The nurse is caring for a young client who has been diagnosed with osteopenia. A risk factor in the client’s history most likely contributed to the bone loss is...
What is RA (rheumatoid arthritis?)
A term that is used to describe a child's level of consciousness when the child can be aroused with stimulation.
What is Obtundation?
A nurse is reinforcing teaching with a parent of a child who has pediculosis capitis. Instructions should include:
What is treating pediculosis capitis with 1% permethrin?
Spastic cerebral palsy is characterized by....
What is hypertonicity and poor control of posture, balance, and coordinated motion?
A condition can result from the bone demineralization associated with immobility...
What is osteoporosis?
The nurse is performing a neurovascular assessment for an older client who has an extremity fracture. The nurse would expect for a capillary refill within normal range is?
What are 5 seconds?
Late signs of increased intracranial pressure (ICP) in an infant?
What are:
bradycardia, decreased motor response, extension or flexion posturing, alteration in pupil size and reactivity, and Cheyne-Stokes respirations?
A nurse is caring for a child who has cellulitis on the hand. The actions the nurse should take include:
What are oral antibiotics?
The most common problem for children born with a myelomeningocele...
What is neurogenic bladder?
A type of traction uses skin traction on the lower leg and a padded sling under the knee..
What is a Russell traction?
A nurse assesses an older adult who was admitted 2 days ago with a fractured hip. The nurse notes that the client is confused and restless with an oxygen saturation of 88%. The action the nurse would take first is...
What is administering oxygen via nasal cannula?
A type of seizure involves both hemispheres of the brain
What is generalized seizures?
A nurse is caring for an adolescent who has acne and a prescription for isotretinoin from the dermatologist. The nurse should plan to monitor this lab...
What are cholesterol and triglycerides?
Which finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy...
What is positive Babinski reflex?
When infants are seen for fractures, nursing intervention of a priority is...
What is rule out child abuse?
(Assess for child abuse. Fractures in infants are often nonaccidental.)
A nurse assesses a client with a pelvic fracture. An assessment finding the nurse would identify as a complication of this injury..
What is hematuria?
Cerebrospinal fluid (CSF) laboratory results on a child diagnosed with bacterial meningitis
What are
Elevated white blood cell (WBC) count,
Decreased glucose,
and Cloudy in color
A nurse is planning care for an infant who has diaper dermatitis. The actions the nurse should include in the plan of care are...
What are allowing the buttocks to air dry,
and applying zinc oxide ointment protects the skin from moisture and irritation
The nurse is admitting a school-age child with suspected Guillain-Barré syndrome (GBS). The nursing intervention of a priority in the care for this child is...
What is assessing respiratory efforts?
A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing considerations should include which action?
what is
Teaching the family the care and management of the corrective appliance?
A nurse is caring for a client recovering from an above-the-knee amputation of the right leg. The client reports pain in the right foot. Which prescribed medication would the nurse most likely administer?
What is IV calcitonin?
The nurse, closely monitoring a child who is unconscious after a fall, notices that the child suddenly has a fixed and dilated pupil. The nurse should interpret this as the indication of...
What is neurosurgical emergency?
A client has painful, moist, red in color with blisters, mild to moderate edema, and no eschar, blanches with pressure--name the stage of that burn
What is a second -degree burn?
The assessment findings the nurse should note in a school-age child diagnosed with Duchenne’s muscular dystrophy are...
Lordosis,
Gower’s sign,
and Waddling gait
The nurse is caring for an infant with developmental dysplasia of the hips (DDH). Which clinical manifestations should the nurse expect to observe...
Positive Ortolani sign and
Unequal gluteal folds
The nurse is teaching a client how to use a cane after a right surgical fractured fibula repair. The health teaching the nurse would include...
What is “Place the cane on your left side.”?
When a 10 year old has been hit by a car while riding his bicycle in front of the school, the school nurse immediately assesses airway, breathing, and circulation. The next nursing action should be....
What is stabilizing the neck and spine
Damage to all layers of the skin that extends to muscle, fascia, and bones (deep full thickness)
What is a fourth-degree burn?
A problem is most often associated with myelomeningocele...
What is Hydrocephalus?
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Assessment findings indicate possible compartment syndrome...
What are?
Severe pain not relieved by analgesics,
Tingling of extremity,
and Inability to move extremity