b) encouraging the child to ambulate as soon as possible by using a favorite pus
ID: 279712 • Letter: B
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b) encouraging the child to ambulate as soon as possible by using a favorite push e) forcing fluids to at least 250 ml/day by oflering his favorite juices d) preventing the child from disrupting the catheter by using soft restraints 20. A school-aged client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with glomerulonephritis. Which of the following inter would receive the highest priority? a) assessing vital signs every four hours b) monitoring intake and output every 12hours c) obtaining daily weight measurements d) obtaining serum electrolyte levels daily 21. When assessing a 12 year old child with Wilm's tumor, the nurse should keep in m most important to avoid which of the following? a) measuring the child's chest circumference b) palpating the child's abdomern c) placing the child in an upright position d) measuring the child's occipitofrontal circumference 22. When positioning the neonate with an unrepaired myelomeningocele, which of positions would be most appropriate? a) supine the hip at 90 degree flexion b) right side-lying position with knees flexed c) prone with hips in abduction d) semi-fowler's position with chest and abdomen elevated 23. A 4 year old with hydrocephalus is scheduled to have a ventroperitoneal shunt side of the head. When developing the child's postoperative plan of care, the n expect to place the preschooler in which of the following positions immediate surgery? a) on the right side, with the foot of the bed elevated b) on the left side, with the head of the bed elevated c) prone with the head of the bed elevated d) supine, with the head of the bed flat 24. After talking with the parents of a child with Down Syndrome, which of the the nurse identify as an appropriate goal of care of the child? a) encouraging self-care skills in the child b) teaching the child something new each day c) encouraging more lenient behavior limits or the child d) achieving age-appropriate social skills (Depakene, which of the following would the nurse instruct the client to n care provider? 25. When teaching an adolescent with a seizure disorder who is receiving Val a) three episodes of diarrheaExplanation / Answer
Ans20)c)Obtaining daily measurements
In this case the child is suffering from acute post-streptococcal glomerulonephritis experienced which is a problem associated with renal function leading to liquid and fluid imbalance. The weight needs to be checked at regular intervals as it the best way to find out fluid balance.
Ans 21) b) Palpating the child’s abdomen
The abdomen of the child suffering from Wilm’s tumor should not be palpated as it might lead to danger in disseminating tumor cells. They should always be handled gently and carefully.
Ans 22) c) Prone with hips in abduction
It is because before the surgery the infant is kept flat in the prone position which reduces the tension in the sac. This helps with optimal positioning of the hips, knees and feet due to orthopedic problems
23) d) supine, with the head of the bed flat
For the first 24 hours of the insertion of the ventriculoperitoneal shunt, the child is positioned supine with head of the bed flat which prevents too rapid decrease in CSF pressure. A rapid decrease in size of ventricles can cause subdural hematoma and this requires avoiding of the position on the operative size as it places pressure on shunt valve that blocks desired drainage of CSF.
Ans 24) a) encouraging self care skills in the child
The goal is working with mentally challenged children to train them to be independent and focus on the developmental skills. The child must be able to learn something. Most children with Down Syndrome are not able to achieve social skills due to their less mental ability
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