NURSE 2230c Study Guide (2014-15 Kennedy) - Instructor Kennedy [PDF]

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How old are herbal remedies as old as human kind

How does US Food and Drug administration classifies herbal remedies dietary supplements

What is a negative to herbal remedies they are not regulated by the FDA

What organizations have been form to do research on herbal remedies: -Council for Responsible Nutrition -American Herbal Association -American Botanical Council -Commission E (German Federal Health Agency)

Myth or Fact something being "natural" means it is therefore completely safe Myth - some plants can be highly toxic

Black Cohosh

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Clinical Pearl for herbal remedies

Learning System Ati Gi (/Notes/Note/N/Learning-System-AtiGi/Deck/10029793)

ask the client about any herbal preparation he or she may be taking interact with OTC and Prescription

Ati For Funds (/Notes/Note/N/Ati-ForFunds/Deck/17545372) Ati Final (/Notes/Note/N/AtiFinal/Deck/16938186)

Cascara sagrada

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Chamomile

Echinacea

Maternity Hesi (/Notes/Note/N/MaternityHesi/Deck/10587208) Nursing Logic 1 (/Notes/Note/N/Nursing-Logic1/Deck/17738450) Psych Ati (/Notes/Note/N/PsychAti/Deck/10765905) 1 Apn (/Notes/Note/N/1-Apn/Deck/17525847)

Fennel

Feverfew

Recent Class Questions Generally, There Are No Restrictions On The Dissociation By Any Partner From A Limited... (/Notes/Hh/Generally-Restrictions-DissociationAny-Partner-From-LimitedPartnership/027823086044955368)

Ginger

Ginkgo

Why Are Datp, Dctp, Dttp And Dgtp Added To A Pcr Reaction Tube (/Notes/Hh/Why-DatpDctp-Dttp-Dgtp-Added-Pcr-ReactionTube/17736876943485285) What Protein Is The Most Important Buffer In Erythrocytes (/Notes/Hh/What-Protein-MostImportant-BufferErythrocytes/01656611777406209)

Ginseng

Hops

Kava-Kava

Passion-flower

Pepperiment

Psyllium

Scullcap

St. John Wart

Valerian

Anger is associated with

Anger is a stage in what process

If an individual is fixed in the anger stage they may become

If a person is stucked in the anger stage what do the do

Do individuals always recognize they are angery

How can one help a person realize their true feelings

Agression

What are the classifications of aggresive behavior

Characteristics of aggression

How do you manage aggression/violence

What three factors are important to consider in assessing for potential violence

What mental health diagnosis have a strong correlation to violent behavior

Mental health diagnosis that have a smaller correlation to violence

What is prodromal syndrome

What behaviors are associated with prodromal syndrome

What check list is used to assess for potential violence

What two nursing diagnosis are there for anger/aggression

What are nursing outcomes for anger/aggression

Pet therapy influences

Results of studies:

What do pets provide

Is pet therapy an accepted practice

Catharsis

Why is catharsis used in psychoanalysis

Altrusim

benefits of altruism

Yalom curative factors

the instillation of hope

universality

imparting of information

corrective recapitulation of the primary family group

development of socializing techniques

imitative behavior

interpersonal learning

catharsis (Curative factors)

existential factors

What is the role of the interdisciplinary team (IDT) in a mental health

IDT consists of

Unconditional positive regard (Carl Rodgers)

How can a nurse convey unconditional positive regard

Peplau belief on therapeutic relationship

therapeutic relationships

therapeutic use of self

interpesonal communication techiniques

What characteristics enhance therapeutic relationships

Phase of the therapeutic relationship

therapeutic communication

therapeutic communication techniques

using silence

accepting

giving recognition

offering self

giving broad openings

offering general leads

placing the event in time or sequence

making observations

encouraging description of perceptions

encouraging comparison

restating

reflecting

focusing

exploring

seeking clarification and validation

presenting reality

voicing doubt

verbalizing the impaired

attempting to translate words into feelings

formulating a plan of action

Brief mental status evlauation (first half)

brief mental status evaluation (second half)

orientation to time

orientation to time

attention and immediate recall

abstract thinking

recent memory

naming objects

ability to follow simple verbal command

ability to follow simple written command

ability to use language correctly

ability to concentrate

understanding spatial relationships

milieu therapy

Milieu Therapy

milie is french for

English translation of milieu

goal of milieu therapy

What is expected of the client in the therpeutic community

nurses role in milieu therapy

group therapy

types of group therapy

physical conditions that influence group dynamics

best group size

Phase of group therapy

Functions of a group

cardiogenic shock

AICD

Mitral Valve Prolapse signs and symptoms

T Wave

Decreased Cardiac Output

Pulsus Paradoxus

QRS complex

or Paradoxical Pulse

Hypothermia precautions

Ventricular fibrillation

Intracardiac Thrombi

Atrial Flutter

Cardioversion

Defibrillation

Central venous pressure

Rheumatic fever

Pericarditis

Pulmonary artery monitoring system

the overall goal of cardiac disorders

Atrial Fibrillation

coronary artery bypass graft

Mechanical Valves

Pacemaker Codes

Maze Procedure

Coronary Artery Stent

Ventricular Tachycardia

Aortic regurgitation

Transcutaneous pacing

Rheumatic endocarditis

Cocaine Intoxication

Diagnostic tests for an MI

Areas of the heart affected by and MI

when is the greatest risk for V.Fib?

ECG changes with an MI

Signs and Symptoms of ACS and MI

Angina

allen's test

nursing care for an arterial line

thrombolytic therapy

Beta blockers

complications after percutaneous coronary intervention

cardiac rehab goals

Types of tissue valves

Cardiomyopathy

pulmonary edema

Management of pulmonary edema

Therapeutic responses

Promotion of a therapeutic community includes

Autocratic leadership style

Democratic

Laissez-Faire

Role of aggressor related to group participation

Role of the RN in the group process

Selection of a therapeutic response

Termination phase in groups

Self-Help groups

DevelopmentalCrisis

Situational Crisis

Psychiatric Emergencies

Interventions for dealing with angry clients

Staff debriefing (after talking down)

Why set limits for clients in mental health treatments

disadvantages of ET tube

indications for trach tube

pre-op teaching thoracic surgery

what are chest tubes for

management of cuff on tubes

criteria for weaning

how do you know if air leak

help pt on ventilator communicate

difference between cpap and bipap

when should the nurse use suction

what is studied before pulmonary resection

activity after thoracotomy

what is assessed prior to suctioning

how much h2o in chest tube system

how much water in chest tube system

teach pt go7ng home with o2 therapy

cuff pressure

what type of coughing ifnthe patient has pain

pt comes to the er with ards what to expect

s & sx pneumothorax

what medications after PE

what is the tx for small flail chest

tests for ards

what to teach children about smoking cessation

s & sx of acute respiratory failure

2 major complication ards

characteristics of small cell cancer

tx for ards Intubation ventalation, peep, adequate fluid volume,nutrition

Panic Disorder

Generalized Anxiety Disorder (GAD)

Patient education R/T systematic desensitization.

Patient education for the bulimic client regarding teeth deterioration.

How do behavior modification programs help clients with eating disorders?

Select appropriate outcome for the client with altered body image related to his/her eating disorder.

What might the nurse educate the family of an Anorexic client regarding the importance of why a family meeting should take place prior to discharge.

Understand the client response patterns of rape/abuse (ex. expressed response, controlled response...) the behaviors the client typically would manifest.

The relationship between guns/weapons and rape/abuse, why might the victimizer use/show a weapon in this situation.

Optimal nursing interventions R/T the care of the aging individual:

Depression and the Aging Individual:

The grieving behavior expected from teenage client:

Worden's 4 tasks view the bereavement experiences (focus on understanding behaviors that would delay or prolong grieving process. #1 of 3

Cultural considerations regarding death and dying of African Americans:

What is an appropriate nursing intervention for a client with OCD?

