A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder.
Which of the following interventions should the
... [Show More] nurse plan to include? - CORRECT ANSWER Ensure the
oxygen source is functioning in the childs room: The nurse should recognize that maintaining the child's
airway is important during a seizure. The nurse should ensure that the oxygen source is functioning
because the child might require supplemental oxygen following a seizure.
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which
of the following statements should the nurse make? - CORRECT ANSWER "You should offer your child
high-protein meals and snacks throughout the day." The nurse should instruct the guardian to provide a
diet that is well-balanced and high in protein and calories. Children who have cystic fibrosis require a
higher percentage of the recommended dietary allowances of all nutrients to meet their energy
requirements. Children who have good nutritional intake have improved lung function and decreased
risk of infection.
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? - CORRECT ANSWER "Allow the stent to drain into your infants diaper."
The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to
prevent kinking or twisting that can interfere with urine flow.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective? - CORRECT ANSWER Decreased edema: A child who has nephrotic syndrome
can experience edema due to the increased glomerular permeability, which increases protein loss.
Prednisone decreases glomerular permeability, which causes fluid to shift from the extracellular spaces,
resulting in decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following children should the
nurse assess first? - CORRECT ANSWER A toddler who has a concussion and an episode of forceful
vomiting.: When using the urgent vs. nonurgent approach to client care, the nurse should assess this
child first. An episode of forceful vomiting is an indication of increased intracranial pressure in a toddler
who has a concussion.
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 report which of the following finding to the provider?
- CORRECT ANSWER Restricted ability to move the toes.: The nurse should inform the guardians that a
restricted ability of the toddler to move their toes is an indication of neurovascular compromise and
requires immediate notification of the provider. Permanent muscle and tissue damage can occur in just
a few hours.
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? - CORRECT ANSWER Wheezes:
The nurse should identify the sound during auscultation as wheezes, which are high-pitched, musical or
whistling-like sounds heard primarily on expiration as air passes through and vibrates narrowed airways.
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? - CORRECT ANSWER Potassium Chloride: The nurse should identify that
a child who has congestive heart failure can develop electrolyte imbalances, such as hyperkalemia or
hypokalemia. The nurse should identify that the child is exhibiting manifestations of hyperkalemia and
contact the provider about the administration of potassium chloride, which can increase the severity of
hyperkalemia.
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? - CORRECT ANSWER The
child should be able to stand on the balls of their feet when sitting on the bike.: To decrease the risk for
injury, parents should ensure that the bike is the correct size for the child. When seated on the bike, the
child should be able to stand with the ball of each foot touching the ground and should be able to stand
with each foot flat on the ground when straddling the bike's center bar.
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should
secure the sensor to which of the following areas on the infant? - CORRECT ANSWER Great Toe. The
nurse should secure the sensor to the great toe of the infant and then place a snug-fitting sock on the
foot to hold the sensor in place. The nurse should also check the skin under the sensor site frequently
for temperature, color, and the presence of a pulse.
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? - CORRECT ANSWER Monitor the childs oxygen saturation: The
nurse should monitor the child's oxygen saturation level because the child is experiencing acute
respiratory distress and it is necessary to determine if the child is responding to treatment.
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? -
CORRECT ANSWER Apply an antimicrobial ointment to the affected area.: The nurse should apply an
antimicrobial ointment to the burned area to prevent infection.
A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse
when their child will no longer be contagious. Which of the following responses should the nurse make?
- CORRECT ANSWER "When your childs lesions are crusted, usually 6 days after they appear.": The nurse
should inform the parent that the child is contagious 1 day prior to lesion eruption and until the vesicles
have crusted over, which usually takes about 6 days.
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant
asthma. Which of the following instructions should the nurse include? - CORRECT ANSWER "Pulmonary
function tests will be performed every 12 to 24 months to evaluate how your child is responding to
therapy.": The nurse should inform the parent that their child will need pulmonary function tests every
12 to 24 months to evaluate the presence of lung disease and how the child is responding to the current
treatment regimen. As children grow, sometimes their manifestations can improve or decline, and
treatment needs to change accordingly.
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse
expect? (Select all that apply.) - CORRECT ANSWER -Vomiting [Show Less]