Th e mother of a 4-year-old child ask s the nurse

what she ca n do to help her other children c ope with their

sibling's repeated hospitalizations. W hi c h is the best

response that the nurse should offer?

Enco urag 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 h a s had a cleft lip repair,

the nurse k n o ws that crying should be minimized b ec au s e it

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

suture line is essential for optim um healing a n d the

cosmetic app earanc e of a cleft lip repair. Although crying

caus es (increased salvation, leads to vomiting, stresses the

suture line) these conditions d o not create a problem for the

child with a cleft lip repair

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Th e nurs e assigning care for a 5-year-old child with otitis m ed ia is

conc erned about the child's increasing temperature over the

pas t 24 hours. W hi c h statement is accurate a n d should be

cons idered wh e n planning care for the remainder of the

shift?

Tym pa ni c an d oral temperatures are equally accurate.

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

fear of eating. W ha t 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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Th e nurse is assessing a 2-year-old. W ha t behavior indicates that

the child's language d evelopm ent is within normal

limits? Half of child's s pe ec h is understandable.

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Th e nurse receives a lab report stating a child with as t hma h a s a

theophylline level of 1 5 mcg/dl. W h at action will the nurse

tak e? Pass the information on in the report.

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

routine clinic visit. Th e mother appears irritated with the child

a n d ask s the nurse, "Is this norm al behav ior for a child this

ag e?" T h e nurse's res ponse should b e b a s ed o n which

information?

Children ne ed to retain a sens e of initiative without impinging

o n the rights a nd privi leges of others.

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A 6-month-old infant with congestive heart failure (CHF) is