The telephone triage nurse receives a phone call from the father of a 2-year-old who has just ingested dishwashing detergent. Which statement from the nurse is most appropriate?

Make sure you turn in your scratch paper (in person testers) or tear it up on-camera now (online testers).

The nurse is caring for a 14-month-old child in the emergency department. The child presents with a heart rate of 184, respiratory rate of 64, axillary temperature of 103.9, anxiety, and drooling. The child’s parent states that the child has refused to eat or drink for the last 8 hours. The nurse places an SaO2 monitor on the child and notes a reading of 88% with a strong waveform. What is the nurse’s priority action?

The nurse is caring for a 12-year-old boy with unrepaired hypospadias. The child’s parents want him to get corrective surgery for the condition, but the child states he does not want the surgery. What is important for the nurse to keep in mind when caring for this patient?

The nurse is caring for an 8-month-old patient who is expected to be in the medical surgical unit for at least seven days for intravenous antibiotic therapy. The baby’s father states, “She is our first and only child. We are worried about how being in the hospital is going to affect her.” Which nursing implication would be most helpful to include when responding to the baby’s father?

The nurse is caring for a newborn and family who have just emigrated from the Ukraine to the United States. The newborn has just had a diagnosis of Down syndrome confirmed. In order to provide culturally congruent care to this child and family, what is the nurse’s priority action?

The nurse is caring for an 8-month-old patient who is expected to be in the medical surgical unit for at least seven days for intravenous antibiotic therapy. The baby’s father states, “She is our first and only child. We are worried about how being in the hospital is going to affect her.” Which nursing implication would be most helpful to include when responding to the baby’s father?

The nurse is caring for a 3-year-old boy who has been placed in a spica cast following hip surgery. Which statement, if made by the parent, would indicate that further teaching is needed?

The nurse is caring for an 18-month-old child hospitalized with respiratory syncytial virus (RSV) bronchiolitis. Which nursing interventions would be appropriate for this patient? (Select all that apply.)

The nurse is caring for a 15-year-old adolescent male who is undergoing corticosteroid therapy. The patient’s mother states, “He told me he hates his body. He is very upset by the swollen face and weight gain the medicine is causing.” Which response by the nurse is most appropriate?