18mo dehydration. understands teaching:
"I will monitor my child's number of wet diapers"
nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. Steps to remove:
turn off iv pump
occlude the IV tubing
remove the tape securing the catheter
apply pressure over the catheter insertion site
nurse preparing to collect sample from a toddler for a sickle-turbidity test:
perform a finger stick
emergency department performing a physical assessment on a 2 weeks old male infant. Which of the following
manifestations is the priority for the nurse to report to the provider:
Substernal retractions
nurse is providing anticipatory guidance to the mother of a toddler. Which of the following expected behavior
characteristics of toddlers should the nurse include in the teaching?
Expresses likes and dislikes
A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when
her child will no longer be contagious. Which of the following responses should the nurse make?
"When your child's lesions are crusted, 6 days after they appear."
A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an understanding of the
teaching?
"My child will receive antibiotics for several weeks."
A nurse is performing hearing screenings for children at a community health fair. Which of the following
children should the nurse refer to a provider for a more extensive hearing evaluation?
An infant who is 8 months old and is not yet making babbling sounds
A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse
identify as an indication that the child is developing diabetes insipidus?
Sodium 148 mEq/L
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement
following a burn injury. Which of the following actions should the nurse take prior to the procedure?
Administer an analgesic to the child.
nurse is providing teaching to the parents of a preschooler who has heart failure and who is to begin taking
digoxin twice daily. Which of the following instructions should the nurse include in the teaching?
"Brush the child's teeth after giving the medication.
A nurse in the emergency department is caring for a toddler who has partial-thickness burns on his right arm.
Which of the following actions should the nurse take?
Cleanse the affected area with mild soap and water.
a nurse in an ED, assesses a 3-month old infant w/ rotavirus and is experiencing acute vomiting and diarrhea.
Which of the following manifestations should the nurse ID as indication that the infant has MODERATE to
SEVERE dehydration?
sunken anterior fontanel
A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse
assess first?
A toddler who has a concussion and an episode of forceful vomiting
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