The nurse is giving preoperative instructions to a 14-year old female client who is scheduled for surgery
to correct a spinal curvature. Which statement
... [Show More] by the client best demonstrates that learning has taken
place? Correct Answer- D. I understand that I will be in a body cast and I will show you how you taught
me to turn.
To take the vital signs of a 4-month old child, which order will give the most accurate results? Correct
Answer- A. Respiratory rate, heart rate, and then rectal temperature
During routine screening at a school clinic, an otoscope examination of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging, and not movable. What action should the nurse take
next? Correct Answer- B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair? Correct Answer- C. elbow
restraints
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric
stenosis? Correct Answer- D. observe for projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place. What nursing care should be
included when caring for any restrained child? Correct Answer- B. remove restraints one at a time and
provide range of motion exercises
A 2-year old child with Down syndrome is brought to the clinic for his regular physical examination. The
nurse knows which problem is frequently associated with Down syndrome? Correct Answer- A.
congenital heart disease
When assessing a child with asthma, the nurse should expect intercostal retractions during Correct
Answer- A. inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be
minimized because it Correct Answer- D. stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that
the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited?
Correct Answer- A. choking, coughing, and cyanosis
Which behavior would the nurse expect a two-year-old child to exhibit? Correct Answer- C. display
possessiveness of toys
the mother of a preschool-aged client asks the nurse if it is all right to administer Pepto Bismal to her
son when he 'has a tummy ache." After reminding the mother to check the label of all OTC drugs for the
presence of aspirin, which instruction should the nurse include when replying to this mother's question?
Correct Answer- B. do not give if the child has chickenpox, the flu, or any other viral illness.
The nurse observes a 4-year old boy in a daycare setting. Which behavior should the nurse consider
normal for this client? Correct Answer- C. demonstrates aggressiveness by boasting when telling a story
A burned child is brought to the emergency room. In estimating the percentage of the body burned, the
nurse uses a modified "Rule of Nines." Which part of a child's body is calculated as a larger percentage
of total body surface than an adult? Correct Answer- A. head and neck [Show Less]