Pediatrics - RN330A - Weeks 4 - 5 Review for Exam

A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?

• A needleless syringe and a doll

• A video game

• A story book about a child who has diabetes

• A period of play in the playroom

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?

• Trendelenburg

• Semi-Fowler's

• Prone

• On the unoperated side

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

• Place the client in a semi-Fowler's position.

• Admit the client to a private room.

• Measure head circumference every shift.

• Implement seizure precautions.

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

• Keep the infant NPO for 6 hr prior the procedure.

• Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedure.

• Place the infant in an infant seat for 2 hr following the procedure.

• Hold the infant's chin to his chest and knees to his abdomen during the procedure.

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

• Attempt to stop the seizure.

• Restrain the child's arms.

• Use a padded tongue blade.

• Position the child laterally.

A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

• Place a pillow under the child's head.

• Position the child side-lying.

• Loosen restrictive clothing.

• Clear the area of hazards.

A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?

• Administer glucagon for hyperglycemia.

• Obtain an influenza vaccine annually.

• Inject insulin in the deltoid muscle.

• Take glyburide with breakfast.

A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?

• Lethargy

• Pallor

• Tremors

• Shallow respirations

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?

• Tracks an object with eyes

• Sits with pillow props

• Smiles when a parent appears

• Uses a pincer grasp to pick up a toy

A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

• I will be sure my child aspirates before injecting the insulin.

• The insulin can be injected anywhere there is adipose tissue.

• I will be sure my child rotates sites after 5 injections in one area.

• The insulin should be injected at a 90-degree angle.