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A 2-week-old infant presents to the emergency department wit…

A 2-week-old infant presents to the emergency department with a temperature of 102 ° F (38.9 ° C) and refusal to eat. Pregnancy and delivery were uncomplicated. The irritable, fussy infant has a HR of 170 and RR of 40. The anterior fontanelle is full. The child has a rigid, hyperextended back. Which of the following is not  appropriate management of this infant?

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The nurse provides discharge instructions for a 10-year-old…

The nurse provides discharge instructions for a 10-year-old child diagnosed with a moderate concussion. Which parent statement related to the first 24 hours of discharge instruction indicates a need for further teaching?

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A nurse is educating a mom with a newborn on preventative fa…

A nurse is educating a mom with a newborn on preventative factors for acute otitis media. Which of these would not be included in the nurse’s teaching?

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An 8-year-old is diagnosed with hyperopia. Which statement b…

An 8-year-old is diagnosed with hyperopia. Which statement by the parent indicates understanding of the condition?

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The nurse is caring for a 6-year-old child with a ventriculo…

The nurse is caring for a 6-year-old child with a ventriculoperitoneal shunt. Which of the following is an indication of shunt malfunction?

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A nurse is assessing a child suspected of having an intellec…

A nurse is assessing a child suspected of having an intellectual disability. Which of the following findings would support this diagnosis?

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A nurse is caring for a 3-week-old infant diagnosed with con…

A nurse is caring for a 3-week-old infant diagnosed with congenital cataracts. Which of the following statements from the parents would indicate a need for further teaching?

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The nurse is advocating for accommodations at school for a 7…

The nurse is advocating for accommodations at school for a 7-year-old child with dyslexia. Which accommodation is most appropriate to include for this child?

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A parent reports their preschool becomes extremely distresse…

A parent reports their preschool becomes extremely distressed by clothing tags and loud noises and refuses certain textures of food. The child’s cognitive testing is normal. Which nursing response is not appropriate?

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A nurse is caring for a 35-week gestation premature infant i…

A nurse is caring for a 35-week gestation premature infant in the neonatal intensive care unit with retinopathy of prematurity. Which of these interventions would not be included in the infant’s care plan?

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