peds exam 3
The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents? 1. Administer the iron at mealtimes. 2. Administer the iron through a straw. 3. Mix the iron with cereal to administer. 4. Add the iron to formula for easy administration.
2. Administer the iron through a straw.
A nurse is caring for a child who has thrombocytopenia. Which of the following actions should the nurse take? (Select all that apply.) a. Monitor for manifestations of bleeding b. Administer routine immunizations. c. Obtain rectal temperatures. d. Avoid peripheral venipunctures. e. Limit visitors.
a. Monitor for manifestations of bleeding d. Avoid peripheral venipunctures.
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? a. avoid palpating the abdomen when bathing the child before surgery b. refrain form auscultating the child's bowel sounds during the postoperative assessment c. encourage the child to play with other children on the unit prior to surgery d. explain to the child that their pain will be managed after the surgery
a. avoid palpating the abdomen when bathing the child before surgery
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. Which beverage is the best option to recommend with iron administration? 1. Milk 2. Water 3. Apple juice 4. Orange juice
4. Orange juice
A nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. Which characteristic manifestation should the nurse anticipate to be documented in the assessment notes? 1. Fever 2. Malaise 3. Painful lymph nodes in the supraclavicular area 4. Painless and movable lymph nodes in the cervical area
4. Painless and movable lymph nodes in the cervical area
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? A) Weight loss B) Increased urine output C) Bradycardia D) Orthopnea
d. orthopnea
The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3 (19.5 × 109/L). On the basis of this laboratory result, which intervention should the nurse include in the plan of care? 1. Initiate bleeding precautions. 2. Monitor closely for signs of infection. 3. Monitor the temperature every 4 hours. 4. Initiate protective isolation precautions.
1. Initiate bleeding precautions.
The clinic nurse reviews the record of a child just seen by a health care provider and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder?
exercise intolerance
suspected aortic stenosis will experience
exercise intolerance
A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?
frequent swallowing
The nurse performing an admission assessment on a 2-year-old child who has been diagnosed with nephrotic syndrome notes that which most common characteristic is associated with this syndrome?
generalized edema
for a child getting digoxin when do you hold it
heart rate less than 70
for an infant receiving digoxin when do you hold it
heart rate less than 90
a nurse is assessing a 3 year old child who has aortic stenosis. which of the following findings should the nurse expect?
hypotension weak pulses murmur
A nurse is caring for a toddler who has laryngotracheobronchitis. for which of the following findings should the nurse monitor to detect airway obstruction?
increased heart rate
what is a nursing intervention for leukemia
initiate bleeding precautions
A school-age child is admitted in vasoocclusive sickle cell crisis. The child's care should include: a. correction of acidosis. b. adequate hydration and pain management. c. pain management and administration of heparin. d. adequate oxygenation and replacement of factor VIII.
b. adequate hydration and pain management.
Which type of croup is always considered a medical emergency? a.Laryngitis b.Epiglottitis c.Spasmodic croup d. Laryngotracheobronchitis (LTB)
b.Epiglottitis
A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?
orange ice pop
The most common sign of Wilms' tumor is
painless, palpable abdominal mass, sometimes accompanied by an increase in abdominal girth.
The nurse is reviewing the health care provider's prescriptions for a child hospitalized with nephrotic syndrome. Which food should the nurse tell the unlicensed assistive personnel to remove from the child's food tray?
pickle
Abnormal laboratory results in hemophilia indicate
prolonged partial thromboplastin time. Normal PTT is 25-35 sec
the nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP? 1. Vomiting 2. Bulging anterior fontanel 3. Increasing head circumference 4.Complaints of a frontal headache
vomiting
The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse should expect to note which finding documented in the child's record?
weight gain
The mother of a 4-year-old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment of subjective data, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment? 1. Palpating the abdomen for a mass 2. Assessing the urine for the presence of hematuria 3. Monitoring the temperature for the presence of fever 4. Monitoring the blood pressure for the presence of hypertension
1. Palpating the abdomen for a mass
A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? 1.Warm, dry skin 2.Decreased wheezing 3.Pulse rate of 90 beats/minute 4.Respirations of 18 breaths/minute
2.Decreased wheezing
The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the health care provider did not pre- scribe antibiotics. Which response should the nurse make? 1. "The child may be allergic to antibiotics." 2. "The child is too young to receive antibiotics." 3. "Antibiotics are not indicated unless a bacterial infection is present." 4. "The child still has the maternal antibodies from birth and does not need antibiotics."