Dysfunctional grieving:

Worden's 4 tasks view the bereavement experiences (focus on understanding behaviors that would delay or prolong grieving process.

Worden's 4 tasks view the bereavement experiences (focus on understanding behaviors that would delay or prolong grieving process. 3 of 3

Cultural considerations regarding death and dying of Jewish Americans:

GI: PUD-Prevent Dumping Syndrome Pg 553

GI: PUD Complications Pg 554

GI: Understanding of TPN Pg 524

GI: Calculating Protein Intake (suggested)

GI: IBD-Dietary Recommendations Pg 583

GI: IBD-Interpreting Lab Results Pg 582

GI: Teaching Colostomy Care Pg 533

GI: Noninflammatory Bowel DO - Self Management Strategies (suggested)

GI: Teaching About Paracentesis Pg 527

Renal: Renal Calculi Dietary Restrictions Pg 703

Renal: Dialysis Complications Pg 642

Renal: Evaluating Pt Understanding of AKI & CKD Pg 676

Renal: IV Urography Pg 633

Renal: Priority Lab Values AKI and CKD

Renal: Assessing an AV Graft

Renal: Dietary Restrictions

Musculoskeletal: Quad Cane Use W/ Hemiplegia

***Musculoskeletal: Arthroplasty-Positive Pressure Motion Device

Musculoskeletal:Post Op Care Knee Arthroplasty

Pre/Post Op Care: Prophylactic DVT Care

Pre/Post Op Care:Using An Incentive Spirometer

Pre/Post Op Care:Recognizing Risk Factors For Atelectasis

Pre/Post Op Care:Recognizing Deviations in Lab

Reproductive: Preventing Complications Post TURP

Reproductive: Safe Sex Practices

Reproductive: MenopauseAdverse Med Effects

Reproductive: Delegation of Post Op Care After Prostate Surgery

Meds: Teaching About Allopurinol

Meds: Evaluating Epogen Effectiveness

Meds: Self-Administration enoxaparin (Lovenox)

Meds: Side Effects of Meds For HTN

Meds: hyper sensitivity to morphine

Meds: expected findings after Narcan

Meds: Dilantin teaching

Meds: monitoring the initial dose of lisinopril

Meds: adverse effects of garlic therapy

Meds: digoxin administration

blood transfusions: evaluate therapeutic response

blood transfusions: allergic reaction

blood transfusions: interventions for transfusion reactions

blood transfusions: infusion of autologous salvaged blood

Cardiac & PVD: EKG abnormalities after an MI

Cardiac & PVD: Vfib related to hemodynamic shock

Cardiac & PVD: manifestations of left sided heart failure

Cardiac & PVD: manifestations of thoracic outlet syndrome

Cardiac & PVD: cath postop care

Cardiac & PVD: post op CABG findings

Cardiac & PVD: complications from angina and MI

Cardiac & PVD: aneurysms – signs and symptoms of aortic dissection

IVs: complications of IV therapy

IVs: verifying PICC placement

IVs: accessing an implanted port

IVs: assessing and arterial line

respiratory: vent – need for suctioning

respiratory: TB meds

respiratory: complications after extubation

respiratory: risk for PE

respiratory: PE interventions

respiratory: chest tube air leak monitoring

respiratory: choosing appropriate oxygen equipment

Interpreting Tuberculin test (mantuox)

Endocrine: Administering Insulin

Endocrine: care for diabetes insipidus

***Endocrine: patient teaching DM meds

Endocrine: postop care thyroidectomy

Endocrine: hyperthyroidism lab values

Endocrine: glycosylated Hgb test

Endocrine: DM foot care

Electrolytes: treating hypomagnesemia

***Electrolytes:

Electrolytes: evaluation of K therapy

Disorders of the Eye:

Cancer: laryngeal cancer/body image disturbance

Cancer: dietary considerations for stomatitis

Cancer: brachytherapy care

Cancer: immunocompromised precautions

Neuro: monitor CSF leak

Neuro: cervical injury

Neuro: risk for seizures

mass casualty triage

Thrombocytopenia:

burns – priority interventions

Infection Control (ATI Website)

A nurse is working as part of a research team evaluating children for participation in a research study. The nurse demonstrates respect for persons when the nurse obtains assent from children over which age?

While providing care to a Muslim child, whose parents have very strong beliefs when it comes to medical care. The nurse informs the parents about the treatment plans, respects their beliefs, and helps the parents make

Which of the following methods would the nurse use when working with an interpreter? Select all that apply.

A child needs a consent form signed for a minor surgical procedure. Which of the following statements accurately describes the responsibilities of the health care providers when obtaining the consent?

The nurse is caring for a 14year-old girl with multiple health problems. Which of the following activities would best reflect evidence-based practice by the nurse?

To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups?

During an assessment, the nurse asks a patient from a non-English-speaking culture which types of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient this question?

The nurse is caring for a 2year-old boy who needs a lumbar puncture. His mother is present. Which of the following would prevent informed consent from being obtained?

Documenting client care and education (medical records) serves several purposes. Which one of the following is not a reason to document care?

Which of the following is a trend in pediatric health care today?

What makes the area of pediatric nursing a difficult arena to provide care at times?

The nurse is caring for a 12year-old child hospitalized for internal injuries following a motor vehicle accident. For which of the following medical treatments would the nurse need to obtain an informed consent beyond the one

A 16-year-old child is admitted to the hospital for treatment after a motor vehicle crash. Review of the child's record reveals that she is an emancipated minor. The nurse interprets this as indicating which of the

The nurse is providing familycentered care for a 6-year-old boy with cancer. Which of the following actions is most likely to be an asset related to the case management process?

The nurse is functioning in the primary role to care for a 12year-old boy with metastatic cancer in the liver. Which of the following activities is typical of advocacy?

A nurse is teaching a group of sexually active adolescents about contraception and prevention of sexually transmitted infections. Which measure is the nurse performing?

A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?

You are going to provide an education program to early grade-school children. Which of the following topics would address the number one cause of death for this age group?

A nurse is determining whether or not informed consent has been obtained from the family of a child who is going to have abdominal surgery. Which statement by the family would lead the nurse to suspect that

When describing organ donation to the family of a dying child, which of the following would the nurse include in the discussion?

An older couple approaches the nurse's station seeking information about their hospitalized grandchild. What should be the nurse's response?

The nurse is caring for a child brought to the emergency department by a babysitter. The child needs an emergency appendectomy and the parents cannot be contacted. What would be the nurse's best response to this

Which of the following are areas of leading health indicators in the Healthy People initiative? Select all that apply.

The nurse is planning an educational session for community members to address the issue of schoolage child mortality. Which topic should the nurse identify as the highest priority for this population?

The pediatric nurse knows that the children she is treating are considered minors. Which of the following statements accurately describes the regulations related to consent for medical treatment?

A 15-month-old girl is having her first health visit at a clinic. The mother has no immunization record but says the child was immunized 3 months ago at the local health department. Which of the following is the best action for

The nurse dealing with global populations knows that the health of individuals in North America continues to improve, but much room for improvement remains. Which one of the following statements accurately reflects

The student nurse is learning about the past history of child health and health care in the United States. Which of the following statements accurately reflects the condition of health care in the past and current centuries?

A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?

After describing the procedure and medical necessity, the nurse asks a 14-year-old child to assent to a skin graft. Which of the following statements accurately describes the requirements for this type of assent?

When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important?

The nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which of the following children would potentially be considered an

The 5-year-old in the emergency room is having glass removed from a wound. Which action constitutes ethical behavior by the nurse?

