A nurse is providing discharge teaching to the guardians of a toddler who
had lower leg cast applied 24 hr ago. The nurse should instruct the
guardians to report which of the following finding to the provider?
Capillary refill time less than 2 seconds
Restricted ability to move the toes
Swelling of the casted foot when the leg is dependent
Pedal pulse +3 bilateral
A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify the sound
as which of the following?
Wheezes
Crackles
Pleural friction rub
Rhonchi
A nurse is caring for a preschooler who has congestive heart failure. The
nurse observes wide QRS complexes and peaked T waves on the cardiac
monitor. Which of the following prescriptions should the nurse clarify with
the provider?
Furosemide
Captopril
Regularinsulin
Potassium chloride
A nurse is planning an educational program for school-age children and
their parents about bicycle safety. Which of the following information
should the nurse plan to include?
The child should be able to stand on the balls of their feet when
sitting on the bike.
The child should ride their bike 2 feet to the side of other bike riders.
The child should wear dark-colored clothing with a fluorescent
stripe when riding at night.
The child should ride the bike facing traffic when it is necessary
to ride in the street.
A nurse is an emergency department is caring for a school-age child
who has epiglottitis. Which of the following actions should the nurse
take?
Obtain a throat culture from the child.
Monitor the child's oxygen saturation.
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