1. a nurse is caring for a child who has acute glomerulonephritis.which of the following manifes

1. a nurse is caring for a child who has acute glomerulonephritis.which of the following manifestations should the nurse expect?a. hypokalemiab. Muehrcke lines on the nails c. hypertensiond. Dehydration 2. a nurse is reviewing the medical records of a group of toddlers. The nurse should identify which of the following conditions is a notifiable infectious disease?a. scabies b. measlesc. Roseola infantum d. fifth disease 3. a nurse is caring for a child who has mouth dehydration due to an Escherichia coli infection . which of the following actions should the nurse take? a.administer promethazine as neededb. offer one banana and half a cup of rice with each mealc. encourage intake of fruit juicesd. give two teaspoons of oral rehydration solution every 5 to 10 minutes 4. a nurse is caring for a child who received an initial dose of antibiotics 20 minutes ago. Which of the following findings is the priority to report to the provider? a. Headacheb. Maculopapular rash c. wheezingd. increased pulse 5. a nurse is preparing to administer the measles mumps and rubella MMR vaccine to an adolescent. Which of the following should the nurse identify as a contraindication to administering this vaccine?a. Family history of seizures b. severe peanut allergyc. current pregnancy d. mild ear infection 6. a nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the client’s medical history should the nurse identify as a potential risk factor for a physical maltreatment?a. Acute Otitis Media b. adoptedc. prematurity d. preterm 7. a nurse is assisting with the care of a one month old infant who has neonatal abstinence syndrome and is receiving phenobarbital. Which of the following findings indicates to the nurse that the medication has had a therapeutic effect?a. restored surfactantb. decreased CNS irritability c. improved fittingsd. Decreased excoriation 8. a nurse is preparing to administer azithromycin oral suspension 10 mg/kg/day to a 15 month old infant who has Otitis media. The infant weighs 22 lb . The amount available is azithromycin oral suspension 200 mg/5ml. How many ml should the nurse plan to administer? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)—————– 9. a nurse in a well child Clinic is collecting data from four patients. Which the following findings should the nurse report to the provider as a potential indication of maltreatment?a. a six-year-old child who has a fracture of the arm from a bicycle injuryb. a 34 month old child who has several small bruises on The Shinsc. a four-year-old child who has a history of frequent urination tract infectionsd. a 15 month old child who bites other children while at daycare 10. a nurse is collecting data from a child who has sickle cell anemia and is experiencing vaso-occlusive crisis. Which of the following findings should the nurse expect?a. Tinnitus b. Puritus c. polyuriad. abdominal pain 11. a nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parents to implement during the first 12 to 24 hours to minimize swelling?a. encourage active range of motion of the extremity b. wrap the extremity Loosely with an elastic bandage wrap the extremity loosely with an elastic bandagec. Elevate the extremity above the level of the heart d. apply warm compresses to the extremity 12. a nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?a. Apply protective padding to the end of the pin sites b. perform passive range of motion exercises to the affected extremity every 2 hoursc. reduce intake of foods containing fibre while non-ambulatoryd. gently lift the traction weight off the floor when repositioning the client 13. a nurse is preparing to administer a tube feeding to a child who has an NG Tube . which of the following actions should the nurse take?a. instill the feeding if the pH is less than 5b. position the child with the head of the bed elevated 15 degreesc. heat the formula to body temperatured. connect a bulb attachment to the syringe to deliver the feeding 14. a nurse is reinforcing teaching with the Guardians of a toddler who has cystic fibrosis. Which of the following diets are appropriate for the toddler?a. Low carbohydrate high fat b. moderate protein low calorie c. high fat low proteind. high-protein high-calorie 15. a nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse recommend the provider to provide?a. Dunlop b. Bryantc. buck extension d. cervical skin 17. a nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?a. Have your child inhale deeply and quickly when using the peak flow meterb. use salmeterol to manage your child acute exacerbationsc. avoid allowing your child to participate in school sports d. obtain a pneumococcal immunization for your child 18. a nurse is assisting with obtaining informed consent from a parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?a. Provide detailed information about the procedure to the parentb. discuss the benefits of the procedurec. determine the parents understanding the procedure d. Talk to the family 19. a nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?a. moist mucous membranes b. muscle twitchingc. unable to urinate d. Unusual thirst 20. a nurse is collecting data from a child who has Type 1 diabetes mellitus and has slurred speech and diaphoretic and has a blood glucose reading of 45 mg/dl. which of the following should the nurse administer?a. Insulinb. 