ATI Capstone Pediatrics 2

a nurse is caring for a 6 month old pt who has sudden abdominal pain, vomiting, distended abdomen and red current jelly like stools. the nurse should know that these are signs of what

intussuception

a nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?

a needleless syringe and a doll

a nurse is providing anticipatory guidance about child development to the parents of a preschooler. which of the following developmental tasks should the nurse include as being expected of a preschooler?

participates in imaginary play

a nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia of the hip (DDH). which of the following strategies should the nurse implement to promote the infant's growth and development

allow the infant to stand in the crib

a nurse is planning care for a 10yr old child who will be hospitalized for an extended period of time. what actions should the nurse include in the plan of care to meet the pt's psychosocial needs according to Erikson?

arrange for a teacher to provide lesson plans

a nurse is caring for a pt who was admitted with suspected rheumatic fever. the provider prescribes an anti-streptolysin O titer (ASO), the parent asks the nurse the purpose of the test

it is to confirm if your child has had a recent streptococcal infection

a nurse is caring for an infant following a cleft lip and palate repair. what actions should the nurse take in the post-op period

administer analgesics

a nurse is providing dietary education to the mother of an infant, what recommendations regarding the introduction of solid food to the infant's diet should the nurse make

solids introduced between 4-6 months

iron fortified cereal should be offered first

new foods should be introduced one at a time over a 5-7 day period to observe for signs of allergies or intolerance

veggies/fruits are first started between 6-8 months

a nurse is caring for an infant who has a congenital heart defect, which defect is associated with increased pulmonary blood flow

patent ductus arteriosis

a nurse is providing health promotion teaching to the parents of a toddler, what information should the nurse include in the teaching (SATA)

management of tantrums

dental care

a nurse is admitting a toddler who has RSV, what action should the nurse take

keep thermometer in the toddler's room

a nurse is planning care for a child who has cystic fibrosis and a prescription to receive CPT, what action should the nurse plan to take

administer albuterol prior to CPT

a nurse is creating a plan of care for a pt who has sickle cell anemia , what interventions should the nurse include in the plan

observe for indications of hypokalemia

a nurse is assessing the physical development of a 3 month old infant, what findings should indicate that the infant may be developmentally delayed

does not attempt to raise head when placed on stomach

a nurse is caring for an adolescent pt diagnosed with mono, what statement by the pt's parent indicates a need for further education

i will give him aspirin as needed for fever and discomfort

a nurse is caring for a child with closed head injury, what interventions should the nurse institute to decrease ICP

avoid extension of the the head

keep the body in alignment

instruct to avoid coughing and blowing nose

provide a calm, restful environment

a home health nurse is providing teaching about post-seizure management to the parents of a school-age child who has epilepsy, what should be included

record the length and character of the child's postictal period following a seizure

call for emergency medical services if the size of the child's pupils are unequal after the seizure

a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks should be expected

uses primarily two word phrases

a nurse is teaching the parents of a toddler about strategies to manage temper tantrums, what instructions should the nurse include in the teaching

establish a structured daily routine for the child

a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly licensed nurse, what statements by the newly licensed nurse indicates an understanding of the disorder

Reye's syndrome causes fatty changes in the liver

a school nurse is assessing the visual acuity of a school-age child, what finding indicates that the child should be evaluated for strabismus

movement of the uncovered eye during a cover test

a nurse is assessing a 6 month old infant during a well-child visit, what finings should the nurse report to the provider

the infant does not roll over from his abdomen to his back

a nurse is instilling otic drops into a toddlers ears, what method is used

pull the pinna down and back

a nurse is providing teaching to the parent of an infant about care seat safety, what statement by the parent indicates an understanding of the teaching

i should place the car seat rear facing until my child is 2

a nurse is providing teaching to a parents of a school-age child who has ADHD and a new prescription for methylphenidate ER capsules, what responses by the parent indicates an understanding of the nurse's instruction

i will inform my child's teacher that he is taking this medication

a nurse is providing teaching to a mother who plans to breastfeed her 3 day old infant, what info should the nurse include in the teaching

your baby will need a follow up evaluation by her provider within the next 3 days

a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3, what findings should the nurse suspect a UTI

incontinence

a nurse is caring for a school-age child who has hemophilia and reports increased bruising, what lab values provides an explanation for the finding

