1-A nurse is assisting with the plan of care for an infant who has

Question 1-A nurse is assisting with the plan of care for an infant who hasheart failure. which of the following actions should the nurse recommend to include in the plan of care?A- Maintain the infant in a supine position.B-Administer digoxin for a pulse of 70/min.C-Ensure the infant bottle feeds for 45 min.D-allow for frequent rest periods.2-A nurse is assisting with the plan of care for an adolescent who has rheumatoid arthritis and report difficulty walking. Which of the following referrals should the nurse recommend?A-Physical therapyB-Case managerC-Speech therapyD-Occupational therapy3-A nurse is contributing to the plan of care for a school -age child who is being admitted for diabetic ketoacidosis. Which of the following interventions should the nurse recommend?A-Administer subcutaneous insulin 30 min before meals.B-Implement fluid restrictions.C-Initiate continuous cardiac monitoring.D-Monitor vitals signs every 8 hr.4-A nurse is reinforcing dietary teaching with the guardian of a toddler Which of the following snack should the nurse recommend?A-PopcornB-GrapesC-Hard-boiled eggD-Raw carrots5-A nurse is reinforcing teaching with the guardians of a school-age child who has enuresis. which of the following statements should the nurse make?A-“You should limit the amount of fluid your child drinks within 2 hours before bedtime”B-“You should use bladder-stretching exercises to increase the size of your child’s bladder”C-“You should decrease the amount of soluble fiber in your child’s diet”D-“You should give your child prescribed furosemide 1 hour before bedtime”6-A nurse is preparing to administer recommended immunization to n 11-year -old child who is up to date with current immunization. which of he following immunization should the nurse plan to administer?A-Human papillomavirusB-RotavirusC-Haemophilus influenzae type bD-Hepatitis A7-A nurse is contributing to the care plan of an 18-months -old client who has pneumonia. Which of the following items should the nurse should provide for the child’s play activities?A-Wooden building blocks.B-Alphabet flash cardsC-Colored paper and safety scissorsD-Stringing beads8-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-Mild ear infectionB-Current pregnancyC-Family history of seizureD-Severe peanut allergy9-A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid support the diagnosis? A-Decreased WBC’sB-Elevated total proteinC-Elevated glucoseD-Decreased pressure10-A nurse is reinforcing teaching with a parents of a child who has a sprained wrist. Which of the following interventions should the nurse teach the parent to implement during the first 12 to 24 hr to minimize swelling?A-Apply warm compresses to the extremityEncourage active range of motion of the extremityC-Elevate the extremity above the level of the heartD-Wrap the extremity loosely with an electric bandage11-A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?A-Place the child in prone position to expose the posterior iliac crestB-Position the child sitting with their buttocks at the edge of the tableC-Place the child supine with legs flexed outward into a frog like positionD-Position the child side-lying to expose the vertebrate12-A nurse is reinforcing the laboratory results of an adolescent who has diabetes mellitus. For which of the following values should the nurse show to the provider. A-Glucose 120 mg/dLB-HbA1c 10.7%C-Hemoglobin 12 g/dLD-Hematocrit 36%13-A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider of which potential indication of child maltreatment?A-A 6 year-old child who has a fracture of the arm from a bicycle injury.B- A 34- month- old child who has several small bruises on the shins C-A 4 year old child who has a history of frequent urinary tract infectionD-A 15 month- old child who bites other children while at day care14-A nurse is reinforcing teaching with the parents of a 10 week old infant who is scheduled for a surgical repair of a cleft. Which of the following information should the nurse include?A-“Your baby will be placed in elbow restrains following surgery”B-“Your baby cannot have anything by mouth until 2 hours after surgery”C-“You should give your baby a pacifier when she cries”D-“You should position your baby on her abdomen following surgery”15-A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect from the preschooler?A-Perceives death as a punishmentB-Worries about physical body changesC-Understands that death is permanent16-A nurse is reinforcing teaching with a parent of a child who has