The nurse is assessing a child diagnosed with Cushing Syndrome. Which signs and symptoms would the nurse expect to assess? Select all that apply.    

Karen is an 16 year old with Cystic Fibrosis (CF).  She was diagnosed at age 4 after a long series of respiratory infections and failure to thrive.  She is currently in the hospital for a “tune-up” after presenting to the outpatient clinic w/ a significant reduction in her baseline PFTs.  She’s also experienced a 3 lb. weight loss in the last month.  She was discharged from her last hospitalization 12 weeks ago.  She was hospitalized for 4 weeks at that time. She is quiet, moody, and refusing to eat and go to physical therapy. Please answer the following questions: 1. What is the primary purpose of admitting Karen (or any CF patient) for a “tune-up”? 2. Which nursing intervention is the highest priority of the admitting nurse for this patient? 3.. Karen takes pancreatic enzymes with each snack and meal.  What is the pathophysiology that necessitates the use of these enzymes in patients with CF?    

A child status/post (s/p) Open Reduction Internal Fixation of the left elbow due to a supracondylar fracture is complaining of (c/o) pain 5/10 on the numeric scale. Child’s weight: 37 pounds. Dose ordered: Morphine 1.68mg IVP Q 4 hours prn pain greater than or equal to 5. Dose on hand in the pyxis: 4mg/2mL          Safe dose: 0.5 to 0.2mg/kg every 4 hours prn How many mLs of Morphine will you administer? (Round to the nearest hundredth)  

The nurse is caring for a 11-year-old child recently diagnosed with Type 1 diabetes. When discussing the care and management of Type 1 diabetes mellitus with the child’s parents, which statements indicate understanding? Select all that apply.

Match the correct type of seizure with the clinical manifestations or activity observed by the patient during the seizure.  

A child comes into the ED with a head to toe and front to back rash on their body that is red.  The nurse taking the report asks the mom if they have changed laundry detergents, if the child has any food allergies, and if the child takes any medications.  The mom states, “No changes in detergent, no food allergies that we know of. My child has been on Bactrim sulfonamide for about 5 days now for a bacterial infection.”  What do you expect the nurse’s working diagnosis is for this rash? (HINT: Name the type of rash/reaction). (image from epilepsyu.com, 2024)

When assessing a preschooler who has sustained a head trauma, the nurse note that the child appears to be obtunded. Which finding supports this level of consciousness (LOC)?

A 8-year old child with known, chronic respiratory disease presents to the ED.  While receiving oxygen by 6L face mask, it is determined that the child is not breathing. The child’s pulse is 60 bpm and dropping. What action should the nurse take next?

As the nurse caring for a patient admitted for new onset seizures, you answer the call light and mom is yelling, “come quick, my child is seizing.”  From the choices below, select the nurse’s first action upon arriving to the beside of the seizing patient.

A child is being discharged after being diagnosed with an asthma exacerbation. What information regarding the rescue inhaler is most important for the nurse to include in discharge teaching?