A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe
A. Identifies right from left hand
B. Uses a utensil to spread butter
C. Cuts a shape using scissors
D. Draws a stick figure with seven body parts
answer
C. Cuts a shape using scissor
question
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero
answer
1
question
A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply
Increased temperature
A. Gingival hyperplasia
B. Xerophthalmia
C. Bradycardia
D. Cervical lymphadenopathy
answer
increased temperature is correct. Kawasaki disease is an acute illness associated with a fever lasting more than 4 days that is unresponsive to antipyretics or antibiotics.
Gingival hyperplasia is incorrect. Children who have Kawasaki disease develop a strawberry tongue, cracked lips, and edema of the oral mucosa and pharynx. A child who is receiving phenytoin therapy can develop gingival hyperplasia.
Xerophthalmia is correct. Ophthalmic manifestations of Kawasaki disease include reddening of the conjunctiva and dryness of the eyes, or xerophthalmia.
Bradycardia is incorrect. Kawasaki disease is an infection that affects the vascular system, including the heart. The nurse should expect the child to be tachycardic with a gallop rhythm. Long term effects of Kawasaki disease include the development of coronary artery aneurysms or myocardial infarction.
Cervical lymphadenopathy is correct. The child who has Kawasaki disease may develop enlarged cervical nodes on one side of the neck that are nontender and greater than 1.5 cm in size.
question
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. The nurse should identify which of the following statements by the child as understanding the teaching
A. "I will puncture the pad of my finger when I am testing my blood glucose."
B. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
C. "I will eat a snack of 5 grams of carbohydrates if my blood glucose is low."
D. I will decrease the amount of fluids I drink when I am sick."
answer
B. I will give myself a shot of regular insulin 30 minutes before I eat breakfast
question
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect
A. Increase in anterior convexity of the lumbar spine
B. Increased curvature of the thoracic spine
C. Lateral flexion of the neck
D. A unilateral rib hump
answer
D. a unilateral rib hump: When assessing an adolescent for scoliosis, the school nurse should expect to see a unilateral rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result of a neuromuscular or connective tissue disorder, or it can be congenital in nature.
question
A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis
Decreased cerebrospinal fluid pressure
Decreased WBC count
Increased protein concentration
Increased glucose level
answer
C. increased protein concentration: The nurse should recognize that an increased protein concentration in the spinal fluid is a finding associated with bacterial meningitis.
question
A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan
A. Administer pancreatic enzymes 2 hr after meals.
B. Decrease pancreatic enzymes if steatorrhea develops.
C. Limit fluid intake to 750 mL per day.
D. Increase fat content in the child's diet to 40% of total calories.
answer
D. Increase fat content in the child's diet to 40% of total calories :A child who has cystic fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of pancreatic enzymes. The nurse should increase the child's fat intake to equal 40% of total caloric intake.
question
A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first
answer
tachypnea: When using the airway, breathing, circulation approach to client care, the first finding the nurse should address is the toddler's tachypnea, which results when the kidneys are unable to excrete hydrogen ions and produce bicarbonate leading to metabolic acidosis.
question
A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycling accident. Which of the following actions should the nurse take first
answer
Explore the parents' feelings and wishes regarding organ donation
question
A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain at 7 on a 0 to 10 scale. Which of the following actions should the nurse take
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO.
D. Apply a heating pad to the child's abdomen.
answer
B. Give morphine 0.05mg/kg IV
question
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant
answer
Great toe: he nurse should secure the sensor to the great toe of the infant and then place a snug-fitting sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site frequently for pulses, temperature, and color.
question
A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication
A. Erythrocyte sedimentation rate 18 mm/hr
B. WBC 6,200/mm3
C. C-reactive protein 1.4 mg/L
D. RBC 4.7 106/µL
answer
A. Erythrocyte sedimentation rate 18 mm/hr: An erythrocyte sedimentation rate of 18 mm/hr is above the expected reference range and is an indication of osteomyelitis.
question
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following findings should the nurse expect
A. Koplik spots
B. Hoarseness
C. Facial rash
D. Splenomegaly
answer
C. Facial rash: Erythema on the face, predominantly on the child's cheeks, is a manifestation of erythema infectiosum (fifth disease). The erythema causes the child to have the appearance of a "slapped face." The rash lasts from 1 to 4 days.
