Exam 2: Child Health

The nurse is caring for a 2-year-old who is receiving a saline enema for treatment of intussusception.  Reporting which client finding to the health care provider (HCP) is most important?

The school nurse is caring for 4 clients with type 1 diabetes mellitus.  Which of these clients should the nurse assess first?

A 15-year-old parent brings a 4-month-old infant for a well-baby checkup.  The parent tells the nurse that the baby cries all the time; the parent has tried everything to keep the infant quiet but nothing works.  What is the priority nursing action?

The nurse is performing a physical assessment on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C).  The parent is concerned about the child's ability to cooperate during the examination.  Place the components of assessment in the order the nurse would perform them.  All options must be used.

The nurse is providing care to a 9-year-old client who is awaiting surgery.  Which intervention is developmentally appropriate for this client's plan of care?

A nurse is teaching the parents of an infant with tetralogy of Fallot.  Which of the following actions should the nurse include to reduce the incidence of hypercyanotic spells?  Select all that apply.

The nurse on a pediatric unit is caring for a preschooler who exhibits separation anxiety when the parents go to work.  Which interventions should the nurse implement?  Select all that apply.

The emergency department triage nurse is assessing 4 pediatric clients.  Which client is a priority for further diagnostic workup and definitive care?

A 9-year-old has terminal cancer, but the parents do not want the child to know the prognosis.  The child has been asking questions such as what dying is like and whether the child will die.  Which action by the nurse is most appropriate?

The nurse planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long-term complication?

A child in the emergency department had a cast placed on the right arm for a nondisplaced fracture.  The client is being discharged home with pain medications.  Which statement by the parent indicates that additional teaching is required?

A nurse on a pediatric unit is reviewing interventions for a toddler with a practical nurse who will be caring for this child.  Which of the following are appropriate activities to minimize the effect of hospitalization on a toddler?  Select all that apply.

The nurse is planning a client care conference with the parents of a 3-year-old with newly diagnosed type 1 diabetes mellitus.  What is the priority outcome for the caregivers?

The parent of a 2-year-old tells the nurse at the well-child clinic, "I am concerned because my child does not like to be cuddled, does not respond when called by name, and does not make eye contact when being fed."  What is the priority question for the nurse to ask when completing the health history?

The parent of a 6-year-old calls the nurse and reports that the child was playing outside in the snow and the child's feet now appear red and swollen.  What is the best response by the nurse?

What socioeconomic indicators would the nurse identify as risk factors for a 2-month-old infant to develop failure to thrive (FTT)?  Select all that apply.

The nurse has provided instructions about home care management for the parents of a child diagnosed with rotavirus infection.  Which statements by the parents indicate that teaching has been effective?  Select all that apply.

A nurse manager on a pediatric oncology unit is leading a discussion about personal coping strategies that nurses can use to remain effective when caring for dying children.  What should be included in the discussion?

The nurse is conducting a psychosocial developmental checkup on a 2-year-old child.  What is the priority assessment finding that should be reported to the primary health care provider?

The nurse reinforces teaching for the parents of a child with impetigo.  Which of the following statements by a parent indicates correct understanding of teaching?  Select all that apply.