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Terms in this set (21)What is the best activity for a school-aged child hospitalized for vaso-occlusive sickle cell crisis? 1. Finger painting. 4. Watching a favorite movie. The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A. Which statements by the parents indicate that teaching has been effective? Select all that apply. 1. "A high-calorie, high-protein diet is best for our child." 3. "Our child should wear a medical alert bracelet at all times." A 12-month-old with Kawasaki disease received IV immunoglobulin (IVIG) 2 months ago. The child is in the clinic for follow-up and scheduled immunizations. Which vaccine should be delayed? Select all that apply. 1. Haemophilus influenza type b (Hib). 3. Measles, mumps, rubella (MMR). For the past month, the nurse has been providing care to a 7-year-old client recently diagnosed with type 1 diabetes mellitus. Initially, the family seemed devastated over the diagnosis. The client's parent stated, "Our lives will never be the same." What statement now made by the parent best indicates that nursing interventions have been effective? 1. "Our child will not be able to participate in sporting events." 4. "We will not let this disease take control of our child's life." A nurse is admitting a child who has leukemia. Several rooms are available on the pediatric unit. Which client could share a room with this child? 1. A client recovering from a ruptured appendix. 3. A client with minimal change nephrotic syndrome. A child received the varicella immunization. The day after the injection, the parent calls the nurse to say that the child has discomfort, slight redness, and 2 vesicles at the injection site. What instruction would be appropriate for the nurse to provide to this parent? 1.
Administer aspirin to decrease discomfort. 4. Make an appointment with the health care provider (HCP) as soon as possible. The nurse is caring for a pediatric client with end-stage leukemia who is on comfort care and is unresponsive. The child's parent asks, "How can you tell if my child is in pain?" Which of these would the nurse describe as signs of discomfort? Select all that apply. 1. Blank facial expression 2. Facial grimacing A teenage client with sickle cell disease reports having a vaso-occlusive crisis (pain crisis). Family members say that the client is just "drug seeking." Which expected laboratory findings would help confirm the presence of a sickle cell crisis? Select all that apply. 1. Elevated bilirubin 1. Elevated bilirubin A nurse manager on a pediatric oncology unit is leading a discussion about personal coping strategies that nurses can use to remain effective when caring for dying children. What should be included in the discussion? 1. Attending a child's memorial service can be helpful. 1. Attending a child's memorial service can be helpful. The nurse is triaging a 7-year-old with sickle cell crisis. The client is short of breath and vomiting and has severe generalized body and joint pains. Which assessment finding requires the most immediate intervention? 1.
Blood work showing anemia. 2. Enlarged spleen on palpation. Several children seen at a local pediatric clinic are found to have a hemoglobin level of 10-11 g/dL (100-110 g/L). Which strategy would most likely help increase the hemoglobin levels in these clients? 1. Encouraging intake of milk and other dairy
products. 2. Ensuring adequate intake of meat, fish, poultry, and legumes. The nurse plans care for a child being admitted with a diagnosis of measles. Which will the nurse include in the plan of care? Select all that apply. 1. Limit
visitors to 20 minutes of contact with the client. 2. Place client on airborne precautions in a negative-pressure room. The nurse is planning a client care conference with the parents of a 3-year-old with newly diagnosed type 1 diabetes mellitus. What is the priority outcome for the caregivers? 1. Demonstrating adequate coping skills. 2. Knowing how to keep blood sugars stable. Several 12-month-old infants are brought to the clinic for routine immunizations. Which situation would be most important for the nurse to clarify with the provider before administering the vaccination? 1. Haemophilus influenza type b vaccine for client allergic to penicillin. 4. Varicella-zoster vaccine for client recently diagnosed with leukemia. The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse provide the caregivers before they leave the clinic? 1. Call the office if the toddler's temperature is
higher than 100 F (37.7 C). 3. Redness at the injection sites and a mild fever are common. A school-age child is brought to the emergency department due to nausea, vomiting, and severe right lower quadrant pain. The child's white blood cell count is 17,000/mm3 (17.0 x 109/L). Which statement by the child is of most concern to the nurse? 1. "I am hungry and they will not let me eat." 4. "My belly doesn't hurt anymore." A parent has brought her 6-month-old to the clinic for routine immunizations. The nurse administers which of the following to the client? Select all that apply. 1. Hepatitis B (Hep B) 1. Hepatitis B (Hep B) The school nurse is caring for 4 clients with type 1 diabetes. Which of these clients should the nurse assess first? 1. A 5-year old whose diabetic finger-stick glucose is 71 mg/dL (3.9 mmol/L). 3. An 8-year old who is sweating after recess and irritably states, "I'm so hungry!" A nurse is providing education to the parents of a child diagnosed with chronic allergic rhinitis that is triggered by household and environmental allergies. Which statements by the parents indicate that the teaching has been effective? Select all that apply. 1. "My wife plans to wipe down our child's furniture with a damp rag every other day." 1. "My wife plans to wipe down our child's furniture with a damp rag every other day."
The nurse planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long-term complication? 1. Heart valve injury. 3. Joint destruction. The clinic nurse supervises a student nurse who is preparing to administer routine vaccinations to a child diagnosed with hemophilia. Which instructions should the clinic nurse provide to the student? Select all that apply. 1. Administer ibuprofen for pain relief. 2. Administer vaccines via the subcutaneous route. Sets with similar termsNCLEX- Pediatrics141 terms love_raine Evolve: School-Aged Children297 terms ican3 NCLEX 3000 Preschooler121 terms Cognitomode Sets found in the same folderPedia 174 terms kmk47 UWorld Pediatrics: Cardiovascular and Respiratory33 terms bennbrooke NCLEX RN #0735 terms suskaw3016PLUS uworld tutor mode questions133 terms hadi_ahmadi Other sets by this creatorExam 2; eyes, ears, nose, throat, gi73 terms macyeilene Mega Review Pharm Exam 4427 terms macyeilene Mega Review Exam 3 NURS 615398 terms macyeilene Postpartum/Reproductive15 terms macyeilene Other Quizlet setsMonday Bio24 terms melgwanzy COMM FINAL PREP CH 4 5 6279 terms ds74911 CRC3 chapter 8 Individual retirement acc…87 terms logan_lupia Sports Med Head/Neck Test26 terms IVANA_MIJATOVIC Related questionsQUESTION When does pyloric stenosis usually present? 15 answers QUESTION What can posterior urethral valves lead to? 9 answers QUESTION What can cause plugged milk ducts? 11 answers QUESTION What does the herpes simplex virus cause? 15 answers |
The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A
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