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1. Andrea with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the child¶s history, thenurse considers which information to be most important?a.
A fever that started 3 days agob. Lack of interest in foodc. A recent episode of pharyngitisd. Vomiting for 2 days2. Nurse Liza is administering a
medication via the intraosseous route to a child. Intraosseous drug administration istypically used when a child is:a. . Over age 3c. Critically ill and under age 3d. Under age 3b.
the nurse in charge should keep in mind that:a. Cultural background usually has little . When assessing a child¶s cultural background.Critically ill and over age 33.
Heritage dictates a . Physical characteristics mark the child as part of a particular culturec.bearing on a family¶s health practicesb.
Behavioral patterns are passed from one generation to the next4.group¶s shared valuesd. the nurse in charge sees that the . While examining a 2year-old child.
Look for other signs of abusec. The nurse should:a. Ask about a family history of Tay- .anterior fontanel is open. Notify the doctor b. Recognize this as a normal findingd.
Intense abdominal crampsb. .Sachs disease5. The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:a.
M. Abdominal distention6.Profuse diarrheac. When administering an I. injection to an infant. Anal fissuresd. . the nurse in charge should use which site?a.
To help . Vastus lateralis7. Dorsoglutealc.Deltoidb. Ventrogluteald. A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance.
Hemoglobinc. . Total proteind. Total ironbinding capacityb.diagnosethis problem. the nurse in charge anticipates that the doctor will order which laboratory test?a.
.During adolescence. When developing a plan of care for a male adolescent.Serum transferring8. the nurse considers the child¶s psychosocial needs.
psychosocial development focuses on:a. Developing initiative9. Establishing an identityc. Becoming industrious b. Achieving intimacyd. .
nurse Mica knows that children in which age group aremost likely to view illness as a punishment for misdeeds?a. .When developing a plan care for a hospitalized child.
Infancyb. Preschool agec. is being neglected physically. age 4. Nurse Taylor suspects that a child. To best assess the child¶s . Scholl aged. Adolescence10.
³Is your child a picky eater?´c. .nutritionalstatus. ³What did your child eat for breakfast?´d. the nurse should ask the parents which question?a. ³Has your child always been so thin?´b.
age 2.³Do you think your child eats enough?´11. A female child. is brought to the emergency department after ingesting an unknown number of aspirintablets about 30 minutes .
Which data should the nurse obtain first? a. On entering the examination room. . Heart rate.earlier. the child is crying and clinging to the mother. respiratory rate.
and blood pressureb. Number of immunizations receivedd. A . Recent exposure to communicable diseasesc. Height and weight12.
mother asks the nurse how to handle her 5year-old child. The child just started attending nursery . who recently started wetting the pants after beingcompletely toilet trained.
Which principle should guidethe nurse¶s response?a. The child experiences growth while .school 2 days a week. The child forgets previously learned skillsb.
The child returns to a level of behavior that increases the . regrouping. and then progressingc.regressing. The parents may refer less mature behaviorsd.
sense of security. A female child. thenurse should ask:a. To assess the child¶s vision.13. is brought to the health clinic for a routine checkup. age 6. ³Do you have .
³How are you doing in school? ´14. ³Do you have trouble seeing at night? ´c. During a . ³Do you have problems with glare?´d.any problems seeing different colors?´b.
Applesauceb. The nurseshould instruct her to introduce which solid food first?a. Jenny asks the nurse when she should start giving her infant solid foods.well-baby visit. .
Rice cereald. Yogurt15. To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation. succinylcholine(A nectine) is used .Egg whitesc.
Isoproterenol (Isuprel)c. A . Atropine sulfated. Lidocaine hydrochloride (Xylocaine)16. Epinephrine (Adrenalin)b.with which of the following agents? a.
When preparing the patient¶s room.8 kg) is admitted for traction to treat congenital hipdislocation.1 year and 2month-old child weighing 26 lb (11. the nurse .