3. "Antibiotics are not indicated unless a bacterial infection is present."
The nurse is collecting data on a 9-year-old child suspected of having a brain tumor. Which question should the nurse ask to elicit data related to the classic symptoms of a brain tumor? 1. "Do you have trouble seeing?" 2. "Do you feel tired all the time?" 3. "Do you throw up in the morning?" 4. "Do you have headaches late in the day?"
3. "Do you throw up in the morning?"
The nurse provides home care instructions to the parents of a child with heart failure regarding the procedure for administration of digoxin (Lanoxin). Which statement made by the parent indicates the need for further instruction?1."I will not mix the medication with food." 2."I will take my child's pulse before administering the medication." 3."If more than one dose is missed, I will call the health care provider." 4."If my child vomits after medication administration, I will repeat the dose."
4."If my child vomits after medication administration, I will repeat the dose."
The nurse is told that a child with rheumatic fever (RF) will be arriving to the nursing unit for admission. Which question should the nurse ask the family to elicit information specific to the development of RF?
"Did the child have a sore throat or a fever within the past 2 months?"
The nurse provided discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicates the need for further instruction?
"I'll let him decide when to return to his play activities."
The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. The nurse understands that which assessment findings are specifically characteristic of this disease? Select all that apply. 1. Abdominal pain 2. Fever and malaise 3. Anorexia and weight loss 4. Painful, enlarged inguinal lymph nodes 5. Painless, firm, and movable adenopathy in the cervical area
1. Abdominal pain 5. Painless, firm, and movable adenopathy in the cervical area
A nurse is caring for an 8 year old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? 1. Auscultating the rate and characteristics of the child's heart sounds 2. Using a pain-rating tool to determine the severity of the joint pain 3. Identifying the degree of parental anxiety related to diagnosis 4. Assessing the client's erythematous rash
1. Auscultating the rate and characteristics of the child's heart sounds
Oral iron is prescribed for a child with iron deficiency anemia. The nurse provides instructions to the mother regarding the administration of the iron. The nurse should instruct the mother to administer the medication in which way? 1. Between meals 2. Just before a meal 3. Just after the meal 4. With a fruit low in vitamin C
1. Between meals
The nurse is providing home care instructions to the parents of a 10-year-old child with hemophilia. Which sport activity should the nurse suggest for this child? 1. Soccer 2. Basketball 3. Swimming 4. Field hockey
3. Swimming
The nurse provides home care instructions to the parents of a child with heart failure regarding the procedure for administration of digoxin (Lanoxin). Which statement made by the parent indicates the need for further instructions? 1."I will not mix the medication with food." 2."I will take my child's pulse before administering the medication." 3."If more than one dose is missed, I will call the health care provider." 4."If my child vomits after medication administration, I will repeat the dose."
4."If my child vomits after medication administration, I will repeat the dose."
The nurse is assigned to care for a 2-year-old child who has been admitted to the hospital for surgical correction of cryptorchidism. What is the highest priority in the postoperative plan of care for this child? 1.Force oral fluids. 2.Encourage coughing. 3.Test the urine for glucose. 4.Prevent tension on the suture.
4.Prevent tension on the suture.
what is a new borns respiratory rate
40-60
Acetylsalicylic acid (aspirin) is prescribed for a child with rheumatic fever (RF). The nurse should question this prescription if the child had documented evidence of which condition?
A viral infection
The nurse is monitoring the daily weight of an infant with heart failure (HF). Which finding alerts the nurse to suspect fluid accumulation and thus the need to notify the registered nurse?
