Reference no: EM132889952
Problem 1: A nurse is caring for an infant who has increase intracranial pressure (ICP). Which of th following should the nurse identify as late finding of (ICP)?
a. Flexion posturing
b. increase sensory response to painful stimuli.
C increase heart rate
d. Tachypnea.
Problem 2: A nurse is assessing a 24- month -old toddler. Which of the following finding should the nurse report to the provider ?
a. Has a vocabulary of 30 words.
b. sleep 11 to 12 hr. per day.
c. Eats a large amount of food one day then very little the next
d. hold his breath when having a temper tantrum.
Problem 3: A nurse is teaching about growth and development to a parent of 12 year-old child .the nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescent.
a. decelerating growth rate
b. increase self-esteem.
c. emotional separation from parent.
d. mood swing.
Problem 4: A nurse is evaluating 4-year -old child who has cystic fibrosis and has been receiving chest physiotherapy treatments the nurse should identify which of the following finding as an indication that the therapy has been effective?
a. increase urine output
b. increase heart rate
increase expectoration
d. reduce pain.
Problem 5: A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which instructions should the nurse include ?
a apply baby power under the hardness straps daily.
b. place the diaper under the straps of the hardness.
c. adjust the hardness straps daily.
d. massage lotion into the skin under the hardness twice per daily.