A nurse is planning care for a newly admitted schole-age child who has generalized seizure
disorder. Which of the following interventions should the nurse plan to include? - Ensure the
oxygen source is functioning in the childs room: The nurse should recognize that maintaining the
child's airway...
ATI RN Nursing Care o f Children Practice B A nurse is planning care for a newly admitted schole -age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? - ✔✔Ensure the oxygen source is functioning in the chi lds room: The nurse should recognize that maintaining the child's airway is important during a seizure. The nurse should ensure that the oxygen source is functioning because the child might require supplemental oxygen following a seizure. A nurse is provi ding dietary teaching to the guardian of a school -age child who has cystic fibrosis. Which of the following statements should the nurse make? - ✔✔"You should offer your child high -protein meals and snacks throughout the day." The nurse should instruct the guardian to provide a diet that is well -balanced and high in protein and calories. Children who have cystic fibrosis require a higher percentage of the recommended dietary allowances of all nutrients to meet their energy requirements. Children who have goo d nutritional intake have improved lung function and decreased risk of infection. A nurse is providing discharge teaching to the parents of a 6 -month -old infant who is postoperative following hypospadias repair with a stent placement. Which of the followi ng instructions should the nurse include in the teaching? - ✔✔"Allow the stent to drain into your infants diaper." The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to prevent kinking or twisting that c an interfere with urine flow. A nurse is caring for a school -age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effectiv e? - ✔✔Decreased edema: A child who has nephrotic syndrome can experience edema due to the increased glomerular permeability, which increases protein loss. Prednisone decreases glomerular permeability, which causes fluid to shift from the extracellular spa ces, resulting in decreased edema. A nurse is receiving change -of-shift report for four children. Which of the following children should the nurse assess first? - ✔✔A toddler who has a concussion and an episode of forceful vomiting.: When using the urgent vs. nonurgent approach to client care, the nurse should assess this child first. An episode of forceful vomiting is an indication of increased intracranial pressure in a toddler who has a concussion. A nurse is providing discharge teaching to the guardia ns of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider? - ✔✔Restricted ability to move the toes.: The nurse should inform the guardians that a restricted ab ility of the toddler to move their toes is an indication of neurovascular compromise and requires immediate notification of the provider. Permanent muscle and tissue damage can occur in just a few hours. A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? - ✔✔Wheezes: The nurse should identify the sound during auscultation as wheezes, which are high-pitched, musical or whistling -like sounds heard primarily on expiration as air passes through and vibrates narrowed airways. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the followi ng prescriptions should the nurse clarify with the provider? - ✔✔Potassium Chloride: The nurse should identify that a child who has congestive heart failure can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the provider about the administration of potassium chloride, which can increase the severity of hyperkalemia. A nurse is planning an educational program for school -age children and th eir parents about bicycle safety. Which of the following information should the nurse plan to include? - ✔✔The child should be able to stand on the balls of their feet when sitting on the bike.: To decrease the risk for injury, parents should ensure that t he bike is the correct size for the child. When seated on the bike, the child should be able to stand with the ball of each foot touching the ground and should be able to stand with each foot flat on the ground when straddling the bike's center bar. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? - ✔✔Great Toe. The nurse should secure the sensor to the great toe of the infant and then place a snug -fitting sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site frequently for temperature, color, and the presence of a pulse.
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