A nurse is prioritizing potential complications that may occur to a pediatric client who has cellulitis. Which of the following is the primary concern?

The nurse reviews the client’s medical record from admission to 1930 hrs. Click to indicate whether the assessment finding has improved or not changed.

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

A nurse is caring for a neonate who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) awaiting surgery. Which of the following nursing goals has the highest priority in the care of this infant?

The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?

A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?

A nurse on a pediatric unit is preparing to admit a preschooler after receiving transfer report from a nurse in the emergency department.

The nurse on the pediatric unit is reviewing the preschooler's medical record. Click to highlight the findings in the medical record that require follow-up by the nurse upon the child's admission to the pediatric unit. To deselect a finding, click on the finding again.

2100: Child brought into the emergency department by their guardians. The child has Acute Lymphoblastic Leukemia (ALL) and is currently in the induction phase of treatment for standard risk. The child received chemotherapy with vincristine 8 days ago and is taking daily oral steroids. Child is alert, crying, and clinging to guardian. Guardians report the child has not had a bowel movement for 5 days.

2100:

Pulse 120/min

Respiratory rate 25/min

Temperature 38.8° C (101.9° F) tympanic

SaO2 96% on room air

2120: Child now asleep in guardian's arms. Respirations unlabored, heart rate regular. Child has a double-lumen central line catheter in the left chest wall. Insertion site is erythematous with a scant amount of purulent drainage.

A nurse in an emergency department is caring for an adolescent who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and had decided to move out of the house. Which of the following statements should the nurse make?