question
A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make
A. I think it is important that you provide emotional support for your family at this time."
B. "I agree that you have to do what you feel is best for yourself during this stressful time."
C. "You can't mean that; I'm sure you want to be there for your family."
D. "Let's talk about some of the ways you have handled previous stressors in your life."
answer
D. "Let's talk about some of the ways you have handled previous stressors in your life
question
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent should the nurse identify as understanding the teaching
A. Mononucleosis is caused by an infection with the Epstein-Barr virus."
B. Mononucleosis is a bacterial infection requiring 14 days of antibiotics."
C. "A Monospot is a throat culture used to diagnosis mononucleosis."
D. "Children who get mononucleosis will need to refrain from sports for 6 months."
answer
A. Mononucleosis is caused by an infection with the Epstein-Barr virus
question
A nurse in an emergency department suspects that a toddler has epiglottitis. Which of the following actions should the nurse take
A. Obtain a culture from the toddler's throat.
B. Prepare the toddler for nasotracheal intubation.
C. Visually inspect the epiglottis using a tongue depressor.
D. Administer the Haemophilus influenzae type B conjugate vaccine.
answer
B. Prepare the toddler for nasotracheal intubation: When epiglottitis is suspected the nurse should prepare for nasotracheal intubation or a tracheostomy, which might be required if the toddler begins to experience severe respiratory distress.
question
A nurse is caring for a toddler who has acute otitis media and a temperature of 40º C (104º F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature
A. Apply a cooling blanket to the toddler.
B. Dress the toddler in minimal clothing.
C. Give the toddler a tepid bath.
D. Administer diphenhydramine to the toddler.
answer
B. Dress the toddler in minimal clothing
question
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
answer
A. Loud, harsh murmur
question
A nurse is providing discharge teaching to the parent of a school-age child who has undergone a tonsillectomy. Which of the following statements by the parent should the nurse identify as understanding the teaching
A. My child may resume usual activities since this was just an outpatient surgery."
B. "My child will be able to drink the chocolate milkshake I promised to get for her tonight."
C. "I will notify the doctor if I notice that my child is swallowing frequently."
D. "I will have my child gargle with warm salt water to relieve her sore throat."
answer
C. "I will notify the doctor if I notice that my child is swallowing frequently: The nurse should instruct the parent that frequent swallowing is a sign of bleeding and, if it is observed, to notify the primary care provider immediately.
question
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next
A. Insert an indwelling urinary catheter.
B. Measure weight and height.
C. Initiate IV access.
D. Maintain ECG monitoring.
answer
C. Initiate IV access
question
A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take
A. Place the child in a room with positive-pressure airflow.
B. Place the child in a room with negative-pressure airflow.
C. Initiate contact precautions for the child.
D. Initiate droplet precautions for the child.
answer
D. Initiate droplet precautions for the child
question
A nurse is caring for a 2-week-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain
A. Instruct the mother not to breastfeed for 1 hr after the procedure.
B. Undress the infant and place him under a radiant warmer prior to the procedure.
C. Administer sucrose to the infant prior to the procedure.
D. Recommend the mother avoid placing the infant in the kangaroo hold after the procedure.
answer
C. Administer sucrose to the infant prior to the procedure
question
A nurse is teaching a school-age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include
A. Stay home from school for 1 week following the procedure."
B. Follow a diet that is low in fiber for 1 week."
C. Wait 3 days before taking a tub bath."
D. Apply a pressure dressing to the site for 3 days."
answer
C. Wait 3 days before taking a tub bath: The child should keep the site clean and dry for at least 3 days to reduce the risk of infection. He should not take a tub bath for 3 days to avoid immersion of the incision in water.
question
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority when making a room assignment
