PEDS Quiz#2

Albuterol

A child is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?

A

A child is receiving vibration, percussion, and postural drainage. Which of the following actions should the nurse take first? A. Administer albuterol by nebulizer B. Percuss the upper posterior chest C. Perform vibration while the client exhales slowly through the nose D. Instruct the client to cough

D

A child with croup. Which of the following findings should the nurse report to the provider? A. Barking cough B. Paroxysmal attacks of laryngeal attacks at night C. Hoarseness D. Drooling

- asymmetric thigh folds

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

- promote hydration with IV and oral fluids.

A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?

-frequent swallowing

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

A, B, C, D

What checks are administered before administering medication? Select all that apply A. Check meds with another licensed healthcare provider B. Check with another nurse C. Obtain a weight D. Use bras low tape if unable to obtain weight

Kawasaki disease

What is a pediatric disease that aspirin could be prescribed for?

B

A child has rheumatic fever. When obtaining the clients medical history from the parent, the nurse should recognize which of the following findings as significant? A. A classmate has fifth disease B. A sibling had a sore throat 3 weeks ago C. The father had gastritis 2 weeks ago D. A neighbors child has chicken pox

Sitting up right or leaning forward

A school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encouraged to allow maximum lung expansion?

- yellow jell-o

After a tonsillectomy, which of the following fluid or food items would be appropriate to offer to the child?

- turn the child to the side

After a tonsillectomy. the child begins to vomit bright red blood. which is the inital nursing action?

A

Suspected infant has otitis media. Expected findings A. Tugging at the ear B. Bluish-green discharge from the ear canal C. Erythema and edema of the affected auricle

D

Open reduction and internal fixation of a fractured femur an application of a cast. The cast has a window cut in it reviewing of the incision. Which of the following action should the nurse take first A. Remove the window and view the incision B. Turn the client so the cast will dry on all sides C. Medicate the client for pain D. Perform neuromuscular checks of the affected extremity

A

Pancrealipase capsules used for cystic fibrosis patients. What would be the part of teaching for this Med use? A. Administer the medication with meals and snacks B. Tell your child to chew the capsules thoroughly C. Discontinue the medication when the symptoms resolve D. Observe for signs of bleeding

D

School age child who has a fracture to the right femur. Which of the following findings is the nurses priority? A. A 2+ right pedal pulse B. Respiratory rate 24/min C. Capillary refill less than 2 seconds D. Tingling in the right foot

10-14 with school exams

Scoliosis screening in done at what age?

-Pull the ear down and back before instilling the eardrops

The nurse assists in preparing a teaching plan regarding the administration of ear drops for the parents of a 2 yr old child Which should be included in the plan?

- Plan to move the infant to a room with another child with RSV

The nurse is caring for a hospitalized infant with bronchiolitis. diagnostic tests have confirmed respiratory syncytal virus (RSV) on the basis of this finding which should be the appropriate nursing action?

-Chicken tender and a baked potato with butter

The nurse is instructing the mother of a child with cystic fibrosis(CF) about the appropriate dietary measures. which meal best illustrates the most appropraite diet for a client with cystic fibrosis?

C

The nurse is teaching about nutrition with a parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching. A. I should start solid foods when my baby is 3 months old B. I should introduce cow's milk when my baby is 9 months old C. I should wait to give my baby fruit juice until 6 months of age

- have the child sit with her head tilted foward and hold pressure on her nose for 10 min

A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take ?

-Administer antibiotics when available

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse priority?

-cardiovascular

A nurse is caring for a child who has kawasaki disease. which of the following systems is primarily affected by this disease?

- place the child in a side-lying position

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

- orange ice pop

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?

-Apply humidified oxygen via a mask

A nurse is caring for a preschooler who has epiglotitis from a streptococcal infection. Which of the following actions should the nurse take ?

- increased heart rate

A nurse is caring for a toddler who has laryngotracheobronchitis. for which of the following findings should the nurse monitor to detect airway obstruction?

- irritability

A nurse is collecting data from an infant who hit her head when she fell off of a dressing table. The nurse should identify which of the following findings as indicating increased intracranial pressure?