attention deficits hyperactivity disorder. Which of the following should the nurse include in the teaching to promote the child’s learning?A- “Offer your child frequent breaks in activity during the day B-“Provide your child with long team goals to increase self esteemC-Administer your child’s medication at bedtime to prevent insomnia”D-“Schedule a different routine for your child each day”17-A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which manifestation indicates the child possibly experiencing decreased cardiac output?A- Extremities warm to touchB-Capillary refill 2 secondsC-Blood pressure 112/66 mm HGD- Diminished pulses18-A nurse is contributing to the plan of care for a school age child who had crohn’s disease. Which of the following food choices should the nurse include in the plan?A-PopcornB-Plain yogurtC-Dried apricotsD-Hot dog19-A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is reporting vaso-occlusive crisis. Which of the following intervention should the nurse include in the plan.A-Decrease daily oral fluid intakeB-apply cold compresses to painful jointC-Adminiter meperidine to eliminate a fever.D-Maintain bed rest to prevent hypoxemia.20-A nurse is reinforcing the laboratory report of a preschooler during a well- child visit. Which of the following laboratory should the nurse report to the provider?A-Calcium 9mg/dLB-Hemoglobin 8g/dLC-Iron 100 mcg/dLD-Sodium 140 mEq/L21-A nurse is caring for an adolescent client who has a fractured right tibia and a cast. which of the following should the nurse report to the provider>?A-Presence of swelling while the extremity is dependentB-Pain following range of motion exerciseC-Coolness of the toesD-Pruritus under the cast22-A nurse is reinforcing 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-WBC 17,500/MM3B-Urine specific gravity 1.014C-Urine osmolality 500 mOsm/kgD-BUN 12 mg/dL23-A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose of 45 mg/dL. Which of the following should the nurse administer?A-InsulinB- 6 oz regular soft drinkC- MetforminD-6 oz diet soft drink24- A nurse is reinforcing teaching with a female adolescent who has dysmenorrhea. Which of the following should the nurse include in the teaching?A-Increase daily intake of fatB-Limit physical activityC-Apply cold packs to the lower abdomenD-Massage the lower back area25- A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. which of the following should the nurse take?A-Apply the sensor to the index fingernailB-Tape the wire to the palm of. the hand C-Reposition the probe every 2 hrD-Warm the skin prior to probe placement26-A nurse is collecting data from a school age child who has hypothyroidism. Which of the following should the nurse report to the provider?A-LethargyB-DiarrheaC-TachycardiaD-Hirsutism27-A nurse is reinforcing teaching with the guardian of 1 year old infant about how to administer liquid medication. Which of the following statement should the nurse make?A-‘You should add the medication to your child’s formula prior to feeding”B-“You should place the medication along the side of the child’s tongue during administration”C-“You should position your child in their back during administration of the medication”D-‘You should put small bits of ice on your child’s tongue prior administering the medication”28-A nurse is reinforcing teaching about controlling allergens with a parent of a child who has a new diagnosis of asthma. Which of the following instruction should the nurse include.A-‘Use a damp cloth to dust your child ‘s furniture weekly”B-”Wash your child’s pillow in cold water twice monthly”C-“Install carpet in your child’s bedroom”D-“Use a humidifier in your child’s bedroom” 29-A nurse is caring for a child who has dehydration. Which of the following findings should the nurse expect?A- Hct 45%B-Urine output 35 mL/hrC- Capillary refill less than two secondsD-Urine specific gravity 1.03530-A nurse is caring for an adolescent client who is scheduled for surgery. Which of the following actions should the nurse take to prepare the child based on the developmental stage>A-Keep equipment out of the clean sideB-Avoid involving the client in a decision regarding treatmentC-Emphasize that the procedure is not a punishmentD-Discuss how the procedure might affect the clients appearance31-A nurse is caring for a child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?A-HypokalemiaB-DehydrationC-HypertensionD- Muehrcke’s lines on nails Health Science Science Nursing NURSING NUR227 Share QuestionEmailCopy link Comments (0)

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