RN Nursing Care of Children Online Practice 2019 A with NGN 60 Q&A
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1. A nurse is teaching the parent of an infant about "Give the infant
ways to prevent sudden infant death syndrome (SIDS). a pacifier at bed-
Which of the following instructions should the nurse include?
"Place the infant in a prone position to sleep." "Allow the infant to sleep on a large pi...
rn nursing care of children online practice 2019 a
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pg. 1 1 1. A nurse is teaching the parent of an infant about "Give the infant ways to prevent sudden infant death syndrome (SIDS). a pacifier at bed- Which of the following instructions should the nurse include? "Place the infant in a prone position to sleep." "Allow the infant to sleep on a large pillow." "Use a soft mattress in the infant's crib." "Give the infant a pacifier at bedtime." 2. A nurse in an emergency department is caring for a school -age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? Elevate the head of the child's bed. Insert a large bore IV catheter for the child. Determine the allergen that caused the child's reac- tion. Administer epinephrine IM to the child. time." The nurse should inform the parent that protective fac- tors against SIDS include breast - feeding and the use of a pacifier when the infant is sleeping. Administer epi - nephrine IM to the child. When using the urgent vs. nonur - gent approach to client care, the nurse should de - termine that the priority action is administering epi- nephrine IM to the child. During an anaphylactic re - action, histamine release caus - es bronchocon - striction and va - sodilation. This is an emergency be - cause ultimately this causes de - creased blood re - turn to the heart. pg. 2 2 3. A nurse is carin g for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? "Your daddy will be back at 7 p.m." "Your daddy will be back after he takes care of your brother." "Your daddy will be back in the morning." "Your daddy will be back after you eat." 4. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following lab - oratory values indicates effectiveness of the current treatment? Potassium 2.9 mEq/L Sodium 140 mEq/L Urine specific gravity 1.035 BUN 25 mg/dL "Your daddy will be back after you eat." Preschoolers make sense of time best when they can associate it with an expected daily routine, such as meals and bedtime. Therefore, the child comprehends time best when it is explained to them in relation to an event they are familiar with, such as eating.. Sodium 140 mEq/L The nurse should identify that a sodi- um level of 140 mEq/L is within the expected refer- ence range of 134 to 150 mEq/L and indicates the cur - rent treatment reg- imen the infant is receiving for dehy - dration is effective. pg. 3 3 5. 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? Provide small, frequent meals for the child. Schedule time in the play room for the child. Weigh the child weekly. Maintain the child in a supine position. 6. A nurse is admitti ng a school -age child who has pertussis. Which of the following actions should the nurse take? Place the child in a room with positive -pressure air- flow. Place the child in a room with negative -pressure air- flow. Initiate contact precautions for the child. Initiate droplet precautions for the child. 7. A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the Provide small, fre- quent meals for the child. The metabolic rate of a child who has heart failure is high because of poor cardiac func - tion. Therefore, the nurse should pro - vide small, fre - quent meals for the child because it helps to con - serve energy. Initiate droplet pre- cautions for the child. The nurse should initiate droplet pre- cautions for a child who has pertussis, also known as whoop - ing cough. Per - tussis is transmit - ted through con - tact with infected large -droplet nu - clei that are sus - pended in the air when the child coughs, sneezes, or talks. A unilateral rib hump pg. 4 4 nurse expect? Increase in anterior convexity of the lumbar spine Increased curvature of the thoracic spine Lateral flexion of the neck A unilateral rib hump 8. A nurse is providing teaching to the parent of a school -age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? "Shake the medication prior to administration." "Provide the medication through a straw." "Rinse the child's mouth with water immediately after giving the medication." "Mix the medication with applesauce if the child dis- likes the taste." 9. A school nurse is preparing to administer atomox - etine 1.2 mg/kg/day PO to a school -age child who When assess - ing an adoles - cent for scoliosis, the school nurse should expect to see a unilateral rib hump with hip flex- ion. This results from a lateral S- or C-shaped cur- vature to the tho - racic spine result - ing in asymme - try of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result of a neuromuscu - lar or connective tissue disorder, or it can be congeni - tal in nature. "Shake the med - ication prior to ad - ministration." The nurse should instruct the parent to shake the med - ication prior to ad- ministration to dis- perse the medica - tion evenly within the suspension. The nurse should administer atom - weighs 75 lb. Available is atomoxetine 40 mg/capsule. oxetine 1 capsule How many capsules should the nurse administer per PO each day.
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