Exam 20: Pediatric Variations of Nursing Interventions

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A 3-year-old child has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102° F even though she had acetaminophen 2 hours ago. The nurse's action should be based on which statement?

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A

The nurse is teaching a mother how to perform chest physical therapy and postural drainage on her 3-year-old child, who has cystic fibrosis. How should the nurse instruct the mother?

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Guidelines for intramuscular administration of medication in school-age children include which action?

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A nurse is caring for a child in droplet precautions. Which instructions should the nurse give to the unlicensed assistive personnel caring for this child? (Select all that apply.)

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Which should the nurse consider when having consent forms signed for surgery and procedures on children?

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A 6-month-old infant is admitted to the pediatric unit with respiratory syncytial virus (RSV). The nurse places the infant on strict intake and output. The infant is in a size #2 diaper and the dry weight is 24 g. At the end of the shift, the infant has had two diapers with urine. One diaper weighed 56 g and one weighed 65 g. What is the total milliliter output for the shift? (Record your answer as a whole number below.)

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What is a nursing consideration related to the administration of oxygen in an infant?

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What should the nurse do when caring for a child with an intravenous infusion?

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A mother calls the outpatient clinic requesting information on appropriate dosing for over-the-counter medications for her 13-month-old who has symptoms of an upper respiratory tract infection and fever. The box of acetaminophen says to give 120 mg q4h when needed. At his 12-month visit, the nurse practitioner prescribed 150 mg. What is the nurse's best response?

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The nurse must suction a child with a tracheostomy. What is the appropriate technique?

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A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what is the nurse's best action?

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When liquid medication is given to a crying 10-month-old infant, which approach minimizes the possibility of aspiration?

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The nurse gives an injection in a patient's room. The nurse should perform which intervention with the needle for disposal?

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Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot. Her mother puts the hospital gown on her, but Katie is crying because she wants to leave on her underpants. What is the most appropriate nursing action?

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The emergency department nurse is cleaning multiple facial abrasions on a 9-year-old child whose mother is present. The child is crying and screaming loudly. What is the best nursing action?

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Several types of long-term central venous access devices are used. Which is considered an advantage of a Hickman-Broviac catheter?

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The nurse is doing a pre-hospitalization orientation for a 7-year-old child who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:

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The nurse is preparing a 12-year-old girl for a bone marrow aspiration. The girl tells the nurse she wants her mother with her "like before." What is the most appropriate nursing action?

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How should the nurse administer a gavage feeding to a school-age child?

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The advantages of the ventrogluteal muscle as an injection site in young children include which considerations? (Select all that apply.)

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