Question

27. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching?
a. “You will need to keep your leg straight for 8 hours following the procedure”
b. “You will be on bed rest for 2 days after the procedure”
c. “You will have your dressing removed 12 hours after the procedure”
d. “You will be on a clear liquid diet for 24 hours following the procedure”

28. A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider?
a. Pulse rate 98/min
b. Respiratory rate 26/min
c. Blood pressure 118/74 mmHg
d. Temperature 37.2 oC (99oF)

29. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply)
a. partial thromboplastin time (PTT)
b. C-reactive protein (CRP)
c. Antistreptolysin O (ASO) titer
d. Erythrocyte sedimentation rate (ESR)
e. Blood urea nitrogen (BUN)

31. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply)
a. Increased appepetite
b. Enlarged subclavicular lymph node
c. Crying
d. Fever
e. Restlessness

32. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?
a. initiate contact precautions for the child
b. maintain a patent intravenous catheter
c. encourage frequent physical activity to increase bone mass
d. provide a high-calorie, low-protein diet

Answer 1

27. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching?
a. “You will need to keep your leg straight for 8 hours following the procedure”
b. “You will be on bed rest for 2 days after the procedure”
c. “You will have your dressing removed 12 hours after the procedure”
d. “You will be on a clear liquid diet for 24 hours following the procedure”

a. “You will need to keep your leg straight for 8 hours following the procedure”

REASON: Patient need to lie flat and keep your leg straight for 3 to 8 hours to prevent bleeding.

28. A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider?
a. Pulse rate 98/min
b. Respiratory rate 26/min
c. Blood pressure 118/74 mmHg
d. Temperature 37.2 oC (99oF)

d. Temperature 37.2 oC (99oF)
REASON: armpit reading of body temperature 99°F (37.2°C) or higher is consider a sign of infection. So nurse should report to the provider.

29. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply)
a. partial thromboplastin time (PTT)
b. C-reactive protein (CRP)
c. Antistreptolysin O (ASO) titer
d. Erythrocyte sedimentation rate (ESR)
e. Blood urea nitrogen (BUN)

b. C-reactive protein (CRP)

d. Erythrocyte sedimentation rate (ESR)

31. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply)
a. Increased appetite
b. Enlarged subclavicular lymph node
c. Crying
d. Fever
e. Restlessness

b. Enlarged subclavicular lymph node

c. Crying
d. Fever
e. Restlessness

REASON:

The reactive immune cells cause swelling of lymph nodes, including those around the Eustachian tube. Then, the swollen lymph nodes compress the Eustachian tube and thereby promote middle ear infections/otitis media.

Child will feel pain due to infection, so the child might cry and become restless. Fever is a sign for infection.

32. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?
a. initiate contact precautions for the child
b. maintain a patent intravenous catheter
c. encourage frequent physical activity to increase bone mass
d. provide a high-calorie, low-protein diet

ANSWER: d. provide a high-calorie, low-protein diet

REASON:

Malnutrition is also a cause of osteomyelitis so good calorie diet is needed.

Protein increases the acid load of our body, which then causes the body to take calcium out of the bones to neutralize the acid. So high protein diet should be avoided.