a nurse is reviewing sick-day management with a parent of a child who has type 1 DM. which of the following should the nurse include in the teaching
... [Show More] (SATA)
a. monitor blood glucose levels every 3 hours
b. discontinue taking insulin until feeling better
c. drink 8 oz of fruit juice every hour
d. test urine for ketones
e. call the provider if blood glucose is greater than 2540 mg/dL
A D E
a nurse is teaching a child who has type 1 DM about self care. which of the following statements by the child indicates understanding of the teaching?
a. I should skip breakfast when I am not hungry
b. I should increase by insulin with exercise
c. I should drink a glass of milk when I am feeling irritable
d. I should draw up the NPH insulin into the syringe before the regular insulin
C
a nurse is caring for a child who has type 1 DM. which of the following are manifestations of diabetic keotacidosis (SATA)
a. blood glucose 58
b. weight gain
c. dehydration
d. mental confusion
e. fruit breath
C D E
a nurse is teaching a school-age child who has DM about insulin administration. which of the following should the nurse include in the teaching?
a. you should inject the needle at a 30 degree angle
b. you should combine your glargine and regular insulin in the same syringe
c. you should aspirate for blood before injecting the insulin
d. you should give four or five injections in one area before switching sites
D
a nurse is teaching an adolescent who has DM about manifestations of hypoglycemia. which of the following findings should the nurse include in the teaching (SATA)
a. increased urination
b. hunger
c. signs of dehydration
d. irritability
e. sweating
f. kussmaul respirations
B D E
a nurse is caring for a child who has short stature. which of the following diagnostic tests should be completed to confirm growth hormone (GH) deficiency? (SATA)
a. CT scan of the head
b. bone age scan
c. GH stimulation test
D. serum IGF-1
e. DNA testing
A B C D
a nurse is teaching the parent of a child who has growth hormone deficiency. which of the following are complications of untreated growth hormone deficiency? (SATA)
a. delayed sexual development
b. premature aging
c. advanced bone age
d. short stature
e. increased epiphyseal closure
A B D
a parent of a school-age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. which of the following responses should the nurse make
a. injections are usually continued until age 10 for girls and age 12 for boys
b. injections continue until your child reaches the fifth percentile on the growth chart
c. injections should be continued until there is evidence of epiphyseal closure
d. the injections will need to be administered throughout your child's entire life
C
a nurse is assessing a child who has short stature. which of the following findings would indicate a growth hormone deficiency
a. proportional height to weight
b. heigh proportionally greater than weight
c. weight proportionally greater than height
d. BMI greater than height/weight ratio
A
a nurse is caring for a child who has watery diarrhea for the past 3 days. which of the following is an appropriate action for the nurse to take?
a. offer chicken broth
b. initiate oral rehydration therapy
c. start hypertonic IV solution
d. keep NPO until diarrhea subsides
B
a nurse is caring for a child who is suspected to have Enterobius vermicularis. which of the following actions should the nurse take
a. perform a tape test
b. collect stool specimen
c. test the stool for occult blood
d. initiate IV fluids
A
a nurse is assessing a child who has a rotavirus infection. which of the following are expected findings (SATA)
a. fever
b. vomiting
c. watery stools
d. bloody stools
e. confusion
A B C
a nurse is teaching a group of parents about salmonella. which of the following information should the nurse include in the teaching (SATA)
a. incubation period is nonspecific
b. it is a bacterial infection
c. bloody diarrhea is common
d. transmission can be from house pets
e. antibiotics are used for treatment
B C D
a nurse is teaching a group of parents about E coli. which of the following information should the nurse include in the teaching (SATA)
a. severe abdominal cramping occurs
b. watery diarrhea is present for more than 5 days
c. it can lead to hemolytic uremia syndrome
d. it is a food borne pathogen
e. antibiotics are given for treatment
A C D
a nurse is assessing an infant who has hypertrophic pyloric stenosis. which of the following findings should the nurse expect? (SATA)
a. projectile vomiting
b. dry mucus membranes
c. currant jelly stools
d. sausage-shaped abdominal mass
e. constant hunger
A B E
a nurse is caring for a child who has Hirschsprung's disease. which of the following actions should the nurse take?
a. encourage a high fiber, low portion, low calorie diet
b. prepare the family for surgery
c. place an NG tube for decompression
d. initiate bed rest
B
a nurse is caring for an infant who is postoperative following cleft lip and palate repair. which of the following actions should the nurse take
a. remove the packing in the mouth
b. place the infant in an upright position
c. offer a pacifier with sucrose
d. assess the mouth with a tongue blade
B
a nurse is caring for a child who has Meckel's diverticulum. which of the following manifestations should the nurse expect (SATA)
a. abdominal pain
b. fever
c. mucus, bloody stools
d. vomiting
e. rapid, shallow breathing
A C
a nurse is teaching a parent of an infant about gastrointestinal reflux disease. which of the following should the nurse include in the teaching (SATA)
a. offer frequent feedings
b. thicken formula with rice cereal
c. use a bottle with a one-way valve
d. position baby upright after feedings
e. use a wide-based nipple for feedings
A B D
a nurse is teaching a parent of a child who has a UTI. which of the following should the nurse include in the teaching (SATA)
a. wear nylon underpants
b. avoid bubble baths
c. empty bladder completely with each void
d. provide information about manifestations of infectious
e. wipe perineal area back to front
B C D
a nurse is planning care of a child who has a UTI. which of the following should the nurse include
a. administer an antidiuretic
b. restrict fluids
c. evaluate the child's self esteem
d. encourage frequent voiding
D
a nurse is caring for a child who has enuresis. which of the following is a complication of enuresis
a. UTI
b. emotional problems
c. urospesis
d. progressive kidney disease
B
a nurse is assessing an infant who has suspected UTI. which of the following are anticipated findings (SATA)
a. increase in hunger
b. irritability
c. decrease in urination
d. vomiting
e. fever
B D E
a nurse is assessing a child who has a UTI. which of the following are manifestations of a UTI (SATA)
a. night sweats
b. swelling of face
c. pallor
d. pale-colored urine
e. fatigue
B C E
a nurse is caring for an infant who has hydrocele. which of the following actions should the nurse take?
a. prepare the child for surgery
b. explain to the parents that the issue will self-resolve
c. restrict the foreskin and cleanse several times daily
d. refer the family for genetic counseling
B
a nurse is caring for a male infant who has epispadias. which of the following findings should the nurse expect (SATA)
a. bladder exstrophy
b. inability to restrict foreskin
c. widened pubic symphysis
d. broad, spade-like penis
e. pain
A C D [Show Less]