A weight gain of 1 lb in 1 day
The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting. Which data collected during the assessment process would support the diagnosis of pyloric stenosis? Select all that apply. A) Blood-tinged vomit B) Low-grade fever C) Persistent hunger D) Peristaltic wave E) Consistent weight gain
A) Blood-tinged vomit C) Persistent hunger D) Peristaltic wave
A parent calls a clinic and reports to a nurse that has 2 month old infant is hungry more than usually but has projectile vomiting immediately after eating. Which of the following responses should the nurse make? A. "bring your baby in to the clinic today" B. "Burp your baby more frequently during feedings" C. "Give your infant an oral rehydration solution" D. " Try switching to a different formula"
A. "bring your baby in to the clinic today"
A nurse is caring or a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Administer sodium biphosphate/sodium phosphate
A nurse is caring for a 17 year old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take? A. Initiative the IV per the patient's request B. Notify the provider of the situation C. Administer a sedative to calm the client D. Offer the client an antiemetic
B. Notify the provider of the situation
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make? A. The test will indicate if your child has rheumatic fever B. The test will confirm if your child had a recent streptococcal infection C. The test will indicate if your child has a therapeutic blood level of an aminoglycoside D. This test will confirm if your child has immunity to streptococcal bacteria
B. The test will confirm if your child had a recent streptococcal infection
A nurse is preparing to administer iron dextran IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle B. Use the Z-track method when administering the dose C. Avoid injection more than 2 mL with each dose D. Massage the injection site for 1 min after administering the dose
B. Use the Z-track method when administering the dose
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching? A) My child will take the enzymes to improve her metabolism B) My child will take the enzymes following meals C) My child will take the enzymes to help digest the fat in foods D) My child will take the enzymes 2 hours before meals
C) My child will take the enzymes to help digest the fat in foods
The nurse is reviewing the health care provider's prescriptions for a child with rheumatic fever who is suspected of having a viral infection. The nurse notes that acetylsalicylic acid (aspirin) is prescribed for the child. Which nursing action is appropriate?
Consult with the registered nurse to verify the prescription.
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching? A. "I will have my child rest." B. "I will elevate the affected part." C. "I will compress the site." D. "I will apply heat."
D. "I will apply heat."
A child has been tentatively diagnosed with rheumatic fever. The nurse interprets that this diagnosis is consistent with which laboratory result obtained for this child?
Elevated antistreptolysin O (ASO) titer
A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching? "I will feed my baby on a schedule every 4 hours." "I will give my baby high calorie formula." "I will allow my baby to take as much time as needed to finish the bottle." "I will limit my baby's crying to 15 minutes prior to each feeding."
I will give my baby high calorie formula.
A young child is prescribed pancreatic enzymes as part of his treatment plan for cystic fibrosis. The child has difficulty swallowing medications. After teaching the parents of a young child with cystic fibrosis about how to administer pancreatic enzymes, the parents demonstrate understanding by stating which of the following? a) "We need to dissolve the capsule in water." b) "We should crush the capsule to make it smaller." c) "We can open the capsule and sprinkle it on his cereal." d) "We can puncture the capsule and pour the liquid on his tongue."
c) "We can open the capsule and sprinkle it on his cereal."
The nurse recognizes that clinical manifestations of nephrotic syndrome include which findings?
Massive proteinuria, hypoalbuminemia, edema
The nurse is planning care for a child with hemolytic-uremic syndrome who has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to implement which measure?
Restrict fluids as prescribed
The nurse provides feeding instructions to a parent of an infant diagnosed with GERD. Which instructions should the nurse give to the parent to assist in reducing the episodes of emesis? Provide less frequent, larger feedings. Burp the infant less frequently during feedings. Thin the feedings by adding water to the formula. Thicken the feedings by adding rice cereal to the formula.
Thicken the feedings by adding rice cereal to the formula.
A health care provider has prescribed oxygen as needed for a 10-month-old infant with heart failure (HF). In which situation should the nurse administer the oxygen to the child?
