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A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?

A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?

When the nurse examines a toddler, she suggests to his mother that the activity that could most appropriately foster his developmental task according to Erikson would be to:

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever.

Medication Administration Record

0630:

0.9% sodium chloride at 97 mL/hr

Diagnostic Results

0650:

WBC count 22,000/mm3 (5,000 to 10,000/mm3) RBC count 4.5/mm3 (4.0 to 5.5/mm3)

Hgb 14 g/dL 9.5 to 14 g/dL)

Hct 44% (30% to 40%)

Platelets 350,000/mm3 (150,000 to 400,000/mm3)

C-Reactive Protein 1.8 mg/dL (less than 1.0 mg/dL)

Nurses' Notes

0600:

Client presents to the ED with guardian. Client reports that they began having pain around their "belly button" the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning, Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale.

0620:

Notified provider of client's arrival and assessment data. Prescriptions received.

0630:

IV started in right forearm x 1 stick with 22-gauge cathalon. Securement device and tegaderm placed. Infusing 0.9% sodium chloride 97 mL/hr via IV pump. CBC and C-Reactive Protein drawn and sent to lab.

0700:

Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin.

Vital Signs

0600:

Temperature 37.7° C (99.9° F). Pulse rate 98/min, strong and regular. Respiratory rate 22/min, blood pressure 124/64 mm Hg, oxygen

saturation 99% on room air.

Height: 163 cm (5 ft 4 in)

Weight: 56.7 kg (125 lb)

0700:

Temperature 38.4° C (101.1° F). Pulse rate 112/min, strong and regular. Respiratory rate 24/min, blood pressure 138/88 mmHg, oxygen saturation 98% on room air.

Provider Prescriptions

0620:

Start 0.9% sodium chloride IV

Infuse IV fluids at 97 mL/hr

Draw CBC and C-reactive Protein

Notify provider of lab results

The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)

A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?

The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?