The nurse provides care to a patient who is having a minor elective surgery later in the day. The patient has casts on both hands but is legally competent. Which action does the nurse implement during the informed consent process?

A 10-year-old child with cystic fibrosis is admitted for a pulmonary exacerbation. The child is receiving chest physiotherapy, nebulized antibiotics, and pancreatic enzymes. The parent asks, “Why does my child have to stay in the room and can’t go to the playroom like other kids?” Which of the following is the best response by the nurse?

The nurse is caring for a 4-year-old child with congestive heart failure who is experiencing dyspnea and fatigue during feeding. Which nursing intervention is most appropriate to promote comfort and reduce cardiac workload during feedings?

A 3-year-old child is 24 hours postoperative after surgery for intestinal malrotation with volvulus. The child has a central venous catheter, an NG tube to low intermittent suction, and a surgical dressing over the abdomen. Which nursing action requires immediate intervention to reduce the child’s risk of infection? A. The NG tube drainage container is labeled and placed on the floor beside the bed.

A 15-year-old female comes to the clinic for a routine physical. When asked about sexual activity, she hesitates, then says she “sometimes” has sex but doesn’t “really use protection.” She insists she is healthy and “not worried about getting pregnant or sick.” Which of the following nursing responses best reflects an understanding of adolescent development and promotes safe behaviors?

A nurse is caring for a hospitalized adolescent with Crohn’s disease who reports increased abdominal pain, three episodes of loose stools overnight, and a low-grade fever. The nurse notes hypoactive bowel sounds and a mildly distended abdomen. Which of the following actions should the nurse take first to reduce the risk of complications?

A 5-year-old child is admitted with E. coli O157:H7 infection, presenting with severe diarrhea and mild dehydration. The healthcare provider orders intravenous fluids and stool cultures. Which nursing action is most important to prevent a serious complication associated with this infection?

A 4-week-old infant is brought to the clinic with a history of projectile vomiting after feeds, constant hunger, and poor weight gain. Which diagnostic finding is most indicative of pyloric stenosis?

A 10-month-old infant is brought to the emergency department with a 2-day history of nasal congestion, low-grade fever, and a “barking” cough. On assessment, the infant is alert, has inspiratory stridor at rest, moderate suprasternal retractions, and an oxygen saturation of 94% on room air. The healthcare provider prescribes nebulized racemic epinephrine and corticosteroids. Which nursing action is the priority?

A nurse is caring for a 10-year-old child who refuses to follow the unit’s rules about bedtime. When asked why rules are important, the child responds, “Because if we break them, we’ll get in trouble.” Based on Kohlberg’s stages of moral development, which of the following interpretations by the nurse is most accurate?