Quiz 3 peds

An appropriate nursing diagnosis for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV) would be 1. Activity intolerance. 2. Decreased cardiac output. 3. Pain, acute. 4. Tissue perfusion, ineffective (peripheral).

1. Activity intolerance. Activity intolerance is a problem because of the imbalance between oxygen supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-disease process.

A nurse is reinforcing teaching with a parent of a child who has iron deficiency anemia. Which of the following food choices should the nurse recommend as the source of iron?

3 oz baked chicken breast

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

A 10 year old child who has sickle cell anemia who reports severe chest pain.

The nurse is teaching a parent how to treat her child's hypoglycemia. The nurse tells the parent to give the conscious child 15g of a carbohydrate. What items should the nurse teach the parent as being equivalent to 15g of a carbohydrate? A) 1/2 cup orange juice B) an insulin injection C) 1 cup regular soda pop D) 1 small box raisins E) 3-4 glucose tablets

A) 1/2 cup orange juice D) 1 small box raisins E) 3-4 glucose tablets

A preschooler has celiac disease. Her mother is preparing a gluten-free diet. By preparing which breakfast foods would you believe she understands the diet? A) Eggs and orange juice B) Wheat toast and grape jelly C) Cheerios (oat cereal) and skim milk D) Rye toast and peanut butter

A) Eggs and orange juice

A 6-month-old infant has colicky pain and is passing stools that appear "red and currant jelly like." The nurse should suspect which condition? A) Intussusception B) Pyloric stenosis C) Cystic fibrosis D) Helicobacter gastritis

A) Intussusception

Which of the following usually indicates that the intussusception has reduced itself? A) Passage of a normal brown stool B) Increase in appetite C) Hyperactive bowel sounds D) Normal complete blood count

A) Passage of a normal brown stool

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select all that apply) A) Projectile vomiting B) Dry mucus membranes C) Currant jelly stools D) Sausage-shaped abdominal mass E) Constant Hunger

A) Projectile vomiting B) Dry mucus membranes E) Constant Hunger

Before surgical repair of intussusception, an infant will likely receive A) barium enema B) laxative C) colonoscopy D) abdominal x-ray

A) barium enema

The nurse is caring for a child who has been diagnosed with Hirschsprung disease. What nursing diagnosis is most appropriate for this child? A) constipation r/t Hirschsprung disease B) risk for imbalanced nutrition r/t Hirschsprung disease C) fluid volume deficit secondary to bleeding associated with Hirschsprung disease D) risk for aspiration r/t Hirschsprung disease

A) constipation r/t Hirschsprung disease

Al, age 5 months, is suspected of having intussusception. What clinical manifestations would he most likely have? A) crampy abdominal pain, inconsolable crying, a drawing up of the knees to the chest, and passage of red, currant jelly-like stools B) fever; diarrhea; vomiting; lowered WBC count; and tender, distended abdomen C) Weight gain, constipation, refusal to eat, and rebound tenderness D) Abdominal distention, periodic pain, hypotension, and lethargy

A) crampy abdominal pain, inconsolable crying, a drawing up of the knees to the chest, and passage of red, currant jelly-like stools

An invagination of one portion of the intestine into another is called: A) intussusception B) pyloric stenosis C) tracheoesophageal fistula D) Hirschsprung disease

A) intussusception

Following surgery for pyloric stenosis, an infant should be well-bubbled following feedings primarily to prevent A) pressure on the incision line. B) abdominal discomfort. C) contaminating flatulence. D) intestinal obstruction.

A) pressure on the incision line.

Hirschsprung disease

Lack of ganglionic cell in segments of the colon often in lower portion of bowel, no peristaltic waves causing chronic constipation above this area, megacolon • Diagnosis: Rectal biopsy Rectal sphincter fails to relax S/S: - Ribbon-like stool from passing through the narrow segment No meconium passed within 48 hrs after birth, vomiting bile, abdominal distension, Constipation TX: surgery n temporary ostomy bag

A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?

Mucus in stools.

A nurse is caring for a child who has hemophilia and reports an increase in bruising. Which of the following lab values should the nurse recognize as contributing to this manifestation?

Platelets 110,000 mm3 platelets (150,000 to 400,000) low platelets indicates bleeding

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following as an acceptable food choice for this child?