The nurse is counseling a family with a school-age child. She emphasizes that priority considerations include which of the following? Select all that apply

The parent of an 11-year-old female patient with an inoperable brain tumor confides to the nurse that her daughter's physician is "pushing them" to convince their daughter to participate in a controversial treatment that

More nurses are stepping into the role of the advanced practice nurse. Which of the following would be the nurse to provide care for children under the age of 18?

After hearing of a lawsuit being filed by a patient against another nurse, a nurse becomes concerned about her own potential liability in working with premature infants at high risk for morbidity and mortality.

The nurse is collecting data on a two month old during a well child visit. The new mother is asking questions about the growth chart the nurse is completing. Which of the following is the best response by the nurse?

The nurse is caring for a 12year-old patient with neuroblastoma. The nurse enters the room to hang a new bag of IV fluid. The mom looks up and states she feels helpless and there is nothing she can do for her child.

A pregnant client tells her nurse that a friend of hers recently gave birth to an infant who was found to have congenital heart disease. She asks the nurse whether there is anything she can to reduce the risk of this type of

The nurse is caring for a 1month-old girl with low-set ears and severe hypotonia who was diagnosed with trisomy 18. Which nursing diagnosis would the nurse identify as most likely?

When providing care for a pediatric patient who is 15 years old, which of the following should the nurse do while performing a cultural assessment? Select all that apply.

A new mother who is single is sharing her concerns about the cost of daycare with her nurse. She is new to the area. The nurse recognizes that which of the following trends are likely contributing to this patient's concerns? Select all

The nurse is caring for a 7year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of his condition and care. Which of the following is the most effective way of advocating for this child and

When providing care to a child, which aspect would be most important for the nurse to consider related to informed consent?

The nurse is caring for a 5year-old girl with meningitis. Which of the following may be considered ethical behavior?

The pediatric nurse operates according to the standards of professional performance according to the American Nurses Association (ANA) Scope and Standards of Pediatric Nursing Practice. Which of the following

The primary focus of health care education by nurses to clients is which of the following?

. The nurse is trying to get consent to care for an 11year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority?

A nurse is faced with an ethical conflict involving the care of a child. The child's parents disagree with the physician about the use of a feeding tube. The nurse sees the benefits and limitations of both parties' views. Which of

The nurse is providing care for a 9-year-old girl who is medically fragile. Which of the following is an example of the nursing role of collaboration?

A terminally ill 15-year-old tells the nurse that she wants to stop all treatments and go home despite her parents' directives to provide extraordinary means to keep their child alive. What is the best resource available to this

Which of the following age groups has the lowest mortality rate?

A nurse has educated a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent?

The school nurse is preparing a nursing care plan for a 2year-old child with hearing impairment. Which of the following interventions will be part of the plan?

When you examine a toddler, you suggest to his mother that the activity that could most appropriately foster his developmental task according to Erikson would be to do which of the following?

Based on the principles of growth and development, which of the following assessment findings would lead you to determine that a child is developing normally?

Which observation by the nurse indicates that an adolescent's cognitive thinking is developing at an expected level?

A school-aged child always follows the rules and obeys traffic lights when crossing the street. Based on Kohlberg's theory, what type of development is being demonstrated?

Using Erikson's theory, a nurse asks a young adult questions about family, friends, and support systems. Why is this important during assessments of adolescents?

The 8-year-old child during developmental surveillance shows a significant change in growth parameters. The nurse should give the parents which of the following explanations/instructions?

A father discusses with the nurse how his daughter, who recently started first grade, is extremely conscientious about her school work and is constantly asking her teachers if she is doing the work correctly. According to

A nurse has moved into a new community and will begin practicing at the local health department. Why is it important for this nurse to become familiar with the community where he or she will work?

A 2 year old wants to feed herself and becomes agitated when the nurse attempts to feed her. What does the nurse understand is the developmental age of this child according to Erikson?

The school nurse is discussing the effects of childhood obesity with the mother of a 9-year-old boy who is obese. Which of the following potential effects on the boy's health should the nurse mention to the mother?

. A 15-year-old patient with type 1 diabetes has been noncompliant with his dietary regimen. When educating the teen, what is the most important thing for the school nurse to do to allow the teen to be in control and involved

A nursing student correctly identifies which of the following to be influences on a child's growth and development? Select all that apply.

After a child plays in the yard, his mother asks him to pick up his toys and put them in the toy bin in the garage. Knowing that he does not want to spend time in his room as a punishment, the child follows his mother's

The community health nurse is teaching the parents of a 12-year-old boy about appropriate approaches when raising an adolescent. Which of the following comments should be included in the discussion?

. The mother of a 5-year-old girl expresses concern over the fact that her daughter is not nearly as verbal as her older two children when they were at that age. She wonders about the reason for this difference. Which of the

According to Sigmund Freud’s theory of development, which of the following infants is most likely to be experiencing a significant conflict in his or her development?

A nurse is performing a community assessment to determine health care needs. How would the nurse determine if clients can adhere to scheduled visits with the health care provider?

A 10-year-old boy tells his mother that he is going to be just like his father when he grows up. According to Freud, what stage of development is this child experiencing?

A breastfeeding infant will gaze intently into his or her mother's eyes, grasp her finger, and smell and taste the milk. This use of the senses is attributed to a phase of development that is part of which theory?

Which of the following should a nurse do to avoid disrupting a family routine when visiting to provide home care?

A father brings his 2-year-old son in for a well visit, and the nurse asks him how potty training is going with the child. The father says, "Oh, we are pretty laid back about it. We believe he'll learn in time and that it's not healthy to make

What should be the first step for the school nurse when developing a teaching plan for a 9 year old who needs education about a gluten-free diet for the treatment of celiac disease?

A married couple has 3-yearold twins. They own a dog. The father's mother lives with them. The father is a professor; the mother has resigned from her position as a legal secretary to be the children's primary caregiver.

The biggest benefit of health care provided in the home is which of the following?

A 2 year old with pneumonia has recently been hospitalized. When the lunch tray arrives to the floor, the nurse caring for the patient sets up the tray and allows the child to self-feed with a spoon despite the mess.

A nurse is working with a new mother and her infant daughter. The mother appears exhausted and distraught. She explains that her daughter wakes up at a different time each night, making it difficult for the

The child has learned to crawl and walk, and later throws a ball and knows the names of colors. Which principle of growth and development is the child demonstrating?

When giving directions on safety protection of a toddler's intravenous site, the nurse should do which of the following?

A 6 year old who does not speak English is on bed rest at home and being seen by a home health nurse who speaks only English. The child's mother informs the nurse that her son is very bored, which makes it hard to

You evaluate a family to see if they are a good candidate for home care. Which of the following factors would be most important to see in their home or family?

A parent is comparing a child's development on the growth chart with those of another child and is concerned that her child is not in the "normal" range. Which of the following is an appropriate answer for the

The parents bring their 4year-old son to the emergency department. The child is receiving chemotherapy for acute lymphoblastic leukemia. The parents report that the child has become lethargic and has

A 4 year old is in the hospital playroom with the nurse playing a game. The child informs the nurse that he has to know the rules of the game so that no one cheats. What stage of development, according to Erikson, does

A home health nurse is visiting an infant after discharge from the hospital. The nurse observes the mother inserting a mercury rectal thermometer to assess the child's temperature. What should the nurse caution the

An 8-month-old infant who cries when the parents leave the room has developed the concept of which of the following?

A pediatric nurse is assessing the development of an 11 year old child. The nurse's assessment of development will focus on which of the following?

