A 7-month-old infant suspected of cerebral palsy is being assessed by the nurse. Which of the following indicates the possibility of cerebral palsy?
• In cerebral palsy, damage to the motor centers of the brain cause abnormal muscle tone (hypertonia or hypotonia), increased reflexes, and problems with motor skills. Increased reflexes or persistent primitive reflexes indicate the presence of an upper motor neuron lesion.
• The Moro (startle) reflex should be extinguished by 4 to 6 months of age.
• The infant should be able to roll over by 6 months of age.
• Not reacting to or recognizing the mother's face, voice, or touch is not indicative of CP. Most infants and children with CP are very intelligent and have no intellectual disabilities at all.
• A child should be able to use a spoon by 13 to 20 months of age.
An 18-month-old girl is admitted to the hospital with acute laryngotracheobronchitis. She is placed in a mist tent with compressed air. Which of these symptoms would be an early sign of hypoxia?
A 7-year-old with cerebral palsy is hospitalized for complications. Before discharge, the patient's mother expresses concern over the child's ability to use utensils while eating. Which of the following people should be consulted to assist in patient care and education?
The mother of a 6-year-old girl with congestive heart failure tells the ER nurse that she is worried and says, "She's been so tired lately. She seems to get out of breath just walking around the house." Which of the following represents an effective nursing intervention to decrease cardiac workload?
A patient has recently been prescribed tetracycline for the treatment of acne vulgaris. The nurse should include which of the following in her teaching plan?
A 3-year-old girl is seen in the emergency department for aspirating a coin. Upon assessment, the child has a violent cough, dyspnea, and is choking. Chest X-ray reveals the presence of a radiopaque object. The child undergoes a bronchoscopy in order to remove the coin. After the procedure, the nurse's first action is to
A child is admitted to the hospital after accidently consuming a bottle of acetaminophen. The nurse would expect to observe which clinical manifestations of acetaminophen poisoning?
A teenager is being seen by a nurse during a sports physical. The patient complains of how her acne is perceived by others. This patient is in what stage of development?
After receiving iron therapy, the pediatric patient is ready for discharge. Which of the following statements by the mother would indicate the need for further instruction?
An 8-year-old with rheumatic fever is being discharged from the hospital. The nurse would expect the physician to prescribe which type of medication to prevent the recurrence of rheumatic fever?
The nurse is caring for an infant admitted with gastroesophageal reflux. Which of the following symptoms is an early indication that the infant has gastroesophageal reflux?
The nurse is caring for a 5-year-old who has frequent involuntary urination at night. The child is diagnosed with nocturnal enuresis. What is the most likely cause?
The diagnosis of acute lymphoblastic leukemia (ALL) is confirmed. The hematologic values include a white blood cell count of 6,000 cells/ml with low blast cells, a platelet count of 50,000, hemoglobin of 6 g/dl, and a hematocrit of 16%. Which of the following measures should be included in the patient's plan of care?
A patient with a history of congestive heart failure is prescribed naproxen for the treatment of rheumatoid arthritis. The nurse should instruct the patient to report which of the following symptoms?
The nurse is caring for a newborn diagnosed with esophageal atresia and a
A patient presents to the clinic with tinea corporis. What would the nurse expect the physician to prescribe?
An infant is seen in the emergency department with the following signs and symptoms: irritability, coughing, sneezing, wheezing, diffuse rhonchi and rales, and intermittent fever. The child is diagnosed with the respiratory syncytial virus. Into which of the following positions will the nurse place the infant to facilitate breathing?
A nurse administers bacitracin ophthalmic ointment to a teenager with conjunctivitis. Which of the following side effects may be expected with the use of this medication?
The nurse is planning the care of an infant after the surgeon applies corrective casting for congenital clubfoot. Which of the following is an appropriate nursing diagnosis for the infant?
The parents of a 7-year-old with cystic fibrosis are concerned about having another child and passing their affected genes on to their future children. Which member of the health care team should the nurse refer the parents?
The nurse is assessing a 5-month-old girl who is confined due to congenital clubfoot. The infant is scheduled for corrective serial casting. Which of the following deformities would be present?
A 2-month-old infant is rushed to the emergency room. Upon assessment, the nurse notes excessive sweating and fatigue and a loud, harsh
A patient has been using levocabastine ophthalmic drops, an antihistamine, for the treatment of allergic conjunctivitis. Which of the following is a common side effect of this medication?
The nurse is assessing a child with coarctation of the aorta. Which of the following would the nurse expect to find?
The nurse is caring for a 2-year-old with acute otitis media. Which of the following instructions for reducing the risk for developing otitis media should be included in the teaching plan for this child's parents?
A teenager is prescribed a hormonal oral contraceptive. Which of the following findings indicates to the nurse that the patient is experiencing a serious side effect?
The nurse is preparing to initiate a heparin infusion on an 8-year-old patient. Before initiating the infusion, it is critical that the nurse assesses the patient's:
To ensure optimum care for a client with acute glomerulonephritis, the nurse's plan of care should include which of the following?
The parents of a 9-year-old patient were informed by the nurse that asthma attacks may occur spontaneously or in response to a trigger. Which of the following common irritants might trigger an asthma attack?
The nurse is caring for a patient suspected of having hemophilia. Which of the following tests would the nurse expect to be ordered to confirm the diagnosis?
A child is rushed to the emergency room due to cyanosis precipitated by crying. The parents note that after playing their child gets tired easily. The child is diagnosed with Tetralogy of Fallot. The immediate nursing intervention for cyanosis is:
A 6-year-old is scheduled for brain surgery for the removal of a tumor. What nursing intervention should be performed preoperatively?
The nurse is caring for a child with congestive heart failure. Which of the following indicates the child and her parents are following the prescribed medical regimen?
A patient complains of fever, swelling of hands and feet and yellow sclera. The patient is diagnosed with sickle cell disease. The extent of tissue damage found in patient's with sickle disease results from which of the following?