RICE

Hemophilia A (Factor VIII)

Rare, inherited bleeding disorder that impairs clotting. this leads to increase risk of bleeding Hemophilia A: deficiency of factor V!!! Hemophilia B: deficiency of factor X! S/S : excessive bleeding, joint pain/ stifness, impaired mobility brusing Lab: Prolonged aPTT , low platelets TX: factor replacement, vasopressin, corticosteroids INtervention: prevent bleeding, soft bristled tootbrush, low activity RICE to control bleeding.

A nurse is caring for an adolescent client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing hyperglycemia?

Reports of thirst

A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?

Ribbon-like, foul-smelling stools.

Barbara has been diagnosed with ADHD and placed on Ritalin by her physician. Which of the following statements, made by the nurse to Barbara's parents, is correct?

This drug will ultimately lead to stimulation of the inhibitory system of the central nervous system by increasing dopamine and norepinephrine levels in the body.

Non-Hodgkin's Lymphoma

Uncontrolled proliferation of abnormal lymphocytes S/S: Fever, Weight loss, Night sweats Tumors outside of lymphatic system TX: Chemotherapy

A nurse is providing teaching about iron deficiency anemia to parents of toddler. Which should be recommended as method to prevent it? a. avoid diet that consists primarily of milk b. fat soluble vitamins daily c. fluoridated water in diet d. limit intake of high protein foods

a. avoid diet that consists primarily of milk

Rheumatic fever

autoimmune disease that occurs after an infection with strep (streptococcus) bacteria. affects the joints, skin, heart, blood vessels and brain CNS Strep throat and Scarlet Fever. Occurs mainly in children between the ages of 5 to 15years S/S : Migratory Polyarthritis : knees, elbows, ankles, wrists, shoulders pain (joints may be swollen and inflamed) last for few days and disappear without treatment, this pattern continues for weeks Skin Eruptions: Rash (small circles with red colored margins, pale in center, wavy lines appearing on the trunk and abdomen (appears and disappears rapidly) Sydenham's chorea: disorder of CNS (involuntary purposeless movements of muscles, acute rheumatic involvement of the brain mostly seen in prepubertal girls Rheumatic Carditis: inflammation of heart, irregular, fever, pale and listless, poor appetite, weight loss soft murmur over apex of heart TX: anti bacterial therapy/ antibiotic therapy penicillin or amoxicillin or erythromycin NSAIDs aspirin for joint pain -phenobarbitol and diazepam (decreases chorea) physical and mental rest, limit heart load activity. [Teach parents about the need for prophylactic antibiotic therapy before any dental procedures.] Lab: positive throat culture for GABHS, elevated serum antistreptolysin O titer

iron deficiency anemia

inadequate intake of iron-rich foods, Diet too high in cow's milk S/S fatigue, shortness of breath, pallor, spoon shaped fingernails tachycardia Labs: decreased RBCs Hgb / Hct intervention: Provide iron supplements( add Vitamin C for increase absorption of iron) IM: use Z-tract method do not massage increase iron rich foods: raisins, beans/lentils, green/leafy veggies, meat, poultry, peanut butter, iron fortified foods.

MMR vaccine

live virus measles, mumps, rubella direct contact/ droplet IM 1 to 1/4 inch 22-25 gauge needle 2 doses: a) 12-15, 18 months b) 4-6 years contraindicated with egg allergy, immunodeficiency gelatin, neomycin, thrombocytopenia

sudden infant death syndrome (SIDS)

sudden and unexplained death of infant usually during the night AKA (Crib Death) 2 weeks - 1 year of age Risk : soft matterss, pillow overheated environment, parent sharing bed with infant, fluffy blankets bumper pads Sudden apnea, cyanosis, hypotonia and gasping infant should have some prone time during awake parents should be CPR educated and should lie the infant in supine or back lying position on firm mattress to prevent SIDS AAP recommends that all healthy infants be placed on their back for sleep to help prevent occurrence of SIDS

Nurse is teaching parent of 1 month old who is to undergo surgery to treat Hirschsprung's disease. which of the following statements should indicate to the nurse that the parent understands the goal of surgery?

"Glad the ostomy is only temporary"

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?

"Has your son had a sore throat recently?"

A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching? XXX

"I will apply heat"

A nurse is providing teaching to a parent of a child who has Hirschsprung disease 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."

