Practice Questions Respiratory, Cardiac and Hematological exam 2

Exposure to which illness should be a cause to discontinue therapy and substitute another medication in a child receiving aspirin therapy for Kawasaki disease (KD)?

Chickenpox or influenza.

A heart transplant may be indicated for a child with severe heart failure and:

Hypoplastic left heart syndrome.

The nurse is caring for an 8-year-old girl whose parents indicate she has developed spastic movements of her extremities and trunk, facial grimace, and speech disturbances. They state it seems worse when she is anxious and does not occur while sleeping. The nurse questions the parents about which recent illness?

Strep throat.

A parent asks how to care for a child at home who has the diagnosis of viral tonsillitis. Which is the nurse's best response?

You can give your child Tylenol every 4 to 6 hours as needed for pain."

The nurse is caring for a child with sickle cell disease who is scheduled to have a splenectomy. What information should the nurse explain to the parents regarding the reason for a splenectomy?

To prevent splenic sequestration.

A school-age child has been diagnosed with nasopharyngitis. The parent is concerned because the child has had little or no appetite for the last 24 hours. Which is the nurse's best response?

"Be sure your child is taking an adequate amount of fluids. The appetite should return soon."

The nurse is reviewing discharge instructions with the parents of a child who had a tonsillectomy 24 hours ago. The parents tell the nurse that the child is a big eater, and they want to know what foods to give the child for the next 24 hours. What is the nurse's best response?

"The child's diet should be restricted to soft foods."

A nurse educator is providing a teaching session for the nursing staff. Which of the following individuals is at greatest risk for developing beta-thalassemia (Cooley anemia)?

A child of Mediterranean descent.

A child has been seen by the school nurse for dizziness since the start of the school term. It happens when standing in line for recess and homeroom. The child now reports that she would rather sit and watch her friends play hopscotch because she cannot count out loud and jump at the same time. When the nurse asks her if her chest ever hurts, she says yes. Based on this history, the nurse suspects that she has:

Aortic stenosis (AS).

A mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. Which is the nurse's best response to this parent whose child is diagnosed with epiglottitis and is in severe distress and in need of intubation?

Epiglottitis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly."

A nurse is caring for a child with von Willebrand disease. The nurse is aware that which of the following is a (are) clinical manifestation(s) of von Willebrand disease? Select all that apply

a. Bleeding of the mucous membranes. b. The child bruises easily. c. Excessive menstruation. d. The child has frequent nosebleeds

Which of the following can lead to a possible diagnosis of human immunodeficiencyvirus (HIV) in a child? Select all that apply.

a. Repeated respiratory infections. b. Intermittent diarrhea. e. Poor weight gain.

Which of the following measures should the nurse teach the parent of a child with hemophilia to do first if the child sustains an injury to a joint causing bleeding?

administer factor per the home-care protocol.

During play, a toddler with a history of tetralogy of Fallot (TOF) might assume whichposition?

squatting

A 7-month-old has a low-grade fever, nasal congestion, and a mild cough. What should the nursing care management of this child include?

nstilling saline nose drops and bulb suctioning.