC
•Prepare for endotracheal intubation
•Auscultate breath sounds
•Apply ice packs to the neck
4. Which client requires immediate intervention by the nurse?
•A toddler with chickenpox who is scratching
•An adolescent with a migraine and photophobia
•A child with cystic fibrosis who is constipated
•A Child with acute renal failure and hyperkalemia
5. A toddler with hemophilia is being discharged from the hospital. Which teaching should the
nurse include in the discharge instructions to the mother?
• Apply padding on the sharp corners of the furniture
• Prevent the child from running inside the house
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• Give an 81 mg tablet of aspirin for pain relief
• Use a soft toothbrush for frequent cleaning
6. The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best
intervention for the nurse to initiate after the assessment is completed?
• Assess for changes in the vital signs
• Review the child's birth history
• Provide the parents with a list of stimulating activities
• Meet with a social worker to review the results
7. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit
which sign when experiencing a sickle cell crisis?
• Decreased hemoglobin
• Pain
• Infection
• Dehydration
8. The nurse is administering an oral medication to a reluctant preschool-age bo [Show Less]