Like many 4 year olds, Ethan is constantly seeking out and exploring new experiences and repeatedly asking his parents why-type questions. Ethan’s behavior suggests that he is successfully navigating an important

An 8-year-old boy is looking at his father's razor and shaving cream in the bathroom medicine cabinet. He watches his father shave daily and asks his father when he will need to start shaving. This child is demonstrating

A community health nurse is caring for a terminally ill and hospitalized 7 year old who wishes to go home. What type of referral can this nurse make so that the child can receive care at home?

A 10-year-old girl is excited when she receives the "most improved player" award on her softball team. Although she was not the strongest player on the team, she always tried to perform at her best level and never gave up

Which of the following statements by a school-aged child demonstrates Erikson's psychosocial stage of industry versus inferiority?

A 6-year-old boy e recently drew on the walls of his room. As punishment, his mother told him that he had to clean the walls by dinnertime. Although he agreed that he would do it and she showed him how and provided

A child demonstrates increasing language skills and an understanding of symbols. Creative play and the use of imagination is an important activity in the child's life. Based upon these characteristics, what stage of

The home health nurse is visiting a 7 year old who had a heart transplant. The parent says to the nurse, "I have been trying not to give him his pain medication too much but when I do give it, it doesn't seem to help." What is the

A nurse wants to teach children about oral health. Based on Piaget's theory, to what age group would it be most appropriate to teach this topic?

The school nurse is planning to teach a segment on smoking during the freshman health classes. The nurse is aware that this needs to be a forum rather than a lecture. Which of the following techniques will also help

An 8 month old hospitalized with bronchiolitis is crying in the crib because it is time for a feeding. The parent caring for the child has left the room to eat lunch. If the needs of the child are not met, what phase of the developmental

Which of the following can have an influence over the individual's physiological growth and development trajectory?

When a pediatric patient is cared for in the home, the culture of the family must be assessed to determine which of the following?

When caring for a newborn who is jittery and irritable 30 minutes after birth, what should the nurse do?

The best way for an infant's father to help his child complete the developmental task of the first year is to do which of the following?

The nurse is assessing the psychosocial development of a preschooler. Which of the following are normal activities characteristic of the preschooler? Select all that apply.

A nurse is observing a 3-yearold preschooler engaged in play. Which of the following would the nurse most likely expect to observe?

In working with the toddlerage child, the nurse recognizes which of the following as a characteristic of the toddler?

The nurse is assessing a 4month-old boy during a scheduled visit. Which of the following findings might suggest a developmental problem?

The most important extrauterine physiologic adaptation at birth is which of the following?

A nurse is assessing a 15 month old at a well-child visit. Which of the following would lead the nurse to determine that the child is achieving milestones? Select all that apply

Recently, 5-year-old Jack's father was injured in a motorcycle accident. The father confides to the school nurse that he is concerned about Jack. When questioned further, he tells the nurse that Jack is not acting like he was

The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's "negativism." Based on Erickson's theory of development, which of the following would be an appropriate intervention for

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. Which of the following is a priority intervention the nurse might recommend for parents

The nurse is talking with a group of caregivers of 3-yearold children. One of the parents asks what an appropriate amount of time would be to have the 3-yearold who is being uncooperative and is out of

Which of the following milestones would you expect an infant to accomplish by 8 months of age?

The nurse is providing discharge education on newborn care at home. The nurse provides instructions that infants need to be placed on their back to sleep. What is the nurse reducing the risk for with this education?

The parents of a toddler ask the nurse about disciplining their son. Which of the following would be most helpful for the nurse to suggest?

A preschooler's mother is pregnant. She wants to start her preschooler in a childcare program and asks you when would be a good time to do so. You would suggest which of the following?

The nurse observes an infant interacting with his parents. Which of the following are normal social behavioral developments for this age group? Select all that apply.

Which of the following is NOT a cause of jaundice in the newborn?

A mother brings her 3-yearold daughter in for a sick visit for the third time this year. The child, who attends a preschool program, continues to develop upper respiratory infections. The mother is frustrated with the situation

A nurse is assessing a preschooler and asks the child a question about pets. The child responds by saying, "I-I-I have a t-t-turtle and a f-ffish." The child's mother states that this problem just started over the past month or

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the patient and family that the child should have plenty of fluids. In addition, the nurse would explain to the child's caregiver

. A mother of a 4 year old tells the nurse that she is worried about the child. She says that the boy used to play well with others, but lately when she invites two others over for a play date, all they do is argue. What should the nurse tell this

The nurse is assessing a 12month-old boy with an English-speaking father and a Spanish-speaking mother. The boy does not say mama or dada yet. Which of the following is the priority intervention?

When checking a 5-month-old infant, which symptom would alert the nurse that the infant needs further follow-up?

Which measure would you suggest an infant's parents use to relieve teething discomfort?

The mother of an infant asks you when to begin tooth brushing with her son. Your best response would be which of the following?

The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-weekold baby. Which of the following recommended guidelines might be included in the teaching plan?

While performing a physical assessment of a newborn boy, the nurse notes diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as which of the following?

The pediatric nurse is planning quiet activities for hospitalized 18-month-old. Which of the following would be an appropriate activity for this age group?

The nurse determines that a 20-month old is in Piaget’s sensorimotor stage of cognitive development. Which of the following would support this assessment? Select all that apply.

. Nursing students are reviewing developmental milestones for toddlers. To demonstrate that you have an understanding select all the milestones that toddlers exhibit between the ages of 15 months to 30 months of

A mother is discussing with the nurse a recent story in the local news about a child being abducted. She is concerned about the safety of her preschool child and wonders what she should tell her child to keep her safe but without

The nurse notices while holding him upright that a day-old newborn has a significantly indented anterior fontanel. She immediately brings it to the attention of the physician. What does this finding most likely indicate?

A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office visit. Which of the following represents the most advanced milestone of language development that the nurse should expect to

The nurse is discussing the topic of weaning infants with a group of mothers of infants. Which of the following statements made by the nurse is most appropriate related to weaning an infant?

Upon assessing the newborn's respirations, when would the nurse need to notify the MD?

The family caregiver of an 8 month old infant makes the statement, “I can't leave the room he is in because when I do he cries.” Which of the following statements is most appropriate for the nurse to respond?

A new mom has taken her baby girl home from the hospital. The mother calls the clinic because there is blood in her baby's diaper.

A nurse is teaching the parents of a toddler how to promote nutrition. Which suggestion would be most helpful? Select all that apply.

The nurse places a newborn with jaundice under the phototherapy lights in the nursery to achieve which goal?

The nurse strokes the lateral sole of the newborn's foot from the heel to the ball of the foot when evaluating which reflex?

Baby Tarik has been circumcised, his temperature is stable, his breathing and heart rate are healthy, and he is ready to be discharged from the hospital. What can the nurse tell his parents to check for

Which of the following would lead you to suspect that a newborn has developmental hip dysplasia?

The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a

Which of the following developmental milestones are appropriate for the infant? Select all that apply

. In which of the following newborns should the nurse suspect hypoglycemia?

A mother confides in a nurse that her preschool daughter only wants to play with her father as soon as he comes home from work in the evenings and doesn't seem to have any interest in spending time with the mother. This

A nurse tests the gross motor development of a 2-month-old boy by holding the infant in the ventral suspension position. Which of the following should she expect to see if the infant is developing normally?

The nurse is performing a cognitive assessment of a 2year-old. Which of the following behaviors would alert the nurse to a developmental delay in this area?

The nurse caring for children on a pediatric oncology care area delays entering some of the children's rooms unless to provide medication or perform a procedure. Which stage of the grieving process is influencing this nurse's ability

A 17-year-old writes a suicide note and then swallows aspirin. Which of the following factors would make you think that he might do this again?

An adolescent shares with you that she wishes her breasts would grow larger. Which of the

A nurse is talking with a 9 year old about a procedure that will be done in the morning. The child is expressing fear. What listening skills does the nurse exhibit that makes it clear the nurse is actively listening?

