PEDS QUIZ TWO

23. A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all answers that apply.

A) Intravenous immunoglobulin C) Acetaminophen D) Aspirin

14. The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. Which of the following would the nurse include in the teaching plan?

D) Fruit juice

21. A nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which of the following would the nurse instruct the parents to administer orally?

D) Pancreatic enzymes

What sign(s) indicate(s) moderate dehydration? (Select all that apply.)

a. 10% weight loss b. Dry mucous membranes c. Normal anterior fontanel

What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)

a. Hypertrophied right ventricle b. Patent ductus arteriosus d. Narrowing of pulmonary artery e. Dextroposition of aorta

What assessment(s) would lead a nurse to suspect Hirschsprung's disease in a 1-month-old infant? (Select all that apply.)

a. Ribbon-like stools b. Fever c. Failure to thrive d. Vomiting e. Diminished peristalsis

What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? (Select all that apply.)

a. Spontaneous cyanosis b. Dyspnea c. Weakness e. Syncope

An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO2 40, HCO3- 21. How does the nurse interpret these values?

Metabolic acidosis

after a tonsillectomy, the nurse reviews the health care provider's (HCP's) postoperative prescriptions. Which prescription should the nurse question?

Suction every 2 hours.

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action

Turn the child to the side.

6. When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess?

B) Strawberry tongue

What is the treatment of choice for a child with intussusception?

A barium enema

A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever?

A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever?

A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis?

Heart muscle and the mitral valve

What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?

Keep children's nails short.

9. The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond?

B) "Breastfeeding is likely to be possible, but check with the surgeon."

13. The nurse is determining maintenance fluid requirements for a child who weighs 25 kg. How much fluid would the child need per day?

B) 1,600 mL

7. After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding?

B) Jerky movements of the face and upper extremities

25. After teaching the parents of a child diagnosed with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods as appropriate for their child? Select all answers that apply.

B) Peanut butter C) Carbonated drinks D) Shellfish E) Jelly

The nurse would observe a child for frequent swallowing following a tonsillectomy and adenoidectomy (T & A) because this is indicative of

Bleeding from the surgical site

The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in their families has CF. The nurse's response is based on the understanding that with CF:

Both parents are carriers of the CF gene.

What does the nurse expect the appearance of the stools of a child with celiac disease to be?

Bulky, frothy

12. Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration?

C) Sunken fontanels

The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, "Why do my child's fingertips look like that?" On what understanding does the nurse base a response?

Clubbing occurs as a result of chronic hypoxia.

What clinical manifestation should be the most suggestive of acute appendicitis?

Colicky, cramping, abdominal pain around the umbilicus

What description of a child's stool characteristic leads the nurse to suspect intussusception?

Currant jelly

A father asks why his child with tetralogy of Fallot seems to favor a squatting position. What is the nurse's best response?

Squatting increases the return of venous blood back to the heart.

Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?

Ensure high-protein, high-calorie diet

The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding?

Frequent swallowing

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?

If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest."

The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" On what understanding is the nurse's response based?

Inflammation weakens blood vessels, leading to aneurysm.

Bleeding from the surgical site

POPSICLE

A mother reports that her child has been scratching the anal area and complaining of itching. What does the nurse suspect based on this information?

Pinworms

The nurse is interviewing parents of an infant with pyloric stenosis. What would the nurse expect the parents to report?

Projectile vomiting

The nurse is reviewing the laboratory results for a child scheduled for tonsillectomy. The nurse determines that which laboratory value is most significant to review?

Prothrombin time

The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which position?

Side-lying

Why are rapid respirations a possible cause of dehydration?

They cause evaporation of fluid on the mucous membranes.

. What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply.)

b. Burp the infant before and during feeding. c. Give the feeding slowly. d. Refeed if the infant vomits.

A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.)

b. Guarding c. Rebound tenderness d. Decreased C-reactive protein

ow long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G?

c. 5 years

The nurse has reviewed dietary restrictions for celiac disease with concerned parents. Which grain will the nurse explain can be eaten with celiac disease?

d. Rice