A nurse is caring for an adolescent client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

A nurse is reviewing care for a 2 month old infant with developmental dysplasia of the hips who is placed in a Pavlik harness. Which statement by the caregiver indicates a need for further teaching?

A nurse is monitoring a 14 year old adolescent who was admitted with a severe burn injury and shock and is receiving IV fluid resuscitation therapy. Assessment findings: Temperature 36.5C, HR 122, Respirations 22, BP 108/68. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. 02 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)

A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death. Which of the following is an appropriate nursing intervention?

The nurse is assessing a 30-month-old child during a routine well-child visit. Which statement by the parent would alert the nurse to further assess for learning disorder?

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

The nurse is working closely with the parent of a 6-year-old client who was just diagnosed with attention deficit/hyperactivity disorder (ADHD), Which methods used in behavior modification would be appropriate for this child? SELECT ALL THAT APPLY

Which finding will cause the nurse to refer a 12-month-old child for further neuromuscular testing?