Exam (elaborations)
RN Nursing Care of Children Online Practice 2023 A
RN Nursing Care of Children Online Practice 2023 A
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RN Nursing Care of Children OnlinePractice 2023 A
A nurse in a providers office is preparing to administer immunizations to a
toddler during a well child visit. Which of the following actions should the
nurse plan to take?
Provider Prescriptions:
Tuberculin skin test (TST)Measles, mumps, and rubella (MMR)
vaccineInactivated influenza vaccineDiphtheria, tetanus, and pertussis
(DTaP) vaccine
Graphic Record:
Respiratory rate 24/minHeart rate 115/minTemperature 36.9° C (98.4° F)
History and Physical:
Age 15 months Height 71.1 cm (28 in) Allergies Neomycin (anaphylactic
reaction) Caregiver reports rhinitis with clear nasal drainage for 2
daysOccasional nonproductive cough for 2 days History of asthma - -
Withhold the MMR Vaccine.
Th nurse should recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication for receiving the MMR Vaccine. Clients who
have severe allergy to eggs or gelatin should not receive this vaccine.
-A nurse is caring for a preschooler who has been receiving IV fluids via a
peripheral IV catheter. When preparing to discontinue the IV fluids and
catheter, which of the following actions should the nurse plan to take?
Place the steps incorrect order. - -1. Turn off IV Pump
2. Occlude the IV tubing.
3. Remove the tape securing the catheter.
4. Apply pressure over the catheter insertion site.
-A school nurse is assessing an adolescent who has multiple burns in various
stages of healing. Which of the following behaviors should the nurse identify
as a possible indication of physical abuse? - -Denies discomfort during
assessment of injuries.
The nurse should suspect child maltreatment in the form of physical abuse if
the adolescent has a blunted response to painful stimuli or injury.
-A nurse is teaching a parent of an infant who has a pavlik harness for the
treatment of development dysplasia of the hip. The nurse should identify
that which of the following statements by the parent indicates an
understanding of the teaching? - -"I will place my infants diapers under the
harness straps"
, To prevent soiling of the harness, the parent should apply the infants diaper
under the straps.
-A nurse is assessing a school age child who has peritonitis. Which of the
following findings should the nurse expect? - -Abdominal Distention
The nurse should identify that abdominal distention is an expected finding of
peritonitis. Peritonitis is an inflammation of the lining of the abdominal wall.
This inflammation in the abdomen, along with the ileus that develops, causes
abdominal distention. Other manifestations include chills, irritability, &
restlessness.
-A nurse is assessing a school age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? - -
Absence of peristalsis.
The nurse should expect absence of peristalsis immediately following a
perforated appendix repair, until the bowl resumes functioning.
-A nurse is providing discharge teaching to the parent of child who is 1 week
postoperative following a cleft palate repair. For which of the following
members of the interprofessional team should the nurse initiate a referral? -
-Speech Therapist
A child who has a cleft palate will require speech therapy immediately
following the repair to support speech development & future articulation.
-A hospice nurse is caring for a preschooler who has a terminal illness. One
of the preschoolers parents tells the nurse that they cannot cope anymore
and are thinking about moving out of the house. Which of the following
statements should the nurse make? - -"Lets talk about some of the ways you
have handled previous stressors in your life."
This statement offers a general lead to allow the parent to express their
feelings and previous actions when faced with stressful situations. It also
helps the parent to focus on ways that they can cope with the current
situation.
-A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take? - -Apply topical analgesic cream to
the site 1 hr prior to the procedure.
This decreases the adolescents pain while the lumbar needle is inserted.
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