When drawing blood for electrolyte levels
The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever, knowing that which laboratory study would assist in confirming the diagnosis? Immunoglobulin Red blood cell count White blood cell count Antistreptolysin O titer
White blood cell count
Which assessment finding after tonsillectomy should be reported to the surgeon? a.Vomiting bright red blood b.Pain at surgical site c.Pain on swallowing d.The ability to only take small sips of liquids
a. vomiting bright red blood
What is an appropriate beverage for the nurse to give to a child who had a tonsillectomy earlier in the day? a.Chocolate ice cream b.Orange juice c.Fruit punch d.Apple juice
d. apple juice
diagnosis of acute-stage Kawasaki disease
child has a fever, conjunctival hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes.
how should the nurse position a 8-year old with right lower lobe pneumonia a. right side b. left side c. supine d. prone
a.right side
A child with rheumatic fever will be arriving at the nursing unit for admission. On assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever? "Has the child complained of back pain?? "Has the child complained of headaches?" "Has the child had any nausea or vomiting?' "Did the child have a sore throat or fever within the last 2 months
"Did the child have a sore throat or fever within the last 2 months
A nurse is teaching a parent of an infant who has HF about meeting the infant's nutritional needs. Which of the following statements indicates understanding of teaching?
"I will add Polycose to each of my baby's bottles"
The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interven- tions should the nurse include in the plan of care? Select all that apply. 1. Place the infant in a private room. 2. Ensure that the infant's head is in a flexed position. 3. Wear a mask at all times when in contact with the infant.4.Place the infant in a tent that delivers warm humidified air. 5. Position the infant on the side, with the head lower than the chest. 6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children.
1. Place the infant in a private room. 6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children.
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse QUESTION? (Select all that apply.) 1. Restrict fluid intake. 2. Position for comfort. 3. Avoid strain on painful joints. 4. Apply nasal oxygen at 2 L/minute. 5. Provide a high-calorie, high-protein diet. 6. Give meperidine, 25 mg intravenously, every 4 hours for pain.
1. Restrict fluid intake. 6. Give meperidine, 25 mg intravenously, every 4 hours for pain.
The clinic nurse reads the results of a tuberculin skin test (TST) on a 3-year-old child. The results indicate an area of induration measuring 10 mm. The nurse should interpret these results as which finding? 1. Positive 2. Negative 3. Inconclusive 4. Definitive and requiring a repeat test
1. positive
The nurse is reviewing a health care providers prescriptions for child with sickle cell anemia ho was admitted to the hospital for the treatment of vaso-occlusive crisis. which prescriptions document in the child's record should the nurse question/ select all that apply 1. restrict fluid intake 2. position for comfort 3. avoid strain on painful joints 4. apply nasal oxygen at 2L/min 5. provide high calorie-/ high-protein diet 6. Give meperidine, 25mg intravenously, every 4 hours for pain
1. restrict fluid intake 6. Give meperidine, 25mg intravenously, every 4 hours for pain
The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess the urine output? 1.Weighing the diapers 2.Inserting a Foley catheter 3.Comparing intake with output 4.Measuring the amount of water added to formula
1. weigh the diaper
The nurse is assigned to care for a child who is suspected of having glomerulonephritis. The nurse reviews the child's record and notes that which findings are associated with the diagnosis of glomerulonephritis? Select all that apply. 1.Headache 2.Hypotension 3.Red-brown urine 4.Periorbital edema 5.Increased urine output 6.A low blood urea nitrogen (BUN) level
1.Headache`\ 3.Red-brown urine 4.Periorbital edema
The nurse is caring for an infant with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse should plan which intervention? 1. cover the bladder with petroleum jelly gauze 2. cover the bladder with a nonadhering plastic wrap 3. apply sterile distilled water dressings over the bladder mucosa 4. keep the bladder tissue dry by covering it with dry sterile gauze
2. cover the bladder with a nonadhering plastic wrap
The pediatric nurse specialist provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information? 1. "The femur is the most common site of this sarcoma." 2. "The child does not experience pain at the primary tumor site." 3. "Limping, if a weight-bearing limb is affected, is a clinical manifestation." 4. "The symptoms of the disease in the early stage are almost always attributed to normal growing pains."
2. "The child does not experience pain at the primary tumor site."
The nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which finding? 1.Hematuria 2.Bacteriuria 3.Glucosuria 4.Proteinuria
2. bacteruria
which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection. select all that apply. 1. maintain the child in a semiprivate room 2. reduce exposure to environment organisms. 3. use strict aseptic technique for all procedures. 4. ensure that anyone entering the room wear a mask 5. apply firm pressure to a needle stick area for at least 10 minutes
2. reduce exposure to environment organisms. 3. use strict aseptic technique for all procedures. 4. ensure that anyone entering the room wear a mask
The nursing student is presenting a clinical conference and discusses the cause of β-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these? 1. A child of Mexican descent 2.A child of Mediterranean descent 3.A child whose intake of iron is extremely poor 4.A breast-fed child of a mother with chronic anemia
2.A child of Mediterranean descent
A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden, and asks the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother? 1. "I have a vase in the utility room, and I will get it for you." 2. "I will get the vase and wash it well before you put the flowers in it." 3. "The flowers from your garden are beautiful, but should not be placed in the child's room at this time." 4. "When you bring the flowers into the room, place them on the bedside stand as far away from the child as possible."
3. "The flowers from your garden are beautiful, but should not be placed in the child's room at this time."
A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription? 1. Injection of factor X 2. Intravenous infusion of iron 3. Intravenous infusion of factor VIII 4. Intramuscular injection of iron using the Z-track method
3. Intravenous infusion of factor VIII
The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which finding should the nurse expect to note in this child? 1. Cyanosis 2. Bronze skin 3. Tachycardia 4. Hyperactivity
3. Tachycardia
A nurse is caring for a 5 year old with sickle cell vaso-occlusive crisis. Which of the following orders should the nurse question? select all that apply 1.position the client for comfort 2. apply hot packs to the painful areas 3. give demerol 25 mg iv every 4 hours as needed for pain 4. restrict oral fluids 5. apply oxygen per nasal cannula to keep oxygen sats above 94%
3. give demerol 25 mg iv every 4 hours as needed for pain 4. restrict oral fluids
The nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki disease. When obtaining the child's medical history, which manifestation is likely to be noted?1. Cracked lips 2. Normal appearance 3. Conjunctival hyperemia 4. Desquamation of the skin
3.Conjunctival hyperemia
The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms' tumor. The nurse is developing a plan of care for the child and should include which intervention in the plan? 1. Monitor the temperature for hypothermia. 2. Monitor the blood pressure for hypotension. 3. Palpate the abdomen for an increase in the size of the tumor. 4. Inspect the urine for the presence of hematuria at each voiding.
4. Inspect the urine for the presence of hematuria at each voiding.
The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement should the nurse make to the parent? 1. "The immunization schedule will need to be altered." 2. "The child should not receive any hepatitis vaccines." 3. "The child will receive all of the immunizations except for the polio series." 4. "The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination."
4. "The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination."
What should the plan of care for a newborn with hypospadias include? 1. Preparing the infant for insertion of a cystostomy tube 2. Explaining to the parents the genetic basis for the defect 3. Keeping the infant's penis wrapped with petrolatum gauze 4. Giving the parents reasons why circumcision should not be performed
4. Giving the parents reasons why circumcision should not be performed
the pediatric nurse educator provides a teaching session to the nursing staff regarding hemophilia. Which statement regarding this disorder should the nurse plan to include in the discussion? 1. Males inherit hemophilia from their fathers. 2. Hemophilia is a Y-linked hereditary disorder. 3. Females inherit hemophilia from their mothers. 4. Hemophilia A results from deficiency of factor VIII.
4. Hemophilia A results from deficiency of factor VIII.
A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consis- tently crying and trying to climb out of the tent. Which is the most appropriate nursing action? 1. Tell the mother that the child must stay in the tent. 2. Place a toy in the tent to make the child feel more comfortable. 3. Call the health care provider and obtain a pre- scription for a mild sedative. 4. Let the mother hold the child and direct the cool mist over the child's face.
4. Let the mother hold the child and direct the cool mist over the child's face.
A new parent expresses concern to the nurse regard- ing sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant? 1. Side or prone 2. Back or prone 3. Stomach with the face turned 4. Back rather than on the stomach
4. back rather than on the stomach
The clinic nurse reviews the record of a child just seen by the pediatrician and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in the disorder? Pallor Hyperactivity Activity intolerance GI disturbances
Activity intolerance
A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if what condition occurs? Select all that apply. A. Respiratory rate of 36 at rest B. Appetite slowly increasing C. Temperature above 37.7° C (100° F) D. New, frequent coughing E. Turning blue or bluer than normal
C. Temperature above 37.7° C (100° F) D. New, frequent coughing E. Turning blue or bluer than normal
A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? (Select all that apply) Erythema marginatum (rash) Continuous joint pain of the digits Tender, subcutaneous nodules Decreased erythrocyte sedimentation rate Elevated c-reactive protein
Erythema marginatum (rash) Elevated c-reactive protein
sickle cell anemia about the precipitating factors to a crisis
High altitudes, Fever and infection, and Emotional or physical stress
The nurse has reinforced home care instructions to the mother of a child who is being discharged after cardiac surgery. which statement by the mother indicates the need for further teaching?
