Which assignment made by a charge nurse would be appropriate?

An older child has a craniotomy for removal of a brain tumor. Which statement would be appropriate for a nurse to say to the parents?

The nurse is teaching parents of a child recently diagnosed with cerebral palsy about the diagnosis. Which statement indicates to the nurse that teaching was effective?

The nurse is teaching an adolescent who has just been started on valproic acid (Depakene) for the treatment of seizures about the medication. What is the most important information for the nurse to include?

A child has just returned to the pediatric unit following ventriculoperitoneal shunt placement for hydrocephalus. Which intervention should a nurse perform first?

A neonate has been brought to the emergency room by his mother. The nurse assesses the child and suspects that the child may have hydrocephalus. Which observations by the nurse would indicate this condition?

The nurse is caring for a child following a shunt insertion on the right side of the head to relieve hydrocephalus. What is the priority intervention for the nurse to include in the plan of care?

Which nursing action is appropriate when a child has a seizure?

A child is admitted to the unit with a diagnosis of bacterial meningitis. The nurse is aware that the priority assessment will include which of the following?

Which statement by the parent of a child with cerebral palsy indicates that a nurse’s teaching has been successful?

The nurse is assessing a full-term neonate in the hospital. The nurse is most concerned when the neonate displays which reflex?

A mother reports that her school-age child has been reprimanded for daydreaming during class. This is a new behavior, and the child’s grades are dropping. The nurse should suspect which problem?

Which observation indicates to a nurse that the mother of a child with cerebral palsy needs further instruction?

An infant has returned to the pediatric unit after repair of a myelomeningocele. A nurse notices that the infant has had no urine output in the past 2 hours. Which nursing intervention would be most appropriate?

A 2-month-old infant who had an L4–L5 myelomeningocele repair comes to the clinic for a well-baby checkup. The mother reports that she catheterizes the infant every 2 to 3 hours. Which aspect of care should a nurse discuss with the mother?

A 2-month-old infant is brought to the well-baby clinic for his first checkup. On initial assessment, the nurse notes the infant’s head circumference is at the 95th percentile. What is the most important action by the nurse?

A 2-year-old child is admitted to the pediatric unit with the diagnosis of bacterial meningitis. Which intervention would be appropriate for a nurse to perform first?

A mother of a 3-year old with a myelomeningocele is thinking about having another baby and asks the nurse if she should make any changes in her diet. What is the best response by the nurse?

A preschool-age child has just been admitted to the pediatric unit with a diagnosis of bacterial meningitis. What is the most important intervention for the nurse to include in the plan of care?

When assessing a 5-month-old infant, which symptom should alert a nurse that the infant needs further follow-up?

Which type of behavior demonstrated by a 6-year-old child would help a school nurse differentiate between attention deficit hyperactivity disorder (ADHD) and a learning disability?

A 6-month-old infant is being admitted with a diagnosis of bacterial meningitis. A nurse should place the infant in which room?

In caring for a 9-year-old child immediately after a head injury, a nurse notes a blood pressure of 110/60 mm Hg, a heart rate of 78 beats/minute, dilated and nonreactive pupils, minimal response to pain, and slow response to name. Which symptom should cause the nurse the most concern?

The mother of a 10-year-old child with attention deficit hyperactivity disorder tells the nurse her husband won’t allow their child to take more than 5 mg of methylphenidate (Ritalin) every morning. The child isn’t doing better in school. What is the best response by the nurse?

A 12-year-old child is admitted to the pediatric unit with a diagnosis of possible brain tumor. The nurse would assess the child for which of the following?

Which nursing diagnosis is most relevant in the first 12 hours of life for a neonate born with a myelomeningocele?

The nurse is teaching the parents of a 17-month-old child diagnosed with cerebral palsy how to prevent the scissoring position. What is the most appropriate instruction by the nurse?

An otherwise healthy 18-month-old child has a history of febrile seizures and is in the well-child clinic today. Which statement by the father would indicate to the nurse that additional teaching needs to be done?

A mother brings her infant to the emergency department and says he had a seizure. While a nurse is obtaining a history, the mother says she was running out of formula so she stretched the formula by adding three times the normal amount of water. Electrolytes and blood glucose levels are drawn on the infant. The nurse should expect which laboratory value?

The mother of a child with a ventriculoperitoneal shunt says her child has a temperature of 101.2° F (38.4° C), a blood pressure of 108/68 mm Hg, and a pulse of 100 beats/minute. The child is lethargic and vomited the night before. Other children in the family have had similar symptoms. Which nursing intervention is most appropriate?