6 Oz diet soft drink c.popciced. Ice cream 21. a nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?a. select a catheter that fits snugly into the tracheostomy tubeb. use clean technique when performing suctioning c. apply section in 3 to 4 second incrementsd. instill to MMM of 0.9 sodium chloride prior to Suctioning 22. a nurse is preparing to collect a blood specimenfrom a preschooler. Which of the following actions should the nurse take?a.Administer aspirin to the child 1 hour before the procedureb. give the child a pacifier that has been dipped in an oral sucrose solution during the procedurec. instruct the parent how to perform kangaroo care during the procedured. apply a eutectic mixture of local anesthetic cream to the intended puncture site 1 hour before the procedure? 23. a nurse is collecting data from a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect to find ?(SA)1. seizures 2. headache3. negative Kernig sign 4. tinnitus5. Vomiting 24. a nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching ?a. avoid discussing the child’s diagnosis with the sibling b. encourage phone calls between the siblingsc. avoid having the sibling visit the child in the facilityd. designate one parent to stay at home with the sibling 25. a nurse is assisting with the care of a preschooler who is post-operative following a tetralogy of Fallot correction . which of the following manifestations indicates the child is possibly experiencing decreased cardiac output ?a. capillary refill 2 secondsb. blood pressure 112/66 mm/hg c. diminished pulsesd. Blood clots 26. a nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make? a. it’s not your fault that this happenedb. I promise I won’t tell anyone about this c. this should not have happened to youd. you should have told someone about this sooner 27. a nurse is contributing to the plan of care for a newly admitted adolescent. Which of the following interventions should the nurse include? (click on the exhibit button for additional information about the client there are three tabs that contain separate categories of data)a. maintain the clients head of the bed at 30 degrees b. section the client’sAirway every 2 hoursc. keep the classroom well litd. check the client’s temperature every 8 hours 28. a nurse is reinforcing teaching with the parents of a two-year-old toddler about age-appropriate play activities. which of the following should the nurse recommend?a. Finger paintsb. beginner Sports c. 30 piece puzzle d. Hopscotch 29. a nurse in a clinic is collecting data from an adolescent who has Type 1 diabetes mellitus. Which of the following findings is the priority for the nurse to report?a. Client reports vomiting once that dayb. client reports frequent urination c. blood glucose is 220 mg/dld. client is exhibiting Kussmaul respirations 30. a nurse is reviewing the laboratory report of a newly admitted school-age child who has a fever. the nurse should identify which of the following laboratory results is an indication of an infection and should be reported to the charge nurse immediately?a. urine specific gravity 1.014b. urine osmolality 500 m o s m kgc. bun 12 mg/dld. WBC 17.500/mm 31. a nurse is caring for a child who has cystic fibrosis and is taking dornaseAlfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?a. Monitor the child’s I and Ob. auscultate the child’s breath sounds c. determine the child’s heart rated. Child’s hemoglobin count 32. a nurse is caring for a two-year-old child who has pneumonia and a temperature of 39.4 Celsius is 103 Fahrenheit . which of the following actions should the nurse take?a. Administer a 300 mg aspirin suppositoryb. give 500 mg acetaminophen PO every 2 hours c. lower the temperature of the roomd. Place the child in an ice bath 33. a nurse is contributing to the plan of care for a group of newly admitted pediatric clients. For which of the following clients should the nurse recommend initiating contact precautions? a. a school-age child who has Haemophilus influenzae type B diseaseb. an infant who has respiratory syncytial virus c. a preschooler who has tuberculosisd. an adolescent who has pneumonia 34. a nurse in a provider’s office is reinforcing teaching with the parents of a four month old infant about introducing solid. Which of the following statements by the parent indicates an understanding of the teaching? a. I will offer my baby cereal with 2% milkb. I will introduce eggs when my baby is 6 months old c. I will offer my baby a new food every seven daysd. I will introduce fruit juice when my baby is 4 months old 35. a nurse is caring for a school-age child who had a tonic-clonic seizure 1 minute ago. which of the following actions should the nurse take?a. Administer