A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? a. provide small, frequent meals for the child b. schedule time in the play room for the child c. weigh the child weekly d. maintain the child in a supine position✔✔✔ A
A nurse is teaching the parent of an infant who has Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understand- ing of the teaching? a. “I should remove the harness at night to allow my infant to stretch her legs.” b. “I will need to adjust the straps on the harness once a week.” c. “I should apply baby powder to my infant’s skin twice daily.” d. “I will place my infant’s diaper under the harness straps.”✔✔✔ D
A nurse is planning care for a school-age child who is in the oliguric 1 / 3 2 / 13 phase of acute kidney injury (AKI) and has a sodium level of 129 meq/L. Which of the following interventions should the nurse include in the plan? a. administer ibuprofen to the child for a temperature greater than 38 degrees C (100.4 degrees F) b. assess the child’s blood pressure every 8hr c. weigh the child weekly at a various times of the day d. initiate seizure precautions for the child✔✔✔ D
A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? a. purulent nasogastric drainage b. absence of peristalsis c. passage of dark stool with mucus d.WBC count 6000mm^3✔✔✔ B
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? a. place a cardiac monitor on the adolescent prior to the procedure 2 / 3 3 / 13 b. apply topical analgesic cream to the site 1hr prior to the procedure c. keep the adolescent in a semi-fowler’s position for 4hrs following the procedure d. restrict fluids for 2hrs following procedure✔✔✔ B
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? a. prednisone b. epinephrine c. diphenhydramine d. albuterol✔✔✔ B
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indi- cates an understanding of the teaching? a. “I will use a humidifier in my child’s room at night.” b. “I will give my child a cough suppressant Q6hrs if he has a cough.” c. “I should avoid using a wet mop on my floors when I am cleaning.” d. “I house keep my child indoors when I mow the yard.”✔✔✔ D
A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?
