A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization

33.A nurse is providing discharge teaching to the parents of a school-age child followingplacement of aventriculoperitoneal shunt. The nurse should determine that the teaching waseffective when the parents identify which of the following as an indicator that the shunt has beendisplaced?a.Decreased urine outputb.Elevated temperaturec.Hyperactive bowel soundsd.Increased sleepingRationale PDF p.:Peds pg. 185 signs of displacement are lethargy,n/v,decreased school performance, decreased LOC, seizuresDownloaded by Tram Huynh ([email protected])lOMoARcPSD|8869157

34.A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of thefollowing actions should the nurse take first?

35.A nurse is assessing a toddler who is 8 hr postoperative following a cardiaccatheterization procedure. Which of the following findings should the nurse report ot theprovider?

Rationale PDF p.:ch 20 pg. 11636.A nurse is assessing a child who has measles. Which of the following areas should the

37.A nurse is assessing a toddler who has cystic fibrosis. Which of the following findingsshould the nurse expect?P . 105 chapter 19a.Rhinorrheab.Visible peristalsisc.Weight gaind.Steatorrhea- foul smeeling, thin arms and legs, distended abdomen,

1.Anurseishelpingaschool-agechildwhohasceliacdiseaseselectmenuitemsforthenextday’smealsandsnacks.

Which of the following foods should the nurse encourage the client to choose? (NO GLUTEN)

a.Sliced chicken breast on whole wheat bread

b.Beef, barley, and vegetable soup

c.Graham crackers with peanut butter

d.A cheese omelet with orange juice.

2.Anurseisprovidingdietaryteachingtoaparentofa10-month-oldinfantwhohasphenylketonuria.Whichofthe

following responses by the parent indicates an understanding of the teaching?

a.“My daughter can’t drink orange juice”

b.“I will switch her to whole milk now that she’s old enough”

c.“I will steam carrots and cut them into small pieces of her”

d.“I should ensure that my daughter eats 1 ounce of meat every day”

3.Anurseisreviewingtheresultsofthenewbornscreeningforanewbornwhois1weekold.ResultsincludetotalT4

0.8mcg/dL,phenylalanine0.7mg/dL,andnegativegalactosemia(nosugarintheblood).Whichof thefollowing

interventions should the nurse include in the plan of care?

a.Initiate a diet low in phenylalanine

b.Monitor the newborn’s urine for ketones

c.Obtain blood glucose levels every 4 hr

d.Instruct the newborn’s parent about how to administer levothyroxine

4.AnurseiscaringforachildwhohasepiglottitisduetoaninfectionwithHaemophilusinfluenzaetypeB.Whichof the

following actions should the nurse take? (Select all that apply).

a.Begin droplet precautions

b.Obtain a throat culture (avoid throat culture or using tongue blade)

c.Initiate IV access

d.Inspect the epiglottis (avoid using tongue blade)

e.Monitor oxygen saturation

5.Anurseisplanningcareforan8-month-oldinfantwhohasbronchiolitis.Whichofthefollowing actionsshouldthe

nurse include in the plan of care?

a.Administer a meningococcal vaccine upon admission

b.Use a bulb syringe to suction the nares

c.Place the infant in a room with negative-pressure airflow

d.Initiate IV antibiotic therapy

6.Anurseisprovidingdischargeteachingtotheparentsofapreschoolagedchildwhohasheart-failureand anew

prescription for digoxin oral solution. Which of the following instructions should the nurse include?