The parents of a 2-year-old brings the child to the emergency department because he is coughing and grunting and has circumoral cyanosis. Upon assessment, the nurse observes that the child is tachypnea, tachycardia,  cyanotic, exhibits nasal flaring & intercostal retraction. The nurse hears high-pitched inspiratory and expiratory crackles posteriorly in bases of the lungs on auscultation. Which condition is most likely present, based on these findings?  

The nurse is assessing a child with Tetralogy of Fallot. The nurse’s assessment reveals hypoxemia as indicated by cyanosis, SaO2 of 84%, and bradycardia. What action should the nurse anticipate taking first?

The nurse is admitting an 8-year old patient with a recent history of weight gain, edema and frothy urine.  Labs have been sent.  Which of the following findings would the nurse anticipate when labs return?  (Select all that apply).

A nurse is taking care of four different pediatric clients. Which child is at greatest risk for dehydration?

The nurse is caring for a child who had an appendectomy 6 hours ago.  What immediate post-op care is most important for the nurse to be aware of?  (Select all that apply) 

The nurse is assessing a child with a recent history of strep throat and who now presents with elevated blood pressure with headache, abrupt onset of abdominal pain, fever and hematuria. The nurse recognizes that these findings are related to which of the following?

A mother brings in her 2 year old son who has had diarrhea for the last 3 days.  Upon assessment, his weight is 14.2 kg.  His mother states that he had his well visit earlier last week and his weight was 16 kg.  You determine that his percentage of weight loss is:

Which assessment data would cause the nurse to suspect that a 3-year-old child has Hirschsprung disease? 

The nurse is educating parents of an child who has undergone cardiac surgery.  The nurse teaches that one of the goals is to reduce respiratory distress. Parents understand that they can accomplish this goal by which of the following: (Select all that apply)  

Identify   C specific cell [a]