Pediatrics Final: Chapters 10-20

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A 5-year-old boy visits the physician's office with an upper respiratory infection. Which approach would give nurse Kyle the most information about the child's developmental level?

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Which statement indicates the best sequence for nurse Carrie to conduct an assessment in a nonemergency situation?

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What approach by nurse Carina would most likely encourage a child to cooperate with an assessment of physical and developmental health?

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A sleeping 5-month-old girl is being held by the mother when the nurse comes in to do a physical examination. What assessment should be done initially?

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Which assessment finding is considered normal in children?

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Nurse Shelly is preparing a 5-year-old boy for surgery on his lower leg. His mother is helping him into the hospital gown and the boy fights removal of his underwear. What is the most appropriate nursing action?

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A 6-month-old infant requires restraint to prevent removal of his nasogastric tube. What is the priority nursing intervention?

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Nurse Kevin provides home care to a 2-year-old and listens to the child's parents talk about how the child and family are adjusting to the child's current illness. Which of the following roles is Kevin participating in?

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A 10-year-old child on a regular diet refuses to eat the food on her meal tray. She requests chicken nuggets, French fries, and ice cream. What is the best nursing action?

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A child is to undergo a tympanostomy tube placement in a freestanding outpatient surgery center. What is the major disadvantage associated with this location?

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The parents of a 5-year-old with special health care needs talk to parents of a 10-year-old with a similar condition for quite a while each day. What is the nurse's interpretation of this behavior?

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Nurse Crissy is caring for a child who has received all possible medical care for cancer, yet continues to experience relapse and metastasis. It is time to make the transition from curative care attempts to palliative care. What is the most important nursing consideration at this time?

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Nurse Shelly is caring for a 3-year-old with a gastrostomy tube and tracheostomy who is on supplemental oxygen and multiple medications. The mother is rooming in during this hospitalization. What is the priority nursing action?

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Nurse DeAnna is caring for a child with a developmental disability who is starting kindergarten this year. The mother is tearful and doesn't want the child to go to school. What is the best response by DeAnna?

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The parents of a child with a developmental disability ask the nurse for advice about disciplining their child. What is the best response by nurse Michelle?

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Nurse Kim is preparing to administer an intramuscular injection to an infant. What is the most appropriate site for this injection?

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A 3-year-old child is to receive a medication that is supplied as an enteric-coated tablet. What is the best nursing action?

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Nurse Katrina is caring for an infant who weighs 8.2 kg and is NPO and receiving IV fluid therapy. What rate does nurse Katrina calculate as meeting the child's daily fluid requirements?

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When administering ear drops to a 2-year-old, which action would be most appropriate?

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Nurse Hannah is preparing to asses the pain of a 3-year-old child who had surgery the day before. Which pain assessment method would be most appropriate for the nurse to use?

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When developing the plan of care for a child in pain, nurse Tanya identifies appropriate strategies aimed at modifying which factors influencing pain?

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An adolescent who is a competitive swimmer comes to the emergency department complaining of localized aching pain in his shoulder. He states, "I've been practicing really hard and long to get myself ready for my meet this weekend." The area is tender to the touch. Nurse Oziel determines that the adolescent is most likely experiencing which type of pain?

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After teaching a child's parents about the different methods of distraction that can be used for pain management, which statement by the parents indicates a need for additional teaching?

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A child is scheduled for a bone marrow aspiration at 4 p.m. Nurse Ashley would plan to apply EMLA cream to the intended site at which time?

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Compared with adults, why are infants and children at an increased risk for infection and communicable diseases?

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A mother calls the clinic because her 2-year-old daughter has a rectal temperature of 37.8 degrees Celsius (100 degrees Fahrenheit). She wonders how high a fever should be before she should give medications to reduce it. What is the best response by nurse Zaviera?

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A neonate should be evaluated by a physician if which signs and symptoms are present?

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Public Health Nurse Mo has been asked to provide information to local child care centers on controlling the spread of infectious diseases. What is the best information that Mo can provide?

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When compared with adults, why are infants and children at an increased risk of head trauma?

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At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment nurse Bryn finds:

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A 10-year-old child is admitted to the hospital due to history of seizure activity. As his nurse, Hillary is called into the room by his mother, who states he is having a seizure. What would be the priority nursing intervention?

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A 6-month-old infant is admitted to the hospital with suspected bacterial meningitis. She is crying, irritable, and lying in the opisthotonic position. The priority nursing intervention would be:

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Which situation would cause nurse Susan to become concerned about possible hearing loss?

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A r-year-old complains of extreme pain when the tragus is touched. Though not diagnostic, this sign is most indicative of which disorder?

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Nurse Ashley is caring for an infant who has undergone surgery for infantile glaucoma. What is the priority nursing intervention?

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A 2-year-old had been prescribed eye patching for strabismus 6 hours per day. What teaching does nurse Trish provide for the mother?

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A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention?

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A toddler has moderate respiratory distress, is mildly cyanotic, and has increased work of breathing, with a respiratory rate of 40. What is the priority nursing intervention?

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Nurse Laura is caring for a child with cystic fibrosis who receives pancreatic enzymes. Which statement by the child's mother indicates an understanding of how to administer the supplemental enzymes?

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Which of these factors contributes to infants' and children's increased risk for upper airway obstruction as compared with adults?

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Which is the most appropriate treatment for epistaxis?

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Nurse Amarvir is caring for a 5-year-old child with a congenital heart anomaly causing chronic cyanosis. When performing the history and physical examination, what is nurse Amarvir least likely to assess?

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A 2-day-old infant was just diagnosed with aortic stenosis. What is the most likely nursing assessment finding?

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Sam, age 11, has a diagnosis of rheumatic fever and has missed school for a week. What is the most likely cause of this problem?

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Nurse Jessica is caring for a child after a cardiac catheterization. What is the nursing priority?

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While assessing a 4-month-old infant, nurse Bao notes that the baby experiences a hypercyanotic spell. What is the priority nursing action?

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A mother brings her 6-month-old infant to the clinic. The child has been vomiting since early morning and has had diarrhea since the day before. His temperature is 38 degrees Celsius, pulse 140, and respiratory rate 38. He has lost 6 ounces since his well-child visit 4 days ago. He cries before passing a bowel movement. He will not breastfeed today. What is the priority nursing diagnosis?

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A child presents with a 2-day history of fever, abdominal pain, occasional vomiting, and decreased oral intake. Which finding would nurse Laura prioritize for immediate reporting to the physician?

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A 3-year-old infant presenting with physiologic jaundice is hospitalized and placed under phototherapy. Which response indicates to nurse Harmeet that the parent needs more teaching?

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A 3-month-old infant presents with a history of vomiting after feeding. The plan for the infant is to rule out GER. What information from the history would lead nurse Emily to believe that this infant may need further intervention?

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Nurse Shannon is caring for a child who has had diarrhea and vomiting for the past several days. What is the priority nursing assessment?