Exam 25: Assessment of Infants, Children Adolescents

The nurse is performing an otoscopic examination of a 3-year-old child.As the nurse prepares to examine the client's tympanic membrane with the ototscope,the nurse would correctly choose which of the following techniques?

The nurse is assessing the child and notes that there is a depression in the lower part of the sternum.The nurse would accurately document this finding in which of the following ways?

The nurse determines that nutritional education is needed for the family of an 8 month old after the history reveals the following: the infant is drinking whole milk 3 times a day from a bottle,eats table food such as hot dogs and grapes with the 2-year-old sibling,and is allowed gum as a reward for good behavior.Which part of the data would the nurse be able to support as being correct for a child of this age?

The nurse is performing an assessment of a 7 month old.Which of the following findings may be unexpected?

The nurse is interviewing the mother of a 6 month old during a well-child visit.The mother reports that there is a watery drainage from the infant's left eye with some crusting present within the eyelashes.The nurse inspects the infant's left eye and agrees with the mother's assessment.In which of the following ways would the nurse accurately document this finding?

The mother of a 7-year-old child states,"I'm concerned because I can feel a few lumps at the base of his neck." The nurse notes slightly enlarged,firm,nontender,cervical lymph nodes.The lymph nodes are easily moveable under the skin.Which of the following interventions would be appropriate?

The child has been admitted to the Intensive Care Unit following a motor vehicle accident.The child weighs 39 pounds.Calculate the child's minimum expected urinary output in milliliters over an 8-hour period.Round to the nearest whole number. __________ milliliters

The nurse is assessing the newborn and notes the presence of a bluish discoloration of the hands and feet.Which of the following actions would be most important for the nurse to perform next?

The nurse is assessing a newborn and notes that the infant has six fingers on the left hand.The nurse would accurately document this information in which of the following ways?

The mother of a 17-year-old female has brought her daughter in for an examination.Which of the following statements by the client is most consistent with the client's most likely diagnosis?

The child is prescribed an antibiotic for an acute middle ear infection.The child weighs 38 pounds.The antibiotic is available as 200 milligrams in 5 milliliters.The physician writes an order for the child to receive 45 milligrams per 1 kilogram of body weight each day,divided in three equal doses.Calculate the amount of medicine the child should receive per dose.Round to the tenths place. _______ milliliters

The nurse is preparing to perform an assessment on four children.After reviewing each child's admitting diagnosis,which of the following children may have an enlarged spleen?

An 18-month-old child is brought to the emergency room with difficulty breathing.The physician diagnoses the child with epiglottitis.Which of the following findings by the nurse are consistent with this diagnosis?

The child has been diagnosed with acute otitis media.Which of the following findings by the nurse are consistent with this diagnosis?

The nurse is performing an assessment on a 13-year-old adolescent.Which of the following findings would be unexpected?

The nurse is performing an assessment on the following 5 newborns.Which of the newborns does the nurse expect to exhibit Mongolian spots?

The parents of a 3-year-old child with a history of frequent otitis media incidences ask the nurse why their child continues to have this issue.Which of the following is the nurse's best response?

The 15 month old has been diagnosed with acute otitis media.Which of the following nursing diagnoses would be most applicable?

The nurse needs to assess the young child's gait and range of motion of the extremities.Which of the following instructions is a commonly used method during this portion of the child's assessment?

The nurse is performing an otoscopic examination in a child and notes the child expressing pain as the pinna is manipulated to better examine the tympanic membrane.Which of the following findings is consistent with the most likely condition?