1. A home health nurse is providing teaching about post seizure management to the
parents of a school age child who has epilepsy and experiences
... [Show More] tonic-clonic
seizures.Which of the following instructions should the nurse include in the
teaching? (Selectall that apply.)
"Hyperextend your child's head for 5 minutes following a
seizure." "Immediately following a seizure, give your child 6
ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure.""Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are unequal after
aseizure."
2. A nurse in a pediatric clinic is discussing the pathophysiology of Reye syndrome
with a newly licensed nurse. Which of the following statements by the newly
licensednurse indicate an understanding of the disorder?
"Reye syndrome causes fatty changes in the
liver." "Reye syndrome leads to venous thrombus
formation."
"Reye syndrome is associated with misuse of
acetaminophen.""Reye syndrome is linked to decreased
serum ammonia levels
3. A nurse is teaching the parents of a toddler about strategies to manage
tempertantrums. Which of the following instructions should the nurse
include in the teaching?
"Honor the child's request if she holds her
breath.""Establish a structured daily routine
for the child."
"Place the child in her room alone until the temper tantrum
ends.""Comfort the child during the temper tantrum."
4. A nurse is completing an assessment following suctioning of a child who
has a tracheostomy. Which of the following findings should the nurse
identify as anindication that the procedure has been effective?
Increased respiratory rate
Decreased oxygen
saturationClear breath
sounds Increased oral
secretions
5. A nurse is developing a plan of care for a 4-year-old child who has hemophilia
and isexperiencing acute hemarthrosis. Which of the following interventions
should the nurse include in the plan?
Have the child perform passive range-of-motion
exercises.Administer aspirin as needed for pain.
Place ice packs on the affected joints.
Position the lower extremities below the level of the heart.
6. A nurse in the emergency department is caring for a preschooler who
hasepiglottitis. Which of the following actions should the nurse take?
Place the child in a left lateral position.
Obtain a specimen from the child's throat for a
culture. Inspect the child's throat with a padded
tongue depressor.Initiate droplet precautions for
the child.
7. A nurse is providing teaching to the parent of a child about home care following a
cardiac catheterization. Which of the following statements should the nurse
include?
"You should give your child aspirin if they report pain at the
site." "You can remove the pressure dressing 8 hours after the
procedure.""Your child can soak in the bathtub 24 hours after
the procedure."
"Your child should avoid strenuous physical activities for several days."
8. A nurse is admitting a child who has pertussis. Which of the following
isolationprecautions should the nurse initiate?
Droplet
Contact
Airborn
e
Protective environment
9. A nurse on a pediatric unit is receiving change-of-shift report for a group of
clients.Which of the following clients should the nurse see first?
A child who is postoperative following a tonsillectomy and reports moderate throat pain
A child who had a cardiac catheterization using the femoral artery and has blanching of
the toesAchild who has bacterial pneumonia and is due for their initial dose of IV
antibiotics
A child who has juvenile idiopathic arthritis and needs assistance with application of
prescribedsplints
10. A nurse in a pediatric clinic is performing a history and physical for a
toddler who isscheduled to receive a measles, mumps, and rubella (MMR)
immunization. Which of the following findings indicate that the immunization
should be withheld?
Temperature of 38° C (100.4° F)
Family history of sudden infant death syndrome
(SIDS)Taking an antihistamine for seasonal
allergies Receiving prednisone for nephrotic
syndrome
11. A nurse is instilling optic drops into an 18-month-old child's ears. Which of the
followingmethods should the nurse use?
Pull the pinna down and back.
Insert the dropper into the ear
canal.
Administer the ear drops at 5.5° C (42°
F).Massage the area behind the ear.
12. A nurse is providing teaching to an adolescent who has a new prescription for
cefazolin. For which of the following adverse effects should the nurse instruct
theadolescent to monitor and report to the provider?
Dry mouth
Constipatio
nBack pain
Urticaria
13.A nurse is providing discharge teaching to the parents of a child who has sickle
cellanemia and was hospitalized after experiencing a vasoocclusive crisis. Which
of thefollowing instructions should the nurse include in the teaching?
"Avoid immunizing your child with the meningococcal
vaccine.""Restrict the time your child spends playing
outdoors." "Increase your child's intake of oral fluids."
"Provide your child with a high-protein diet." [Show Less]