A child is suspected of having Hirschsprung disease. What assessment factors would support such a medical diagnosis? A) history of constipation B) passage of a large amount of meconium in the newborn period C) clay-colored stools D) increased abdominal girth E) ribbon-like stool

A) history of constipation D) increased abdominal girth E) ribbon-like stool

The nurse is caring for a child with type 1 DM who is experiencing hypoglycemia. In reviewing the child's history, what item most likely caused the hypoglycemia? A) inaccurate insulin dose B) lack of growth C) decreased exercise D) too many calories

A) inaccurate insulin dose

The nurse is caring for an infant in a pediatric clinic who is experiencing ribbon-like stools. The nurse alerts the HCP, anticipating that the infant will be evaluated for Hirschsprung disease. What pathophysiology would be described to the parents if Hirschsprung disease is confirmed? A) there is a congenital absence of ganglion cells in the wall of a variable segment of rectum and colon B) there is an invagination of part of the bowel into iteslf C) there was a malrotation of the intestines into the abdominal cavity during fetal development D) abdominal contents failed to return to the abdomen during fetal development

A) there is a congenital absence of ganglion cells in the wall of a variable segment of rectum and colon

A nurse is collecting data form an infant who has respiratory syncytial virus and observes retractions. Which of the following actions should the nurse perform first? A. Check the pulse oximetry level B. Assist with administer IV fluids C. Provide bronchodilator therapy D. Administer oxygen by face mask

A. Check the pulse oximetry level

A nurses administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? A. Oral opioid doses should be larger than parenteral doses B. Oral opioids should not be combined with other types of pain relievers. C. Opioid doses should be titrated until sedation occurs - sedation is bad D. Opioid doses should be used for mild pain - no, moderate or severe pain

A. Oral opioid doses should be larger than parenteral doses

Adolescent with hemophilia A is scheduled for wisdom teeth removal. Prior to procedure the client will receive which of the following? A. recombinant b. packed RBCs c. prophylactic antibiotics D. fresh frozen plasma

A. Recombinant

A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include? A. Your child will be on a gluten-free diet for the rest of her life." B. Your child will need to follow a low-protein diet temporarily." C. You should place your child on a high-fiber diet when she has an exacerbation." D. You should replace white flour with wheat flour when preparing meals for your child."

A. Your child will be on a gluten-free diet for the rest of her life."

A 4-week-old infant presents to the emergency room with nonbilious projectile vomiting immediately after eating. Which of the following conditions does the infant most likely have? A.Hypertrophic pyloric stenosis B.Omphalocele C.Necrotizing enterocolitis D.Gastroenteritis

A.Hypertrophic pyloric stenosis

ADHD

Amphetamine Ritalin Adderall Monitor their weight

A nurse is discharging an infant after repair of pyloric stenosis. What statement by the mother indicates the need for further instructions prior to discharge A) i should call the doctor if my child's temperature rises above 101 B) if my child vomits, i should hold feedings for 6 hours C) i should fold the diaper down so it doesn't irritate the incision D) my infant's incision will need to be observed for redness, swelling, or discharge

B) if my child vomits, i should hold feedings for 6 hours

A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome is (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. I will move my baby stuffed animal to the corner of her crib while she sleeps." B. I will dress my baby in lightweight clothing to sleep." C. I will have my baby sleep next to me in bed during the night." D. I will lay my baby on her side to sleep for naps."

B. "I will dress my baby in lightweight clothing to sleep."

A nurse is reinforcing teaching with the parents of a child who has hemophilia about the care of an injury that causes bleeding. Which of the following instructions should the nurse include in the teaching?

Apply an ice pack to the injury

A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take? A) Encourage a high-fiber, low-protein, and low-calorie diet B) Prepare the family for surgery C) Place an NG tube for decompression D) Initiate bed rest

B) Prepare the family for surgery

Justin age 1 month is brought to the clinic by his mother. The nurse suspects pyloric stenosis. Which of the following symptoms would support this theory? A) Diarrhea B) Projectile vomiting C) Fever and dehydration D) Abdominal distention

B) Projectile vomiting

An infant has surgery to relieve pyloric stenosis. Which of the following nursing diagnoses would apply in the immediate postoperative period? A) Excess fluid volume related to increased fluid intake prescribed postoperatively B) Risk for infection of incision line, related to disruption of skin barrier during surgery C) Ineffective tissue perfusion related to pressure on heart chambers D) Anxiety related to new feeding method used postoperatively

B) Risk for infection of incision line, related to disruption of skin barrier during surgery

A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? A. Don't allow your child to have orange juice while taking this medication. -oj is good B. Administer this medication to your child with a dropper. - avoid staining teeth C. Give your child this medication with a glass of milk. - no milk, bran, tea, coffee or oxalates D. Stop this medication if you child's stools are a tarry green color. - expected

B. Administer this medication to your child with a dropper. - avoid staining teeth

A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess 1st? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing. change.

