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Hesis Pediatric 2021

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Hesis Pediatric 2021 1-A 2-year-old girl is brought to the clinic by her 17-year old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information shoul ... d the nurse discuss with this mother? (Select all that apply.) • Drinking soda is related to childhood obesity. • Toddlers should be drinking from a cup by age 2. • Dental caries are associated with drinking soda. • A 2-year-old should be speaking in 2 word phrases. • Toddlers should be sleeping 10 hours a night 2-After receiving a single fluid bolus of 20 mg / kg of normal saline, a child's heart rate is 140 beats/ minute, blood pressure is 70/50, and capillary refill is 6 seconds. The child is anxious and crying. Which intervention should the nurse implement first? • Encourage the caregiver to remain at bedside • Repeat the normal saline bolus as prescribed • Allow the child to assist with caregiving • Recommend age appropriate activities 3-A breastfeeding infant, screened for congenital hypothyroidism,is found to have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding? • The TSH is high because of the low production of T4 by the thyroid • High thyroxine levels normally occur in breastfeeding infants • The thyroxine levels low because the TSH level is high • The thyroid gland does not produce normal levels of thyroxine for several weeks after birth 4-A breast feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping enough milk to meet her infant's dietary requirements. Which suggestion should the nurse provide to this mother? • Mix infant formula with breast milk • Supplement with an iron-rich formula • Introduce baby food for one meal daily • Offer a follow-up transitional formula 5- A child admitted with diabetic ketoacidosis is demonstrating Kussmaul's respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? Pero decia Diarrea • Metabolic alkalosis. • Respiratory acidosis. • Respiratory alkalosis. • Metabolic acidosis 6- A child who is preparing to enter the first grade has recurring atopic dermatitis (eczema) and is brought to the clinic because of a recent exacerbation. Which suggestion should the nurse provide this child's parent? • Ensure that the child's lunch at school is a hypoallergic diet. • Encourage the child to wear cotton gloves while at school. • Keep the child at home during exacerbations of the dermatitis. • To prevent the scorn of classmate, consider home schooling. 7-A child with acute laryngotracheobronchitis (croup)received epinephrine 2 hours ago in the emergency room, and is now being prepared for discharge to the home. The nurse should instruct the parents to take which action if the child's uncontrolled coughing reoccurs? • Sit with the child in the bathroom with hot steam • Call for emergency transpor [Show More]

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