Reference no: EM133444850

Questions

1. When caring for a child with rheumatic fever the nurse would anticipate that the child's history would most likely indicate which situation?

a. A sibling diagnosed with the disease

b. A recent strep throat infection

c. The child bruises easily

d. An increased urinary output

2. When developing a plan of care for a child with sickle cell disease, which nursing intervention would be the highest priority to include?

a. Provide support for family caregivers.

b. Observe skin for any breakdown.

c. Move the extremities gently.

d. Administer analgesics promptly.

3. After discussing measures used to stop bleeding with the caregiver of a child diagnosed with hemophilia, the caregiver makes the following statements. Which statement indicates a need for further teaching?

a. "I always have ice and cold packs in our freezer.?"

b. "Keeping pressure on an injury usually helps stop the bleeding.?

c. "Whenever my child gets hurt, I have him sit up with his head elevated and his feet down.?'

d. "I know how to keep his arm from moving by using splints."

4. A nurse admits a child with a diagnosis of possible leukemia. Of the following signs and symptoms, which would most likely be seen in the child with leukemia?

a. Low-grade fever, bone and joint pain

b. High fever, sore throat

c. Swelling around eyes, ankles, and abdomen

d. Upward and outward slanted eyes

5. In planning care for a child with leukemia, which goal would be most important for this child?

a. The child will remain free of signs and symptoms of infection.

b. The child will participate in age appropriate activities.

c. The child will eat at least 60% of each meal.

d. The child will share feelings about changes in body image.

6. The nurse is caring for a client who has leukemia Which nursing interventions should the nurse implement to decrease the likelihood of bleeding or injury? Select all that apply.

a. Use a soft, sponge-type brush or gauze strips to give oral care.

b. Maintain reverse isolation.

c. Use mouthwash composed of hydrogen peroxide and saline solution.

d. Wear gloves when delivering the client's meal tray

e. Have the child wear a cap or a scarf.

f. Apply pressure to sites of injections or venipunctures.