A nurse is creating a plan of care for a child who is 12 years of age and takes acetaminophen occasionally for pain. Which of the following recommendations should the nurse plan to make?

If pain lasts more than 5 days, notify the provider

Verify the dose with the provider before taking

Avoid use if there is a family history of Long QT syndrome (LOTS)

This medication can be used for pain relief only

Answer and Explanation

The Correct Answer is A

A. If pain persists for more than 5 days, it may indicate an underlying condition that requires medical attention.

B. Acetaminophen dosing guidelines for children are well established and do not require verification for occasional use unless there is a specific concern.

C. Long QT syndrome is not a contraindication for acetaminophen use.

D. Acetaminophen can be used for both pain and fever relief.

Nursing Test Bank

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

Explanation

Heart rate: Not changed

No specific mention of heart rate changes, so it remains unchanged.

Respiratory rate: Not changed

Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.

Urine output: Improved

Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.

Mucous membranes: Improved

At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.

Abdominal examination: Not changed

The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.

Vomiting frequency: Improved

Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.

A. The toddler plays with other children... B. The toddler looks for their parents when they leave. C. The toddler notices when others are upset D. The toddler mimics other children.

Correct Answer is B

Explanation

A. Playing with other children typically develops in later toddlerhood or preschool years (parallel play).

B. At 12 months, toddlers exhibit separation anxiety and look for their parents when they leave.

C. Noticing when others are upset typically develops closer to 18 months to 2 years.

D. Mimicking other children usually begins around 18 to 24 months.

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A nurse is creating a plan of care for a child who is 12 years of age and takes acetaminophen occasionally for pain. Which of the following recommendations should the nurse plan to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a toddler. Exhibits The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

Explanation

A nurse is creating a plan of care for a toddler who is 12 months of age. Which of the following developmental milestones will help guide the nurse in developing a plan of care?

Correct Answer is B

Explanation

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