PEDS Exam 2: Immunizations, Communicable Diseases, and Skin Alterations Quiz

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Which parental statement indicates correct understanding for the prevention of sunburn for a toddler-age client?

"I will use a sunscreen with an SPF of 30 or higher for my child."

A nurse explains to the mother of a 1-year-old with a history of frequent ear infections that the primary cause of otitis media in young children is what?

An obstructed eustachian tube

A 12-month-old infant has become immunosuppressed during a course of chemotherapy. What information regarding the measles, mumps, and rubella (MMR) vaccine should the nurse, preparing for the infant's discharge, give the parents?

Infants who are receiving chemotherapy should not be given these vaccines.

A nurse in the pediatric clinic is teaching a mother how to care for her infant who has eczema. What is most important for the nurse to teach the mother?

Preventing secondary infections

A parent of a 7-year-old child asks a nurse how to tell the difference between measles (rubeola) and German measles (rubella). What should the nurse tell the parent differentiates rubeola from rubella?

High fever and Koplik spots

A 5-year-old-child is undergoing chemotherapy. The mother tells the nurse that the child is not up to date on the required immunizations for school. What is the best response by the nurse?

"This isn't the best time to finish the immunizations, because your child's immune system is suppressed."

To evaluate kidney function, the nurse must accurately measure the hourly urine output of a 1½-year-old toddler weighing 22 lb (11 kg) who has been admitted with extensive burns. What is the minimum safe output per hour for a child this age?

10 to 20 mL

A 4-year-old child is being transported to a trauma center for treatment of a partial- and full-thickness burn injury that is estimated as covering more than 40% of the body. The nurse anticipates that which treatment will be prescribed initially? Group of answer choices

Insertion of a Foley catheter

The parent of a 10-month-old infant with otitis media tells the nurse in the pediatric clinic that this is the baby's third episode in 3 months. The infant is tugging at the ear but is not acutely ill. What factor should the nurse consider before responding?

The eustachian tube is short and horizontal.

A school-aged child is brought to the emergency department with partial- and full-thickness burns of the lower extremities. The practitioner writes multiple prescriptions. What is the nurse's priority intervention?

Starting an intravenous line with a large-bore catheter


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