Quiz 6 Ped

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

• ​Administer antibiotics when available.

• Reduce environmental stimuli

• Document intake and output.

• Maintain seizure precautions

A nurse is reinforcing teaching with the parents of an adolescent about expected development. Which of the following developmental tasks should the nurse instruct the parents to expect the adolescent to achieve?

• Trust

• Initiative

• Identity

• Autonomy

A nurse on a pediatric unit is caring for a client who has a brain tumor. To help ensure the client's safety, which of the following actions should the nurse take?

• Do not allow the child to ambulate in his room alone.

• ​Limit contact with other pediatric clients.

• ​Initiate seizure precautions for the child.

• Have the child use a wheelchair for all out-of-bed activities.

The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?

• "I will make my child wear a medical identification alert bracelet."

• "I know that my child will need to have a companion when swimming."

• "I will need to give antiseizure medications when my child has a seizure."

• "I will have my child wear a bike helmet when riding a bike or skateboarding."

The nurse reinforces instructions to the parent of a child with meningococcal meningitis. Which statement by the parent indicates a need for further teaching?

• "I can give my child acetaminophen for fever."

• "I will watch for any hearing loss that may occur."

• "I know that I will need to watch for any rash that my child may develop."

• "I will need to get my other children the pneumococcal vaccine, but not the baby yet, he is only 3 months."

Answer explanation

Pneumococcal conjugate vaccine is recommended for all children beginning at age 2 months to protect against meningitis, streptococcal pneumococci can cause many bacterial infections, including meningitis. Options 1, 2, and 3 are correct.

The nurse would implement which actions in the care of a child who is having a seizure? Select all that apply.

• Time the seizure.

• Restrain the child.

• Stay with the child.

• Place the child in a supine position.

• Loosen clothing around the child's neck.