Exam 2: Child Health

The nurse plans care for a 3-year-old who was admitted with suspected pertussis infection.  Which instructions will the nurse include in the plan of care?  Select all that apply.

The nurse is caring for a newborn with patent ductus arteriosus.  Which assessment finding should the nurse expect?

The mother of a 6-year-old child with cystic fibrosis (CF) has received instruction on the use of pancreatic enzymes.  Which statement made by the mother indicates a need for further teaching?

A 15-year-old client with type 1 diabetes mellitus (DM) is admitted to the pediatric intensive care unit with a blood glucose level of 460 mg/dL (25.5 mmol/L).  The nurse understands that which factor is contributing to this client's noncompliant behavior?

The nurse is caring for a pediatric client with end-stage leukemia who is on comfort care and is unresponsive.  The child's parent asks, "How can you tell if my child is in pain?"  Which of these would the nurse describe as signs of discomfort?  Select all that apply.

The nurse is caring for a hospitalized 6-month-old client.  Which of the following interventions should the nurse implement to provide developmentally appropriate care for this client?  Select all that apply.

A 10-year-old is implementing behavioral strategies to manage nocturnal enuresis.  The client tells the nurse, "I want to go to sleep-away camp during the summer, but if I have an 'accident,' I'm afraid that other kids will tease me."  What is the best response by the nurse?

The nurse is planning care for an 8-year-old client with mild cognitive impairment who is hospitalized for diagnostic testing.  Which of the following interventions are appropriate to include in the plan of care?  Select all that apply.

The nurse is caring for an infant with osteogenesis imperfecta admitted with a new fracture.  The client also has old fractures in multiple stages of healing but no bruising, abrasions, or redness of the skin.  Which nursing intervention should be included in the plan of care?

A 12-month-old with Kawasaki disease received IV immunoglobulin (IVIG) 2 months ago.  The child is in the clinic for follow-up and scheduled immunizations.  Which vaccine should be delayed?  Select all that apply.

The nurse has been providing care for the past month to a 7-year-old client recently diagnosed with type 1 diabetes mellitus.  Initially, the family seemed devastated about the diagnosis and the client's parent stated, "Our lives will never be the same."  Which statement made by the parent indicates that nursing interventions and education have been effective?

A nurse is caring for a school-age client with fever, somnolence, and a skin rash from suspected meningococcal meningitis.  Which of the following interventions should the nurse plan to implement for this client?  Select all that apply.

A nurse is talking with the parent of a 6-year-old regarding sleep and rest.  Which information should be included?

A nurse is caring for a 3-month-old infant who has bacterial meningitis.  Which clinical findings support this diagnosis?  Select all that apply.

The nurse is performing visual acuity screenings on a group of students.  Which of the following student comments does the nurse recognize as indicating possible myopia?  Select all that apply.

Several children seen at a local pediatric clinic are found to have a hemoglobin level of 10-11 g/dL (100-110 g/L).  Which dietary modification would most likely help increase hemoglobin levels in these clients?

A 12-month-old is found to have a moderately elevated blood lead level.  Which of the following is the most serious concern for this child?

A nurse is planning to complete a physical examination of a toddler.  Which approach is an appropriate intervention by the nurse?

The nurse is preparing for the admission of a 9-year-old client with new-onset tonic-clonic seizures.  It is important for the nurse to ensure that what is in the room?  Select all that apply.

The nurse is providing teaching to the parents of a child with Marfan syndrome.  Which topic is the priority for the nurse to address?