B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These findings are associated with which of the following diagnoses?

Bronchilitis

The nurse is caring for a group of pediatric clients on a medical-surgical unit in a pediatric hospital. What child would the nurse suspect of having pyloric stenosis? A) 11y/o with olive shaped abdominal mass B) 7m/o infant with choking episodes C) 5 week old infant with projectile vomiting D) 2y/o child with harsh cough

C) 5 week old infant with projectile vomiting

To confirm the diagnosis of Hirschsprung disease, the nurse prepares the child for which one of the following tests? A) Barium enema B) Upper GI series C) Rectal biopsy D) Esophagoscopy

C) Rectal biopsy

The nurse in an endocrine clinic is caring for an unconscious child with hypoglycemia. What is the most appropriate intervention for this child? A) administer 15g of a carbohydrate B) teach parents the signs and symptoms of hypoglycemia C) administer glucagon by injection D) monitor blood glucose level

C) administer glucagon by injection

Al's intussusception is reduced without surgery. The nurse should expect care for Al after reduction to include: A) administration of antibiotics B) enema administration to remove remaining stool C) observation of stools D) rectal temperatures every 4 hours

C) observation of stools

carbon monoxide poisoning

Cherry red patient

A nurse receives a telephone call from the admitting office and is told that a child with rheumatic fever will be arriving in the nursing unit for admission. On admission, the nurse prepares to ask the mother which question to elicit information specific to the development of rheumatic fever? A) "Has the child complained of back pain?" B) "Has the child complained of headaches?" C) "Has the child had any nausea or vomiting?" D) "Did the child have a sore throat or fever within the last 2 months?"

D) "Did the child have a sore throat or fever within the last 2 months?" rheumatic fever is often caused by streptococcal infections including strep throat and Scarlet Fever.

A nurse is caring for a child with a suspected diagnosis of rheumatic fever. The nurse reviews the laboratory results, knowing that which laboratory study would assist in confirming the diagnosis? A) Immunoglobulin B) RBC count C) WBC count D) Antistreptolysin O titer

D) Anti streptolysin O titer infection with strep (streptococcus) bacteria.

A child who has rheumatic fever now has a complication of mild mitral valve prolapse. What information should be included in the child's discharge instructions? A) Report bruising and bleeding to the MD B) Increase intake of fruits and vegetables C) Encourage exercise D) Comply with AB therapy during dental surgeries or procedures

D) Comply with AB therapy during dental surgeries or procedures [Teach parents about the need for prophylactic antibiotic therapy before any dental procedures.]

Which of the following is a congenital anomaly that results in mechanical obstruction form inadequate motility of part of the intestine? A) Intussusception B) Short-bowel syndrome C) Crohn disease D) Hirschsprung disease

D) Hirschsprung disease

The nurse would expect to see what clinical manifestations in the child diagnosed with Hirschsprung disease? A) History of bloody diarrhea, fever and vomiting B) Irritability, severe abdominal cramps, fecal soiling C) Decreased hemoglobin, increased serum lipids, and positive stool for O&P D) History of constipation, abdominal distention and passage of ribbonlike, foul-smelling stools

D) History of constipation, abdominal distention and passage of ribbonlike, foul-smelling stools

Which of the following positions is most appropriate following a feeding for an infant who has had surgery for pyloric stenosis? A) Supine with feet elevated B) Fowler's C) Prone D) Right side

D) Right side

A 6-month-old boy is diagnosed with pyloric stenosis. When you take a health history from his mother, which symptom would you expect to hear her describe? A) Refusal to eat B) Vomiting about 2 hours after feeding C) Chronic diarrhea D) Vomiting immediately after feeding

D) Vomiting immediately after feeding

A nurse is caring for a child who has autism. Which of the following are expected behavioral findings.

