Which description provided by the parent of a preschool-age client would suggest to

the nursethat the child is experiencing sleep terrors?

 Calling out after a dream

 Awakening during the second half of the night

 Being aware that others are in the room after awakening

A 3-year-old child is admitted to the pediatric unit with a tentative diagnosis of Wilms

tumor. The nurse obtains the child's health history from the parents. What does the

child's history reveal that will help establish the diagnosis?

 Periorbital edema

 Projectile vomiting

 Abdominal

swelling

 Low-grade temperature

A preschool-aged child with leukemia who is undergoing chemotherapy is susceptible to

rectal ulcerations. What should the nurse recommend to the parents that will lessen the

severity of this problem?

Encourage lying on the abdomen when in bed.

 Have the child wear cotton underpants at

night. Apply rectal ointment liberally four

times a day.

 Clean the child's perianal area after each bowel movement.

On a routine visit to the well-child clinic, the parents of a 3-year-old child tell the nurse

that their child is a "picky" eater and express concern about their child's nutritional

status. What should the nurse suggest to help the parents meet the child's nutritional

requirements?

Including some of the foods the child prefers in every meal

 Cooking nutritious meals and staying with the child until the food is eaten

 Serving a regular diet to the family and a special meal that the child will eat

 Explaining that there will be no dessert until the child eats the food on the plate

A 3-year-old preschooler has been hospitalized with nephrotic syndrome. What is the

best way for the nurse to evaluate fluid retention or loss?

 Measuring the abdominal girth daily

 Having the child urinate in a

bedpan Testing the child's urine

for proteinuria

 Weighing the child at the same time each day