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The nurse is educating the parents of an active 9-year-old child with a diagnosis of type 1 diabetes mellitus. The father states the child plays baseball twice weekly. The nurse knows the education regarding medication administration and activity precautions has been effective when the parents state:

A child with a medical history significant for hemophilia A presents to the clinic complaining of severe pain is his left elbow.  Which of the following clinical manifestations is a common complication of hemophilia A?

A mother brings her 2-month-old infant to the clinic for a well check and immunizations.  The nurse is most concerned when the mother states:

The nurse is caring for a 10-day-old infant born at term, who has a new onset of respiratory distress.  When performing a physical assessment, the nurse finds that the infant has bounding brachial pulses and absent femoral pulses.  The provider suspects a congenital cardiac defect.  The nurse knows that the most likely diagnosis is:

As the nurse caring for a child with Beta-thalassemia anemia you understand that the child will require multiple transfusions to maintain adequate hemoglobin levels. This can lead to a dangerous condition requiring treatment, and you expect to see which of the following treatment plans?

The nurse is caring for a 3-week-old infant born at 29 weeks gestation.  The infant continues to experience moderate respiratory distress and remains on bubble CPAP support with a supplemental oxygen requirement.  The infant also has a murmur.  An echocardiogram is performed and reveals a large patent ductus arteriosus (PDA).  The nurse knows that this intervention will not close the PDA:

The nurse is caring for a 12-year-old child with sickle cell anemia (SCA) who is hospitalized due to vaso-occlusive crisis.  What is the most important education for the nurse to provide?

You are the nurse on the pediatric unit. You just started your shift and got a report on the following patients. Which patient would you assess first?

The provider orders vancomycin 20 mg/kg IV every 8 hours. The child weighs 66 pounds. What is the correct dose?

The provider orders a test called an antistreptolysin (ASO) titer.  The nurse understands that this test is used to identify a complication of a recent Group A streptococcal infection, such as: