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 mealsfor the child.
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 harnessstraps."
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 precautionsfor the child.
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
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.
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
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of
the following statements by the parent indicates an understanding of the teaching?
"I should keep my child indoors when I mow the yard."
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