Take full exam for free

The nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

When planning care for children, the nurse knows that which factor has the largest impact but is not able to be altered to influence the growth and development of children?

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 nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?

Which of the following conditions is commonly associated with tetralogy of Fallot?