Overhead suspension tractiond. 90-90 . Bryant¶s tractionb. Buck¶s extension tractionc.anticipates using which traction system?a.
traction17. is 7 months pregnant. the nurse knows thatwhich teaching strategy is least effective? . Mandy. When teaching parenting skills to an adolescent. age 12.
using a live infant modelb. Providing a one-on-one demonstration and requesting a return demonstration. Initiating a teenage parent support group .a.
with first ± and ± second-time mothersc. Using audiovisual aids that show discussions of feelings and skillsd. Providing ageappropriate reading
materials18. When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. Thisfindings is associated with:a.
Otogenous tetanusb. Tracheoesopha geal fistulac. Congenital heart defectsd. Renal anomalies19. Nurse Raven should expect a 3-year-old child to
be able to perform which action?a. Ride a tricycleb. Tie the shoelacesc. Roller-skatesd. Jump rope20. Nurse Betina is teaching a group of parents about otitis media.
When discussing why children are predisposedto this disorder, the nurse should mention the significance of which anatomical feature?a. Eustachian tubesb.
Nasopharynxc. The nurse is evaluating a female child with acute poststreptoccocal glomerulonephriti . External ear canal21. Tympanic membraned.
Increased . Increased urine outputb.s for signs of improvement. Increased appetitec. Which finding typically is the earliest sign of improvement?a.
What is the primary purpose of administering . Smith prescribes corticosteroids for a child with nephritic syndrome. Dr. Decreased diarrhea22.energy leveld.
corticosteroids to this child?a. To reduce inflammation A recent episode of pharyngitis is the most important factor in establishing the . To increase blood pressureb.
diagnosis of rheumaticIn an emergency. intraosseous drug administration is typically used when a child is critically ill andA family¶s behavioral patterns and .
the nurse shouldUlcerative . CulturalBecause the anterior fontanel normally closes between ages 12 and 18 months.values are passed from one generation to the next.
anal fissures.colitis causes profuse diarrhea. intense abdominal cramps. and abdominalThe recommended injection site for an infant is the vastus lateralis or .
the primary . TheA negative nitrogen balance may result from inadequate protein intake and is best detected byAccording to Erikson.rectus femoris muscles.
psychosocial task during adolescence is to establish a persona lPreschool-age children are most likely to view illness as a punishment for misdeeds. .
Separationshould obtain objective information about the child¶s nutritional intake. such as by asking The most important data to obtain on a child¶s arrival in the emergency .
department are vital signstress of starting nursery school may trigger a return to a level of successful behavior from earlier A child¶s poor progress in school may .
The other options are morereal is the first solid food an infant should receive because it is easy to digest and is associate dSuccinycholine is .indicate a visual disturbance.
Bryant¶s traction is used to treat femoral fractures of congenital hip dislocation in .an ultra-shortacting depolarizing agent used for rapid-sequence intubation .
children under age 2Because adolescents absorb less information through reading. providing ageappropriate readinglly the top of the ear aligns with an imaginary .
gross motor development and refinement in eye-hand coordination enable a child to ride as are short and lie in a .line drawn across the inner and outer canthus of 3.
promoting entry of nasopharyngea lsign of improving kidney function. typically is the first sign that a child withurpose of administering corticosteroids to .horizontal plane.
a child with nephritic syndrome is to decreaseinfant. increased pulse rate. signs of fluid volume deficit (dehydration) include sunken fontanels.should shake .
Initial . ment must be calculated to the child¶s weight to avoid overhydration.a suspension before administration to dispersed drug particles uniformly.
a person with an intelligence quotien trelationship patterns focus on body image and the patient¶s relationship with .fluidAmerican Association on Mental Deficiency.
The incidence peaks at 2 to 4 months of demonstrates a preoccupation with death (such as by talking about deathmost common sign of .others. whichk and 1 year of age.
a precarious sense of self causes overreaction to criticism and a sense of The . sometimes In a 6-year-old child. palpable abdominal mass.Wilms¶ tumor is a painless.
nurse always should reinforce safety guidelines when teaching parents how to care for their child. nurse should start screening a child for lead poisoning at age 18 months .
and perform repeatThe body compensates for metabolic acidosis via the respiratory system. which tries to eliminate theA patient with celiac disease must maintain .
dietary restrictions lifelong to avoid recurrence of clinicalBy age 18 months. the anterior and posterior fontanels should be closed. The diamond- .
the client is vulnerable to developing cerebral edemaThe nurse caring for an infant with nonorganic failure .shapedBecause of the inflammation of the meninges.
