A nurse is assessing an adolescent who has Grave's disease. Which of the following should the nurse expect?
a. weight gain
b. bradycardia
c.
... [Show More] lethargy
d. heat intolerance
Heat intolerance
A child is admitted with a suspected Wilms' tumor. The nurse should place which of the following signs above the bed?
a. Do not palpate abdomen
b. No venipuncture or blood pressure in left arm
c. Contact precautions
d. Collect all urine
Do not palpate abdomen
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A nurse is providing teaching to the parents of a child with newly diagnosed diabetes mellitus. Which of the following statements indicates understanding?
a. the onset of low blood glucose occurs slowly
b. may complain of feely shaky when he has hypoglycemia
c. sweating can occur with hyperglycemia
d. may have n/v with hypoglycemia
may complain of feeling shaky with low blood glucose levels
A nurse is caring for a 7-year old who has an upper respiratory infection and type 1 diabetes. Which statement by mother indicates need for further instruction?
a. I will encourage her to drink half a cup of water or sugar-free fluids ever 30 minutes
b. I will report any signs of confusion or breathing changes
c. I will notify dr if temp is not controlled with tylenol
d. I will continue to check blood sugar two times a day
I will continue to check blood sugar twice daily
A nurse is providing teaching to parents of child with iron deficiency anemia and is taking iron supplements. Which statement indicates understanding?
a. take in one large dose every other day
b. restricting fiber from diet will help with absorption
c. if taken with meals it will be more effective
d. blood count will need to be monitored routinely for several weeks
blood levels will need to be monitored
A nurse is teaching a school age child who has type 1 diabetes. which statement indicates understanding?
a. morning glucose should be between 90-130
b. eat a snack half an hour before playing soccer
c. I should not take regular insulin when sick
d. I can store unopened insulin in freezer
eat snack before soccer
A nurse is teaching adolescent with type 1 diabetes. Which should the nurse include?
a. glucagon for hyperglycemia
b. influenza vaccine annually
c. insulin into deltoid muscle
d. take glyburide with breakfast
influenza annually
A nurse is assessing a school age child whose blood sugar is 280. which finding should the nurse expect?
a. lethargy
b. pallor
c. tremors
d. shallow respirations
lethargy
A nurse is providing teaching about iron deficiency anemia to parents of toddler. Which should be recommended as method to prevent it?
a. avoid diet that consists primarily of milk
b. fat soluble vitamins daily
c. fluoridated water in diet
d. limit intake of high protein foods
avoid diet of mostly milk
A nurse in special ed program is planning care for child with autism. Which should be included in plan of care?
a. allow for adjustment of rules to correlate with behavior
b. provide flexible schedule that adjusts to child's interests
c. allow for imaginative play with peers without supervision
d. Reward system for positive behavior
Rewards for good behavior
Discharge instructions for a child with sickle cell after an acute crisis should include which of the following?
a. monitor child temp daily
b. restrict outdoor play to 1 hour daily
c. offer fluids to child multiple times daily
d. apply cold compress for pain
offer fluids often
Which of the following is the most common malignant renal and intra-abdominal tumor of childhood?
a. Ewing sarcoma
b. osteosarcoma
c. neuroblastoma
d. wilms tumor
Wilms tumor
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A nurse is teaching about self-administration of insulin for a school-age child. Which indicates a need for further teaching?
a. Aspirates before injecting
b. given anywhere with adipose tissue
c. rotate site after 5 injections in one area
d. inject at 90 degree angle
aspirate before injecting
4 year old with new diagnosis of diabetes type 1 and is distressed after insulin injection. Which of the following play activities should nurse recognize as therapeutic in helping child deal with injection
a. needleless syringe and doll
b. video game
c. book about child with diabetes
d. play in playroom
syringe and doll
Client is dying. Client says "my mother died in the hospital, but I did not get there before she died." which of the following should the nurse respond with?
a. we will call in time for family to get here
b. are you fearful of dying alone
c. a staff member will be in your room at all times
d. I will tell family of your concern so they can be here.
are you fearful of dying alone
sickle cell crisis has which of the following symptoms?
a. high fever
b. bradycardia
c. pain
d. constipation
pain
teaching about type 1 diabetes and illness management to a child and parents. which instruction should be included?
a. if nauseous do not take insulin
b. notify dr if blood sugar over 350
c. test urine for ketones
d. limit fluid intake during meals
test urine for ketones
A child has addison's disease. Which of the following actions should nurse take?
a. teach about steroids
b. low sodium diet
c. monitor for fluid overload
d. discuss symptoms of hypoglycemia
steroids
Teaching parents how to control minor bleeding in child with hemophilia. Which indicates need for further teaching?
a. rest
b. elevation
c. compression
d. heat
heat
Which of the following should the oncology nurse expect in a child with a brain tumor?
a. negative babinski reflex
b. increased appetite
c. hyporeflexia
d. tachycardia
hyporeflexia
adolescent with hemophilia A is scheduled for wisdom teeth removal. Prior to procedure the client will receive which of the following?
A. recombinant
b. packed RBCs
c. prophylactic antibiotics
D. fresh frozen plasma
Recombinant
17 year old with a relapse of leukemia and refusing treatment. mother insists on treatment. which action should nurse take?
a. start IV as mother insists
b. notify provider
c. administer sedative to calm client
d. offer an antiemetic
notify provider
Which of the following statements from the mother of a 6year old should concern the nurse?
a. child squints to see board at school
b. recently lost both front teeth
c. child cheats at board games
d. child acts bossy with friends
squints to see board.
Health program for parents of school-age boys. which of the following information about pubescent changes should nurse include?
a. vocal changes signal beginning of puberty
b. gynecomastia occurs late in puberty
c. puberty may be delayed if scrotal changes have not occurred by age 11
d. height growth spurts occur toward the end of midpuberty
growth spurt occurs toward end of puberty
plan of care for child with sickle cell anemia. Which intervention should the nurse include?
a. discourage high fluid intake
b. apply cold compress to painful joints
c. observe for hypokalemia
d. administer meperidine for pain Q4hr
hypokalemia
Child who has leukemia and critically low platelets. Which precaution should nurse take?
a. neutropenic
b. bleeding
c. contact
d. droplet
bleeding
Child has leukemia. Which client should nurse place in the same room as this child?
a. nephrotic syndrome
b. ruptured appendix
c. rheumatic fever
d. cystic fibrosis
Nephrotic syndrome [Show Less]