a nurse is planning care for a child who has severe diarrhea. which of the

following actions is the nurse priority?

A. Introduce a regular diet

B. Rehydrate

C. Maintain fluid therapy

D. Assess fluid balance

(Assess first the other three are interventions, before u intervene you have

to assess how much fluid imbalance. Check for labs results because it will

tell you what kind of fluid is to be given and how much fluid to be replaced.

Priority is assessment first)

A nurse is caring for a toddler who’s parent states that the child has a mass in his

abdominal area and his urine is a pink color. Which of the following actions is the

nurse’s priority?

A. Schedule the child for an abdominal ultrasound

B. Instruct the parent to avoid pressing on the abdominal area

C. Determine if the child is having pain

D. Obtain a urine specimen for a urinalysis

A nurse is caring for a child who has acute glomerulonephritis. Which of the

following actions is the nurse’s priority?

A. Place the child on a no salt added diet

B. Check the Childs weight daily

C. Educate the parents about potential complications

D. Maintain a saline lock (IV access that is attached to any fluids. For

emergency)

(inflammation of the kidneys caused by group A beta hemolytic streptococcus,

infection. Fluid or fluid retention. Patient with kidney problems affect blood

pressure -> High blood pressure because of fluid retention. Salt increases high

blood pressure. Lower the salt intake of this patient)

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.

Which of the following is the nurse’s priority?

A. Administer antibiotics when available 

B. Reduce environmental stimuli (because of increase of ICP and can cause

seizures)

C. Document intake and output

D. Maintain seizure precautions

A nurse is collecting data from an adolescent. Which of the following represents

the greatest risk for suicide?

A. Availability of firearms

B. Family conflict

C. Homosexuality

D. Active psychiatric disorder (Mark, mental problems, patients mind is

unstable)