Exam 2: Child Health

The nurse is teaching the parents of a 4-month-old who has developed positional plagiocephaly (flat head syndrome).  Which statement by the parents indicates a need for further teaching?

The home health nurse is visiting an infant who recently had surgery to repair tetralogy of Fallot.  Which of the following signs of heart failure should the nurse teach the parents to report to the health care provider?  Select all that apply.

The clinic nurse assesses an 8-year-old client who reports a sore throat and has a bright red, pruritic rash on the chest that feels like fine bumps and looks like a sunburn.  Which diagnostic tool does the nurse anticipate the health care provider will prescribe?

During a routine assessment of a developmentally normal 18-month-old, the parent expresses concern about the small amount of food the child consumes.  What is the nurse's priority intervention?

A client diagnosed with acute glomerulonephritis has pitting edema in both lower extremities, blood pressure of 170/80 mm Hg, and proteinuria.  When developing a plan of care for this client, the nurse should include which most accurate indicator of fluid loss or gain?

The nurse is educating the parents of a 6-month-old about introducing solid foods into the infant's diet.  Which parental statement indicates a need for further teaching?

A child with autism spectrum disorder is being admitted to an acute care unit.  Which is the most important nursing action?

The school nurse evaluates a 9-year-old who is sweating, trembling, and pale.  The client has type 1 diabetes managed with insulin glargine and NPH.  What is the most appropriate action by the nurse?

The parents of a hospitalized 3-month-old have to leave the infant while they work.  One parent fears that the baby will cry as soon as they walk out.  The nurse teaches both parents about separation anxiety.  Which statement by the parent indicates that the teaching has been effective?

The nurse is caring for a child who has had a tonsillectomy.  Which of the following are appropriate nursing interventions?  Select all that apply.

A nurse is teaching the parent of a child who has a new diagnosis of absence seizures.  Which statement by the parent indicates understanding of the teaching?

The nurse is assessing a 3-month-old during a well-child visit.  Which developmental finding should the nurse expect to observe in the client?

The clinic nurse provides teaching for the parent of a child diagnosed with scabies.  Which instructions should the nurse include in the teaching plan?  Select all that apply.

The nurse is admitting an infant who has severe growth deficiency and facial characteristics of indistinct philtrum, a thin upper lip, and short palpebral fissures.  Which question should the nurse ask to assess the cause of these clinical findings?

The nurse receives 4 prescriptions for a child diagnosed with hemophilia A who was brought to the emergency department following an injury on the school playground.  The child has vomited once and has a headache.  Which prescription should the nurse carry out first?

The nurse has received report on 4 pediatric clients on a telemetry unit.  Which client should the nurse assess first?

The nurse is caring for an infant with suspected meningitis and preparing to assist with a lumbar puncture.  What is the appropriate nursing intervention?

A nurse is discussing the concept of parallel play with parents of toddlers.  Which statement should the nurse include to describe this type of play?

The clinic nurse reviews teaching provided to the parent of a child being considered for growth hormone replacement therapy at home.  Which statement by the parent indicates that teaching has been effective?

The nurse is providing health promotion education to the parent of a toddler.  Which statement by the parent requires the nurse to clarify teaching?