A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to
... [Show More] report which of the following finding to the provider?
Capillary refill time less than 2 seconds
Restricted ability to move the toes
Swelling of the casted foot when the leg is dependent Pedal pulse +3 bilateral
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following?
Wheezes
Crackles
Pleural friction rub Rhonchi
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?
Furosemide Captopril Regular insulin
Potassium chloride
A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike.
The child should ride their bike 2 feet to the side of other bike riders.
The child should wear dark-colored clothing with a fluorescent stripe when riding at night.
The child should ride the bike facing traffic when it is necessary to ride in the street.
A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Obtain a throat culture from the child.
Monitor the child's oxygen saturation.
Put a warm mist humidifier in the child's room. Place the child in the supine position
A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?
Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
Apply an antimicrobial ointment to the affected area.
Leave the burn area open to air.
Place an ice pack on the affected area.
1. A nurse is assisting with the care of a child who is postoperative and received a transfusion during a surgical procedure. Which of the following findings indicates the child is havig a hemolytic reaction?
a) Chills and flank pain (Chills and flank pain are findings that indicate an incompatibility of the transfused blood product with the client's blood. The nurse should identify this finding as an indication that the child is having a hemolytic reaction.)
b) Pruritus and flushing
c) Rales and cyanosis
d) Bradycardia and diarrhea
2. A nurse is collecting date from a child during a well-child visit. The nurse should recognize that which of the following findings places the child at a higher risk for abuse?
a) The child is 6 years old.
b) The child is male.
c) The child was born at 30 weeks of gestation. (The nurse should identify that children who are born prematurely are at greater risk for abuse because of the potential for impaired bonding during early infancy.)
d) The child was born via cesarean birth.
3. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching?
a) “I should not give my child aspirin for pain or fever.”
b) “My child will take antibiotic for 6 months.”
c) “My child might have a period of irregular movement of the extremities.” (The nurse should instruct the guardian that the child might experience chorea weeks or months after the initial diagnosis. Chorea is a temporary lack of
coordination and the presence of sudden, irregular movements or periods of clumsiness.)
d) “I should expect there to be blood in my child’s urine.”
e) A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching?
a. "You may bathe your infant in an infant bathtub when you go home."
b. "Apply hydrocortisone cream to your infant's penis daily."
c. "You should clamp your infant's stent twice daily."
d. "Allow the stent to drain directly into your infant's diaper."
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