Delayed language development, Spins a toy repetitively, Avoids eye contact

ADHD drug Ritalin question

Do not double up on CNS drugs Parents take these just wait for noon dose Do not give after 4pm Will keep them up all night

Thalassemia symptoms

FEVER pallor, jaundice, chest pain, dizziness cold hands/feet Long distorted bones Facial and cranial bones in characteristic crew cut appearance hepatosplenomegaly

Autism Spectrum Disorder

Neuro developmental disorder that affects an individuals ability to communicate and interact with other people, abilities range from highly functional to poor functioning. S/S lack of eye contact, repetitive actions, strict observance of routines, unusual attachment to objects, language delay. withdrawn behavior interventions: provide referral for early interventions, structured environment, decrease stimuli, use short/concise communications, determine emotional triggers, encourage verbal communication, REWARDS

intussusception

One part of the intestine telescopes into another part, causing an obstruction. edema occurs S/S: Currant jelly stool(mucus), vomiting, sausage shaped abdominal mass, bloody stool, abdominal pain lethargy and weight loss Rectal bleeding may occur Diagnosis: Ultrasound Intervention: NG tube for decompression, IV fluids Therapeutic procedure: Air Enema

A 6 month old infant has had surgery to correct intussusception. The surgeon has prescribed clear liquids by mouth. The nurse correctly administers which of the following?

Oral electrolyte solution

plan of care for child with sickle cell anemia. Which intervention should the nurse include? a. discourage high fluid intake b. apply cold compress to painful joints c. observe for hypokalemia d. administer meperidine for pain Q4hr

c. observe for hypokalemia

Discharge instructions for a child with sickle cell after an acute crisis should include which of the following? a. monitor child temp daily b. restrict outdoor play to 1 hour daily c. offer fluids to child multiple times daily d. apply cold compress for pain

c. offer fluids to child multiple times daily

sickle cell crisis has which of the following symptoms? a. high fever b. bradycardia c. pain d. constipation

c. pain

A nurse is reinforcing teaching with a parent of a child who has attention deficient hyperactivity disorder (ADHD). Which of the following statements should the nurse include in the teaching to promote this child's learning?

"Offer your child frequent breaks in activity during the day

A nurse is educating new parents on risk factors for sudden infant death syndrome (SIDS). Which of the following statements by a parent would indicate a need for additional teaching? XXX

"Our baby will sleep in my bed because I am breastfeeding"

hypertrophic pyloric stenosis

- Elongation and thickening of the pylorus sphincter - Projectile and forceful vomiting without nausea. - Typically presents 3 to 6 weeks after birth. - Signs of malnutrition and dehydration. - Surgical intervention required. -Olive-shaped mass in RUQ of abdomen

- is the answer

Formal Operations

Pertussis (whooping cough)

Give humidifier and o2 Give immunization

A female teen volunteer is assigned to the pediatric unit for the day and reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Helping a 7 year old who has celiac disease make out the next day's menu

test answer for hemophilia

Hemophilia factor V!!!

Temper tantrums in toddlers

IGNORE

Celiac Disease symptoms and foods

Inability to digest gluten, causing damage to the cell in the bowel, Lactose deficiency may be secondary to celiac disease S/S: Diarrhea steatorrhea, anemia, abdominal pain, distended abdomen, weight lost Bulky frothy stool may indicate malabsorption FOODS TO EAT: RICE, CORN, POTATOES, EGGS, FRUITS AND VEGGIES AVOID: foods containing OATS WHEAT, RYE, BARLEY, MALT

The pathophysiology of Hirschsprung disease is what? A) an overgrowth or hypertrophy of the pyloric muscle B) a congenital absence of innervation to a segment of the colon C) telescoping or movement of a portion of the intestine into another segment D) a failure of the esophagus to develop completely into a continuous open passage into the stomach

B) a congenital absence of innervation to a segment of the colon

Treatment of pyloric stenosis is primarily focused on what? A) immediate stopping of emesis B) correction of fluid and electrolyte imbalances C) reduction of invaginated bowel D) surgical resection and anastomosis

B) correction of fluid and electrolyte imbalances

The school nurse is caring for a child who is experiencing hypoglycemia. The child is unconscious. What treatment options are the most appropriate for this child? A) glucose tablets B) low fat carbohydrate snack C) sugar gel or paste onto the gums D) insulin injection E) glucagon

C) sugar gel or paste onto the gums E) glucagon

A nurse is reinforcing teaching with a group of expectant parents about steps to take to decrease the risk of sudden infant death syndrome (SIDS). Which of the following statements should the nurse make? A. "Breastfeeding increases the risk for SIDS." B. "Using a pacifier increases the risk of for SIDS." C. "Immunizations decrease the risk for SIDS." D. "Cosleeping decreases the risk for SIDS."

C. "Immunizations decrease the risk for SIDS."

A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?A. Consume 1,500 to 1,700 calories per day." B. Decrease your vitamin D intake once you start to menstruate." C. Increase the amount of your dietary iron intake." D. Limit your sodium intake to 3,000 grams per day."

