Peds Quiz 2

A nurse is reinforcing teaching with a client has a new diagnosis of aplastic anemia. When discussing the pathology of this disease, which of the following instructions should the nurse include in the teaching?

"A plastic anemia from decreased bone marrow of RBCs"

A nurse is assisting with the admission of a 9-year old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the percent which of the following questions?

"Has your son had a sore throat recently?"

A nursing student is asked to discuss the topic of clubfoot at a clinical conference. The student plans to tell the group that clubfoot:

In a congenital anomaly

A nurse in a pediatric clinic nurse is talking with a parent of a toddler. The parent tells the nurse that her toddler drinks a quart of milk a day. The nurse should recognize that the toddler is at risk for which of the following disorders?

Iron-deficiency anemia

A nurse is reinforcing teaching with a group of young athletes about injury prevention during sports activities. Which of the following joints should the nurse explain is most susceptible to a sports-related injury?

Knee

A nurse is collecting data from an infant who has a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?

Machine-like murmur

A nurse is caring for a client who has recurrent herpes simplex type 1 lesions. The nurse should preform a focused assessment of which of the following areas of the clients body?

Mouth

A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant suddenly becomes cyanotic and the oxygen saturation reading drops to 60%. Choose the interventions that the nurse should perform. Select all that apply.

Notify the registered nurse Prepare to administer ferrous sulfate Prepare to administer intravenous fluids Administer 100% oxygen by face mask

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following instructions should the nurse give the parent?

Offer the medication through a straw

A nurse is caring for a 5 year old with Tay-Sachs Disease. Nursing care involves:

Palliative care

A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?

Use a moisturizer to wipe urine from the skin.

A nurse has reinforced home care instructions to the mother of a child who is being discharged after cardiac surgery. Which statement, if made by the mother, indicates the need for further instructions?

"I can apply lotion or powder to the incision if...

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

"I will swab the medication inside my baby's mouth and tongue"

A nurse provides home care instructions to the parents of a child with congestive heart failure regarding the procedure for the administration of digoxin (Lanoxin). Which statement, if made by a percent, indicates the need for further instruction?

"If my child vomits after medication administration holds the dose."

A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?

"It is not your fault that this happened"

A nurse is reinforcing teaching with the parents of a preschooler who has atopic dermatitis. Which of the following information should the nurse include?

"The doctor might recommend an antihistamine to relieve your symptoms"

A nurse is reinforcing teaching with a client who has rheumatoid arthritis about taking methotrexate. Which of the following instructions should the nurse include?

Drink 2 to 3 L of fluid per day to promote it's excretion

A school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The nurse reinforces instructions regarding how to prevent hypoglycemia during practice. The nurse tells the child to:

Drink a half a cup of orange juice before soccer practice

A nurse is reinforcing teaching with a parent of a child who has eczema. Which of the following manifestations should the nurse expect?

Apply a cool, wet compress to the affected area

A nurse is caring for a child who has disseminated intravascular coagulation and is experiencing epistaxis. Which of the following actions should the nurse take?

Apply pressure to the lower nose with the thumb and index finger for at least 10 mins.

A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Asymmetric thigh folds

The camp nurse ask the children preparing to swim in the lake if they have applied sunscreen. Th nurse reminds the children that chemical sunscreens are the most affected when applied:

At least 20 minutes before exposure to the sun

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?

Athlete's foot

A client with a burn injury is transferred to the nursing unit, and a regular diet has been prescribed. The nurse encourages the client to eat which dietary items to promote wound healing?

Chicken breast, broccoli, strawberries and milk

A child with leukemia is experiencing nausea related to medication therapy. The nurse, concerned about the child's nutritional status, should offer which of the following during this episode of nausea?

Cool, clear liquids

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following manifestations should the nurse expect?

Decreased blood pressure in the legs

Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse monitors the child after medication administration for which therapeutic response?

Decreased urinary output

A nurse is reinforcing teaching with a client who has hemophilia A. Which of the following manifestations should the nurse include in the teaching?

Disabling joint pain

A nurse is assisting with the care of a client who has frostbite on both legs after prolonged exposure to outdoor temperatures around 12.2 C (10 F). Which of the following actions should the nurse plan to take?

Elevate the lower extremities

A nurse is assisting with the discharge of a child who has sickle cell anemia and is recovering from an acute sickle cell crisis. Which of the following instructions should the nurse reinforce with the child's paresis?

Encourage the child to increase his fluid intake.

A child is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which of the following findings would this nurse most likely expect to find documented in the child's record?

Enlarged lymph nodes

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck's traction. Which of the following actions should the nurse take?

Ensure the rope knots are away from the pulleys

A nurse reviews the record of a child who was just seen by a health care provider (HCP). The HCP has documented a diagnosis of suspected aortic stenosis. Which clinical manifestation that is specifically found in children with this disorder should the nurse anticipate?

Exercise intolerance

A nurse on a pediatric unit is working with an assistive personnel(AP). Which of the following tasks should the nurse have the AP perform first?

Feed a school-age client who has burns on both arms

A nurse collecting data from a child who has thalassemia. Which of the following findings should the nurse expect?

Fever

A nurse is checking a school-age child for pediculosis capitis. Which of following findings is a definitive indication of this condition?

Firmly attached white particles on the hair

A nurse is collecting data from a client who has osteomyelitis following a compound fracture of the right lower leg. Which of the following findings should the nurse expect?

High white blood cell count (WBC)

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

Patent ductus arteriosus

1. A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?

Perform a neurovascular check of the lower extremity.

A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

Platelet count 125,000/mm3

A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infections?

Red macule with honey-colored crusts

A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Scoliosis

A nurse is collecting data for an infant with congenital hypothyroidism. The following(s) are expected. Select all that apply.

Sluggishness Enlarged tongue Dry skin

Which data collection finding would indicate the possibility of sexual abuse of a child?

Swelling of the genitals

A nurse is caring for an infant with congenital heart disease is monitoring the infant closely for signs of congestive heart failure (CHP). The nurse looks for which early sign of CHP?

Tachycardia

A nurse in a community clinic is caring for a 20-month-old toddler who had spiral fractures of the right ulna and radius. Which of the following findings should the nurse recognize as a potential indication of abuse?

The parents report that the child injured herself on the couch

A nurse is reviewing discharge instructions with a client who has pruritus following treatment for scabies. Which of the following instructions should the nurse include?

Wear loose fitting clothing while you are experiencing pain

A nurse is reinforcing teaching to a parent regarding how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by client, indicates need for further teaching?

Withdraws the NPH insulin first