Peds Children Practice B
A nurse is reinforcing teaching with the parent of a school-age child who has
lactose intolerance. Which of the following
... [Show More] supplements should the nurse instruct
the parent to include in the child's diet?
Zinc
Vitamin D
Thiamine
Folic acid - Vitamin D
Lactose intolerance is managed by eliminating dairy products from the diet.
However, this can result in a decrease in bone density because of the lack of
calcium and vitamin D in the diet. The nurse should instruct the parent to
administer a vitamin D supplement to the child to enhance the absorption of
calcium from foods other than those containing lactose.
A nurse is reviewing the laboratory values of a school-age child who has iron
deficiency anemia. Which of the following findings should the nurse expect?
Hgb 9.0 g/dL
Hct 37%
Iron 100 mcg/dL
Total iron binding capacity 325 mcg/dL - Hgb 9.0 g/dL
The nurse should expect a child who has iron deficiency anemia to have an Hgb
level below the expected reference range of 9.5 to 15.5 g/dL. An Hgb of 9.0 g/dL
is below the expected reference range.
A nurse is collecting data from a 12-month-old infant during a well-child visit. At
birth, the infant's weight was 3.6 kg (8 lb) and his length was 50.8 cm (20 in).
Based on this data, which of the following findings should the nurse expect?
The infant weighs 6.4 kg (14 lb)
The infant is 101.6 cm (40 in) long
The infant is 76.2 cm (30 in) long
The infant weighs 14.5 kg (32 lb) - The infant is 76.2 cm (30 in) longThe nurse should expect a length of 76.2 cm (30 in), because the infant's length
should increase by about 50% by 12 months of age.
A nurse is reinforcing teaching about liquid oral supplements with the guardian of
a school-age child who has iron deficiency anemia. Which of the following
statements by the guardian indicates an understanding of the teaching?
"I will give my child a double dose of this medication if she misses a dose."
"I will give this medication to my child with a cup of skim milk."
"This medication will turn my child's stools white."
"I will give this medication to my child with a straw." - "I will give this medication
to my child with a straw."
The nurse should reinforce with the guardian to administer this medication with a
straw to prevent staining the child's teeth.
A nurse is caring for a toddler who has terminal cancer and is receiving hospice
care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this."
Which of the following responses should the nurse make?
"Tell me more about what you are feeling."
"I understand how you are feeling."
"Let's talk about home care for your child."
"I'm sure you're just tired right now." - "Tell me more about what you are feeling."
The nurse should use open-ended statements that will allow the parent to share his
feelings and emotions. During times of grief, the parent needs to express his
emotions. The use of an open-ended statement relays the message that it is safe to
do so with the nurse.
A nurse is caring for a toddler who has terminal cancer and is receiving hospice
care. The child's parent tells the nurse, "I'm a bad parent, and I can't deal with this."
Which of the following responses should the nurse make?
"I'm not sure I follow you. Can you explain?"
"I understand. Other parents say the same thing."
"Let's talk about home care for your child."
"I disagree. You're a great parent." - "I'm not sure I follow you. Can you explain?"The nurse should use open-ended statements that will allow the parent to share
their feelings and emotions. During times of grief, the parent needs to express
emotions. The use of an open-ended statement relays the message that it is safe to
do so with the nurse.
A nurse is administering an injection of epinephrine to a child who is experiencing
manifestations of anaphylaxis. The nurse should monitor for which of the
following adverse effects?
Pinpoint pupils
Decreased heart rate
Increased systolic blood pressure
Dry skin - Increased systolic blood pressure
Epinephrine is an adrenergic agonist used to treat anaphylaxis by activating the
sympathetic nervous system. The nurse should expect the child to have an
increased systolic blood pressure following administration of epinephrine.
A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a wellchild visit. Which of the following should the nurse recommend as an ageappropriate activity for the toddler?
Creating a rock collection
Learning the alphabet with flash cards
Putting together a large-piece puzzle
Riding a tricycle - Putting together a large-piece puzzle
The nurse should recommend putting together a large-piece puzzle as an ageappropriate activity for a 2-year-old toddler. Puzzles provide the child an
opportunity to develop fine motor skills. Other fine motor skill activities include
finger painting and coloring with thick crayons.
A nurse is collecting data from a 10-month-old infant. Which of the following
findings should the nurse report to the provider?
Pulls self to standing position
Moves by creeping on hands and knees
Takes intentional steps when standing
Sits with support by leaning on hands - Sits with support by leaning on handsThe nurse should identify that sitting with support can indicate a developmental
delay, because an infant should be able to sit unsupported by 8 months of age.
Therefore, the nurse should report this finding to the provider. [Show Less]