The nurse is caring for a 10-year-old girl diagnosed with meningitis. Which of the following symptoms would the nurse expect?
• For adults with meningitis, the common triad of symptoms is fever, neck stiffness, and mental status changes. However, this occurs in only 44% of adults with meningitis and in even fewer children.
• Fever, headache, photophobia, nausea, vomiting, confusion, lethargy, and irritability are the most common symptoms in children.
• Diarrhea and blurred vision are not common in pediatric meningitis.
The nurse is caring for a patient with an autistic disorder. Upon assessment, the nurse records that the child has a labile mood. Which of the following symptoms suggest a labile mood?
The nurse is caring for a teenager recently diagnosed with celiac disease. When providing discharge instructions, what should the nurse tell the patient to avoid?
The nurse is assessing a child with pulmonary valve stenosis. The nurse would expect to find which of the following?
The nurse is caring for a child with osteogenic sarcoma who is scheduled for surgery. Which of the following interventions should be implemented?
A 4-year-old child is assessed by the nurse. The child has fair skin, musty odor from the urine, stunted growth, and intellectual disability. Based on these findings, the nurse suspects which of the following metabolic disorders?
An eight-month-old infant recently had a seizure and is lethargic and bradycardic upon arriving at the emergency room. The clinical exam revealed a retinal hemorrhage. The nurse suspects that the child is showing signs and symptoms of:
Following an enucleation procedure for a patient with retinoblastoma, it is important for the nurse to do which of the following?
Which of the following tests would be used to diagnose HIV in an infant whose mother is HIV positive?
The nurse is caring for a 5-year-old girl who is hospitalized following abdominal surgery. She develops a fever of 39.5 degrees Celsius, a sore throat, and a red, macular rash on her chest and abdomen. Her tonsils are inflamed and her tongue is red. Based on these findings, the nurse would follow the protocol for:
A 3-year-old is admitted to the hospital suspected of having congenital heart disease. Which of the following assessment findings is most likely to be seen?
A 3-year-old is brought to the emergency room due to a seizure. The parents state that the seizure started with a twitch in the finger and progressed to a twitching eyelid and a blank stare. What type of seizure are the parents describing?
A 17-year-old boy is diagnosed with Hodgkins lymphoma. Which of the following laboratory findings is the pathologic hallmark of this disease?
The nurse is discharging a child with sickle cell anemia after treatment for a sickle cell crisis. Which of the following, if stated by the parents, indicates the need for further instruction?
A patient taking doxycycline for the treatment of acne vulgaris is experiencing many side effects. To alleviate the most common side effect, the nurse should instruct the patient to do which of the following?
The nurse is assessing a 5-month-old who is confined due to congenital clubfoot. The infant is scheduled for corrective serial casting. Which of the following deformities would be present?
The nurse is caring for a patient diagnosed with von Willebrand disease. Which of the following clinical findings will support this diagnosis?
A 16-year-old diagnosed with exercise-induced asthma has been prescribed albuterol. The nurse should instruct the patient to use his inhaler
The nurse would administer the varicella zoster vaccine to a 15-month-old who has which of the following?
A 5-year-old with a respiratory syncytial virus infection has a low-grade fever. His mother asks the nurse if aspirin is a good medication for fever and pain related to the infection. The nurse warns the mother to avoid giving aspirin to her child because it is linked to:
An infant was measured at 8 pounds 2 ounces at birth. Assuming the infant grows at a normal rate, what is the weight change at 6 months of age?
The mother of a 2-year-old girl tells the emergency room nurse that she found the child playing with an empty bottle of aspirin and that there were pieces of aspirin in her mouth. The nurse should observe the child for symptoms of salicylate poisoning that include what?
The nurse is assessing a child with white patches on his tongue that may be candidiasis (thrush). This suspicion is confirmed