When instructing a patient on how to instill eye drops, the nurse should include which of the following steps?
For proper eye drop application, patients should be instructed to:
• Wash their hands.
• Tilt the head back.
• Pull down the lower eyelid to form a pocket and instill the eye drop into the pocket.
• Close the eye. Do not touch the dropper to
• Wait at least five minutes between administration of multiple drugs.
A 5-year-old is prescribed sulfamethoxazole/trimethoprim for the treatment of otitis media. Which severe adverse reaction is most commonly associated with medications containing sulfa?
An eight-month-old infant recently had a seizure and is lethargic and bradycardic upon arriving at the emergency room. The x-ray result reveals a retinal hemorrhage. The nurse suspects that the child is showing signs and symptoms of
The nurse is assessing a neonatal boy. Upon assessment, the nurse notes that the urethral opening is at the lower aspect of the penis. Based on these findings, the nurse is correct to suspect which of the following disorders?
The nurse is assessing a 4-month-old suspected of having cerebral palsy (CP). Upon initial interview, which of the following statements made by the mother would indicate that the infant may have CP?
A 6-month-old infant is seen in the emergency department for dehydration related to vomiting. Upon assessment by the nurse, which of the following clinical assessments would be developed by an infant with a 12% fluid loss?
Which of the following is the priority nursing action to minimize the risk of infection for a child with skeletal traction?
A 7-year-old African American boy complains of fever, swelling of hands and feet and yellow sclera. He is diagnosed with sickle cell disease. The extent of tissue damage found in children with sickle disease results from which of the following?
A newborn baby with myelomeningocele is scheduled for surgical closure within 24 hours. The main reason for surgical repair is to do which of the following?
A 6-year-old child is brought to the emergency department by her parents. The child appears pale, dyspneic, edematous, has a pulse of 115 bpm, respirations of 38, and oxygen saturation of 80. Apical heart rate is displaced down and laterally. Lungs have harsh rhonchi and rales on auscultation. A diagnosis of congestive heart failure is made. What is the first priority intervention?
The nurse is caring for a neonate diagnosed with congenital hip dysplasia. When examining a newborn for dysplasia of the hip, the nurse would assess for which of the following?
Which of the following actions is the nurse's role as the collaborator of care when meeting with a family of an ill child?
A 3-year-old boy is rushed to the hospital. Laboratory and diagnostic findings reveal a brain lesion. Which of the following is considered the most common assessment finding associated with a brain tumor?
A 15-month-old boy is seen at the outpatient department for a fever. His mother says that 3 days ago her child had a cough and runny nose. She also observed him pulling on his right ear. Based on these findings, the nurse should suspect
An 8-year-old is prescribed clindamycin for the treatment of osteomyelitis. Which of the following symptoms indicates to the nurse that the patient is having a side effect of the medication?
A nurse is caring for a five-year-old child that has been hospitalized multiple times for leukemia. After observing the child using several coping mechanisms, the nurse designs a plan of care that includes:
A patient with thrombocytopenia is prescribed desmopressin to promote the release of von Willebrand factor. The nurse assesses the patient for which of the following effects of desmopressin?
A child with an umbilical hernia is transferred to the postoperative care unit and the initial assessment is performed. Of the following, which is the priority nursing responsibility for
A 2-year-old child is rushed to the hospital with the following symptoms: abdominal mass upon palpation, abdominal pain, weight loss, and anorexia. Based on these findings, the nurse suspects the child to have neuroblastoma. Which of the following tests will help determine the extent of the tumor and metastases?