• Cystic Fibrosis
• ADHD
• Sickle cell disease discharge instructions
• Leukemia

1. A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing care needs of this child.
2. A nurse is caring for a client with asthma. What should the nurse teach a child with asthma about peak flow readings?
3. Identify three (3) clinical manifestations that should alert the nurse to assess for ventriculoperitoneal shunt malfunction.
4. A nurse is caring for a child prescribed an MRI (magnetic resonance imaging). What information should be provided to the child's parents regarding this test?
5. After a post percutaneous renal biopsy identify one (1) complication the nurse will observe for.
6. A client with Juvenile Idiopathic Arthritis is prescribed a disease modifying anit-rheumatic drug (DMARD). What should the nurse include in your teaching plan for a 16-year-old female client?
7. A nurse is providing education to the parents of an infant with gastroesophageal reflux (GER). What information regarding feeding and positioning should the nurse include in this education?
8. A nurse is caring for a 5-year-old child with a severe head injury. What signs of increased intracranial pressure should the nurse anticipate?
9. A nurse is caring for a child with moderate dehydration secondary to an acute gastrointestinal infection. What manifestations should the nurse
10. At what age should the Moro reflex become a concern if still present?
11. A nurse is providing discharge information to the parents of a child with cystic fibrosis. What information should the nurse include in this education?
12. A nurse is teaching a child who has type 2 diabetes mellitus about nutrition. Provide two (2) client actions to prevent hypoglycemic episodes.
13. A nurse is caring for a child following an ORIF of the left femur. What interventions will be necessary in the post-operative period? What discharge teaching will need to be provided to this client and his family?
14. What are priorities of care for the client experiencing a sickle cell crisis?
15. A nurse is providing education to the parents of a child with HIV regarding disease management. What information should the nurse include in this education?
16. A nurse is caring for a toddler who has been diagnosed with hemophilia. Identify one (1) action the parents can implement to prevent injury. Suggested Learning Activity: Hemophilia
17. A child has ingested turpentine. To address the situation should vomiting be induced?
18. What are common symptoms of a brain tumor in children?
19. A nurse is providing care to a child with a full- thickness burn injury. What characteristics should the nurse anticipate with this burn?
20. What is Tetrology of fallot and what is a "tet" spell?
21. A nurse is caring for a child with diabetes mellitus who is experiencing hyperglycemia. What manifestations should the nurse anticipate?

Assessment A

1. Autism and taking desipramine
2. Measles, mumps, rubella vaccine
3. Tetralogy of Fallot
4. Rheumatic fever

Assessment B

1. Erikson
2. Nursing care for meningitis
3. Reye syndrome
4. Cerebral Palsy

Case Study

An 8 year-old child is brought to the emergency room (ER) with a fractured right femur. The parents report that the child was playing baseball and while sliding into home plate, he collided with another player on the opposing team. The child requires surgery to repair the fracture. After surgery, the child will be in skeletal traction for two weeks and must remain on bedrest. Following skeletal traction, the child will be placed in a long leg cast.

Upon assessment, the vital signs are: Temp-37 C (98.6 F), pulse- 98 beats/minute, respirations-21 breaths/minute, and blood pressure- 124/86 mm Hg. The child’s pain level is an “8” on a scale of 0-10. Swelling and bruising of the thigh is noted. An X-ray confirms the diagnosis. The child is frightened about going to the operating room.

The child has no known allergies and takes a multivitamin every morning. His passion is sports, especially baseball, and when he grows up in wants to be a professional baseball player and play for the New York Yankees.

1. What can the nurse do to reduce the child’s fear of hospitalization?
2. According to Erikson, what psychosocial developmental stage is this child in?
3. What diversional activities can the nurse provide while the child is in skeletal traction to promote growth and development?
4. Following surgery, what assessment findings would cause the nurse to notify the health care provider (HCP)?
5. What is compartment syndrome? What are the findings of compartment syndrome?
6. What nursing actions should be taken when caring for a child in skeletal traction?
7. What is a primary nursing diagnosis related to the above case study?
8. After two weeks of skeletal traction, the child is placed in a long leg cast and is discharged. What discharge teaching should the nurse provide to the child and his parents regarding cast care?