A 3-year-old child's oral medication must be administered by the nurse. The
best approach for the nurse to proceed is to say: ANSWER 3. "Here is your
medicine. Would you like apple juice or grape drink after?"
The nurse discovers a 5-year-old youngster who is unconscious, apneic, and has
no pulse. The correct sequence of events is as follows: - ANSWER 1. Call for
aid, open the airway, provide two rescue breaths, and start compressions at 100
per minute.
What is the typical systolic blood pressure for a three-year-old child? -
ANSWER 2. 86 mm Hg
Which category of transmission precautions is best suited for a hospitalized
preschooler with varicella (chickenpox)? - ANSWER 2. Airborne: 3. Standard
The nurse is gathering information about whether the client has received all
recommended immunizations for his age. What vaccines should he have had
between the ages of four and six? - ANSWER 4. Diphtheria, Tetanus, and
Acellular Pertussis (DTaP), MMR, inactivated poliovirus (IPV), and
pneumococcal vaccines
Which finding may lead the nurse to suspect child abuse in a preschool-aged
child? - ANSWER 3. The child cheerfully goes to the nurse and cries when he is
returned to his parents.
For a kid with tracheobronchitis, the nurse makes a nursing diagnostic of
ineffective airway clearance due to thick secretions. After adopting
interventions, what is the nurse's expected client outcome? - ANSWER 3. The
youngster makes clear breath noises.
A three-year-old child is hospitalized for surgery. The doctor orders 25 mg of
meperidine (Demerol) to be injected intramuscularly at 7 a.m. On the morning
,of surgery. To complete this order, the nurse should: ANSWER 3. Allow the
youngster to choose which leg will receive the injection.
A child with hemophilia is hospitalized after falling. Now the boy complains of
significant pain in his left wrist. What should the nurse do first? - ANSWER 3.
Elevate the affected arm and apply ice to the injured area.
The nurse is watching the parents of a 4-year-old child who has been admitted
to the hospital. Which of the following behaviours demonstrates that the parents
understand how to reduce worry during their child's hospitalization? -
ANSWER 1. The parents bring their child's favorite toy to the hospital., 3.
Throughout the hospitalization, the parents remain at their child's side. The
parents bring the child's siblings for a short visit.
A three-year-old child who has lead poisoning is admitted to the facility for
chelation therapy. Which of the following are the harmful consequences that the
nurse must be aware of? - ANSWER 3. Seizures
Which statement suggests that the family of a dying 4-year-old child may be
willing to explore organ donation? - ANSWER 1. "My wife and I feel that our
real daughter has moved on even though her body is still functioning."
A cast is placed on a child's left femur after it shattered. A little time later, the
nurse sees that the toes on the child's left foot are swollen. Which nursing action
is most appropriate? - ANSWER 3. elevating the foot of the bed.
A preschooler has cardiac arrest. When administering cardiopulmonary
resuscitation (CPR) on a child, how should the nurse apply chest compressions?
- ANSWER 4. With the heel of one hand.
The nurse is caring for a preschooler who has just been diagnosed with a wheat
allergy. When teaching the mother about dietary limitations, the nurse should
instruct her to remove which foods from the child's diet? - ANSWER 1. Hot
dogs
, A preschool-aged child's parents ask the nurse about nutrition. Which statement
concerning a preschooler's nutritional needs is correct? - ANSWER 3. The
quantity of food consumed by a preschooler is less significant than its quality.
The nurse assesses a child with acute poststreptococcal glomerulonephritis
(APSGN) for signs of improvement. Which finding often indicates the early
signs of improvement? - ANSWER 1. Increased urinary output
A 3-year-old youngster tested positive for the human immunodeficiency virus
(HIV) and is placed in foster care. The foster parents ask the nurse how to keep
HIV from spreading to other family members. How should the nurse respond? -
ANSWER 4. "Wear gloves when you're likely to come into contact with the
child's blood or body fluids."
The nurse is educating the parents of a young child how to deal with suspected
poisoning. If the child consumes poison, the parents must first: - ANSWER 3.
Call a poison control center.
A 5-year-old child suspected of having leukemia is admitted to the hospital for
evaluation and treatment. Which tests help diagnose leukemia? - ANSWER 1.
Bone marrow aspiration and analysis: 2. Complete blood count: 3. Lumbar
puncture
A youngster is undergoing peritoneal dialysis to address renal failure. To
recognize early signs of peritonitis, the nurse should look out for - ANSWER 2.
Abdominal soreness.
After collecting data on a recently admitted 5-year-old child, the nurse
contributes to the nursing diagnosis of parental role conflict connected to the
child's hospitalization. Which defining characteristic would most likely lead to
this diagnosis? - ANSWER 3. Parent's failure to use existing support networks
or agencies to help them cope
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