If a child i . structuredith spina bifida often develop an allergy to latex and shouldn¶t be exposed to it.to thrive should maintain a consistent.
srecommendation is to allow the child to feed herself because the child¶s stage of mount of glucose that¶s considered safe for peripheral veins while still providing .
adequatethe most valuable clues to pain is a behavior change: A child who¶s pain-free likes to play. AC.major cause of death and disability during the school-age .
The nurse should use the .years. Documentation is the only way the nurse can legally claim thatl of one hand and compress 1´ to 1½ ³. accident take top priority. Therefore.
Consistency isminors and .tally ready. child and parent will become frustrated.heelsnewly admitted infant with meningococcal meningitis.
aren¶t emancipated. their parents or designated legal guardians aremassive cell destruction resulting from chemotherapy may place the client at risk for .
developingThe transmission of layed hypersensitivity. If the test results are positive. a reaction shouldmerican Academy of Pediatrics recommends that .
improving the. the parents should call the poison control .infants at age 5 months receive iron-richoff while the infant sleeps helps to promote air circulation to the area.
the primary focus is on assessingther signs of respiratory distress signify fluid volume .the hospital for burns.center for specific directions.
which can teroid-dependent asthma.excess (overload). a contributing factor to this client¶s high-risk status. requires thecircumference is the most important .
set.assessment technique for recognizing possiblecast can be relieved by directing blowdyer. on the cool setting. toward the A recent episode of pharyngitis is .
intraosseous drug administration is typically used when a child is critically ill andA .the most important factor in establishing the diagnosis of rheumaticIn an emergency.
CulturalBecause the anterior fontanel normally closes between .family¶s behavioral patterns and values are passed from one generation to the next.
anal fissures.ages 12 and 18 months. the nurse shouldUlcerative colitis causes profuse diarrhea. and abdominalThe recommended . intense abdominal cramps.
TheA negative nitrogen balance may result from inadequate protein intake and is best detected .injection site for an infant is the vastus lateralis or rectus femoris muscles.
byAccording to Erikson. the primary psychosocial task during adolescence is to establish a persona lPreschool-age children are most likely to view .
illness as a punishment for misdeeds. Separation should obtain objective information about the child¶s nutritional intake. such as by askingThe most .
important data to obtain on a child¶s arrival in the emergency department are vital signstress of starting nursery school may trigger a return to a level of successful .
behavior from earlier A child¶s poor progress in school may indicate a visual disturbance. The other options are morereal is the first solid food an infant should receive because it .
Bryant¶s traction .is easy to digest and is associate dSuccinycholine is an ultra-shortacting depolarizing agent used for rapid-sequence intubation .
is used to treat femoral fractures of congenital hip dislocation in children under age 2Because adolescents absorb less information through reading. providing age- .
appropriate readinglly the top of the ear aligns with an imaginary line drawn across the inner and outer canthus of 3. gross motor development and refinement in eye-hand .
coordination enable a child to ride as are short and lie in a horizontal plane. promoting entry of nasopharyngea lsign of improving kidney function. typically is the .
signs of fluid volume deficit (dehydration) .first sign that a child withurpose of administering corticosteroids to a child with nephritic syndrome is to decreaseinfant.
increased pulse rate.include sunken fontanels.ment must be . should shake a suspension before administration to dispersed drug particles uniformly.
a person with an intelligence quotien trelationship . Initial fluidAmerican Association on Mental Deficiency.calculated to the child¶s weight to avoid overhydration.
patterns focus on body image and the patient¶s relationship with others. whichk and 1 year of age. The incidence peaks at 2 to 4 months of demonstrates a preoccupation .
sometimes .with death (such as by talking about deathmost common sign of Wilms¶ tumor is a painless. palpable abdominal mass.