A nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following intervention(s) should the nurse implement? (Select All that Apply.)

Provide frequent and routine verbal updates with the parents.

Encourage the parents to participate in the toddler's plan of care when appropriate.

Perform more frequent health care rounds on the toddler.

Conduct interprofessional rounds at the child's bedside so the parents can be inside.

Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with.

Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital.

Answer and Explanation

Correct Answer : A,B,C,D,E

A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.

B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.

C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.

D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.

E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.

F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.

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Correct Answer is D

Explanation

A. Cough and respiratory symptoms are not primary features of Kawasaki disease.

B. Joint pain and swelling are more common in juvenile idiopathic arthritis, not Kawasaki disease.

C. Abdominal pain and diarrhea are not defining characteristics of Kawasaki disease.

D. Kawasaki disease is characterized by a persistent high fever lasting more than 5 days, along with symptoms such as conjunctivitis, rash, and swollen lymph nodes.

A. Guided imagery B. Activity C. Acetaminophen D. High protein diet E. Warm compress F. Opioids

Correct Answer is ["A","C","E"]

Explanation

A. Guided imagery can help preschoolers manage mild to moderate pain by promoting relaxation and distraction.

B. Engaging in activity may increase discomfort and should be limited during acute pain.

C. Acetaminophen is appropriate for managing mild to moderate pain in preschoolers.

D. A high-protein diet is important for overall healing but does not directly address acute pain.

E. Warm compresses can provide comfort and relieve musculoskeletal discomfort.

F. Opioids are typically reserved for severe pain and not the first-line treatment for preschoolers with mild to moderate pain.

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Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic feature of Kawasaki disease?

Correct Answer is D

Explanation

A nurse is planning care for a preschooler who is experiencing acute pain from a recent injury. The child describes the pain as "achy". Which of the following interventions should the nurse recommend? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

A nurse assessing a toddler who is 18 months of age. Which of the following developmental milestones should the nurse expect the toddler to demonstrate?

A nurse is caring for an infant diagnosed with meningitis. The parent of the infant asks how they can prevent the infection from being spread to their other children who are 2 and 4-years of age. Which of the following responses should the nurse make?

A nurse is caring for a client who is at 20 weeks of gestation and asks what could cause the infant to have a cleft lip. Which of the following responses should the nurse give?

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

A nurse is planning care for a child who has been in a car accident and appears to have spinal trauma. Which of the following diagnostic tests should the nurse expect to be ordered to determine the extent of the injury? (Select All that Apply.)

A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?

A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?