1. The nurse is planning care for a 5 - month-old with gastroesophageal reflux disease whose

weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric

intake and decrease vomiting, what instruction should the nurse provide this mother?

• Dilute the child’sformula with equal parts of water

• Offer 10?xtrose in water between most feeding

• Give small amounts of baby food with each feeding

• Thicken formula with cereal for each feeding

4- years-old boy wasrecently diagnosed with Duchenne muscular dystrophy (DMD).

Which characteristic of the disease is most important for the nurse to focus on during the

initial teaching?

• Muscularstrength can be regained with physical exercise and therapy

• Growth and development have been abnormalsince birth

• Respiratory dysfunction and aspiration are prime concerns at thisstage of the disease

• Lower legs become progressively weaker, causing a wedding, unsteady gait

3.In caring for an client with acute epiglottitis, which nursing action takes priority?

• Obtain a stat CBC

• Prepare for endotracheal intubation

• Auscultate breath sounds

• Apply ice packs to the neck

4.Which client requiresimmediate intervention by the nurse?

• A toddler with chickenpox who isscratching

• An adolescent with a migraine and photophobia

• A child with cystic fibrosis who is constipated

• A Child with acute renal failure and hyperkalemia

5.The nurse is conducting an admission assessment of an 11-months old infant with

congestive heartfailure who isscheduled repair of restenosis of coarctation of the aorta that

was repaired 4 days after birth. Findings include blood pressure higher in the arms than the

lower, with pathophysiologic mechanism support these findings?

• The aortic semi lunar valve obstructs blood flow into the systemic circulation

• An opening in the atrial septum causes a murmur due to a turbulent left to right shunt

• The lumen of the aorta reduces the volume of flow to the lower extremities

• The pulmonic valve prevents adequate blood volume into the pulmonary circulation

toddler with hemophilia is being discharged from the hospital. Which teaching should the

nurse include in the discharge instructions to the mother?

• Apply padding on the sharp corners of the furniture

• Preventthe child from running inside the house

• Give an 81 mg tablet of aspirin for pain relief