naloxone intramuscularlyb. check inside the child’s mouth for bleedingc. place the child’s head in a hyper-extended position d. give the child a drink of water  36. a nurse is assisting with the plan of care for a child who is 12 hours post-operative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?a. Give pain medications on a scheduleb. maintain strict bed restc. offer soft liquids d. Soft diet 37. a nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?a. increased blood pressureb. tachycardiac. increased urinary output d. Bradycardia 38. a nurse is collecting data from an 18 month old toddler who is post-operative. Which of the following rating scales should the nurse use to identify the toddler’s pain level?a. Visual analog b. facesc. color tool d. Flacc 39. a nurse is reinforcing teaching with an adolescent female client who has recurrent urinary tract infections. Which of the following statements by the Adolescent indicates an understanding of the teaching?a. I will test my urine for ketones dailyb. I will need to urinate frequently throughout the day c. I should wear nylon underweard. I can wipe myself from Back to Front 40. a nurse is reinforcing teaching about accidental drowning with the parents of a toddler. Which of the following information should the nurse include in the teaching?a.Teaching the child to swim eliminates the risk of accidental drowningb. placing a fence around a pool ensures the safety of the childc. most accidental drowning occur in ponds or lakesd. an adult should remain withinArm’s Reach of the child when near water 41. a nurse is reinforcing teaching about death and dying with the Guardians of a preschooler who has aterminal illness. Which of the following statements should the nurse include?a. Preschoolers view death as a temporary type of sleep b. preschoolers are curious about what happens to the body after deathc. preschoolers fear physical changes that occur during the process of dyingd. preschoolers think of death as a monster 42. a nurse is collecting data from an 18 month old toddler. Which of the following findings should the nurse report to the provider?a. Has temper tantrumsb. build the Tower of three blocksc. jumps in place with both feet d. speaks for words 43. a nurse is reinforcing teaching with an adolescent who has a prescription for an electroencephalogram (EEG). which of the following statements should the nurse include in the teaching?a. You should wash your hair prior to the procedureb. you should have a full bladder during the procedure c. you will be given a mild sedative prior to the procedured. you should not have anything to eat for hours prior to the procedure 44. a nurse is reinforcing teaching about performing a glucose test with an adolescent client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?a. I will hold the Lancet at a 45° angle when piercing my skinb. I will place my finger under cool water for a few seconds before the stickc. I will stick the side of my finger with the Lancet instead of the centerd. I will collect the first drop of blood by wiping it on the test strip 45. a nurse is caring for an infant who has heart failure and a new prescription for digoxin. Which of the following findings should the nurse report to the provider ?a. weight loss 0.25 kg(0.55 lb) b. vomiting twice in 4 hoursc. heart rate 130/ minuted. respiratory rate 30/ minute 46. a nurse is reinforcing teaching with the parents of a two month old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?a. keep the infant at a 30 degree angle for 1 hour following each feedingb. change the infant formula to a soy based formula c. limit the infant formula feedings to every 6 hoursd. give the infant a bottle immediately before the infant’s Bedtime 47. a nurse is reinforcing teaching with the parents of a child who has infective endocarditis . which of the following instructions should the nurse include in the teaching?a. Prophylactic antibiotics for family membersb. antibiotics might cause splinter hemorrhages under the child’s nailsc. discontinue antibiotics when the fever has resolved d. antibiotics will be needed prior to dental work 48. a nurse is caring for a toddler whose Guardian reports multiple episodes of diarrhea. The provider suspect c-diff. Which of the following actions should the nurse take?a. Collect a stool specimen for occult blood b. draw a blood culturec. obtain a stool specimen for culture d. conduct a tape test 49. a nurse is assisting with the care of a two month old infant who has a subdural hematoma. Which of the following findings should the nurse expect?a. depressed fontanelles b. difficult to arousec. weak cryd. decreased temperature 50. a nurse is collecting data from a three-year-old child. Which of the following developmental Milestones should the nurse expect the child to demonstrate?a. skips on alternate feetb. uses for words in a sentence c. ties shoelacesd. names the days of the week find it now Health Science Science Nursing NURSING 201 Share QuestionEmailCopy link Comments (0)

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