A nursing student is learning tips when caring for children. The instructor informs students that they should not call children "honey." What explanation for avoiding this term is the best reason the nurse would give?

When caring for a 4-year-old confined to bed, which of the following play experiences would you plan as being most age appropriate for her?

The nurse is caring for a 2year-old boy who has been admitted to the hospital. Which of the following should she do to ensure a safe environment for this child?

What is the best explanation of Erikson’s theory of psychosocial development during the adolescence period?

The mother of a 6-year-old girl tells the nurse she is very concerned that her daughter develops good self-esteem. Which of the following comments provides the most effective advice?

A father brings his 6-year-old son in to the doctor's office. He says his son just began first grade a week ago has refused to go to school, complaining of stomach cramps and nausea. After the nurse examines the boy and

The nurse notices that the 6year-old sibling of a hospitalized child has a runny nose and is coughing. What action should be taken by the nurse?

The mother of a 15-year-old boy confides in the nurse that she is concerned because her son is about to turn 16 and is pressuring her and her husband to buy him a motorcycle. Her husband is okay with the idea, but she is

The nurse is observing a group of 8-year-olds who are being taught the concept of conservation of weight. Which of the following activities would best help these children understand this concept?

A 5-year-old is scheduled to have surgery to remove a brain tumor. Which of the following interventions should the nurse recommend to the parents to help prepare the child for the surgery? Select all that apply.

A 6-year-old boy is scheduled to have surgery to repair a congenital defect in his heart in about a week. The parents tell the nurse that they are nervous about telling him about the surgery in advance because they fear that he will

The school nurse is preparing a program on sexuality and birth control for a class of 14to 16-year-olds. Which of the following behaviors will have the most influence on how the information is presented?

The nurse is discussing the topic of psychosocial development with a group of caregivers of school-age children. Which of the following statements made by the caregivers is most appropriate related to the

The nurse knows that the school-age child is in Erikson's stage of industry versus inferiority. Which of the following is the best example of a school-ager working toward accomplishing this developmental task?

A nurse is caring for a young patient with pneumonia who has slight nausea and does not feel like eating. The patient is drinking plenty of fluids. The child's mother says that she is worried and wants the nurse to make the child

A nurse is preparing a 6-yearold boy for an emergency appendectomy. The boy is in great pain but is also concerned about the operation he will be undergoing. Which of the following would be the best

The nurse is observing a playgroup of children of all ages. The school-age child in the group would most likely be doing which of the following activities?

Parents of a son ask the nurse when they will know that their son has reached puberty. What is the best response by the nurse?

An 8-month-old will be hospitalized for surgery. Which preparation by her parents would be most important?

What is the priority nursing intervention for the sibling of a child who has died?

Parents ask the nurse how they will know when their daughter has reached puberty. Which is the best response by the nurse?

In working with the schoolage child, the nurse recognizes which of the following as a characteristic of the school-age child?

What benefits does effective therapeutic communication have in the nurse-patient relationship?

The mother of a 14-year-old girl complains to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. Which of the following comments is most valuable to the mother?

A nurse is obtaining a blood pressure on an obese 13 year old. The blood pressure is 130/86 mm Hg. What statement by the nurse could incorporate an opportunity to educate about obesity?

The nurse is working with the parents of an 8-year-old child who is identified as having a difficult temperament. Which of the following would be most helpful for the nurse to suggest to the parents? Select all that apply.

The nurse is completing an admission assessment on a patient in an acute care setting. Which of the following approaches is the most effective for the nurse?

A school-aged child's parents are very upset about having to leave her alone in the hospital. How would you respond to their concern?

A nurse is caring for an infant who has been admitted the hospital for surgery. Which of the following interventions should the nurse implement to ensure the continued growth and development of the infant during his stay?

While conducting a health assessment of a 13-year-old girl, the mother tells the nurse that her daughter has difficulty falling asleep at night. Which avenue of questioning should the nurse first pursue?

The nurse is working with a group of caregivers who have dying children. Which of the following statements made by one of the caregivers indicates that this caregiver is in the depression stage of anticipatory grief?

A 6 year old says to the nurse, "I am worried that my mom and dad won't be here before I have to have a shot." What statement by the nurse demonstrates reflecting?

A nurse caring for a hospitalized 3 week old finds the baby's name band on the floor. Which of the following is the nurse's best action?

A 3-year-old girl is admitted to the hospital for eye surgery. You provide her with a doll and syringe for therapeutic play. She sticks the doll in the eye with the syringe and says, “You won't watch TV again when I tell you not to!” What is

The parents of a school-aged child with school phobia have taken her to three different psychiatrists trying to resolve this problem. Based on this, which of the following nursing diagnoses would be most appropriate?

The mother of a child newly diagnosed with mental retardation tells the nurse that her partner disagrees with the diagnosis and believes that the child is perfectly normal. The mother shares with the nurse that she finds this

A mother calls the school nurse and is concerned because her 13-year-old daughter's friends wear heavy makeup and black clothes. Which of the following is the best advice for the mother?

A parent of a newly diagnosed terminally ill child states, “This cannot be true, not my child.” Which is the most appropriate response by the nurse?

The nurse has seen a 15year-old girl and a 16-year-old boy during health surveillance visits. Which of the following physical characteristics would be seen in both teenagers?

The nurse is caring for a patient in an acute care setting whose family do not believe in germs and are frequently seen changing diapers without gloves and neglecting to wash their hands afterwards. Which of

To be an effective nurse with a child who is dying, it is first necessary to do which of the following?

The nurse is preparing a 4year-old patient for surgery. According to unit policy, the surgical site must be marked prior to entering the operating room. The patient shies away from the nurse when approached with a black

The nurse is talking with a chatty 7-year-old girl during her regular check-up. Which of the following behaviors would the child also be expected to exhibit?

Which of the following would be most appropriate for the nurse to do when assisting parents who have experienced the loss of their preterm newborn?

During therapeutic play, a 4year-old child draws a girl with a head and body but no arms and only one leg. Your best action in response to this would be to which of the following?

Nursing students are reviewing the various types of infectious diseases. They demonstrate understanding of the information when they identify which of the following as an example of a bacterial infection? Select all that apply

A nursing student enters the room while the nurse is doing a health interview. The student asks to observe. The nurse is on the last step of the interview. The student realizes that the nurse is about to complete which of

A 5-year-old girl is to receive long-term antibiotics. The mother is concerned about what type of administration method will be used. Which of the following medication administration routes may be the most easily accepted?

The nurse hears wheezing when auscultating a 4-yearold. Which of the following conditions would the nurse most likely rule out based on the assessment findings?

A nursing instructor is teaching about pain control in children and identifies a need for further teaching when a student states which of the following?

A young child is hospitalized with pneumonia. Upon admission he informs the nurse that he is not having pain but just a bad cough. A few hours later, the child he begins to complain of pain in his right lower back. This first

The nurse is providing teaching on how to administer nasal drops. Which of the following responses by the parents indicates a need for further teaching?

The nurse is reinforcing teaching with a child who has cystic fibrosis regarding the medications she takes and how to properly take them. The nurse recognizes that many medications used on a daily basis for the treatment of

The nurse is caring for a young child in the hospital who is receiving IV therapy. Part of the routine care for this child will involve monitoring the IV site as frequently as every hour. The nurse will assess the IV for

You meet a 3-year-old girl in a health maintenance setting. Which of the following questions would you ask the mother first to obtain a health history?

The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose?

A nurse is administering an antibiotic treatment for eye infection ophthalmically to a preschooler. Which of the following should she do?

The nurse is using pulse oximetry to measure oxygen saturation in a 3-year-old girl. The nurse understands that falsely high readings may be associated with which situation or condition?

