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's formula 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

2. A 4-years-old boy was recently 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 abnormal since birth

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

• Lowerlegs 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 packsto the neck

4. Which client requires immediate intervention by the nurse?

•A toddler with chickenpox who is scratching

•An adolescent with a migraine and photophobia

•A child with cystic fibrosis who is constipated

•A Child with acute renal failure and hyperkalemia