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A fever that started 3 days ago
Lack of interest in food
A recent episode of pharyngitis
Vomiting for 2 days
Under age 3
Over age 3
Critically ill and under age 3
Critically ill and over age 3
Cultural background usually has little bearing on a family’s health practices
Physical characteristics mark the child as part of a particular culture
Heritage dictates a group’s shared values
Behavioral patterns are passed from one generation to the next
Notify the doctor
Look for other signs of abuse
Recognize this as a normal finding
Ask about a family history of Tay-Sachs disease
Intense abdominal cramps
Establishing an identity
“Has your child always been so thin?”
“Is your child a picky eater?”
“What did your child eat for breakfast?”
“Do you think your child eats enough?”
Heart rate, respiratory rate, and blood pressure
Recent exposure to communicable diseases
Number of immunizations received
Height and weight
The child forgets previously learned skills
The child experiences growth while regressing, regrouping, and then progressing
The parents may refer less mature behaviors
The child returns to a level of behavior that increases the sense of security.
“Do you have any problems seeing different colors?”
“Do you have trouble seeing at night?”
“Do you have problems with glare?”
“How are you doing in school?”
Lidocaine hydrochloride (Xylocaine)
Buck’s extension traction
Overhead suspension traction
Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model
Initiating a teenage parent support group with first – and – second-time mothers
Using audiovisual aids that show discussions of feelings and skills
Providing age-appropriate reading materials
Congenital heart defects
Ride a tricycle
Tie the shoelaces
External ear canal
Increased urine output
Increased energy level
To increase blood pressure
To reduce inflammation
To decrease proteinuria
To prevent infection
A sunken fontanel
Decreased pulse rate
Increased blood pressure
Low urine specific gravity
By diluting it with normal saline solution
By diluting it with 5% dextrose solution
By shaking it so that all the drug particles are dispersed uniformly
By crushing remaining particles with a mortar and pestle
Within the lower range of normal intelligence
Mildly retarded but educable
Moderately retarded but trainable
Completely dependent on others for care
“What activities do you engage in during the day?”
“Do you have any allergies to foods?”
“Do you like yourself physically?”
“What kinds of food do you like to eat?”
At 1 to 2 years of age
At I week to 1 year of age, peaking at 2 to 4 months
At 6 months to 1 year of age, peaking at 10 months
At 6 to 8 weeks of age
A history of cocaine use
A preoccupation with death
Nausea and vomiting
An abdominal mass
Monitoring the child for both general and specific adverse effects
Observing the child for 10 minutes to note for signs of anaphylaxis
Administering medication through a free-flowing intravenous line
Assessing for signs of infusion infiltration and irritation
From head to toe
Distally to proximally
From abdomen to toes, the to head
From least to most intrusive
Group A β-hemolytic streptococcus
Low blood pressure
Have the infant drink water, and then administer mycostatin in a syringe
Place mycostatin on the nipple of the feeding bottle and have the infant suck it
Mix mycostatin with formula
Swab mycostatin on the affected areas
Make the child seat with the family in the dining room until he finishes his meal
Provide quiet environment for the child before meals
Do not give snacks to the child before meals
Put the child on a chair and feed him
Uneven head shape
Respirations are irregular, abdominal, 30-60 bpm
(+) moro reflex
Heart rate is 80 bpm
Playing in the park with heavy traffic and with many vehicles passing by
Playing sand in the park
Playing plastic balls with other children
Playing with stuffed toys at home
Decreased mean corpuscular volume (MCV)
Normal total iron-binding capacity (TIBC)
The nurse should insert a padded tongue blade in the patient’s mouth to prevent the child from swallowing or choking on his tongue.
The nurse should help the mother restrain the child to prevent him from injuring himself.
The nurse should call the operator to page for seizure assistance.
The nurse should clear the area and position the client safely.
Identity vs. role confusion.
The baby cannot say “mama” when he wants his mother.
The mother has not given him finger foods.
The child does not sit unsupported.
The baby cries whenever the mother goes out.
Prone for two hours to prevent aspiration, should she vomit.
Semi-fowler’s so she can watch TV for five hours and be entertained.
Supine for several hours, to prevent headache.
Supine for several hours, to prevent headache.
Every 4 hours.
Every 15 minutes.
Tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.
Tachycardia, headache, dyspnea, temp . 101 F, and wheezing.
Blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.
Restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.
Throat and ear culture.
The highest glucose level in the past week.
Her insulin level.
Glucose levels over the past several months.
Her usual fasting glucose level.
Radial and ulnar pulse.
Still depends on the parents
Rebels against scheduled activities
Is highly sensitive to criticism
Loves to tattle
Preparation for surgery
A reduced white blood cell count
A decreased platelet count
Well follow these instructions until our child’s symptoms disappear.”
“Our child must maintain these dietary restrictions until adulthood.”
