While making rounds, the nurse observes the following client behaviors. Which child should the nurse further evaluate for postoperative pain?

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RN Nursing Care of Children Online Practice 2019 A Questions

Question 1 of 9

While making rounds, the nurse observes the following client behaviors. Which child should the nurse further evaluate for postoperative pain?

Correct Answer: D

Rationale: The correct answer is D because screaming and thrashing his arms and legs are indicative behaviors of discomfort or pain in young children. The child's actions suggest a higher likelihood of experiencing postoperative pain and necessitate further evaluation. Choices A, B, and C do not exhibit overt signs of distress or discomfort associated with pain, making them less likely candidates for postoperative pain assessment.

Question 2 of 9

What is an advantage of the ventrogluteal muscle as an injection site in young children?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

Which clinical manifestations should the nurse expect in a child diagnosed with nephroblastoma?

Correct Answer: D

Rationale: The correct answer is D: Hypertension. Nephroblastoma, also known as Wilms' tumor, often causes hypertension due to its impact on the kidney, which plays a role in regulating blood pressure. Atrial fibrillation (choice A) and endocarditis (choice B) are not typically associated with nephroblastoma. Hyperlipidemia (choice C) is also not a common clinical manifestation of nephroblastoma.

Question 4 of 9

An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which situation?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

What is a clinical manifestation of acetaminophen poisoning?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

Nurses should be alert for increased fluid requirements in which circumstance?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

The nurse is assessing a 3-year-old African American child whose height and weight are at the 20th percentile on the growth chart. What should the nurse recognize?

Correct Answer: B

Rationale: The NCHS growth charts serve as reference guides for all racial or ethnic groups, including African American children. The 20th percentile for height and weight does not indicate nutritional failure but provides a reference point for ongoing assessment. Choice A is incorrect because being at the 20th percentile does not automatically imply the need for nutritional intervention. Choice C is incorrect as there is no correction factor specifically used for nonwhite ethnic groups in this context. Choice D is incorrect as a single measurement at the 20th percentile can provide valuable information for assessment.

Question 8 of 9

The nurse is preparing to feed a 10-month-old child diagnosed with failure to thrive (FTT). Which actions should the nurse plan to implement?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

What organism is a parasite that causes acute diarrhea?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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