A 3-year-old kid has a fever and rash and is diagnosed with rubella. His mother
just given birth to a newborn girl. Which statement by the mother best
demonstrates that she understands the consequences of rubella? - ANSWER 4.
"I'll call my neighbour who's 2 months pregnant and tell her not to have contact
with my son."
An emergency room nurse suspects neglect in a 3-year-old kid who was
admitted for failure to grow. Signs of child neglect include: - ANSWER 2. Poor
hygiene leads to weight loss.
A 13-month-old child is hospitalized to the pediatric unit and diagnosed with
gastroenteritis. The toddler has been vomiting and diarrhoea for the previous
three days, and laboratory tests show he is dehydrated. What nursing treatments
are appropriate to prevent additional dehydration? - ANSWER 2. Give clear
liquids in tiny amounts., 4. 5. Encourage the youngster to consume non-salted
soups and broths. Check the IV. Solution as prescribed by the physician.
A toddler has a dislocated right shoulder and a simple fracture of the right
humerus. Which conduct most strongly shows that the child's injuries are the
result of abuse? - ANSWER 4. Not sobbing when transferred.
A parent calls the pediatric clinic to express concern about her toddler's eating
habits. She claims the toddler eats very little and only one type of food for
weeks on end. The nurse recognizes that this conduct is indicative of: -
ANSWER 1. Normal toddler behavior.
The nurse is lecturing parents about otitis media. When addressing why ch
ildren are predisposed to this condition, the nurse should emphasize this
anatomical feature? - ANSWER 1. Eustachian tubes.
,A father brings a 19-month-old toddler to the doctor for a routine checkup.
What may the nurse expect to find when she palpates the toddler's fontanels? -
ANSWER 3. Closed anterior and posterior fontanels.
Which preoperative nursing intervention should a child with a Wilms' tumor get
first? - ANSWER 3. Avoid abdominal palpation.
A 3-year-old child is brought to the pediatric unit for pneumonia. He has a
persistent cough and looks to be having trouble breathing. The parents inform
the nurse that the child has not been eating or drinking much and has been
extremely inactive. What measures to promote airway clearance should the
nurse include in the care plan? - ANSWER 2. Perform chest physiotherapy as
directed., 3. Encourage coughing and deep breathing (5). Perform postural
drainage, 6. Use a cool mist humidifier to maintain humidity.
The charge nurse overhears a nurse complain about being assigned to a toddler
diagnosed with tetralogy of Fallot for the previous three days, and the mother is
quite demanding. Which reaction from the charge nurse is the best? - ANSWER
1. "It's important for the child to have someone assigned to him who's familiar
with his care."
A toddler is taken to the emergency room in cardiac arrest. The doctor attempts
three times to implant an IV. catheter but is ineffective. Which alternative route
can the physician use to provide emergency medications? - ANSWER 4.
Intraosseously
The nurse is caring for a toddler with Down syndrome. To assist the toddler
with painful treatments, the nurse can: - ANSWER 3. Hold and rock him, and
provide him a security object.
, A 2-year-old child is brought to the ER with probable croup. Which data
collection finding reflects an increase in respiratory discomfort. - ANSWER 1.
Intercostal retractions.
A 2-year-old child with a tracheostomy experiences acute diaphoresis, increased
heart rate, increased respiratory rate, and decreased oxygen saturation. Which of
the following should be the nurse's initial action? - ANSWER 1. Suction the
tracheotomy.
A three-year-old child visits the clinic for a wellness checkup. When the nurse
weighs the boy, she notices a 10-pound weight gain from his previous
examination a year earlier. The nurse recognizes the weight gain as: -
ANSWER 1. excessive for a toddler, necessitating additional data collection.
A 14-month-old is having a bone marrow aspiration because leukemia is
suspected. The nurse administers a local anesthetic, but she anticipates the need
for a nonpharmacologic comfort treatment. Which measure is suitable for a
toddler of this age? - ANSWER 2. Reading a book to the toddler throughout the
process.
Which desired consequence reflects effective parent education on toddler
discipline? - ANSWER 4. Parents will draw urgent attention to unwanted
behavior.
A mother informs the nurse she wants to start toilet training her 22-month-old
child. The most crucial aspect of toilet training that the nurse should emphasize
to her is: - ANSWER 1. The child is developmentally ready.
A toddler is prescribed 350 mg of amoxicillin and clavulanate (Augmentin) by
oral four times per day. The pharmacy sends a bottle with a concentration of
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