NUR 303 PN Nursing Care of Children Practice A (NUR 303PN Nursing Care of Children Practice A.)

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A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the following parent statements indicates an understanding of the teaching? - The nurse should instruct the pa... rent to place a screen in front of a fireplace or other heating appliances to prevent burns A nurse is reinforcing teaching with the parent of a child who has hemophilia and is experiencing acute hemarthosis. Which of the following instructions should the nurse include in the teaching? - The nurse should reinforce with the parent to keep the child’s affected joints elevated and immobilized to minimize bleeding. After the acute episode, the child should begin active range-of-motion exercise. A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify that which of the following findings puts the client at risk for nutritional deficits? - The nurse should identify that adolescents are often at risk for developing poor eating habits. Skipping dinner twice each week puts this client at risk for nutritional deficits. A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following actions should the nurse take? - The nurse should have a suction canister and tubing available in the child’s room to keep the child’s airway patent during a seizure. A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? - The nurse should instruct the parents to turn pot handles toward the back of the stove to prevent the toddler from pulling a pot off the stove, resulting in a burn. A nurse in a pediatric clinic is collecting data from an infant who recently started taking digoxin. Which of the following manifestations should the nurse identify as an indication of digoxin toxicity and report to the provider? - The nurse should identify that vomiting, especially unrelated to feedings, is a manifestation of digoxin toxicity and should be reported to the provider. A nurse is caring for a school-age girl who is being treated for frequent, severe urinary tract infections (UTIs). The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs? - My daughter has bowel movements every 4 to 5 days—the nurse should recognize that this frequency indicates the child is constipated. Therefore, large stool masses might prevent complete emptying of the bladder and lead to urinary stasis and infection. A nurse is caring for a school-age child who has been admitted to facility in sickle cell crisis. The nurse is measuring the child’s oral intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water. What is the child’s oral intake for this shit of milliliters. (Round to the nearest whole number.) - 1oz = 30 mL Client consumed 23 oz of fluids 23 oz X 30 mL = 690 mL A nurse is reinforcing dietary teaching with the guardian of a school age child who has celiac disease. Which of the following foods should the nurse recommend including in the child’s diet? - White rice—the nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in which eating gluten, even in a very small amounts, can damage the child’s small intestine. Currently, the only treatment for the disease is a lifelong, stick adherence to a gluten-free diet. The nurse should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child should consume foods that are gluten-free, such as milk, cheese, rise, corn, eggs, potatoes, fruits, vegetables, fresh poultry, meats, fish and dried beans. A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results should the nurse report to the provider? - Lead 14 mcg/dL—the lead level is above the expected reference range for a preschooler. Therefore, the nurse should report this result to the provider. A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea. Which of the following findings should the nurse identify as a risk factor for this disorder? - Hypothyroidism - Cannabis - Oral contraceptive - Emotional stress A nurse is reinforcing teaching with the guardian of child who has scabies and a new prescription for permethrin 5% cream. Which of the following information should the nurse include? - The medication will eliminate your child’s itching within 2 to 3 weeks—the nurse should instruct the guardian that, although the medication kills the mites, itching can continue for 2 to 3 weeks following application of the medication. A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions should the nurse take? - Apply pressure to the lacrimal punctum for 1 min following administration—the nurse should apply pressure to the lacrimal punctum to prevent the medication from entering the nasopharynx. A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated from nephrotic syndrome. The parent asks the nurse why it is necessary to check the child’s urine for protein. Which of the following explanations should the nurse offer? - A decrease in urine protein indicates that treatment is effective—the desired outcome of steroid therapy in the treatment of nephrotic syndrome is a reduction of proteinuria. A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following behaviors should the nurse recognize as an expected finding? - Standing of one foot for several seconds is an expected behavior for a toddler. A nurse is collecting data from an infant who has severe dehydration. Which of the following findings should the nurse expect? - The nurse should expect an infant who has severe dehydration to experience weight loss of 10% or greater. A nurse is caring for an adolescent client who is practicing Jehovah’s Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she cannot receive a blood transfusion. Which of the following responses should the nurse make? - Let’s discuss the possibility of you needing a blood transfusion with your parents—the nurse should offer to involve the child’s parents to understand the family’s beliefs about blood transfusions. A nurse is auscultating heart sounds on an infant. The nurse should identify this sound as which of the following? - Sinus rhythm—the nurse should auscultate heart sounds at the apical impulse, which is at the left midclavicular line and fifth intercoastal space. The expected heart sounds include S1, which is the closure of the atrioventricular valves, and S2, which is the closure of the semilunar valves. A nurse is reinforcing teaching with the family of a preschooler whose parent has a terminal diagnosis. Which of the following statements should the nurse include when discussing age-appropriate response to death? - At this age, your child likely believes his thoughts can cause another person’s death—which can make him feel guilty or responsible for the death A nurse in a community center is reinforcing teaching about poison control with a group of parents. A parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the sequence of actions the nurse should recommend to the parent. - Determine if the child is breathing - Empty the child’s mouth of remaining pills and residue - Identify the medication and dosage strength - Call a poison control center A nurse is collecting data from a toddler at a well-child visit. Which of the following findings should the nurse identify as a possible indication of child maltreatment? [Show More]

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