“Our child must maintain these dietary restrictions lifelong.”
“We’ll follow these instructions until our child has completely grown and developed.”
Closed anterior fontanel and open posterior fontanel
Open anterior and fontanel and closed posterior fontanel
Closed anterior and posterior fontanels
Open anterior and posterior fontanels
Encouraging the infant to hold a bottle
Keeping the infant on bed rest to conserve energy
Rotating caregivers to provide more stimulation
Maintaining a consistent, structured environment
Allow the child to feed herself
Se specially designed dishes for children – for example, a plate with the child’s favorite cartoon character
Only serve the child’s favorite foods
Allow the child to eat at a small table and chair by herself
Increased heart rate
Decreased urine output
Increased interest in play
Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age
Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays
Assess the child’s current developmental level and plan care accordingly
Direct all teaching to the parents because the child can’t understand
Keeping a night light on to allay fears
Explaining normalcy of fears about body integrity
Encouraging the child to dress without help
Changing the linens on the clients’ beds
Restocking the bedside supplies needed for a dressing change on the upcoming shift
Documenting the care provided during her shift
Emptying the trash cans in the assigned client room
Compress the sternum with both hands at a depth of 1½ to 2” (4 to 5 cm)
Deliver 12 breaths/minute
Perform only two-person CPR
Use the heel of one hand for sternal compressions
Instituting droplet precautions
Administering acetaminophen (Tylenol)
Obtaining history information from the parents
Orienting the parents to the pediatric unit
Developmental readiness of the child
Consistency in approach
The mother’s positive attitude
Developmental level of the child’s peers
The foster mother
The social worker who placed the infant in the foster home
The registered nurse caring for the infant
Prevent metabolic breakdown of xanthine to uric acid
Prevent uric acid from precipitating in the ureters
Enhance the production of uric acid to ensure adequate excretion of urine
Ensure that the chemotherapy doesn’t adversely affect the bone marrow
Gown and gloves
Gown, gloves, and mask
Gown, gloves, mask, and eye goggles or eye shield
Within 24 hours
In 48 to 72 hours
After 5 days
Iron-rich formula and baby food
Whole milk and baby food
Skim milk and baby food
Iron-rich formula only
"Switch to cloth diapers until the rash is gone”
“Use baby wipes with each diaper change.”
“Leave the diaper off while the infant sleeps.”
“Offer extra fluids to the infant until the rash improves.”
Administer ipecac syrup
Call an ambulance immediately
Call the poison control center
Punish the child for being bad
Ineffective airway clearance related to edema
Disturbed body image related to physical appearance
Impaired urinary elimination related to fluid loss
Risk for infection related to epidermal disruption
Nausea and vomiting
Temperature of 102°F (38.9° C)
Oxygen saturation of 95%
Mild work of breathing
Absence of intercostals or substernal retractions
History of steroid-dependent asthma
Measuring head circumference
Obtaining skull X-ray
Performing a lumbar puncture
Magnetic resonance imaging (MRI)
Apply cool air under the cast with a blow-dryer
Use sterile applicators to scratch the itch
Apply cool water under the cast
Apply hydrocortisone cream under the cast using sterile applicator.
Inactivated polio vaccine
Diptheria, pertussis, tetanus
Measles, mumps, rubella
Increased blood viscosity occurs
Thrombocytopenia (excessive destruction of platelets) occurs
Unrestrictive proliferation of immature white blood cells occurs
First stage of coagulation process is abnormally stimulated
Mesodermal or ectodermal tissue
Unrelated Donor Bone Marrow Transplant
Decrease cost of treatment
Shorten length of overall therapy
Introduce new agents into therapy plans
Determine effectiveness of new treatments
Headache and vomiting
Fever and poor fine motor control
Explain to teenager that hair usually re-grows in one year
Advise teenager to minimize exposure of their head to sunlight to minimize alopecia.
Explain to teenager that wearing a hat or scarf is preferable to wearing a wig.
Explain to teenager that when hair regrows, it may have a slightly different color or texture.
Fatigue, Bruising, Bone Pain
Diarrhea, Abdominal Pain, Rash
Weight gain, Headaches, Pruritis
Palpitations, Chest Pain, Nausea
Encourage drinking large amounts of favorite fluids
Adminster an antiemetic as soon as the child has nausea
Administer an anti-emetic before the chemotherapy begins
Encourage the child to take nothing by mouth (NPO) until nausea and vomiting subside
Treat brain tumor
Treat CNS disease
Prevent CNS disease
Obtain full history
Obtain chest x-ray and administer brochodilators
Give antipyretic for fever and being IV hydration
Obtain blood cultures, begin IV hydration, and administer antibiotics
None of the above.
Industry vs. inferiority.
Trust vs. mistrust.
Autonomy vs. shame and doubt.
Initiative vs. guilt.