-i will make sure my child washes her hands before eating

A nurse is reinforcing discharge instructions with a parent of a child with cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching?

-I will apply warm compress over the site

A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophillia. Which of the following statements by the parent indicates a need for further teaching ?

D

School age child who has a new diagnosis of asthma. Which of the following responses should the nurse make? A. Your child should stop playing basketball, but she can swim instead B. You should give your child cromolyn sodium C. Your child will need a written excuse to stay out of physical education D. Repeat back to me what you should do if your child is having trouble breathing.

A

Scoliosis screening. Which of the following statements by a parent indicates an understanding of the teaching? A. During the screening, the child is asked to stand and bend forward at the waist with the arms hanging. B. Who is Shapi strange for scoliosis at a younger age than girls. C. Children who have scoliosis will often report back pain.

D

Teaching with the patients of a school aged child who has cystic fibrosis. Which of the following statements should the nurse make? A. Administer a bronchodilator to the child after chest percussion therapy B. A pigeon shaped chest might become evident as the disease progresses C. Bradycardia is an early indicator of a pneumothorax D. Engage the child in daily aerobic exercise

-I will give my child cough syrup if a cough develops

The nurse reinforces instructions to the mother of a child who has been hospitalized with croup, Which statement made by the mother would indicate the need for further teaching?

Cystic fibrosis

Thick secretions and salty sweat. What is this condition?

- giver her no more than three baby aspirin every four hours

A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage which of the following statements by the nurse is not an appropriate response

- call the health care clinic to report that the tubes have fallen out

A nurse if preparing a 4 yr old child for discharge following a bilateral myringgotomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?

-scoliosis

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.

-offer the medication through a straw

A nurse in a pediatric clinic is caring for a child who has iron....

- Does anyone smoke in the same house as your daughter?

A nurse is caring for a 3 yr old client who has persistent otitis media, to help identify contributing factors, the nurse should ask the parents which of the following questions?

-Lethargy

A nurse is caring for a 4-yr old child who is 2-days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?

-pulmonary edema

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

C

2-month old infant who's provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching? A. I will adjust the harness straps every day B. I will place the diaper over the harness C. I will check my babies skin three times each day D. I will gently massage lotion on his skin around the harness clasps

A

Nursing care for an infant who is 1 day postop following surgical care of a cleft lip. What is the best care? A. Apply an antibiotic ointment to the suture site B. Clear oral secretions with a bulb syringe C. Feet the infant using a spoon Position the infant on their abdomen

sweat chloride test

What is the diagnostic test for cystic fibrosis?

spinal tap(lumbar puncture)

What is the primary diagnostic tool for meningitis?

C

A new plaster cast has been placed in a child's arm. Which of the following actions should the nurse take? A. Position the casted arm in a dependent position B. Place a warm, moist heat pack on the cast C. Administer diphenhydramine to relieve itching D. Move the casted arm abruptly with a firm grasp

- upright

A nurse is assisting with the care of a school- age child who has respiratory failure due to pneumonia which of the following positions should the nurse encourage allow maximal lung expansions?

- encourage the child to increase his fluid intake

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 childs parents?

-latex precautions

A nurse is assiting with the care of a child who has spina bifida. Which of the following precaution should the nurse take while caring for this child

-speak slowly while facing the child

A nurse is attempting to obtain information from a child who is hearing impaired. which of the following actions should the nurse take ?

- He seems to be getting a lot more bumps and bruises lately

A nurse is caring for an adolescent client who is recieving carbamazepine for partial seizure disorder. Which of the following statements by the adolescents parent is the priority for the nurse to address?

-Perform a neurovascular check of the lower extremities

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?

-patent ductus arteriosus

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?

- inadequate oxygenation for supporting energy metabolism

A nurse is caring for an infant who has tetralogy of fallot and notes that the infant is easily fatigued when eating. the nurse should recognize that the infants fatigue is caused by which of the following?

- pain

A nurse is collecting data from a child who has sickle cell disease and is experiencing a vasoocclusive crisi. which of the following findings should the nurse expect?