A six-year-old girl is being admited to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

List of achievement timeline for developmental milestones.

Reactions to any previous hospitalizations.

A history of rubella, rubeola, or chicken pox.

Mother's use of alcohol, drugs, or cigaretes during pregnancy.

Answer and Explanation

The Correct Answer is B

Information about the child's reactions to any previous hospitalizations would be particularly helpful in planning care for this six-year-old girl who is being admited for repair of an umbilical hernia. This information can help the nurse anticipate and address any fears or concerns the child may have about the hospitalization and procedure.

A list of achievement timeline for developmental milestones is not particularly relevant in this situation.

A history of rubella, rubeola, or chicken pox is not particularly relevant in this situation.

Information about the mother's use of alcohol, drugs, or cigaretes during pregnancy is not particularly relevant in this situation.

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Correct Answer is ["1.8"]

Explanation

The nurse should administer 1.8 mL of diazepam.

To calculate the volume of diazepam to be administered, you would first calculate the total dose of diazepam for this child by multiplying the child's weight (30 kg) by the prescribed dose (0.3 mg/kg). This calculation gives a total dose of 9 mg (30 kg x 0.3 mg/kg = 9 mg). Next, you would divide the total dose (9 mg) by the concentration of the medication (5 mg/mL) to determine the volume to be administered. This calculation gives a volume of 1.8 mL (9 mg / 5 mg/mL = 1.8 mL).

A. Audible heart murmur. B. Heart rate of 162 beats/minute. C. Poor oral intake and suckling eﬀort. D. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours.

Correct Answer is C

Explanation

Infants with congenital heart defects may have difficulty with feeding due to increased eﬀort required to breathe and feed at the same time. This can lead to poor weight gain and dehydration. Thus, it is important for the nurse to report any signs of poor feeding or oral intake to the healthcare provider. While audible heart murmur (choice A)and a high heart rate (choice B)are expected findings in infants with congenital heart defects, they do not necessarily indicate a need for immediate intervention. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours (choice D)may actually be a positive finding in an infant with a congenital heart defect, but it is not as important to report as poor oral intake and suckling eﬀort.

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A six-year-old girl is being admited to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.8"]

Explanation

The nurse is caring for an infant who was recently diagnosed with a congenital heart defect. Which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

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