Exam 2: Child Health

What communication strategies would the nurse have in place when establishing rapport with the caregiver and an 8-year-old during a health history interview?  Select all that apply.

A 5-year-old child is receiving morphine sulfate for pain.  Which statement by the caregiver indicates that further teaching is necessary?

A nurse in a clinic is talking with a parent about the onset of puberty in boys.  What is the first sign of pubertal change that occurs?

The registered nurse is teaching the parent of a 6-year-old about behavioral strategies for treating fecal incontinence due to functional constipation.  Which statement by the parent indicates a need for further teaching?

The parent of a 15-month-old calls the nurse and says that the child developed a rash and mild fever after receiving a routine measles, mumps, rubella, and varicella (MMRV) vaccine in the pediatric clinic 5 days ago.  What is the best response by the nurse?

The parent of a 5-year-old child calls the clinic to report the recurrence of a nosebleed for which the child was seen a week ago.  Which of the following instructions should the nurse reinforce?  Select all that apply.

A nurse is discussing parallel play with the parent of a 2-year-old.  Which statement by the parent indicates understanding of the discussion?

The summer camp nurse and parent of a 9-year-old with juvenile idiopathic arthritis (JIA) are discussing appropriate physical activities for the child.  Which of the following activities should be included?  Select all that apply.

A nurse is performing an assessment of a 12-month-old child.  Which of the following findings would the nurse expect?  Select all that apply.

What is the best activity for a school-aged child hospitalized for vaso-occlusive sickle cell crisis?

What play behavior would the nurse be most likely to observe in a group of 4-year-old children?

A 3-month-old who weighs 8.8 lb (4 kg) has just returned to the intensive care unit after surgical repair of a congenital heart defect.  Which finding by the nurse should be reported immediately to the health care provider?

The nurse is teaching a group of new parents about oral hygiene for their children.  One of the parents asks, "When should I take my child to the dentist?"  What would be the best response from the nurse?

A 12-month-old client has a high blood lead level of 18 mcg/dL (0.87 µmol/L).  The nurse educates the parents about lead poisoning.  Which statements made by the parent indicate that teaching is successful?  Select all that apply.

A 15-month-old begins to seize during assessment for a high-grade fever.  What is the most appropriate nursing action?

The nurse is providing education to the parents of a child diagnosed with chronic allergic rhinitis that is triggered by dust and pollen.  Which of the following statements by the parents indicate that the teaching has been effective?  Select all that apply.

Which discharge teaching instructions should the nurse provide to the parents of a 2-year-old with group A streptococcal pharyngitis?  Select all that apply.

A teenage client with sickle cell disease is admitted with a diagnosis of crisis.  The client's current prescription is morphine 2 mg intravenous push every 4 hours prn.  The client appears comfortable while watching television and tells the nurse "I have severe intolerable pain," and rates it a "10."  What action should the nurse take?

A 1-year-old child who goes to day care is recovering from an episode of otitis media.  Which intervention is most important for the nurse to recommend to the parents in order to prevent recurrence?

The nurse assesses 4 infants.  Which assessment finding would require follow-up by the health care provider?