A nurse instructs a parenting class. Which of the following should be included as the best way to
prevent the most common cause of death for infants and
... [Show More] children?
1. Avoid unknown animals
2. Place infant on back during sleep
3. Secure a child in restraint care seat
4. Apply a water safety jacket when near a body of water
3
common car is car accidents
SIDS is not most prominent
rear facing until 20lbs or 1 year
A nurse admits a toddler who is scheduled for surgery. Which of the following should be the
documentation in the care plan?
1. the child's rituals and routines at home
2. the parent's methods of reward and discipline
3. the child's ability to separate from the parents
4. the parent's understanding of the child's hospitalizaition
1.
what do you need to know to give care for the child?
a toddler needs sameness and routine because they are out of their environment in a hospital.
A nurse assesses a toddler who has left-sided heart failure and pulmonary edema. Which of the
following findings should be expected? Select all that apply.
1. Shortness of breath
2. Bounding brachial pulses
3. Edema in dependent areas
4. Orthopnea worsening at night
5. Cough with blood-tinged mucous
1, 4, 5
same as adults
A nurse provides teaching to parents of an infant who has Tetralogy of Fallot. Which of the
following should be included as triggers of hypercyanotic spells? Select all that apply.
1. When resting
2. During feeding
3. After crying episode
4. Soon after awakening
5. During painful procedures
2, 3, 4, 5
A nurse provides discharge teaching to parents of a newborn who has a cleft lip. Which of the
following feeding guidelines should be included? Select all that apply.1. Instruct about special feeding devices to facilitate effective sucking
2. Wait to burp until the end of the feeding to increase dietary intake
3. Feed in an upright, sitting position to reduce potential for aspiration
4. Feed slowly over a 20-30 min period to allow for rest periods
5. Angle the nipple toward the side of the mouth with the cleft to facilitate feeding
6. begin to introduce solid foods until 15 months or older to ensure normal growth
1, 3, 4
position bottle at best seal
want to introduce solids at the normal time to promote adding weight so the infant can repair
themselves.
A nurse cares for a toddler who has glomerulonephritis. Which of the following actions should
be the priority of care?
1. Record intake/ output every 2 hours
2. Assess blood pressure every 1 hours
3. Maintain diet with reduced sodium content
4. Plan activities to allow for frequent rest periods
2
1 not 1 because output is not as accurate as weight for child
adrenal complex affects BP so we check it every hour.
A nurse receives report on a group of clients. Which client should be assessed first?
1. An infant with an axillary temperature of 100.1 F (37.8 C) who is tugging at left ear
2. A school-aded client with sore throat who is sitting upright in tripod position and drooling
3. A pre-school aged child with harsh cough, expiratory wheezes, and mild intercostal retractions
4. A toddler with barking cough, infrequent inspiratory stridor, and oxygen saturation 95% on
room air
2
drooling! they are unable to handle secretions.
don't stick anything in mouth, might lose airway.
want to keep a trach kit in this room.
A nurse cares for a client who has sickle cell anemia and cellulitis of the right leg. Which of the
following interventions should be the priority of care?
1. Administer oral and parenteral rehydration therapies
2. Structure activities that encourage energy conservation
3. Elevate and apply cold compresses to the affected areas
4. Instruct client and family about the prevention of crisis [Show Less]