What is the appropriate care of the nurse for Brad, a 6month-old infant, after an apneic episode?

The nurse is preparing to perform a physical examination of a child with asthma. Which of the following techniques would the nurse be least likely to perform?

A nurse is instructing the parents of a toddler on the use of an anesthetic cream in advance of an upcoming procedure the child will have. Which of the following should the nurse mention to them?

The nurse is performing an examination of the eyes of a 7-year-old girl. Which of the following findings would indicate that the third cranial nerve is intact?

A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should do which of the following?

The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the Emergency Department at 2 AM on a cold winter night to say that the child has awakened with a barking cough and an elevated

The nurse is caring for a child who is experiencing pain related to chemotherapy treatment. Which of the following is a behavioral factor that might affect the child's pain experience?

A nursing student correctly identifies that heat is primarily used after the first 24 hours of an injury and does which of the following? Select all that apply

While interviewing a mother about her infant son's illness, the nurse asks, "Why did you bring Clark to the clinic today, Ms. Donovan?" Which part of the health interview is this nurse currently in?

The danger of fluid overload developing is a potential problem in the infant receiving an intravenous infusion. For which of the following would you observe?

The nurse is teaching the student nurse about abnormal findings when assessing the breasts of children. Which of the following may be associated with renal disorders?

The nurse working in pediatrics is aware of the special needs of children related to pain assessment. Which of the following is the highest priority for the nurse to consider when completing a pain assessment?

Bryan, age 2, is receiving treatment for an ear infection. Before administering the drug to Bryan orally, what factors must the nurse consider? Select all that apply

A 4-year-old girl has acute nasopharyngitis (a common cold). Which of the following measures would you want to teach her parents?

When providing education to a mother regarding pain management for a toddler with otitis media, which statement by the mother indicates further teaching needs for this parent?

Which of the following stages of infectious diseases is third?

A child who is undergoing bone marrow aspiration has received conscious sedation. This type of pain management is appropriate for which other procedures? Select all that apply.

To assess for abnormal eye alignment, you would observe a child while you are doing which of the following?

The nurse is assessing the heart rate of a healthy 13month-old child. The nurse knows to auscultate which of the following sites to obtain an accurate assessment?

A nurse is preparing a presentation for parents about common childhood infectious diseases. Which of the following would the nurse include as being caused by a tick bite? Select all that apply.

A nurse who works in a pediatric office knows that the American Academy of Pediatrics recommends "ageappropriate" physical examinations. In the case of an infant, which of the following is correct?

The nurse caring for infants in the neonatal intensive care unit (NICU) relies on the use of behavioral and physiologic indicators for determining pain. Which of the following examples are behavioral indicators? Select all answers

The nurse is assessing a 7year-old boy with pharyngitis. The nurse would least likely expect to assess which of the following?

. A nurse is performing a physical assessment on a child who is undergoing an asthma attack. Which of the following would the nurse most likely observe?

The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. Which of the following statements from the nurse accurately reflects the pain experience in children?

The nurse is performing a respiratory assessment on an African-American adolescent experiencing a sickle-cell crisis. Where is the best place for the nurse to check for cyanosis on this patient?

A young boy is in the emergency department with swelling and pain in the right ankle. He states that he was playing soccer, somehow twisted the ankle, and could not walk off the field. The physician tells the patient that

The nurse is caring for Jessie, a 3-year-old child admitted with pneumonia. The physician has ordered clarithromycin to be administered. The drug guide the nurse is using for a reference lists only the

A nurse is administering a liquid oral medication to a 5month-old girl. Which of the following should the nurse do in this situation? Select all that apply.

A 5-year-old girl who was already admitted to the hospital for an unrelated condition suddenly becomes restless and anxious and appears to be having trouble breathing. The nurse suspects an airway

A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation?

. A newborn exhibits signs of respiratory distress shortly after birth. The nurse, suspecting the cause of the problem holds the newborn's mouth closed and then gently compresses first one nostril and then the other. When she

A nurse conducted a health history with a 5 year old admitted with abdominal pain. The nurse stood at the bedside while talking to the mother and child. The patient was in a private room. The nurse made sure the door

A nurse working on a pediatric floor who is precepting a new graduate informs the new graduate that the method of choice for administering medication to the child with acute pain is which of the following?

The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which of the following topics might the nurse include? Select all answers that apply.

You see a 3-year-old boy in an ambulatory setting for localized wheezing on auscultation. Which statement by his mother would be most important to report?

Functions of the kidney

Glomerulus

dark smokey urine is an indication of

Acute Nephritic Syndrome

Acute Nephritic Syndrome

post-infectious glomerulonephritis

Rapidly progressive glomerulonephritis

membranous glomerulo nephritis

Recommended diet for patient with severe proteinuria?

T or F: Pt with high protein levels in the urine should also have a high serum protein level.

azotemia

Which is more severe? Nephrotic syndrome or nephritic syndrome?

Nephrotic syndrome vs. Nephritic Syndrome

Why would someone with acute nephrotic syddrome be on fluid restrictions?

Chronic glomerulonephritis

Urinalysis of a patient with chronic glomerulonephritis.

Acute Renal Failure

Symptoms of acute renal failure

Phosphate binder given during acute renal failure due to high levels...

myoglobinuria

nUMBER 1 Post renal cause of Acute renal failure

Chronic Renal Failure

Stage 1 Chronic Renal Failure

Stage 5 chronic renal failure

acid base imbalance in kidney failure

consequences of missing dialysis

T or F: A renal failure patient should have small frequent meals of foods theylike

Hyperkalemia treatment

Hemodialysis systems

Nursing interventions

Hemodialysis Catheter

Nursing Assessment with Dialysis pt

peritoneal dialysis

meds to avoid on dialysis

Complication of kidney transplant

A nurse manages the interdisciplinary care for a patient with pancreatitis. Which of the following are recommended interventions for this condition? Select all that apply.

The toddler with a cancer diagnosis is seen for a wellchild checkup. Which health maintenance activity will the nurse exclude?

The nurse recognizes that which of the following would be a likely physiologic cause for a child to have enuresis?

The nurse is conducting a physical examination of a child with suspected Crohn disease. Which of the following findings would be the most highly suspicious of Crohn disease?

Parents ask why their child is receiving prednisone to treat leukemia, because it is not a chemotherapy drug. How should the nurse answer?

Which intervention is best to use with the 6-year-old who has developed stomatitis as a side effect of chemotherapy?

. The nurse is educating the parents of a 4-year-old boy with a Wilms tumor who is about to have chemotherapy prior to surgery. Which statement by the parents indicates that the nurse should review the instructions

The nurse is caring for a 3year-old diagnosed with diabetes mellitus. The child's eating patterns are unpredictable. One day the child will eat almost nothing, the next day the child eats everything on her tray. The

A 4-year-old has developed acute lymphocytic leukemia (ALL). Nursing care for the child with ALL involves taking axillary, rather than rectal, temperatures because the child has which of the following?

Parents bring their daughter to the health care facility for evaluation. They report that lately the child seems rather pale and really tired. Which of the following would the nurse most likely find with further assessment if the child has

The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. Which of the following would the nurse include in this teaching plan first?

A 14-year-old boy is diagnosed with Hodgkin disease. When palpating for enlarged lymph nodes, the nurse would expect to find which nodes as most commonly enlarged? Select all that apply.

The nurse is developing a plan of care for a child who is receiving cyclophosphamide. Which of the following would the nurse expect to include?

After teaching the parents of a child diagnosed with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods as appropriate for their child? Select all that apply.

The nurse will use a special needle to start intravenous (IV) fluids through which central venous access device?

The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonabCD3. Which of the following would the nurse most likely expect to assess after the first dose is administered?

