Blog

A pediatric nurse is caring for a 14-year-old client who has been immobilized for several weeks following spinal trauma. During morning rounds, the nurse notes mild lower-extremity edema, decreased exercise tolerance, diminished breath sounds in the lung bases, and complaints of generalized weakness. The nurse anticipates multiple physiologic consequences related to prolonged immobilization and plans interventions to prevent further complications.Which nursing intervention most directly addresses the primary physiologic mechanism responsible for the client’s increased risk of pulmonary embolism associated with prolonged immobilization?

A 9-year-old client is undergoing an emergent open reduction of a femur fracture under general anesthesia with inhaled anesthetics and succinylcholine. Forty minutes into the procedure, the anesthesia provider reports a rapid increase in end-tidal carbon dioxide (ETCO?) despite increasing ventilation. The client’s heart rate rises from 92 to 148 beats/min, jaw rigidity is noted, and the temperature increases from 37.1°C (98.8°F) to 38.9°C (102.0°F) within minutes. Which action by the nurse is most appropriate at this time?

A 3-year-old client (weight 14 kg) is admitted with viral gastroenteritis and fever of 39.5°C (103.1°F). The child has had multiple episodes of diarrhea and mild tachypnea. The provider orders maintenance IV fluids. The nurse calculates the child’s basal maintenance requirement using standard weight-based guidelines and considers necessary adjustments. Which calculation and interpretation by the nurse is most appropriate?

A 4-year-old client is admitted for surgical repair of an umbilical hernia. Before transport to the operating room, the child begins crying and repeatedly asks, “Will my tummy fall out?” The child clutches the abdomen and refuses to let staff approach.Which nursing intervention is most appropriate to minimize this child’s fear of bodily injury?

A 5-year-old client is brought to the emergency department (ED) at 10:30 PM for fever and cough. The child is stable, playful, and in no acute distress. The parent states, “I was afraid the illness would suddenly get worse during the night.” The triage nurse determines that the symptoms are consistent with a mild viral respiratory infection.Which nursing action is most appropriate in managing this emergency admission situation?

A 4-month-old client is brought to the clinic in January with cough, tachypnea, nasal congestion, and decreased oral intake. The infant attends daycare and has a history of bronchopulmonary dysplasia (BPD). The nurse is reviewing factors that increase the risk for severe lower respiratory tract involvement in this client.Which factors contribute to increased susceptibility or severity of respiratory infection in this infant?Select all that apply.

A pediatric nurse is caring for a 9-year-old child with a history of chronic otitis media who is admitted with severe headache, vomiting, and new-onset focal weakness of the right arm. Magnetic resonance imaging reveals a 2.5-cm intracerebral lesion in the temporal lobe consistent with a brain abscess. The provider discusses the pathophysiology and management plan with the healthcare team.Which explanation by the nurse most accurately reflects the underlying pathophysiologic mechanism and appropriate management considerations for brain abscess in children?

An 8-year-old child with sickle cell anemia is brought to the emergency department with sudden abdominal distention, pallor, tachycardia, and lethargy. The parents report that the child had mild extremity pain earlier in the day but now appears weak and less responsive. On examination, the nurse notes an enlarged spleen and signs of hypovolemia.Which complication is most consistent with this presentation?

A 20-month-old toddler is brought to the clinic for evaluation of abdominal distention and decreased appetite. The parent reports irritability and intermittent limping. On examination, the nurse palpates a firm, irregular abdominal mass that crosses the midline. The provider suspects neuroblastoma.Which findings are consistent with neuroblastoma and support the suspected diagnosis?Select all that apply.

A pediatric nurse is using family-centered frameworks to guide assessment and intervention planning. Based on the image summarizing family theories, which statements accurately match the correct theory with its key strength, limitation, or clinical application?Select all that apply.