Upon finding a school-age child having a seizure, what should be the nurse’s first action after lowering the client to the floor?

Which statement from a parent of a 1-month-old infant undergoing initial surgery for Hirschsprung’s disease indicates understanding of the surgery’s goal?

A nurse is contributing to the plan of care of an unconscious adolescent who ingested a non-corrosive substance that has no recommended antidote. The nurse should recommend performing gastric lavage with which of the following substances?

A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage.

Which of the following statements by the nurse is an appropriate response?

A nurse is contributing to the plan of care for a 5-week-old infant in the pediatric unit.

The infant has been vomiting since week 2 of life and it has been progressively worse over the past 2 weeks.

Parents report the vomiting is now forceful and projectile (“like a volcano erupting”) immediately after every feeding, but the infant is eager to eat and seems to be constantly hungry.

The infant has been receiving a cow’s milk-based, iron-fortified formula since birth. The pediatrician reports the infant has not gained weight in the past 2 weeks.

The last weight in the pediatrician’s office is 3.54kg (8 lb). No other significant medical or surgical history.

What condition is the client most likely experiencing and what actions should the nurse take to address that condition? What parameters should the nurse monitor to assess the client’s progress?

A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement.

The mother asks what to do if the tubes fall out.

Which of the following instructions should the nurse give the parent?

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client’s temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals.

Which of the following responses by the nurse is appropriate?

A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse’s priority?

A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?

Which client on an acute care pediatric unit requires the nurse’s immediate attention?