A home health nurse is providing teaching about post seizure management to the
parents of a school age child who has epilepsy and experiences tonic-clonic
seizures. Which of the following instructions should the nurse include in the
teaching? (Select all that apply.)
PN NURSING CARE OF THE CHILDREN 2020/ 2021
RETAKE GUIDE
Assessment_Nursing_Care_of_Children
1. A home health nurse is providing teaching about post seizure management to the
parents of a school age child who has epilepsy and experiences tonic-clonic
seizures.Which of the following instructions should the nurse include in the
teaching? (Selectall that apply.)
"Hyperextend your child's head for 5 minutes following a
seizure." "Immediately following a seizure, give your child 6
ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure.""Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are unequal after
aseizure."
2. A nurse in a pediatric clinic is discussing the pathophysiology of Reye syndrome
with a newly licensed nurse. Which of the following statements by the newly
licensednurse indicate an understanding of the disorder?
"Reye syndrome causes fatty changes in the
liver." "Reye syndrome leads to venous thrombus
formation."
"Reye syndrome is associated with misuse of
acetaminophen.""Reye syndrome is linked to decreased
serum ammonia levels
3. A nurse is teaching the parents of a toddler about strategies to manage
tempertantrums. Which of the following instructions should the nurse
include in the teaching?
"Honor the child's request if she holds her
breath.""Establish a structured daily routine
for the child."
"Place the child in her room alone until the temper tantrum
, PN NURSING CARE OF THE CHILDREN 2020/ 2021
RETAKE GUIDE
ends.""Comfort the child during the temper tantrum."
4. A nurse is completing an assessment following suctioning of a child who
has a tracheostomy. Which of the following findings should the nurse
, PN NURSING CARE OF THE CHILDREN 2020/ 2021
RETAKE GUIDE
identify as anindication that the procedure has been effective?
Increased respiratory rate
, PN NURSING CARE OF THE CHILDREN 2020/ 2021
RETAKE GUIDE
Decreased oxygen
saturationClear breath
sounds Increased oral
secretions
5. A nurse is developing a plan of care for a 4-year-old child who has hemophilia
and isexperiencing acute hemarthrosis. Which of the following interventions
should the nurse include in the plan?
Have the child perform passive range-of-motion
exercises.Administer aspirin as needed for pain.
Place ice packs on the affected joints.
Position the lower extremities below the level of the heart.
6. A nurse in the emergency department is caring for a preschooler who
hasepiglottitis. Which of the following actions should the nurse take?
Place the child in a left lateral position.
Obtain a specimen from the child's throat for a
culture. Inspect the child's throat with a padded
tongue depressor.Initiate droplet precautions for
the child.
7. A nurse is providing teaching to the parent of a child about home care following a
cardiac catheterization. Which of the following statements should the nurse
include?
"You should give your child aspirin if they report pain at the
site." "You can remove the pressure dressing 8 hours after the
procedure.""Your child can soak in the bathtub 24 hours after
the procedure."
"Your child should avoid strenuous physical activities for several days."
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