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50) A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the
following statements should the nurse make?
a. "Your baby might pull at their ears when they are teething."
b. "Rub your baby's gums with an aspirin to decrease discomfort."
c. "Place a beaded teething necklace around your baby's neck."
d. "Your baby's upper middle teeth will erupt first.
51) A nurse is creating a plan of care for a newly admitted adolescent who has bacterial
meningitis. How long should the nurse plan to maintain the adolescent in droplet
precautions?
a. Until the adolescent is afebrile
b. For 7 days following admission to the facility
c. Until the adolescent has a negative blood culture
d. For 24 hr following initiation of antimicrobial therapy
52) A nurse is providing anticipatory guidance to the parent of a toddler. Which of the
following expected behavior characteristics of toddlers should the nurse include?
a. Controls impulsive feelings
b. Understands right from wrong
c. Easily separates from parents for long periods of time
d. Expresses likes and dislikes
53) A nurse is admitting a 4-month-old infant who has heart failure. Which of
the following findings is the nurses priority?
a. Episodes of vomiting
b. Formula consumption
c. Weight
d. Temperature
54) A nurse in an emergency department is assessing a toddler who has Kawasaki
disease. Which of the following findings should the nurse expect? (Select all that
apply.)
i) Increased temperature
ii) Gingival hyperplasia
iii) Xerophthalmia iv)
Bradycardia
v) Cervical lymphadenopathy
55) A nurse is caring for a 10-year-old child following a head injury. Which of the
following findings should the nurse identify as an indication that the child is
developing diabetes insipidus?
a. Urine specific gravity 1.045
b. Sodium 155 mEq/L
c. Blood glucose 45 mg/dL
d. Urine output 35 mL/hr
56) A nurse is planning care to address nutritional needs for a preschooler who has
cystic fibrosis. Which of the following interventions should the nurse include in the
plan?
a. Administer pancreatic enzymes 2 hr after meals.
b. Discontinue the use of pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child's diet to 40% of total calories.
57) A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C
(104 F). After administering acetaminophen, which of the following actions should
the nurse plan to take to reduce the toddler’s temperature?
a. Apply a cooling blanket to the toddler.
b. Dress the toddler in minimal clothing.
c. Give the toddler a tepid bath.
d. Administer diphenhydramine to the toddler.