C. Increase the amount of your dietary iron intake."

Preop, the nursing plan for suspected pyloric obstruction should include which of the following? i. Observation for dehydration ii. Keeping body temperature below 37.7 C iii. Parental support and reassurance iv. Observation for coughing and gagging after feeding v. Observation of quality of stool A) i, ii, iii, iv, and v B) i, iii and iv C) iii, iv, and v D) i, iii, and v

D) i, iii, and v i. Observation for dehydration iii. Parental support and reassurance v. Observation of quality of stool

Bronchiolitis

Infection of the bronchioles (smaller air-tubes in the lungs) mostly caused by respiratory syncytial virus (RSV) child younger than 2 years (future asthma or hyperactive airway problems) S/S: mild fever, cough, Rhinorrhea impaired gas exchanges leading to atelectasis edema and excess mucus, wheezing quite chest, high pitched wheeze tachypnea and tachycardia >70 Interventions: semi fowlers oral feeding supplement by IV fluids, Monitor in/output 1-2mL per kg, check O2, assess suction of mucus TX: Bronchodilating aerosol therapy and fine droplet aerosol mist CONTACT ISOLATION PRECAUTION

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?

Intussusception

A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?

Iron deficiency anemia

a nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan

Maintain bed rest to prevent hypoxemia

A nurse is teaching adolescent with type 1 diabetes. Which should the nurse include? a. glucagon for hyperglycemia b. influenza vaccine annually c. insulin into deltoid muscle d. take glyburide with breakfast

b. influenza vaccine annually

a nurse is planning acre for a child who is experiencing a sickle cell crisis. which of the following interventions should the nurse include in the plan of care? a. administer meperidine as needed for pain b. initiate bed rest c. limit fluid intake d. apply cold compresses to affected joints

b. initiate bed rest

A nurse is providing teaching to the parents of a child with newly diagnosed diabetes mellitus. Which of the following statements indicates understanding?a. the onset of low blood glucose occurs slowly b. may complain of feely shaky when he has hypoglycemia c. sweating can occur with hyperglycemia d. may have n/v with hypoglycemia

b. may complain of feely shaky when he has hypoglycemia

classic sympton of hemophillia is

bleeding into joints Hemarthrosis

Hodgkin's disease

cancer that affects the lymphatic system S/S: Painless, Fever, Night sweats, Weight loss, Swollen lymph nodes , Painless swelling of 1 gland or a group of lymph glands (continues for weeks or even months) Neck or above collarbone AKA: Reed-Sternberg cells in the lymph nodes Biopsy of swollen lymph node X-rays, blood tests, CT, MRI, PET scans TX: Chemotherapy, Radiation Stages: Only 1 group of lymph nodes 2 or more groups of lymph nodes Lymphoma in lymph nodes both above & below diaphragm Lymphoma spread outside lymph nodes to other organs (liver, lungs or bone marrow)

A nurse in special ed program is planning care for child with autism. Which should be included in plan of care? a. allow for adjustment of rules to correlate with behavior b. provide flexible schedule that adjusts to child's interests c. allow for imaginative play with peers without supervision d. Reward system for positive behavior

d. Reward system for positive behavior

A nurse is providing teaching to parents of child with iron deficiency anemia and is taking iron supplements. Which statement indicates understanding? a. take in one large dose every other day b. restricting fiber from diet will help with absorption c. if taken with meals it will be more effective d. blood count will need to be monitored routinely for several weeks

d. blood count will need to be monitored routinely for several weeks

Teaching parents how to control minor bleeding in child with hemophilia. Which indicates need for further teaching? XXX a. rest b. elevation c. compression d. heat

d. heat

a nurse is assessing an infant with iron deficiency anemia. which of the following findings should the nurse expect? a. increased hemoglobin level b. hyperactive muscle tone c. bradycardia d. pale conjunctiva

d. pale conjunctiva

Symptoms of carbon monoxide poisoning

headache, dizziness, loss of consciousness, nausea/vomiting, chest pain, confusion

Diabetes- hypo and hyper glycemia

hypoglycemia <60 (hunger, irritability, shakiness, headache, diaphoresis, pale/cool skin, tachycardia, decreased LOC slurred speech, seizure/coma hyperglycemia >250 ( 3Ps poly Uria, DIpsia, Phagia) warm/dry skin. dehydration, week pulses, dry mucus, fruity breath odor kussmaul respirations N/V weakness lethargy