plt count 120,000

a nurse is preparing a teaching plan for the parent of a school-age child who has asthma, the nurse should include what manifestation as an "exacerbation" of asthma

hacking, non-productive cough

a nurse is providing discharge teaching to the parents of a 6 month old infant following a surgical procedure to repair a hypospadias, what instructions should the nurse include in the teaching

avoid giving the infant a tub bath until the stent is removed

a nurse is assessing an infant who has intussusception, what manifestation is expected

gelatinous red stool

a nurse is caring for a an infant who has GERD, what action should the nurse take to avoid regurgitation

thicken the pt's formula

avoid giving the pt citrus juices

position the child with head elevated after meals

a nurse is providing teaching to an adolescent who has a new prescription for cefazolin, what adverse effect should the nurse monitor for and report to the physician

urticaria

a nurse is caring for a child who has cancer and is receiving chemo, the parent tells the nurse that she wants to d/c treatment and take the child home, what responses should the nurse make

tell me more about your reasons for making this decision today

a charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2 year old child who has a Wilm's tumor, what actions by the newly licensed nurse requires intervention from the charge nurse

palpating the child's abdomen

a nurse is assessing a child who has sickle cell anemia and is experiencing a vasoocclusive crisis, what manifestations should the nurse expect

pain

a nurse is providing teaching to the parents of a school-age child who has pediculosis capitis, what instruction should be included

soak hear brushes in boiling water for 10min

a nurse is caring for a child who has acute glomerlulonephritis without edema, what action should the nurse take

obtain a daily weight

a nurse is reviewing the medical record of a 16 yr old brought in by his parents to receive a physical, the record indicates he received his last immunization 10 years ago, what immunizations should the nurse expect to administer to the adolescent

Tdap

a nurse is caring for a child who has congenital heart defect, the nurse should recognize that which of the following defects is associated with increased pulmonary blood flow

PDA

a nurse is admitting a child who has bacterial meningitis, what actions should the nurse take first

initiate antibiotic therapy for the child

a nurse is assessing a toddler who has infective endocarditis, what findings should the nurse expect

new heart murmur

a nurse is assessing a child who has acute renal failure, what clinical manifestations are expected

edema

a nurse is developing a plan of care for a 4yr old who has hemophilia and is experiencing acute hemarthrosis, what interventions should the nurse include in the plan

place ice packs on the affected joints

a nurse is providing discharge teaching to the parent of a school-age child who has an infection of the throat caused by group A beta hemolytic streptococci, what instructions should the nurse give to the parent

continue to administer the prescribed antibiotic for 10d

give your child acetaminophen or children ibuprophen for fever

a nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate, what instruction should the nurse include

administer the second dose of the medication at lunch time

a nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. the parent asks, what should i do if the tubes fall out. what should the nurse instruct

notify the provider that the tubes have fallen out

a nurse in the emergency department is caring for a preschooler who has epiglottitis , what action should the nurse take

initiate droplet precautions for the child

a nurse is providing discharge teaching to the parents of a child who has sickle cell anemia and was hospitalized after experiencing a vasoocclusive crisis. what instructions should the nurse include in the teaching

increase your child's intake of oral fluids

a nurse is caring for a child who has bacterial meningitis, what action should the nurse take

initiate seizure precautions

a nurse is teaching a school-age child and her parents about managing diabetes mellitus during illness, the nurse determines teaching has been effective when they indicate they will provide which of the following when the child is ill

increased fluids

a nurse is caring for a toddler who drinks 950mL (32oz) of milk per day and has poor appetite, the nurse should identify that the toddler is at risk for

iron deficiency anemia

a nurse is providing teaching to an adolescent who has type 2 diabetes mellitus and a new prescription for metformin, what instruction should the nurse include

take the medication at the same time each day

a nurse is assessing an infant who has hydrocephalus, what clinical manifestations should the nurse expect

separated cranial sutures

a nurse is teaching the parent of an infant about preventing SIDS, what following statement should the nurse make

you should put your infant in bed with a pacifier

a nurse in the ED is creating a plan of care for a child who has an acute head injury following a fall from playground equipment, what interventions should the nurse include

initiate seizure precautions for the child

a nurse is caring for a 4m old infant who is immediately postop following cleft palate repair, what intervention should the nurse take

apply elbow restraints to the infant

a nurse is assessing a 5 month year old infant during a well-child visit, what finding should the nurse report to the provider

the infant does not make consonant sounds when babbling