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A nurse is assisting a child who has multiple closed fractures of the lower extremities due
... [Show More] to a motor- vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
c. Volkmann ischemic contracture
1) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching?
b. Avoid foods containing milk products
2) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?
c. Keep staff visits with the child brief
3) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?
c. Increase respiratory rate
A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include?
d. Use a vest to perform high-frequency chest compressions
A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
b. Your child should walk the bicycle through intersections
4) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
a. Lateral
A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
d. RBC count 5/mm
A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take?
a. Report the diagnosis to the public health department
b. Place the child in a protected environment for 48hr ?
c. Administer the pertussis vaccine
d. Restrict oral fluids to 500mL per day
A nurse is assessing a week old infant. The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome?
d. Lethargy
)A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which of the following actions should the nurse plan to take?
c. Cover the insertion site with an opaque dressing
12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider?
c. Bilateral cool extremities
18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching?
b. Keep the child away from others until the skin is clever of scabs
30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?
d. Apply cold compresses to affected joints
A charge nurses teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse?
b. A toddler repeatedly refuses to let a nurse auscultate his lungs
A nurse is teaching the guardian of a 5 year old child who has encopresis about management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching?
d. I will have my child try to defecate 15 minutes after each meal
A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings should the nurse intervene?
a. Brisk capillary refill
b. Tachypnea
c. Rhinorrhea
d. Coughing
A nurse is performing a health assessment for a 6 month old infant. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardians lap?
a. Obtaining the infant's health history from the guardian
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first
d. assist the client in completing his ADLs
A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate intervention by the nurse?
d. Frequent swallowing
A nurse in the emergency department is caring for a school age child who has developed respiratory stridor, wheezing, and urticarial after receiving an IV medication. Which of the following actions should the nurse take first?
d. Administer epinephrine
31) A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? ( You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
B A C D
The correct answer is =
A nurse is caring for a school aged child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take first? ( Select all that apply)
b. Observe the child for frequent swallowing
c. Discourage the child from coughing
d. Administer an analgesic to the child on a scheduled basis
a nurse is teaching the guardian of an infant who has congestive heart failure about methods to preserve energy during bottle feeding. Which of the following statements by the guardian indicates a clear understanding of the teaching?
a. I will feed my baby every 2 hours
A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions in an age appropriate response to death?
b. The child feels responsible for the siblings death
A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates a clear understanding of the teaching?
c. I should give my child water after giving the medication
A nurse is providing a teaching to the guardian of a 2year old about typical todd [Show Less]