Which would the nurse teach to a preschool age client to avoid the risk of altered growth?

Kaplan Focused Review – Pediatrics A

1.A toddler client accidently drinks some drain cleaner and is brough to the emergency department.

Which piece of equipment is MOST essential for the nurse when catting for this client?

a.Intubation tray

i.An intubation tray is the most essential piece of equipment for the nurse to have on

hand. Because drain cleaner is a caustic substance, there is potential for massive

swelling, which would compromise respirations. An intubation tray should be

immediately available so that the toddler’s airway is protected.

2.The nurse performs a home care visit for a child client diagnosed with cystic fibrosis. The nurse

intervenes if which finding is observed?

a.The child takes the pancreatic enzymes one hour after eating.

i.Enzymes should be taken at the beginning of a meal, with a snack, or within 30 min of

eating. One hour is too long after eating. Chewing or crushing beads destroys the

enteric coating.

3.An infant client is diagnosed with a cyanotic congenital heart defect (CCHD). The nurse knows a

cyanotic congenital heart defect is associated with which symptom as reported by the parent?

a.Poor feeding with no or very poor weight gain

i.Reports of poor feeding, difficulty feeding, and poor weight gain or no weight gain are

symptoms that occur in infants with congenital heart defects usually seen on the well-

baby check following birth. There are respiratory related symptoms such as cyanosis,

tachypnea, labored breathing, pulmonary edema, and sternal retractions. Circulatory

related symptoms are tachycardia, heart murmur, weak femoral pulses, or shock. The

infant can also demonstrate lethargy, hepatomegaly, and failure to thrive.

4.The nurse provides teaching to an adolescent client and parent about the brace the adolescent will

wear to correct a scoliosis deformity. Which statement made by the parent indicates teaching is

successful?

a.The brace should be worn 23 hours a day

i.The brace should be worm 23 hours per day. The nurse should assess the home

environment for safety hazards and teach the client how to prevent falls by using

handrails and avoiding slippery surfaces.

5.A client delivers a healthy 8-lb, 2-oz infant. The client mentions to the nurse that the baby’s “soft spot”

bulges out when the baby cries. Which statement made by the nurse is MOST appropriate?

a.The anterior fontanel will normally bulge out when the baby coughs or cries.

i.The fontanels should feel flat, firm, and well demarcated when the baby is at rest.

Coughing or crying may cause the anterior fontanel to bulge.

6.During a well child check-up for a 6-month-old client, the parent reports the client received the first

DTaP at two-months of age, and has received no other vaccinations. Which action by the nurse is MOST

appropriate?

a.Give the second DTaP.

i.By the age of 6 months, the child should be ready for the third immunization. When

the schedule has been interrupted, it Is appropriate to simple continue with the

schedule. The child is due for the second DTaP vaccination.

7.The nurse instructs a 10-year-old client about how to collect a 24-hour urine specimen at home using a

clean, empty jar. Which size jar does the nurse recommend that the client use for the collection?

a.A 48-ounce jar.

i.The expected amount of urine output for a 10-year-old child is about 1200 mL. Since

30 mL equals 1 ounce, 1200 mL equals 40 ounces, a 48-ounce jar would be best to

hold 40 ounces of urine.

Which type of play should the nurse encourage for a preschool

Which developmental milestone would the nurse expect when assessing a preschooler quizlet?

Which interventions would the nurse recommend to the parents of a preschool aged client who is biting other children at daycare?

Which nursing intervention will help the toddler