A nurse is creating a plan of care for a school-age child who has heart disease and has

developed heart failure. Which of the following interventions should the nurse include in

the plan?

Provide small, frequent meals for the child.

The metabolic rate of a child who has heart failure is high because of poor cardiac

function. Therefore, the nurse should provide small, frequent meals for the child

because it helps to conserve energy.

A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of

developmental dysplasia of the hip. The nurse should identify that which of the following

statements by the parent indicates an understanding of the teaching?

"I will place my infant's diapers under the harness straps."

To prevent soiling of the harness, the parent should apply the infant's diaper under the

straps.

A nurse is planning care for a school-age child who is in the oliguric phase of acute

kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following

interventions should the nurse include in the plan?

Initiate seizure precautions for the child.

A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased

risk for neurological deficits and seizure activity. The nurse should complete a

neurologic assessment and implement seizure precautions to maintain the child's

safety.

A nurse is assessing a school-age child immediately following a perforated appendix

repair. Which of the following findings should the nurse expect?

Absence of peristalsis

The nurse should expect absence of peristalsis immediately following a perforated

appendix repair, until the bowel resumes functioning.

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions

should the nurse take?

Apply topical analgesic cream to the site 1 hr prior to the procedure.

The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the procedure

to decrease the adolescent's pain while the lumbar needle is inserted.

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV

bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After

discontinuing the medication infusion, which of the following medications should the

nurse administer first?

Epinephrine

This child is most likely experiencing an anaphylactic reaction to the cefazolin.

According to evidence-based practice, the nurse should first administer epinephrine to