 A nurse is caring for a 10-month old child was brought

tothe emergency department by his parents following a

head injury. Which of the following actions should the nurse

takefirst?

a. Inspect for fluid leaking from the ears (thinking about CSF

leakage severe trauma =

urgent, after respiratory status is confirmed)

b. assess respiratory status

c. check pupil reactions

d. examine the scalp for lacerations

 A charge nurse is planning care for an infant who has failure

to thrive.

Which of the following

actions should the nurse include in the plan of care?

a. Assign consistent nursing Staff Care for the infant

b. Keep infant in a visually stimulating

environment c. use half-strength formula

when feeding the infant

d. give the infant fruit juice between feedings

 A nurse is providing teaching about home care to the

parent of a child who has scabies. Which of the following

instruction should the nurse include in the teaching?

a. Wash your client’s hair with shampoo containing

Ketoconazoleb. soak Combs and brushes in boiling

water for 10 minutes

c. apply petroleum jelly to the affected areas

d. treat everyone who came into close contact with a child

 A nurse is caring for a preschooler who refuses to take a

start dose of

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