Exam 2: Child Health

The nurse is triaging a 7-year-old with sickle cell crisis.  The client is short of breath and vomiting and has severe generalized body and joint pains.  Which assessment finding requires the most immediate intervention?

Several 12-month-old infants are brought to the clinic for routine immunizations.  Which situation would be most important for the nurse to clarify with the provider before administering the vaccination?

A nurse on a pediatric unit is admitting a school-aged child with suspected Reye syndrome.  Which information obtained during the history taking is most consistent with this condition?

When performing developmental screenings in the well-child clinic, the registered nurse understands that which child is at highest risk of developing autism spectrum disorder?

The nurse assists with a staff education conference about appropriate nonpharmacological pain-management interventions for newborns and infants.  Which of the following strategies should be included in the presentation?  Select all that apply.

A nurse is giving instructions related to antibiotic eye drops to the parent of a 5-year-old with bacterial conjunctivitis.  Which instruction is most important?

A 7-month-old infant is admitted to the unit with suspected bacterial meningitis after receiving an initial dose of antibiotics in the emergency department.  Frequent assessment of which of the following is most important in the plan of care?

The parent of a newborn is concerned about the possibility of the child developing hip dysplasia.  Which intervention should the nurse encourage to help reduce the risk in this newborn?

A parent brings a 6-month-old child to the primary health care provider after the child abruptly started crying and grabbing intermittently at the abdomen.  The client's stool has a red, currant jelly appearance.  What intervention does the nurse anticipate?

An 8-month-old infant is scheduled for a femorally inserted balloon angioplasty of a congenital pulmonic stenosis in the cardiac catheterization laboratory.  Which finding should the nurse report to the health care provider that could possibly delay the procedure?