A preschooler who received chemotherapy in the pediatric oncology outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C). Which is the most appropriate response by the nurse?

A 9-year-old girl has just been diagnosed with Graves' disease. Which of the following symptoms should the nurse expect in this child? Select all that apply

The nurse is caring for a 13year-old girl with delayed puberty. When developing the plan of care for this child, which of the following would be the priority?

The nurse is reviewing the laboratory test results of a child who is suspected of having systemic lupus erythematosus (SLE). Which of the following would the nurse identify as supporting this diagnosis? Select all that

The nurse is caring for a 7year-old girl who is undergoing a stem cell transplant. Which of the following would the nurse include in the child's postoperative plan of care?

Which of the following treatments are common to both systemic lupus erythematosus and juvenile idiopathic arthritis? Select all that apply

When explaining the procedure of bone marrow aspiration to a child with leukemia, what would be the best explanation?

The nurse suspects that a 4year-old with type 1 diabetes is experiencing hypoglycemia based on which of the following? Select all that apply.

After teaching the parents of a 6-year-old how to administer an enema, the nurse determines that the teaching was successful when they state that they will give how much solution to their child?

The nurse prepares to collect a 24-hour urine specimen for catecholamines from the child admitted with which likely childhood cancer diagnosis?

A group of nursing students are reviewing information about the endocrine system in infants and children. The students demonstrate understanding of the information when they state which of the following?

. A 4-year-old girl is undergoing a radioimmunoassay of T4 and T3 to determine whether her thyroid is functioning properly. Which of the following factors could abnormally elevate the child's iodine level and thus

The mother of an 11-year-old girl who will begin radiation therapy soon asks the nurse what the family needs to do for their daughter during this time. Which of the following interventions should the nurse mention? Select all that apply.

A nurse is administering IV fluid to a 3-year-old girl. The nurse notices that the girl's pulse rate and blood pressure are increasing. On examination, the nurse finds that the child's urine is extremely dilute. Which of the

A child is scheduled to undergo radiation therapy as part of his treatment plan for newly diagnosed cancer. After teaching the child and parents about this treatment, the nurse determines that additional teaching is needed

The nurse has developed a plan of care for a 12-monthold hospitalized with dehydration as a result of rotavirus. Which of the following interventions would the nurse include in the plan of care first?

A group of students are reviewing information about gallbladder disease in children. The students demonstrate a need for additional review when they identify which of the following?

The nurse is caring for a child who is taking corticosteroids for systemic lupus erythematosus. The nurse closely monitors the child based on the understanding that corticosteroids exert which of the following major

A child with systemic lupus erythematosus is receiving high-dose corticosteroid therapy over the long term. The nurse would instruct the parents and child to report which of the following?

A 12-year-old girl in the hospital suddenly experiences an extreme drop in blood pressure following discontinuation of prednisone. She appears gray and has no detectable pulse. Which of the following is the priority nursing

A nurse is providing postoperative care for a 5year-old who had a hypospadias repair. Which of the following would the nurse expect for postoperative care of this child?

A group of nursing students are reviewing information about inflammatory bowel disease in preparation for a class discussion on the topic. The students demonstrate understanding of the material when they identify which of

The nurse is assessing a 13year-old girl with a family history of kidney cancer who has come to the clinic complaining of abdominal pain, nausea, and vomiting. Which of the following findings would the nurse

Which of the following is a well-defined risk management technique that the nurse can teach children and parents to prevent cancer?

The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been diagnosed with diabetes mellitus. Which of the following would the nurse identify as the initial goal for the teaching plan?

A nurse identifies a nursing diagnosis of impaired urinary elimination related to urinary tract infection. When developing the plan of care, which of the following would be most important for the nurse to do first?

The nurse is providing home care instructions for a 13year-old girl recently diagnosed with systemic lupus erythematosus. Which response by the girl indicates a need for further teaching?

The nurse is reviewing the laboratory test results of a child who is receiving chemotherapy. To calculate the child's absolute neutrophil count, in addition to the total number of white blood cells, which results would the nurse

After teaching the parents of a daughter with central precocious puberty about medication therapy, which statement by the parents indicates successful teaching?

The nurse is caring for a 2month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How

A child diagnosed with stage IV neuroblastoma has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?

A child is receiving fluorouracil as part of a chemotherapy protocol. Which of the following would be most important for the nurse to include in the child's plan of care?

A mother brings her child to the health care clinic because she thinks that the child has conjunctivitis. Which assessment finding would lead the nurse to suspect bacterial conjunctivitis? Select all that apply.

. During class, a student states, “I didn't think children could have strokes. I thought this only occurred in older adults.” When responding to the student, which of the following would be most important for the instructor to

A group of students are preparing for a class exam on skin disorders. As part of their preparation, they are reviewing information about acne vulgaris and its association with increased sebum production. The

A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all that apply.

An 8-year-old girl is diagnosed as having tonicclonic seizures. You would want to teach her parents which of the following?

A 4-month-old baby is found to be anemic. Which of the following is the most likely cause of anemia in a child of this age?

A nurse is assessing an 8year-old child brought to the emergency department by his mother. The child has a history of sickle-cell anemia and reports acute back pain and joint pain. His mucous membranes are dry; skin

. A nurse is providing instructions to the parents of a 3-month-old with developmental dysplasia of the hip who is being treated with a Pavlik harness. Which statement by the parents demonstrates understanding

When caring for a child who has a history of seizures, which of the following nursing interventions would be appropriate? Select all that apply.

When educating the family of an ill infant with a large, symptomatic ventricular septic defect (VSD), which of the following would be included in the education if the doctor is planning on performing palliative care until the infant

The nurse is assessing a child who is experiencing an acute splenic sequestration secondary to sickle cell disease. Which of the following would be a priority?

The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli?

The nurse is caring for a burn patient in a pediatric hospital. The patient is scheduled to be discharged the following day and the nurse is going over discharge teaching with the parents. Which of the following is the best

On assessment immediately following cardiac surgery, which of the following conditions would you expect to find in an infant?

The father of a 7-year-old boy reports to the nurse that two or three times over the past weeks he has observed his son seemingly staring into space and rubbing his hands. The behavior lasts for a minute or so, followed by an

When caring for a child that has just had a cardiac catheterization, which of the following would indicate a sign of hypotension?

Which of the following would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure?

When developing the plan of care for a child with burns requiring fluid replacement therapy, which of the following would the nurse expect to include?

The most important assessment of neurovascular status to make after spinal surgical instrumentation would be to do which of the following?

The nurse is assessing a child with a possible fracture. Which of the following would the nurse identify as the most reliable indicator?

The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion?

A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the following would the nurse most likely

A 3-year-old child has sustained significant severe burns and is ordered to receive 100% oxygen. Which of the following would the nurse use to administer the oxygen?

When educating the family of an infant with a small, asymptomatic atrial septal defect (ASD), which of the following would be included in the education?

A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?

The emergency room nurse is taking a history of a 1-yearold child whose parent said that she had a “fit" at home. Which of the following inquiries would suggest what has happened?

Which of the following are signs that you would assess for when looking for increased intracranial pressure in an infant or child?

Assessment of a child leads the nurse to suspect viral conjunctivitis based on which of the following?

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?

When caring for a child who has hemophilia which of the following nursing interventions would be most appropriate for this child? Select all that Apply

Maria is a 9-month-old whose babysitter brings her to the ER. An x-ray shows a spiral fracture of the femur. The babysitter tells the nurse that she found the infant in this condition when she showed up to watch her an hour ago.

When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of which of the following?

The school nurse cares for children with overuse injuries and refers them for treatment. Which of the following statements accurately describe interventions to prevent or care for these types of injuries? Select all

Which of the following would be included in the care of an infant in heart failure?

The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 ? g/dL. Which action would the nurse expect to happen next?

