d. Allow the child to eat at a small table and chair by herself 11. Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN? a. 5% glucose b. 10% glucose c. 15% glucose d. 17% glucose 12. David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which findings best indicates that the child is free from pain? a. Decreased appetite b. Increased heart rate c. Decreased urine output d. Increased interest in play 13. When planning care for a 8-year-old boy with Down syndrome, the nurse should: a. Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age b. Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays c. Assess the child’s current developmental level and plan care accordingly d. Direct all teaching to the parents because the child can’t understand 14. Nurse Victoria is teaching the parents of a school-age child. Which teaching topic should take priority? a. Prevent accidents b. Keeping a night light on to allay fears c. Explaining normalcy of fears about body integrity d. Encouraging the child to dress without help 15. The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority? a. Changing the linens on the clients’ beds b. Restocking the bedside supplies needed for a dressing change on the upcoming shift c. Documenting the care provided during her shift d. Emptying the trash cans in the assigned client room 16. Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should: a. Compress the sternum with both hands at a depth of 1½ to 2” (4 to 5 cm) b. Deliver 12 breaths/minute c. Perform only two-person CPR d. Use the heel of one hand for sternal compressions 17. A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? a. Instituting droplet precautions b. Administering acetaminophen (Tylenol) c. Obtaining history information from the parents d. Orienting the parents to the pediatric unit 18. Sheena, tells the nurse that she wants to begin toilet training her 22-month-old child. The most important factor for the nurse to stress to the mother is: a. Developmental readiness of the child b. Consistency in approach c. The mother’s positive attitude d. Developmental level of the child’s peers 19. An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? a. The foster mother b. The social worker who placed the infant in the foster home c. The registered nurse caring for the infant d. The nurse-manager 20. A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to: a. Prevent metabolic breakdown of xanthine to uric acid b. Prevent uric acid from precipitating in the ureters Should begin screening for lead poisoning when a child reaches which age?CMS requires that all children receive a screening blood lead test at 12 months and 24 months of age. Children between the ages of 36 months and 72 months of age must receive a screening blood lead test if they have not been previously screened for lead poisoning.
Which of the following situations increase the risk of lead poisoning in children?The following situations can increase your risk of lead exposure: working in or living near lead mines and lead processing works. restoring older homes, furniture, cars or boats that have been painted with lead-based paints. working with or recycling objects containing lead such as car batteries and radiators.
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