A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the
following actions should the nurse take? - CORRECT ANSWER
... [Show More] Determine if there are
any recent stressors in the child's environment
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the
following laboratory findings should the nurse report to the provider immediately? -
CORRECT ANSWER Oxygen saturation 85%
A nurse is a pediatric clinic is caring for a 3-year-old child who has a blood lead level of
3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead
poisoning, which of the following pieces of information is appropriate for the nurse to
include? - CORRECT ANSWER Ensure the child's dietary intake of calcium and iron is
adequate
A nurse is caring for a child who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following actions should the nurse take? - CORRECT
ANSWER Administer ibuprofen
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well child visit.
Which of the following findings should the nurse report to the provider? - CORRECT
ANSWER Head lagging when the infant is pulled from a lying to a sitting position
A nurse is providing teaching to the guardians of an infant who has failure to thrive
(FTT). Which of the following pieces of information should the nurse include in the
teaching? - CORRECT ANSWER Add fortified rice cereal to the infants formula
A nurse is an emergency department is caring for a 4-year-old child who has burns to
the neck and face following a house fire. Which of the following actions should the nurse
take first? - CORRECT ANSWER Determine the child's breathing pattern
A nurse is teaching to a group of parents of adolescents about developmental needs.
Which of the following statements by a parent should the nurse investigate further? -
CORRECT ANSWER "My child spends 4 hours per day using online chat rooms."
A nurse is providing discharge teaching to parents whose infant had a
ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the
following statements by the parents indicates an understanding of the teaching? -
CORRECT ANSWER "We will notify the doctor right away if he has a fever."
A nurse is performing a nutritional screening for a 12-year-old client who weighs 41 kg
(90 lb) and has a height of 1.5 m (60 in). Which of the following values is the client's
body mass index (BMI) - CORRECT ANSWER 18.2 - to calculate the clients BMI, the
nurse should divide the clients weight in kilograms by the square of the clients height in
meters. Therefore, 41 kg divided by the square of 1.5 m gives a correct BMI of 18.2
A nurse is teaching the parents of an infant about treatment option for profound
sensorineural hearing loss. The nurse should include which of the following pieces of
information about the function of cochlear implants? - CORRECT ANSWER The
provide direct stimulation of auditory nerve fiber
A nurse is instructing a group of parents and guardians about child development. Which
of the following recommendations should the nurse make to promote the developmental
task of industry in the school-age child? - CORRECT ANSWER Assign the child
several small chores
A nurse is providing teaching to the guardian of an adolescent. The guardian reports
that the adolescent sleeps about 10 hour on weekend nights. Which of the following
responses should the nurse provide? - CORRECT ANSWER "Adolescents need more
sleep due to rapid growth."
A nurse is caring for a child who is in skeletal traction. Which of the following actions is
the nurse's priority? - CORRECT ANSWER Encourage the child to use an incentive
spirometer
A nurse is assessing the gross motor skills of a 4-year-old preschooler. The nurse
should expect the preschooler to perform which of the following activities? - CORRECT
ANSWER Hopping on 1 foot
A nurse is caring for a school-aged child who begins to have a tonic-clinic seizure when
leaving the bathroom. Which of the following actions should the nurse take first? -
CORRECT ANSWER Ease the child to the floor in Sims' position
A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to
perform which of the following activities? - CORRECT ANSWER Fastening buttons on
a shirt
A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and
has been vomiting for 24 hr. Which of the following findings should the nurse report to
the provider? - CORRECT ANSWER Potassium 2.5 mEq/L
A nurse is evaluating the outcome of surgery for an infant who had a bile duct
obstruction which of the following findings should indicate to the nurse that the surgery
was successful? - CORRECT ANSWER The color of the infants stool is yellowishbrown
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about
managing hypoglycemia. Which of the following statements should the nurse include in
the teaching? - CORRECT ANSWER "You should drink 4 ox of orange juice if you
experience hypoglycemia
A nurse is assessing the fine motor skills development of a 4-year-old child. The nurse
should expect the child to be able to perform which of the following activities? -
CORRECT ANSWER Copying a square
A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal
reflex. Which of the following statements by a parent indicates an understanding of the
teaching? - CORRECT ANSWER "I will add 1 teaspoon of rice cereal per ounce to my
baby's formula"
A nurse is caring for a 15-month-old client who requires droplet precautions. Which of
the following actions should the nurse take? - CORRECT ANSWER Wear a mask
when assisting the toddler with meals
A nurse is providing teaching to a 12-year-old client who is recovering from an acute
episode of hemophilia A. Which of the following statements should the nurse include in
the teaching? - CORRECT ANSWER "You will be able to participate in physical
exercise"
A nurse is caring for a child who has episaxis. Which of the following actions should the
nurse take? - CORRECT ANSWER Apply continuous pressure to the lower part of the
childs nose
A nurse is teaching a parent of an infant who has a colostomy. Which of the following
statements by the parent indicates an understanding of the teaching - CORRECT
ANSWER " I need to apply paste to the back of the wafer on my child's appliance
A nurse is preparing to assess a 2-year-old toddler. Which of the following behaviors
should the nurse expect during the examinations - CORRECT ANSWER The child
prefers to sit on the parent's lap during the examination
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take? - CORRECT ANSWER Check the child's blood
pressure every 4 hr
A nurse is providing teaching about poisoning prevention top a group of parents with
toddlers. Which of the following statements should the nurse make? - CORRECT
ANSWER "Put all cleaning supplies in a locked cabinet"
A nurse is assessing an infant w ho has acute gastroenteritis. Which of the following
findings should the nurse identify as the priority? - CORRECT ANSWER Capillary refill
5 seconds - Above 4 seconds is s/s severe dehydration [Show Less]