In: Nursing
1. a nurse is admitting a child who has bacterial meningitis. which of the following actions should the nurse take first?
a. initiate antibiotic therapy for the child.
b. minimize the child's environmental stimuli.
c. place the child in a side-lying position.
d. administer pain medication to the child.
2. a nurse is caring for a school age child who has metastatic osteosarcoma. the child asks the nurse, "am I going to die?" which of the following responses should the nurse make?
a. what is your pain level right now?
b. your doctor will be able to answer your questions tomorrow.
c. it sounds like you are worried. tell me what you have been told.
d. it's natural to worry about death, but you should focus your energy on getting better.
3. a nurse is teaching a school-age child and their parents about managing diabetes mellitus during illness. the nurse should determine that the teaching has been effective when the parents indicate they will provide which of the following when the child is ill?
a. decreased calories.
b. increased fluids.
c. blood glucose monitoring every 8 hours.
d. urine testing for leukocytes.
4. a nurse is creating a plan of care for a child who is awake and responsive following an acute head injury. which of the following interventions should the nurse include?
a. place the child in a room with bright fluorescent lighting.
b. initiate seizure precautions for the child.
c. use the COMFORT scale to rate the child's pain.
d. suction the child's nares to determine the presence of fluid.
1. answer is b
child could have photophobia and headache, so reduce the environmental stimuli.
2. the answer is c.
child is worried about his condition and the nurse shows that she understood the condition of the child and is using the technique of exploring to know more about the child's feelings.
3. answer is c.
when the child is ill, the parents must monitor blood glucose frequently.
4. answer is b.
seizure precautions must be taken for post traumatic seizure within 24 hours to 1 week after brain injury.