The nurse is caring for a child with thalassemia who is receiving chelation therapy at home using a batteryoperated pump. After teaching the parents about this treatment, which statement by the mother

After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding?

A 10-week-old infant is found to have a small ventricular septal defect. She is prescribed digoxin. The father of the child questions the nurse about the purpose of this medication. Which of the following should the nurse

In developing a plan of care for the child diagnosed with rheumatic fever, the nursing intervention, which is the highest priority for this child, is which of the following?

You take an infant's apical pulse before administering digoxin. What is the usually accepted level of pulse rate considered safe for administering digoxin to an 8month-old infant?

The nurse is caring for a 2month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for

When providing care to a child with aplastic anemia, which nursing diagnosis most likely would be the priority?

. After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder

The nurse is instructing a 7year-old child and his parents about using his prescribed corrective lenses. Which of the following would the nurse include in these instructions?

Hydrocephalus is suspected in a 4-month-old infant. Which of the following would the nurse expect to assess?

The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to find during assessment?

When a child is scheduled for a cardiac catheterization, an important health teaching point for parents is which of the following?

The nurse is assessing a 4year-old child whose mother reports that the child is more irritable lately. Which of the following questions would suggest suspected increased intracranial pressure (ICP)?

The nurse has gathered the following data on four different children. Which of the following children will likely be further assessed and tested for autism?

A nurse is preparing a program for a parent group about various techniques that can be used to manage behavior. Which of the following would the nurse be least likely to include?

A school nurse is working with the parents of an 8-year-old who has Tourette syndrome on how best to accommodate the child. Which of the following would be most helpful? Select all that apply.

A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, which of the following would the

The responsibility of the nurse caring for a victim of child abuse in the emergency room would include which of the following?

A 15-year-old girl has been evaluated and diagnosed with major depression. The advance practice mental health nurse has prescribed Paxil, a selective serotonin reuptake inhibitor. The mother of the girl refuses to let her

The nurse is caring for a child with bipolar disorder. The child is taking lithium as ordered. The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?

The nurse is caring for a 13year-old boy with a history of inappropriate behavior. Which statement by the mother would lead the nurse to suspect oppositional defiant disorder rather than conduct disorder?

Which of the following would lead the nurse to suspect that an adolescent has bulimia?

A school-age child diagnosed with depression is receiving antidepressant therapy. The nurse would instruct the parents to notify the physician immediately if the child demonstrates which of the following?

A nurse is providing an inservice program on child abuse for a group of newly hired nurses. When evaluating the effectiveness of the teaching, the nurse determines a need for additional review when the

A 3-day-old male infant is newly diagnosed with TaySachs disease. The nurse reviews information about the disease process with the parents after the doctor has met with the family. Which statement by the parents

A 6 year old boy who has mental retardation secondary to fragile-X syndrome has been admitted to hospital with a mitral valve prolapse. A health care worker who is providing care for the family should have which of the

The nurse is working with a group of caregivers of schoolage children diagnosed with attention deficit hyperactivity disorder. Which of the following statements would be most appropriate for the nurse to make to this group of

The nurse is interviewing the caregiver of a 5-year-old child who has been admitted with bruises on the abdomen and thighs as well as additional bruises in various stages of healing. Which of the following statements made by

While interviewing a depressed adolescent boy, he reveals to the nurse that he has considered hurting himself. What should the nurse ask him?

The nurse identifies a nursing diagnosis of impaired social interaction related to altered social skills as evidenced by impulsivity and intrusive behavior. The nurse plans to identify factors that aggravate the child's behavior for which

A nurse is caring for a 5-yearold girl with depression. The girl is having difficulty coping with her feelings of sadness and fear, which stem from her parents' separation and recent divorce. The girl has been prescribed

The nurse is caring for an adolescent girl with anorexia nervosa. Which of the following findings would indicate to the nurse that the girl requires hospitalization?

A patient who is abused fails to report the abuse MAINLY because of which of the following reasons?

The nurse is performing a physical examination of a 5year-old boy. Which of the following findings would most strongly indicate maltreatment of the child? Select all that apply.

A nurse is reviewing the medical record of an 11-yearold child with a conduct disorder. Which of the following would the nurse identify as characteristic of this disorder? Select all that apply.

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse. Which of the following findings might alert the nurse to this possibility that the child may have been abused?

The nurse is caring for a child with an eating disorder. Which of the following is the highest priority in treatment of the disorder?

Which of the following children would be best characterized as having a separation-anxiety disorder?

The nurse is teaching a child with PKU about his or her special diet during a checkup visit. It would be appropriate to teach the child that he can eat which of the following foods? Select all that apply.

When assessing the adolescent with anorexia, which of the following would the nurse expect to find?

A 10-year-old girl has been referred for evaluation due to difficulties integrating with her peers at her new school. The counselor believes she is at risk for situational low selfesteem due to problematic relationships with both family

The nurse is doing a presentation on the diagnosis of anorexia nervosa to a group of pediatric nurses. Which of the following clinical manifestations would the nurse teach this group to observe for in the adolescent

A group of students are reviewing information about major and minor congenital disorders. The students demonstrate understanding of the information when they identify which of the following as a minor disorder?

The nurse is caring for a 7year-old with Tourette syndrome. The nurse would be alert for which of the following comorbid conditions?

A 16-year-old girl is seen in an emergency room following a rape. The management of a rape victim should be directed primarily toward which of the following?

A pregnant woman is to undergo testing to evaluate for chromosomal abnormalities. Which test would the nurse expect to be done the earliest?

In addition to providing privacy, which of the following would be most appropriate initially in situations involving suspected abuse?

The nurse is observing a group of two and three year olds in a play group setting. Which of the following behaviors noted in one of the children indicates to the nurse that the child may be autistic?

The mother of an 8-year-old boy is concerned that her son has attentiondeficit/hyperactivity disorder. She describes the symptoms he demonstrates. Which of the following behaviors should the nurse recognize as an

The nurse is caring for a 12year-old boy who is profoundly cognitively challenged, with an IQ of 15. Which of the following tasks is the most challenging that the nurse should expect this client to be able to accomplish as

A child is receiving therapy in which he is learning to replace automatic negative thought patterns with alternative ones. The nurse interprets this as which type of therapy?

A 10-year-old girl with ADHD has been on Ritalin for 6 months. The girl's mother calls and tells the nurse that the medication is ineffective and requests an immediate increase in the child's dosage. What should the nurse say?

Which of the following would lead the nurse to suspect that a child has Turner syndrome?

The nurse is teaching the parents of a 1-month-old girl with Down syndrome how to maintain good health for the child. Which instruction would the nurse be least likely to include?

The mother of a 9-year-old girl with attentiondeficit/hyperactivity disorder (ADHD) is frustrated because of her daughter's inability to complete tasks due to her constant distractedness. Which of the following

. The nurse is educating the parents of a 6-year-old boy about his learning disorder. Which of the following facts would be included in the discussion?

A nurse is working with a child she suspects may be a victim of maltreatment in her home. Which combination of characteristics related to the parent, the child, and the circumstances would most strongly indicate the risk for

A nurse is working with a female client who is in her late adolescence. She is anticipating the possibility of leaving an abusive relationship. In helping the client make the decision to leave or to stay in the abusive

The nurse is discussing health concerns and issues with a group of caregivers of adolescents. Which of the following statements made by the caregivers would indicate a need for follow-up by the nurse?

Which of the following statements probably would be most therapeutic to an adolescent seen for rape?

The nurse is caring for 3-dayold girl with Down syndrome whose mother had no prenatal care. Which of the following will be the priority nursing diagnosis?

The nurse is assessing a 2day-old newborn and suspects Down syndrome based on which of the following? Select all that apply.

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