I can apply lotion or powder to the incision if its itchy
an 18 month old child is being discharged after surgical repair of hypospadias. which postoperative nursing care measure should the nurse stress to the parents as they prepare to take their child home?
avoid tub baths until the stent has been removed
A child with sickle cell anemia is admitted in a vaso-occlusive crisis. WHich of the following interventions should the nurse expect to see ordered? select all that apply a. cold compress to painful joints b. IV fluids started, and oral fluids encouraged c. meperidine, ordered every 4 hours for pain d. High-calorie, high protein diet e. antibiotics ordered for any existing infection
b. IV fluids started, and oral fluids encouraged d. High-calorie, high protein diet e. antibiotics ordered for any existing infection
Pancreatic enzymes are part of the treatment in cystic fibrosis. When should the nurse administer the enzymes? a) Three times a day with water b) At night after dinner c) Before meals and snacks with milk d) Once a day
c) Before meals and snacks with milk
a nurse is caring for a 6 week old infant who has pyloric stenosis. which of the following clinical manifestations should the nurse expect? a. red currant jelly stools b. distended neck veins c. projectile vomiting d. ridged abdomen
c. projectile vomiting
Which statement made by a parent indicates an understanding about treatment of streptococcal pharyngitis? a."I guess my child will need to have his tonsils removed." b."A couple of days of rest and some ibuprofen will take care of this." c."I should give the penicillin three times a day for 10 days." d."I am giving my child prednisone to decrease the swelling of the tonsils."
c."I should give the penicillin three times a day for 10 days."
the nurse is reviewing a treatment plan with the parents of a newborn with hypospadias. which statement by the parents indicates their understanding of the plan?
circumcision has been delayed to save tissue for surgical repair
A child with B-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate to be prescribed? a. Fragmin. b. Meropenem. c. Metoprolol. d. Deferoxamine.
d. Deferoxamine.
The clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction? a. Stress. b. Trauma c. Infection. d. Fluid overload.
d. Fluid overload.
lab studies are performed for a child suspected to have iron deficiency anemia. the nurse reviews the lab results, knowing that which result indicates this type of anemia a. elevated hemoglobin b. decreased reticulocyte count c. elevated RBC count d. RBC that are microcytic and hypochromic
d. RBC that are microcytic and hypochromic
Child placed in a cool mist tent will have
decreased stridor
Which defect is associated with increased pulmonary blood flow?
patent ductus arteriosus
The nurse is performing an assessment on a child admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which assessment findings should the nurse expect to observe?Select all that apply. 1.Pallor 2. Edema 3. Anorexia 4. Proteinuria 5. Weight loss 6. Decreased serum lipids
1.Pallor 2. Edema 3. Anorexia 4. Proteinuria
how do you calculate maintenance fluids
100 mL for first 10 kg (1,000 mL) 50 mL for next 10 kg (500 mL) 20 mL/kg 21 kg baby = 1,520 mL
The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding, which is the most appropriate nursing action? 1. Initiate strict enteric precautions. 2. Move the infant to a room with another child with RSV. 3. Leave the infant in the present room because RSV is not contagious. 4. Inform the staff that they must wear a mask, gloves, and a gown when caring for the child.
2. Move the infant to a room with another child with RSV.
The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which intervention should the nurse perform immediately? 1. Reinforce the dressing. 2. Notify the health care provider (HCP). 3. Document the findings and continue to monitor. 4. Circle the area of drainage and continue to monitor.
2. Notify the health care provider (HCP).
The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse should monitor for which indica- tion that the child may be experiencing airway obstruction? 1. The child exhibits nasal flaring and bradycardia. 2. The child is leaning forward, with the chin thrust out. 3. The child has a low-grade fever and complains of a sore throat. 4. The child is leaning backward, supporting him- self or herself with the hands and arms.
