Adaptive Quizzing Peds

A 17 year old was recently found to have type 2 diabetes mellitus. What information will the nurse include when providing education to the family?

" The most important interventions are good nutrition and portion control" Most children with type 2 diabetes are overweight or at risk for becoming overweight.

What over-the-counter drugs are used to treat vulvovaginal candidiasis. 1-tinidazole 2-miconazole 3-clotrimazole 4-azithromycin 5- metronidazole

2,3, Miconazole and clotrimazole are standard over-the-counter drugs used to treat candidiasis. Tinidazole is used to treat trich. Azithromycin is used to treat chlamydia. Metronidazole is used to treat bacterial vaginosis and trich.

A nurse is caring for a 13-year-old child who has an external fixation device on the leg. What is the nurse's priority goal when providing pin care?

Preventing Infection Rationale: Pin sites provide a direct avenue for organisms into the bone. Pin care will not ease pain. Some scarring at the insertion site regardless of pin site care. Skin has a tendency to grow around the pin, rather than break down, as long as infection is prevented.

An adolescent tries dangerous stunts on a bike without fearing that this activity could result in life-threatening injury. Which Characteristic does this signify?

Sense of Invulnerability

After a teaching session a nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder. What is the next nursing action?

Setting goals with the client Negotiation of goals is essential to successful learning.

What characteristics are commonly associated with adolescent depression? SATA 1- Exercising Daily 2- Having suicidal ideations 3- Exhibiting Tearfulness 4- Having poor muscle tone 5- Avoiding previously enjoyed activities

2,3,5

What is the minimum HR for a 14 year old?

60 bpm

What is the maximum heart rate of a 16 year old?

90 bpm

Which statement regarding acne are correct? 1- Acne is a hormonal disease 2-acne may be caused by stress 3- family history could be a reason 4- Propionibacterium acnes causes acne 5- acne is commonly found on the face, chest, upper back, and neck

2,3,4,5

When teaching an adolescent with Type 1 diabetes about dietary management, what instruction should the nurse include?

A ready source of glucose should be available Simple sugar should always be readily available to counteract the effects of hypoglycemia.

an adolescent displaying low selfesteem complains of inflamed, red, and painful lesions on his forehead. What conditions does he have?

Acne Vulgaris inflammatory manifestation to the proliferation of acnes.

An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How should the nurse when the client complains of pain and requests medication?

By acknowledging that the pain is real and administering medication to relieve it.

What should the nurse do to ensure the accuracy of the pulse oximetry reading?

Capillary beds are closest to the surface in the finger and earlobe. this permits for accurate measurement of arterial oxygen saturation.

What is the most common cause of opthalmia neonatorum in infants born to adolescent mothers?

Chlamydia

The parents of a 15 year old adolescent who is being treated for allergies privately tell a nurse that they suspect that their child is a hypochondriac. What is the most therapeutic response?

Discussing developmental behaviors of adolescents

Which of these stages is followed by the "society-maintaining orientation," according to the Kohlberg's theory?

Good boy-nice girl orientation Rationale: According to Kohlberg's theory of moral development, the first stage is the punishment and obedience orientation. The second stage is the instrumental relativist orientation. Good boy-nice girl orientation is the third stage. Society-maintaining orientation stage is the fourth stage. Social contract orientation is the fifth stage. The sixth stage is the universal ethical principle orientation stage.

A teenager is discharged with a cast what should you tell them to do if they experience pruritis?

Icepack Icepack numbs the area providing temporary relief, scratching stimulates the release of histamine which worsens pruritis.

An adolescent is visiting the clinic for allergies. a blood draw is done. Which finding suggests an allergic response is in progress?

Increased eosinophil levels Eosinphils increase to inhibit the inflammatory response to histamine, which is released in allergic reactions.