A nurse is admitting an 8-year-old child to the pediatric unit.

Select 1 condition and 1 client finding to fill in each blank in the following sentence.

The nurse should anticipate a provider's prescription for
_
due to the child's
_

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Initiating airborne precautions. The child’s symptoms (fever, headache, nausea, lethargy, irritability, nuchal rigidity, and elevated WBC count) suggest bacterial or viral meningitis, which requires airborne precautions if tuberculosis or certain viral causes are suspected.

WBC. The child's WBC count is elevated (14,000 mm³), indicating a possible infection, which supports the need for precautions to prevent transmission.

Administering potassium chloride. The child's potassium level (3.8 mEq/L) is within the normal range (3.4-4.7 mEq/L), so potassium replacement is unnecessary.

Pain level. While pain management is important, it does not directly relate to the need for airborne precautions.

Administering acyclovir. Acyclovir is an antiviral used to treat herpes infections, but there is no indication in the scenario that the child has a viral infection requiring acyclovir.

Lymph node findings. While cervical lymphadenopathy can occur with infections, it does not necessarily indicate the need for acyclovir.

Increasing environmental stimuli. The child is already lethargic and irritable, so reducing stimuli (not increasing) would be more appropriate.

Potassium level. The potassium level is normal and does not indicate a need for intervention.

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Correct Answer is B

Explanation

A. "It is okay to blame others for your feelings." Blaming others is a negative coping mechanism that does not help the child manage emotions in a healthy way.
B. "When you feel angry and overwhelmed, take some deep breaths." Deep breathing is a positive coping strategy that helps reduce stress and manage emotions effectively.
C. "Take a break from group activities when you are stressed." Social support is an important stress reliever, and withdrawing from activities may lead to isolation and worsen stress.
D. "Keep your strong feelings to yourself." Bottling up emotions can lead to increased stress and anxiety. Children should be encouraged to express their feelings in a healthy way.

A. "I will offer my child 20 grams of carbohydrates every 2 hours." B. "I will increase the amount of fluids I offer my child." C. "I will withhold my child's dose of insulin when his appetite is poor." D. "I will monitor my child's blood glucose levels every 8 hours."

Correct Answer is B

Explanation

A. "I will offer my child 20 grams of carbohydrates every 2 hours." During illness, children with diabetes should continue to eat, but it's more important to focus on maintaining adequate fluid intake and monitoring blood glucose levels. Carbohydrate intake may vary depending on the child's appetite and glucose levels, but 20 grams of carbohydrates every 2 hours may not be necessary for every child.

B. "I will increase the amount of fluids I offer my child." During illness, it is crucial to maintain hydration in children with diabetes to prevent dehydration, which can be exacerbated by fever, vomiting, or diarrhea. Fluids help maintain glucose stability and prevent complications such as diabetic ketoacidosis (DKA).

C. "I will withhold my child's dose of insulin when his appetite is poor.” Insulin should not be withheld even if the child's appetite is poor, as this can lead to hyperglycemia and diabetic ketoacidosis (DKA). Insulin needs should be adjusted based on blood glucose levels, not appetite.

D. "I will monitor my child's blood glucose levels every 8 hours." Blood glucose levels should be monitored more frequently, especially during illness. Typically, it's recommended to check every 2-4 hours to ensure the child’s blood glucose is within a safe range and to detect any changes that require adjustment in insulin therapy.

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Body system	Potential Teachings
Gastrointestinal	______
Dental	______
Hematological	_______

A nurse is admitting an 8-year-old child to the pediatric unit. Select 1 condition and 1 client finding to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for _____ due to the child's _____

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an 11-year-old child about ways to cope with stress. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is admitting an 8-year-old child to the pediatric unit.

Select 1 condition and 1 client finding to fill in each blank in the following sentence.

The nurse should anticipate a provider's prescription for
_
due to the child's
_