A nurse is planning to perform tracheostomy care for a
toddler. Which of the following is an appropriate action for
the nurse to take?
A. Have the child flex his head when securing the ties.
B. Clean around the stoma with full-strength hydrogen
peroxide
C. Use clean techniques to change the tracheostomy tube
D. Place the child in Trendelenburg position when performing
care. - ...ANSWER...A. Have the child flex his head when
securing the ties.
A nurse is teaching the parent of a toddler who has
phenylketonuria about meal planning. Which of the following
information should the nurse include in the teaching?
A. Limit foods high in iron
B. Avoid foods containing milk products
C. Use aspartame as a sugar substitute
D. Increase the toddler's protein consumption -
...ANSWER...B. Avoid foods containing milk products
A nurse is assessing a 6-month-old infant who has a
respiratory syncytial virus. The nurse should immediately
report which of the following findings to the provider?
A. Tachypnea
B. Coughing
C. Brisk capillary refill
D. Pharyngitis - ...ANSWER...A. Tachypnea
A nurse reviews the complete blood count results for a child
who is receiving treatment for acute lymphoblastic leukemia.
Which of the following findings should indicate to the nurse
that the treatment is having a therapeutic effect?
A. Hemoglobin 6.8g/dL
B. RBC count 5 mm^3
C. WBC count 15000 mm^3
D. Platelet count 34000 mm^3 (150,000-400,000) -
...ANSWER...B. RBC count 5 mm^3 (normal range)
A nurse is assessing a child who has heart failure. Which of
the following findings is a clinical manifestation associated
with this diagnosis?
A. Bradycardia
B. Tachypnea
C. Tremors
D. Increased appetite - ...ANSWER...B. Tachypnea
A nurse is teaching a group of parents about childhood
immunization. The nurse should identify that infants should
receive the first dose of the following immunizations at 12
months of age.
A. Human papillomavirus
B. Inactivated poliovirus
C. Varicella
D. Hepatitis B. - ...ANSWER...C. Varicella
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