When administering a gavage feeding to a school age child what action should the nurse implement?

When administering a gavage feeding to a school age child what action should the nurse implement?

PEDS VERSION 2

1.A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings

should the nurse expect?

1. Urine casts absent

2. BUN 28 mg/dL

3. Hgb 18 g/dL

4. Creatinine 0.3 mg/dL

HUS is an acute renal disease characterized by

Acute renal failure,hemolytic anemia and thrombocytopenia.

Main causes of acute renal failure in early childhood. Breakdown of red blood cells clog the kidneys.

Dec Hgb and Hct, Elevated reticulocyte, Hematuria, Proteinuria, Elevated BUN and creatinine, Fibrin split products in serum

and urine (thrombocytopenia).

2.A nurse is caring for a preschool-age child who is postoperativefollowing a tonsillectomy and is clearing her throat frequently.

Which of the following actions should the nurse take first?

1. Offer the child an ice collar

2. Give the child small sips of water

3. Administer an analgesic

4. Observe the child’s throat with a flashlight- assessment

Assess for evidence of bleeding, which includes frequent swallowing, clearing the throat, restlessness, bright red emesis,

tachycardia, and/orpallor.

3.A nurse is teaching a parent of a 10-month-old infant about home safety.Which of the following instructions should the nurse

include in the teaching? (SELECT ALL THAT APPLY)

1. Remove labels from containers that contain toxic substances[1]

2. Place gates at the top and bottom of the stairs

3. Ensure the crib mattress is in the lowest position

4. Keep toilet lids in the upright position

5. Select a toy chest that has a heavy, hinged lid- i’m not sure on this one possibly since they’re at risk for suffocating/choking

on small toys? Okie...i go with you We gonna kill our babies

4.A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during

illness.Which of the following statements by the parent indicates an understanding of the teaching?

1. “I will monitor my child’s blood glucose levels every 8 hours.” (3 hours)

2. “I will increase the amount of fluids I offer my child.”

3. “I will offer my child 20 grams of carbohydrates every 2 hours.”

4. “I will withhold my child’s dose of insulin when his appetite is poor.”

5. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the

following findings to the provider?

1. Coughing

2. Tachypnea- manifestation in severe illness as disease progresses

3. Rhinorrhea

4. Pharyngitis

RSV - very common virus that leads to mild, cold-like symptoms. Virus spreads through tiny droplets that go into the air when a sick

person blows their nose, coughs, or sneezes.

Cyanosis(more severe cases), labored breathing, nasal flaring, RAPID BREATHING(TACHYPNEA), SOB, wheezing

6. MISSING

7.A nurse is providing education about dietary modifications to the parents of a school-age child who has glomerulonephritis.

Which of the following information should the nurse include in the teaching?

1. Increase the child’s calcium intake

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What is an appropriate method for administering oral medications that are bitter to an infant or small child?

Try mixing the medicine with small amounts of food that have a strong flavor. This helps hide the taste of the medicine. Mixing with sweet or cold foods may also help. Some medicines can be put in a small amount of juice or sugar water.

When administering a gavage feeding to a school

When administering a gavage feeding to a school-age child, which action should the nurse implement? Administer feedings over 5 to 10 minutes.

Which would the nurse need to do when collecting a urine sample from the toddler who is not toilet trained?

In some cases (for instance, if a child is not toilet trained), the doctor or nurse will insert a catheter (a narrow, soft tube) through the urinary tract opening into the bladder to get the urine sample. In certain situations, a sterile bag can be placed around a baby's diaper area to collect a urine sample.

What intervention should the nurse implement to help keep a six month old infant calm during a physical assessment?

(0-12 months).
Swaddle, hold, pat and provide other gentle physical contacts with infants..
Use a soft voice and calm approach. ... .
Sing songs or play music to soothe infants..
Distract the infant during procedures with a rattle or eye catching object..