Nursing Interventions
Following surgical repair of a cleft palate, what should be used to prevent injury to the suture line?
Cup
Recurrent abdominal pain (RAP) is most often seen in school-age or adolescent children. The nurse should assess closely for what potential problems?
Emotional problems
Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance. What is an appropriate suggestion by the nurse?
Be firm and insist the child go to school
The nurse instructs the parents of a child who has had a myringotomy to place the child in which position?
On the affected side
What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis?
An olive-shaped mass right of the midline
How should the nurse measure urinary output for an infant with dehydration?
Weighing the diaper
Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. How often should children be assessed for side effects of the drug therapy?
Every 6 months
Following a bout of diarrhea, which foods should be offered to the school-age child?
Oral rehydration solution
When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone?
Anemia
Which statement correctly explains the etiology of Down syndrome?
There is an extra chromosome on the 21st pair
The health care provider is treating a child with meningitis with a course of antibiotic therapy. When should the nurse expect the child to be out of isolation?
When the antibiotics have been initiated for 24 hours
What congenital defect is common in children with Down syndrome?
Heart defects
Which is a long-term complication of cleft lip and palate?
Faulty dentition
When selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse?
Skin impairment
Which additional congenital malformation is expected in 80% of infants with a myelomeningocele?
Hydrocephalus
The nurse is caring for a newborn with a myelomeningocele. Before surgery, what should the nursing interventions include?
Covering the lesion with a sterile, saline-soaked gauze
The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). How is a child with an IQ of 70 classified?
Intellectual Disability
What is the priority patient problem for the parents of a newborn born with cleft lip and palate?
Risk for impaired attachment
An adolescent female asks the nurse about taking retinoic acid (Accutane). What guidance should be provided by the nurse?
The medication requires that sexually active females use contraception
Which is a causative factor of Hirschsprung disease?
The absence of parasympathetic ganglion cells in a portion of the colon
An infection of the protective covering of the brain is called _____________.
Meningitis
Septic arthritis/septic joint can result in permanent damage and destruction of the joint if left untreated. This disease can be caused by which of the following:
Ear infection
Tick bite
Open fracture
When caring for a 9-month-old patient who underwent surgery to repair a cleft palate, what is the priority intervention?
Maintaining optimal nutrition
A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared. What response by the nurse is most appropriate?
“Yes. You should continue it for the full 7 days."
When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?
Cognitive impairment