exam 2 quizzes and kahoots

Which parental statement indicates correct understanding for the prevention of sunburn for a toddler-age client?

"I will use a sunscreen with an SPF of 30 or higher for my child."

A 12-month-old infant has become immunosuppressed during a course of chemotherapy. What information regarding the measles, mumps, and rubella (MMR) vaccine should the nurse, preparing for the infant's discharge, give the parents?

Infants who are receiving chemotherapy should not be given these vaccines.

A nurse in the pediatric clinic is teaching a mother how to care for her infant who has eczema. What is most important for the nurse to teach the mother?

Preventing secondary infections

The nurse is planning care for a preschooler with Kawasaki disease. Which intervention should the nurse plan to implement?

Administering intravenous immune globulin (IVIG) as prescribed

what is a common assessment finding in an infant w coarctation of the aorta

thready pulses in lower extremities

how would a nurse instruct a topical steroid cream be applied to a child w atopic dermatitis

apply thin layer to affected areas and rub in thoroughly

kawasaki pt is at risk for

coronary artery aneurysm

a child has a severe burn. what is the highest priority

establish airway

before administering a vaccine, the nurse should ask about a history of a severe allergy to what

previous dose of the vaccine about to be administered and rxn to it (eggs only specific to flu vax)

A 5-year-old child undergoes cardiac catheterization. The child is in the post-cardiac catheterization unit for 2 hours when the incoming nurse receives the report from the outgoing nurse. Which part of the child's report should the incoming nurse question?

Bed rest with bathroom privileges. Children are kept on complete bed rest for 4 to 6 hours after cardiac catheterization to reduce the risk of bleeding or trauma at the insertion site

A 1-year-old child has a congenital cardiac malformation that causes right-to-left shunting of blood through the heart. What clinical finding should the nurse expect?

Increased hematocrit. Polycythemia, reflected in an increased hematocrit reading, is a direct attempt by the body to compensate for the decrease in oxygen to all body cells caused by the mixture of oxygenated and deoxygenated circulating blood

A nurse explains to the mother of a 1-year-old with a history of frequent ear infections that the primary cause of otitis media in young children is what?

an obstructed eustachian tube that impairs drainage

which questions would elicit info specific to the development of rheumatic fever

any sore throat or fevers?

you admit an intubated child w a full thickness burn on 40% of his body. what is your priority

fluid volume resuscitation

RN monitoring a child after a tonsillectomy knows which finding indicates the child is bleeding

frequent swallowing, clearing the throat

which statement indicates a need for further instruction for a child being d/c after cardiac surgery

i can apply powder to the incision if it is itchy

children w severe burn injury when compared to adults are at a higher risk of what (sata)

increased risk for fluid and heat loss, increased risk for protein and calorie deficiency to prevent growth retardation

early sign of chf in peds

irritability

which of the following is a compensatory response to chronic hypoxia

polycythemia

What findings should a nurse expect when examining the laboratory report of a preschooler with rheumatic fever?

positive antistreptolysin titer

An infant with a congenital heart defect is returned to the unit after cardiac catheterization. The nurse manager is observing a nurse newly assigned to the unit. Which nursing intervention should the nurse manager interrupt?

Performing range-of-motion exercises. Range-of-motion exercises of the limb bearing the catheterization site might cause the dislodgement of a clot and result in hemorrhage.

The parent of a 5-month-old infant with heart failure questions the necessity of weighing the baby every morning. What does the nurse say that this daily information is important in determining?

Fluid retention

A parent of a 7-year-old child asks a nurse how to tell the difference between measles (rubeola) and German measles (rubella). What should the nurse tell the parent differentiates rubeola from rubella?

High fever and Koplik spots

before giving digoxin to a newborn with HF, a HR of 140bpm is noted. what is the next appropriate action

administer the digoxin

A 5-year-old-child is undergoing chemotherapy. The mother tells the nurse that the child is not up to date on the required immunizations for school. What is the best response by the nurse?

"This isn't the best time to finish the immunizations, because your child's immune system is suppressed."

To evaluate kidney function, the nurse must accurately measure the hourly urine output of a 1½-year-old toddler weighing 22 lb (11 kg) who has been admitted with extensive burns. What is the minimum safe output per hour for a child this age?

10 to 20 mL The minimum safe urine output for a 1½-year-old toddler is 1 mL/kg/hr.

A child with a diagnosis of tetralogy of Fallot exhibits an increased depth and rate of respirations. On further assessment, the nurse notes increased hypoxemia. The nurse interprets these findings as indicating which situation?

A hypercyanotic episode

A 4-year-old child is being transported to a trauma center for treatment of a partial- and full-thickness burn injury that is estimated as covering more than 40% of the body. The nurse anticipates that which treatment will be prescribed initially?

Insertion of a Foley catheter

A 3-year-old child is scheduled for cardiac catheterization. What is the priority nursing care after this procedure?

Monitoring the site for bleeding. Hemorrhage is a major life-threatening complication because arterial blood is under pressure and a catheter has been inserted into an artery

A 4-year-old child is undergoing a diagnostic workup for pulmonic stenosis. The mother asks the nurse about the diagnosis. How does the nurse describe pulmonic stenosis?

Narrowing of the valve between the right ventricle and the pulmonary artery

A 4-month-old infant is admitted to the pediatric unit with a diagnosis of congestive heart failure. Which nursing assessment would most accurately demonstrate improvement in the infant's condition?

Weight loss during next 2 days

a child w a diagnosis of TOF w increased WOB and hypoxemia. these findings indicate

a hypercyanotic episode / TET spell

which of the following is a clinical manifestation of acute-stage kawasaki disease?

conjunctival hyperemia

what assessment finding would the nurse expect in a child a right-to-left cardiac shunt

cyanosis

which sign of infant w CHD would alert the nurse to the early development of heart failure

diaphoresis w feeding

which statement by parents of a child with CHF indicates need for more education about digoxin admin

don't repeat dose

A school-aged child is brought to the emergency department with partial- and full-thickness burns of the lower extremities. The practitioner writes multiple prescriptions. What is the nurse's priority intervention?

starting an intravenous line with a large-bore catheter (oxygen is not needed bc the airway is not involved in this injury. fluid restoration becomes the next priority)

The parent of a 10-month-old infant with otitis media tells the nurse in the pediatric clinic that this is the baby's third episode in 3 months. The infant is tugging at the ear but is not acutely ill. What factor should the nurse consider before responding?

the eustachian tube is short and horizontal