A. Length of stay
B. Treatment schedule
C. Disease process
D. Self-care ability
answer
C. Disease procesS
question
A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provide
A. Urticaria
B. Fatigue
C. Vomiting
D. Anorexia
answer
A. urticaria
question
A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching
A. Covering the sleeping infant with a blanket
B. Supine sleeping
C. Maternal history of milk allergy
D. Pacifier use during sleep
answer
A. Covering the sleeping infant with a blanket
question
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period
A. Place the child in a lateral position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
D. Administer an oral sedative to the child.
answer
A. Place the child in a lateral position
question
A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include
A. The child should be able to stand on the balls of her feet when sitting on the bike.
B. The child should ride her bike 2 feet to the side of other bike riders.
C. The child should wear dark-colored clothing with a fluorescent stripe when riding at night.
D. The child should ride the bike facing traffic when it is necessary to ride in the street.
answer
A. The child should be able to stand on the balls of her feet when sitting on the bike
question
A nurse is providing anticipatory guidance to the parents of an 8-month-old infant during a well-child visit. Which of the following statements should the nurse make
A. Your baby should be able to stand while holding on to furniture."
B. "Your baby should be able to say one to two words."
C. Your baby should be able to sit unsupported."
D. "Your baby should be able roll a ball to you."
answer
C. "Your baby should be able to sit unsupported
question
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take
A. Place the infant in a knee-chest position.
B. Administer a dose of meperidine IV.
C. Discontinue administration of IV fluids.
D. Apply oxygen at 2 L/min via nasal cannula.
answer
A. Place the infant in a knee-chest position: The nurse should place the infant in a knee-chest position during a hypercyanotic spell to decrease the return of desaturated venous blood from the legs and to direct more blood into the pulmonary artery by increasing systemic vascular resistance.
question
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area
A. Zinc oxide
B. Antibiotic ointment
C. Talcum powder
D. Antiseptic solution
answer
A. Zinc oxide: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin to heal.
question
A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss
answer
The toddler received tobramycin during a hospitalization 2 weeks ago: The nurse should identify tobramycin as an aminoglycoside, which is an ototoxic medication that can cause mild to moderate hearing loss, and should assess the toddler for a hearing impairment.
question
A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take
A. Routinely suction every 30 min.
B. Instill 0.9% sodium chloride prior to suctioning.
C. Limit suctioning pressure to 40 mm Hg.
D. Suction for 5 seconds or less.
answer
D. Suction for 5 seconds or less
question
A nurse is teaching the mother of a 6-month-old infant about teething. Which of the following statements should the nurse make
A. Your baby may pull at her ears when she is teething."
B. "Rub your baby's gums with an aspirin to decrease her discomfort."
C. "Place a beaded teething necklace around your baby's neck."
D. "Your baby's upper middle teeth will erupt first."
answer
A. "Your baby may pull at her ears when she is teething
question
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney
answer
Serum creatinine 3.0 mg/dt: Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the normal reference range and may indicate rejection of the kidney.
question
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction
answer
flank pain
question
A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect
A. Resists having an axillary temperature taken
B. Exhibits withdrawal behaviors when her parent leaves
C. Has multiple bruises on her knees
D. Poor personal hygiene
answer
D. Poor personal hygiene
question
A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take
answer
Screen the child's visitors for indications of infection
question
A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following instructions should the nurse include in the teaching
answer
Use a second dose if the first dose of epinephrine does not completely reverse the symptom: A biphasic response, in which the child will appear to recover and then experience a recurrence of symptoms, is possible with some allergic reactions. The nurse should instruct the parent and child to use a second dose if the first dose does not resolve all the symptoms.
question
A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Polyuria
answer
B. abd distention
question
A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider
A. Hgb 8.5 g/dL
B. WBC 9,500/mm3
C. Prealbumin18 mg/dL
D. Platelets 300,000/mm3
answer
A. hgb 8.5 The child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the blood forming cells of the bone marrow. The development of anemia is diagnosed through laboratory testing of hemoglobin and hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is below the expected reference range for a 6-year-old child and should be reported to the provider.
question
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
A. Prednisone
B. Epinephrine
C. Diphenhydramine
D. Albuterol
answer
B. epinephrine: This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to evidence-based practice the nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
question
A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect
A. Deep respirations of 32/min
B. Shallow respirations of 10/min
C. Paradoxic respirations of 26/min
D. Periods of apnea lasting for 20 seconds
answer
A. Deep respirations of 32/min: The nurse should expect deep and rapid respirations in a child who has diabetic ketoacidosis. This respiratory rhythm is the body's attempt to blow off excess carbon dioxide and achieve a state of homeostasis.
question
A nurse is caring for a newly-admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child's condition
A. Desmopressin
B. Luteinizing hormone-releasing hormone
C. Recombinant growth hormone
D. Levothyroxine
answer
C. Recombinant growth hormone: Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell growth and results in growth failure. The nurse should expect the provider to recommend this treatment to the child's parents. The nurse's role is to provide emotional support for the parents as they make a decision about the treatment they feel is best for their child.
