A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an
... [Show More] understanding of the teaching?
"I will keep my baby in an upright position after feedings"
A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's Blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?
Tachycardia.
A nurse is caring for an infant who has tracheoesophageal fistula. which of the following findings should the nurse expect?
Coughing, apnea, cyanosis, frothy saliva
A nurse is providing teaching to the parent of a child diagnosed with celiac disease. The nurse should include which of the following as an acceptable food choice for this child?
a. Rice. Rice is naturally gluten-free, and is an acceptable food choice for a child with celiac disease.
A parent calls a clinic and reports to a nurse that has 2 month old infant is hungry more than usually but has projectile vomiting immediately after eating. Which of the following responses should the nurse make?
A. "bring your baby in to the clinic today"
B. "Burp your baby more frequently during feedings"
C. "Give your infant an oral rehydration solution"
D. " Try switching to a different formula"
A. "bring your baby in to the clinic today"
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
A HTN
B Polyuria
C smokey brown urine
D facial edema
D facial edema
A nurse is caring for an infant who has GERD. The nurse should place the infant in which of the following position following feedings?
A. Prone
B. In car seat
C. Left side
D. Right Side
B In car seat
A nurse is caring for an infant who is 24 hr postoperative following a cleft palate repair. Which of the following in an appropriate action by the nurse?
a. Providing feedings with a rubber-tipped syringe.
b. Suctioning the nasopharynx frequently.
c. Administering opioids for pain.
d. Changing the oral packing every 6 hr.
c. Administering opioids for pain.
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
a. place the child on a no-salt-added diet
b. check the child's daily weight
c. educate the parents about potential complications
d. maintain a saline-lock
b. check the child's daily weight
A nurse is planning the care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following interventions should the nurse include in the plan of care?
a. Feed the infant with a spoon for 48 hr.
b. Apply and release elbow restraints every hour.
c. Keep the infant supine.
d. Suction the mouth with an oral suction tube.
b. Apply and release elbow restraints every hour.
A nurse is assessing a school-age child whose blood glucose is 280 mg/dL. Which of the following findings should the nurse expect?
a. Lethargy
b. Pallor
c. tremors
d. Shallow respirations
a. Lethargy
A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?
a. Sudden decrease in abdominal pain
b. Absent Rovsing's sign
c. Flaccid abdomen
d. Low grade fever
a. Sudden decrease in abdominal pain
A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect?
a. BUN 50 mg/dL
b. serum potassium 3.8 mEq/L
c. Absence of proteinuria
d. serum phosphorus 4.0 mg/dL
a. BUN 50 mg/dL
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?
a. the onset of low blood glucose usually occurs slowly
b. my son might complain of feeling shaky when he has a low blood glucose level
c. sweating can occur with hyperglycemia
d. my son might have nausea and vomiting with hypoglycemia.
b. my son might complain of feeling shaky when he has a low blood glucose level
a nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
a. teach the parents about cortisol replacement therapy
b. place the child on a low sodium diet.
c. monitor the chid for a fluid volume excess
d. discuss the manifestations of hypoglycemia with the parents
a. teach the parents about cortisol replacement therapy
a nurse is providing teaching to a school age child who has a new diagnosis of type 1 diabetes mellitus. which of the following statements by the child indicates an understanding of the teaching?
a. my morning blood glucose should be between 90 and 130
b. i should eat a snack half an hour before playing soccer
c. i should not take my regular insulin when i am sick
d. i can store unopened bottles of insulin in the freezer
b. i should eat a snack half an hour before playing soccer
the child's fasting blood glucose should be between 80 and 120 mg/ dL
A nurse is caring for a 6 month old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which fluid should a nurse select for the infant?A. Oral electrolyte solution
B. Half-strength infant formula
C. Half-strength orange juice
D. Sterile water
A. Oral electrolyte solution
A nurse is providing teaching to a parent f a child who has Hirschsprung Disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
a. im glad that my child ostomy is only temporary
b. im glad my child will have normal bowel movements now
c. i want to learn how to use my child feeding tube as soon as possible
d. i want to learn how to empty my child urinary catheter bag
a. im glad that my child ostomy is only temporary
A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize that which of the following finding's are associated with this condition? select all
a. vomiting
b. weight loss
c. rigid abdomen
d. wheezing
e. fever
Vomiting, Weight Loss, Wheezing
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
a. withhold insulin dose is feeling nauseous
b. notify the provider if blood glucose levels are over 350 milligrams/deciliter
c. test the urine for ketones
d. limit fluid intake during meal time
c. test the urine for ketones
A 2-month-old infant has just undergone repair of a cleft lip and palate. The surgeon prescribes restraints. The nurse should apply which of the following restraints?
a. Elbow
b. Mummy
c. Wrist
d. Jacket
a. Elbow
**It is essential to apply elbow restraints immediately after surgery to keep the infant from rubbing the operative site. The nurse should remove them periodically to inspect the skin and allow the infant arm exercise.
A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?
A. Encopresis
B. Enterocolitis
C. Pyloric stenosis
D. Hirschsprung's dx
D. Hirschsprung's dx
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
a. low sodium, fluid restricted
b. regular diet, no added salt
c. low-carbohydrate, low protein diet
d. low-protein, low-potassium diet
a. low sodium, fluid restricted
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
a. red currant jelly stools
b. distended neck veins
c. projectile vomiting
d. ridged abdomen
c. projectile vomiting
a nurse is caring for a 2 month old infant who is postoperative following surgical repair of a cleft lip. which of the following actions should the nurse take
a. encourage the parents to rock the infant
b. offer the infant a pacifier
c. administer ibuprofen as needed for pain
d. position the infant on her abdomen
a. encourage the parents to rock the infant [Show Less]