Assignment: Pediatric Nursing

Assignment: Pediatric Nursing

Assignment: Pediatric Nursing

Assignment: Pediatric Nursing

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A 10-year-old who is receiving chemotherapy has received Odansetron ( Zofran) before this therapy session. About an hour later, the child tells the nurse that his mouth feels really dry. The child has urinated several times and his skin turgor is normal. Which response by the nurse would be most appropriate?
2. After teaching the parents of a 6-year-old child about caring for a sprained wrist, which statement by the parents indicates the need for additional teaching?
3. A grandparents of a 3-month old infant asks the nurse what kind of toys they should purchase to have in their home when the infant grandchild comes to visit. Which should the nurse not recommend for purchase at this time

4. After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. The nurse should do which of the following?
5. When planning care for a child with ketoacidosis, which consideration is highest in priority?
6.The nurse is discussing the risks and benefits of vaccines with a family, and must secure signed, informed consent for the children to be immunized. The nurse emphasizes that which of the following reactions to vaccines is very rare?
7. A child with rhabdomyosarcoma is to undergo radiation therapy after surgical removal of the tumor. The parents should be taught to:
8. The parent of a child with AIDS tells the nurse they are confused about whether or not their child can be immunized The nurse would be most correct in advising these parents that there child with AIDS:
9. When discussing alopecia with a child who is receiving chemotherapy, the nurse should instruct the child and family:
10. A healthcare provider tells the nurse that a certain medication will be prescribed for a client. After the prescription is written, the nurse notes that the provider has prescribed another medication that sounds similar to the medication that the provider and nurse originally discussed. What action should the nurse implement? .
11. When caring for a17- year old athlete who is scheduled for a leg amputation for treatment of osteosarcoma, what should the nurse’s approach include:
12. Which school related activity might the school nurse prohibit for a child with asthma ?
13. A 6-year-old child is being admitted with newly diagnosed acute lymphocytic leukemia. The multidisciplinary team is meeting to plan care for this child and family. Which statement by the parents should receive priority in the nursing planning process?
14. Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?
15. The nurse is teaching a adolescent diabetic client how to self-administer a subcutaneous injection. To help ensure sterility of the procedure, which subject is most important for the nurse to include in the teaching plan?
16. Provider’s Order: Procaine Penicillin G 180,000 Units IM x 1 dose, STAT

a. Child’s weight: 8 lb

b. Dispensed as: Penicillin G 300,000 Units/ml

c. Recommended daily dose: 50,000 Units/kg IM every 24 hours

Based on the recommended daily dose, is the order appropriate based on the child’s weight?

If it is outside of the recommended daily dose range, what should you do, next?

If the dosage is within the recommended range, how many milliliters will you administer?
17. A child had an appendectomy after a ruptured appendix. The nurse anticipates orders for which interventions? Select all that apply.
18. Following the administration of morphine sulfate 10 mg IV to a pediatric client in pain, the nurse determines that the client’s respirations are six breaths per minute. What action should the nurse take first?

19. A teenager is accompanied by the mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, the nurse should avoid questions about which of the following? Select all that apply.

20. The RN observes a nursing student entering a toddler’s room to check vital signs and begins to take the child’s temperature first. The RN should:
21. The child with asthma reports to the school nurse, who checks the child’s peak expiratory flow rate and finds that it reads 84% of personal best. Which interpretation by the nurse would be best:
22. A child has been diagnosed with a Wilms’ tumor; preoperative nursing care would involve:
23. A school-age client that is morbidly obese is receiving an intramuscular injection at the ventrogluteal site. At what angle should the nurse insert the needle?
24. A female teen volunteer is assigned to the pediatric unit for the day and reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
An inf An infant with Tetralogy of Fallot experiences a hypercyanotic spell during a IV insertion. While simultaneously administering 100% oxygen by face mask to the infant the nurse should also:
25. A 7 year old has been admitted to the pediatric unit with a fractured femur. Which of the following behaviors would the nurse expect the client to exhibit? (Select all that apply.)

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