question
A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler
A. Apple juice
B. Peanut butter
C. Chicken broth
D. Oral rehydration solution
answer
D. Oral rehydration solution
question
A nurse is teaching the parent of an infant who has a Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching
A. I should remove the harness at night to allow my infant to stretch her legs."
B. I will need to adjust the straps on the harness once each week."
C. I should apply baby powder to my infant's skin twice daily."
D. "I will place my infant's diapers under the harness straps."
answer
D. "I will place my infant's diapers under the harness straps
question
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data
EXHIBIT
A. Episodes of vomiting
B. Formula consumption
C. Weight
D. Temperature
answer
Episodes of vomit: When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is three episodes of vomiting. This can indicate digoxin toxicity, which requires immediate intervention; therefore, this is the priority finding.
question
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching
A. You may bathe your infant in an infant bathtub when you go home."
B. Apply hydrocortisone cream to your infant's penis daily."
C. "You should clamp your infant's stent twice daily."
D. Allow the stent to drain directly into your infant's diaper."
answer
D. "Allow the stent to drain directly into your infant's diaper: The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to prevent kinking or twisting that can interfere with urine flow
question
A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent should the nurse identify as understanding the teaching
"I will use a humidifier in my child's room at night."
"I will give my child a cough suppressant every six hours if he has a cough."
"I should avoid using a wet mop on my floors when I am cleaning."
"I should keep my child indoors when I mow the yard."
answer
"I should keep my child indoors when I mow the yard
question
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply)
Steatorrhea
Vomiting
Lethargy
Constipation
Weight gain
answer
vomiting, lethargy: Steatorrhea is incorrect. The nurse should expect the infant with intussusception to have bloody stools that are currant jelly-like in appearance. Steatorrhea is bulky, fatty stools, and is a manifestation of cystic fibrosis.
Vomiting is correct. The nurse should expect the infant with intussusception to exhibit vomiting due to the obstruction that occurs when a segment of the bowel telescopes within another segment of the bowel.
Lethargy is correct. The nurse should expect the infant with intussusception to exhibit lethargy due to episodes of severe pain during which the infant cries inconsolably leading to exhaustion and decreased nutritional intake.
Constipation is incorrect. The nurse should expect the infant with intussusception to have mucus-filled and currant jelly-like diarrhea due to the leaking of blood and mucus into the intestinal lumen.
Weight gain is incorrect. The nurse should expect the infant with intussusception to have weight loss due to anorexia and episodes of vomiting and diarrhea.
question
A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the following findings to the provider
answer
Restricted ability to move the toe
question
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? (Click on the audio button to listen to the clip
A. Wheezes
B. Crackles
C. Pleural friction rub
D. Rhonchi
answer
A. wheezes
question
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
A. Administer ibuprofen to the child for a temperature greater than 38º C (101º F).
B. Assess the child's blood pressure every 8 hr.
C. Weigh the child weekly at various times of the day.
D. Initiate seizure precautions for the child.
answer
D. Initiate seizure precautions for the child: A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions in order to maintain the child's safety.
question
A nurse is assessing a 6-month-old infant at a well-infant visit. Which of the following findings should the nurse report to the provider
A. Presence of strabismus
B. Presence of corneal light reflex
C. Presence of open anterior fontanel
D. Presence of cerumen
answer
A. Presence of strabismus: Strabismus, or crossing of the eyes, disappears at 3 to 4 months of age. Therefore, the nurse should report this finding to the provider.
question
A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plaN
A. Use sterile scissors to remove the dressing from the site.
B. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use.
C. Access the site using a noncoring angled needle.
D. Use a semipermeable transparent dressing to cover the site.
answer
D. Use a semipermeable transparent dressing to cover the site
question
A nurse in an emergency department is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take
A. Administer a tetanus toxoid if more than 1 year since prior dose.
B. Use an antimicrobial ointment on the affected area.
C. Leave the burn area open to air.
D. Place an ice pack on the affected area.
answer
B. Use an antimicrobial ointment on the affected area
question
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
answer
Provide small, frequent meals to the child
question
A nurse is caring for a school-age child who has acute rheumatic fever. Which of the following actions should the nurse take
answer
Maintain the child on bed rest
question
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
A. Hypotension
B. Hyperactivity
C. Decreased attention span
D. Tachycardia
answer
C. Decreased attention span
question
A nurse is preparing to administer a hep B vaccine to a 1-month-old. The nurse should plan to inject the medication at which location?
answer
Thigh
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