The mother of an 11-year old boy who has juvenile arthritis tells the nurse, "I
really don't want my son to
become dependent on pain medication, so I only allow him to take it when
he is really hurting." Which
information is most important for the nurse to provide this mother? -
CORRECT ANSWERS-Giving pain medication around the clock helps control
the pain
A mother brings her 8 mo. old baby boy to clinic because he has been
vomiting and had diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry - CORRECT ANSWERS-C. Measure the infant's
pulse
nurse is performing a routine assessment of a &-year old at a sommunity
health center. Which behavior
by the child should alert she nurse to request a
follow up for a posaible autism spectrum disorder? - CORRECT ANSWERS-
Perform odd repetitive behaviors
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this
morning, the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the nurse
implement? - CORRECT ANSWERS-Inspect the posterior oropharynx
mother brings her 3-week old infant to the clinic because the baby vomits
after eating and always seems
hungry. Further assessment indicates that the infant's vomiting is projectile,
and the child seems listless.
Which additional assessment finding indicates the possibility of a life-
threatening complication? - CORRECT ANSWERS-Irregular palpable pulse
Following admission for cardiac catheterization, the nurse is providing
discharge teaching to the parents of a 2-year-old toddler with tetralogy of
Fallot. What instruction should the nurse give the parents if their
mother brings her 2-year-old son to the clinic because he has been crying
and pulling on his earlobe for
the past 12 hours. The child's oral temperature is 101.2 F. Which intervention
should the nurse implement? - CORRECT ANSWERS-Ask the mother if the
child has had a runny nose
13. During a follow up olinical visit a mother tells tia nurse that her 5-monih-
old son who had surgical
correction for tetralogy of fallot has rapid breathing, often takes a long time
to eat, and requires frequent
rest periods. The infant is not crying while being held and his growth is in the
expected range. Which
intervention should the nurse implement? - CORRECT ANSWERS-Auscultate
heart and lungs while infant is held
parents of a 3-year old boy who has Duchenne muscular dystrophy ask,
"How can our son have this
disease? We are wondering if we should have any more children." What
information should the nurse
provide to parents? - CORRECT ANSWERS-This is an inherited X-linked
recessive disorder, which primarily affects male children in the
family
2-weck-old female infant is hospitalized for the surgical repair of an umbilical
hernia. After retuming to the postoperative neonatal unit, her R and HR have
increased during the last hour. Which intervention should the nurse
implement? - CORRECT ANSWERS-Administer a PRN analgesic prescription
2-year-old girl is brought to the clinic by her 17-year-old mother. When the
nurse observes that the child
is drinking sweetened soda from her bottle, what information should the
nurse discuss with this mother? - CORRECT ANSWERS--Dental caries is
associated with drinking soda
-Toddlers should be drinking from a cup by age 2
mother brings her 3-month-old infant to the clinic because the baby does not
sleep through the night.
Which finding is most significant in planning care for this family?
a.The mother is a single parent and lives with her parents
b.The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown - CORRECT ANSWERS-D.The
diaper area shows severe skin breakdown
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