The mot her of a 4-year-old child as ks the nur se what

she can do to help her other children c ope with their

sibling's repeated hospitalizations. W hic h is the best

response that the nur se should offer?

Enc ourag e the mother to have the children visit the

hospitalized sibling

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W h e n planning the care for a child wh o has h a d a cleft lip repair,

the nur se k n o ws that crying should be minimized b eca us e it

a. D- Stresses the fracture. Prevention of stress on the lip

suture line is essential for opt imum heal ing a n d the

cosm etic appear ance of a cleft lip repair. Although crying

causes (increased salvation, leads to vomiting, stresses the

suture line) these conditions do not create a problem for the

child with a cleft lip repair

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The nurse assigning care for a 5-year-old child with otitis media is

concer ned about the child's increasing temperature over the

past 24 hours. W h ich statement is accurate and should be

considered wh e n planning care for the remainder of the

shift?

Tympanic and oral temperatures are equally accurate.

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A 2-year-old child with gastro-esophageal reflux has developed a

fear of eating. What instruction should the nurse include in

the parents' teaching plan?

Consistently follow a set mealtime routine.

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What preoperative nursing intervention should be included in the

plan of care for an infant with pyloric

stenosis? Observe for projectile vomiting.

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The nurse is assessing a 2-year-old. What behavior indicates that

the child's language developm ent is within normal

limits? Half of child's spe ec h is under standable.

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The nur se receives a lab report stating a child with as t hm a ha s a

theophyl l ine level of 15 mcg/dl. W hat action will the nur se

take? Pass the information on in the report.

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A 4-year-old girl continues to interrupt her mother during a

routine clinic visit. Th e m other appear s irritated with the child

an d ask s the nurse, "Is this normal behav ior for a child this

ag e?" Th e nurse's response should b e ba s ed o n which

information?