RN Nursing Care of Children Online Practice 2019 A

RN Nursing Care of Children Online Practice 2019 A Related

Review RN Nursing Care of Children Online Practice 2019 A related questions and content

The parents of a child with acute postinfectious glomerulonephritis (APIGN) ask how they will know that the condition is improving. How should the nurse respond?

  • A. Your child's urine output will increase, and the urine will become less brown in color.
  • B. Your child will rest more comfortably.
  • C. Your child's appetite will decrease.
  • D. Your child's laboratory test values will show increased BUN.
Correct Answer: A

Rationale: Improvement in APIGN is indicated by an increase in urine output and a change in urine color from brown (due to hematuria) to a more normal appearance. This reflects a reduction in glomerular inflammation and improved kidney function. Choice B is incorrect because resting more comfortably is not a direct indicator of kidney function improvement. Choice C is incorrect because a decrease in appetite is not typically associated with improvement in APIGN. Choice D is incorrect because an increased BUN value would suggest worsening kidney function rather than improvement.

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An appropriate method for administering oral medications that are bitter to an infant or small child should be to mix them with which?

  • A. Bottle of formula or milk
  • B. Any food the child is going to eat
  • C. One teaspoon of something sweet-tasting such as jam
  • D. Carbonated beverage, which is then poured over crushed ice
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which situation?

  • A. Water excess
  • B. Sodium excess
  • C. Water depletion
  • D. Potassium excess
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?

  • A. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed.
  • B. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur.
  • C. Discourage parent presence during procedures on infants and toddlers.
  • D. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A parent brings their 2-year-old son in for a well visit. The nurse assesses his growth since the last appointment. Which finding should concern the nurse?

  • A. Prominent abdomen
  • B. Forward curve of the spine in the sacral area
  • C. Increase in height of 5 inches in the past year
  • D. Total weight gain of 15 lb in the past year
Correct Answer: D

Rationale: The correct answer is D. A total weight gain of 15 lb in one year for a 2-year-old is excessive and may indicate an underlying issue such as a metabolic disorder or overfeeding. This rapid weight gain can put the child at risk for health problems. Choices A, B, and C are not typically concerning findings in a 2-year-old. A prominent abdomen can be normal at this age due to a toddler's slightly protruding belly, a forward curve of the spine at the sacral area is a typical finding in young children, and an increase in height of 5 inches in a year is within the expected range of growth for a 2-year-old.

When teaching a mother how to administer eye drops, where should the nurse tell her to place them?

  • A. At the lacrimal duct
  • B. On the sclera while the child looks to the outside
  • C. In the conjunctival sac when the lower eyelid is pulled down
  • D. Carefully under the eyelid while it is gently pulled upward
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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