2. The child is leaning forward, with the chin thrust out.
A diagnosis of Hodgkin's disease is suspected in a 12-year-old child seen in a clinic. Several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the diagnosis of Hodgkin's disease? 1. Elevated vanillylmandelic acid urinary levels 2. The presence of blast cells in the bone marrow 3. The presence of Epstein-Barr virus in the blood 4. The presence of Reed-Sternberg cells in the lymph nodes
4. The presence of Reed-Sternberg cells in the lymph nodes
A diagnosis of Hodgkin's disease is suspected in a 12-year-old child seen in a clinic. Several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the diagnosis of Hodgkin's disease? 1. Elevated vanillylmandelic acid urinary levels 2. The presence of blast cells in the bone marrow 3. The presence of Epstein-Barr virus in the blood 4. The presence of Reed-Sternberg cells in the lymph nodes
4. The presence of Reed-Sternberg cells in the lymph nodes
A child is seen in the clinic, and the primary health care provider documents a diagnosis of primary nocturnal enuresis. The mother asks the nurse about the diagnosis. Which should the nurse relay to the mother about primary nocturnal enuresis? 1.Primary nocturnal enuresis does not respond to treatment. 2.Primary nocturnal enuresis is caused by a psychiatric problem. 3.Primary nocturnal enuresis requires surgical intervention to improve the problem. 4.Primary nocturnal enuresis is common, and most children will outgrow bed-wetting without therapeutic intervention.
4.Primary nocturnal enuresis is common, and most children will outgrow bed-wetting without therapeutic intervention.
The nurse is preparing to care for a child with suspected glomerulonephritis. Which historical data collected on admission would support a diagnosis of acute glomerulonephritis? a. The child was treated for streptococcus 2 weeks ago. b. The child experienced a hypersensitivity reaction yesterday. c. The child had nausea and vomiting virus one week ago. d. The child fell from a bike, landing on the left side.
a. The child was treated for streptococcus 2 weeks ago.
The nurse is assessing a child for epiglottitis. What findings are consistent with this condition? (Select all that apply.) a.Drooling b.Dysphagia c.Dysphonia d.Distressed inspiratory efforts e.Decreased oxygenation
a.Drooling b.Dysphagia c.Dysphonia d.Distressed inspiratory efforts
The nurse should assess a child who has had a tonsillectomy for which of the following as the priority? a.Frequent swallowing b.Inspiratory stridor c.Swelling of the throat d.Abnormal lung sounds
a.Frequent swallowing
A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? a. Provide a low-calorie, low-protein diet. b. Administer pancreatic enzymes with meals and snacks. c. Implement a fluid restriction during times of infection. d. Restrict physical activity.
b. Administer pancreatic enzymes with meals and snacks.
The nurse provides instructions regarding home care to the parents of a 3-year-old child hospitalized with hemophilia. Which statement, if made by the parent, indicates a need for further instructions? 1. "We will supervise our child closely." 2. "We will pad corners of the furniture." 3. "We will avoid having our child receive immunizations." 4. "We will remove household items that can easily fall over."
3. "We will avoid having our child receive immunizations."
The nurse on the pediatric unit is caring for a child with hemophilia who has been in a motor vehicle crash. Which assessment finding, if noted in the child, indicates the need for follow-up? 1. The child maintains affected joints in an immobilized position and denies pain at this time. 2. The child's urine is noted to be clear and light yellow and is negative for red blood cells. 3. The child maintains bruised joints in an elevated position; the bruises noted are beginning to turn yellow. 4. The child is drowsy and difficult to arouse; previously the child was able to respond to questions effectively.
4. The child is drowsy and difficult to arouse; previously the child was able to respond to questions effectively.
A nurse is providing teaching to a parent of a child who has Hirschsprung's disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
I'm glad that my child's ostomy is only temporary
The nurse is preparing to administer digoxin (Lanoxin) to an infant with heart failure (HF). Before administering the medication, the nurse double-checks the dose, counts the apical heart rate for 1 full minute, and obtains a rate of 88 beats per minute. Based on this finding, which is the appropriate nursing action?
Withhold the medication.
