Fundamental Concepts
How frequently is the administration of a medication that is ordered TID?
Three times a day
A 2-year-old child is in the playroom. The nurse observes him picking up a small toy and putting it in his mouth. The child begins to choke, how would you intervene?
Heimlich maneuver
A nurse is alone performing CPR on an infant, what is the compression/breath ratio?
15 : 2
Diabetes insipidus is a disorder of which organ?
Posterior pituitary
What is the phrase used for something that needs to be administered emergently?
STAT
The nurse is caring for a child with respiratory distress who is being treated with narcotics for pain related to leukemia. For what condition should the nurse monitor in this child?
hypoventilation
The feeling of guilt that the child “caused” the disability or illness is especially critical in which child?
Preschooler
What finding would the nurse expect to assess in a child with hypothyroidism?
Weight gain
The term for a medication that is ordered for bedtime is...
HS
A preschool child in the emergency department has a respiratory rate of 10 breaths per minute. How should the nurse interpret this finding?
This child is in respiratory distress/respiratory failure is likely.
The nurse is caring for a child who has just died. The parents ask to be left alone so that they can rock their child one more time. How should the nurse respond?
Grant their request.
A nurse is to see a child. Assessment reveals the chief complaints of urinating “a lot” and being “really thirsty.” The nurse interprets these symptoms as being associated with which condition?
diabetes insipidus
This term refers to when a patient is not allowed to eat or drink.
NPO
A nurse is working triage in the emergency department. A school-age child is brought in for treatment, carried by her mother. What assessment takes priority?
Assess for airway patency.
In the emergency department, the nurse notices bruises in various stages of healing present in a 16 month-old. What could this indicate?
Physical child abuse.
An 8-year-old girl presents to the clinic for moodiness and irritability. The child has begun to develop breasts and pubic hair and the parents are concerned that the child is at too early an age for this to begin. The nurse knows that these symptoms may be indicative of what disorder?
precocious puberty
The term for a medication administration that is below the tongue.
Sublingual
A 3-year-old is brought to the emergency department by ambulance after her body was found submerged in the family pool. The child has altered mental status and shallow respirations. She did not require resuscitative interventions. Which condition should the nurse monitor for as the priority in this child?
Hypoxia
Hypoxia is responsible for the injury to organ systems during submersion injuries. Hypoxia can progress to cardiopulmonary arrest. Monitoring for hypoxia takes priority for this child over neurologic status, temperature, or glucose status.
An infant is seen for a spiral fracture, which nursing intervention is a priority?
Assess for child abuse. Fractures in infants are often nonaccidental.
A child with diabetes insipidus is being treated with vasopressin. The nurse would assess the child closely for signs and symptoms of which condition?
Syndrome of inappropriate antidiuretic hormone (SIADH)