A nurse is caring for an adolescent who has scoliosis and is refusing to wear a back brace

1. A nurse is caring for an adolescent who has scoliosis and is refusing to wear a back brace which of the following statement should the nurse make?
a. I think you are worrying too much about wearing the brace.
b. Let’s sit down and discuss why you do not want to wear the brace.
c. your primary care provider said you have to wear a brace.
d. At first it is hard to wear a back brace but it gets easier over time.
2. A nurse is providing teaching to a parent of a child who has HIV. which of the following statements by the parent indicates an understanding of the teaching?
a. I will ensure that my child is tested for tuberculosis every year.
b. my child will need to double his medications for the next 6 months.
c. the risk of transmission decreases once my child is on zidovudine for 2 weeks.
d. my child will need to repeat his childhood immunizations once he is in remission.
3.A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following finding is the nurse’s priority ?
a. heart rate 162/min
b. negative doll’s eye reflex.
c. Sunken anterior fontanel
d. potassium 5.1MEq/L
4.A nurse in an emergency department is caring for a child who experienced submersion injury. Which of the following is the priority action for the nurse to take?
a. obtain an ABG sample.
b. Apply warming blankets.
c. Assist with intubation.
d. Administer an IV bolus.
4.A nurse is caring for a school- age child who is experiencing a sickle cell crisis. Which of the following action s should the nurse take ?
a.initiate contact precaution
b. Apply warm compresses to the affected area.
c. Decrease the child’s fluid intake.
administer furosemide IV twice per day.
5. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following action should the nurse include in the plan of care?
a. Teach the client about ostomy care.
b. Maintain an NG tube for decompression.
c. initiate long- term antibiotic therapy.
d. Administer total parenteral nutrition.
6. A nurse is teaching a parent of a10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching?( select all that apply).
a. place gate at the top and bottom of the stairs.
b. Ensure the crib mattress is in the lowest position.
c. Remove labels from containers that contain toxic substance.
d. Keep toilet lids in the upright position.
e. select a toy chest that has a heavy, hinged lid.
7. A nurse is communicating with a child who had hearing loss. Which of the following action should the nurse take?
a. Maintain a neutral facial expression when speaking to the child.
b. Change position s frequently to maintain the child’s attention.
c. Exaggerate the pronunciation of words.
d. use light touch when initiating conversation.
8. A nurse is creating plan of care for an adolescent who has muscular dystrophy. Which of the following intervention should the include in the plan ?
a. Avid influenza and pneumococcal vaccines foe 24 months.
b. initiate a referral for chest physiotherapy every 4hr.
c .recommend the adolescent use a wheel chair to prevent stress the lower extremities.
Encourage the adolescent to perform incentive spirometry to maintain lung capacity.
9. A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the include.
a. Place cooling blanket on the toddler.
b. Administer IV dantrolene sodium to the toddler.
c. encourage the toddler to use an incentive spirometer.
d. Administer aspirin to the toddler as needed for pain.
10. a nurse is caring for a child who has bacterial meningitis. Which of the following finding s should indicate to the nurse that the child can be removed from droplet precaution?
a. antibiotics initiated 24hr ago
b. Absent nuchal rigidity.
c. Temperature below 37.4 C ( 99.3 F).
d. Negative cerebrospirul fluid culture.
12. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this this procedure.
a. Mummy
b. Elbow
c. Mitten
d. Jacket
13. a nurse is planning to perform tracheostomy care for a toddler . which of the following is an appropriated action for nurse to take?
a. use clean technique to change the tracheostomy tube.
b. clean around the stoma with full –strength hydrogen peroxide.
c. Place the child in Trendelenburg position when performing care.
d. Have the child flex his head when securing the ties.

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