Exam 6

Nurse is conducting an assessment on a school-age child with urosepsis. Assessment finding should the nurse expect

Feel with a positive blood culture

Nurses must be alert for increase fluid requirements for a child presents with which possible concern

Fever

Trial diagnosed with aplastic, anemia, bone marrow transplant may be necessary. Nurse recognizes has an important when discussing this with the family.

Finding a suitable donor involves matching antigens from the human leukocyte antigen system HLA

Information should the nurse stress to workers at a daycare center about RSV

Frequent hand washing, can decrease the spread of the virus

School age child has been admitted to the hospital digagnosed with minimal change nephrotic syndrome. Clinical manifestations should the nurse expect to assess

Generalized edema Proteinuria >2+ Fatigue Irritability

Best described as the inability of the hard to Pompano adequate amount of blood to the systemic circulation at normal filling pressures

Heart failure

Admitted with a true glomerulonephritis. Expect the urinalysis during this acute phase to show

Hematuria and proteinuria

Statements regarding hepatitis are correct

Hepatitis B can be prevented by hepatitis B virus vaccine Hepatitis B can be transferred to an infant of a breast-feeding, mother The onset of hepatitis B is insidious Immunity to hepatitis B occurs after one attack

Vaccine is now recommended for the immunization of all newborns

Hepatitis B vaccine

Hyper lipidemia with a group of adolescence nurse should explain that high levels of what substance are thought to protect against cardiovascular disease

High density Lipo proteins, HDLS

Type of dehydration, results from water loss in excess of electrolyte losses

Hypertonic, dehydration

Nurse is conducting teaching for an adolescent being discharched to home after a renal transplantation. Adolescent needs further teaching if which statement is made

I am glad I only have to take the immunosuppressant medication for 2 weeks

Intervention should the nurse implement immediately of evidence found of a cardiac tamponade

Immediately report this to the physician

Priority, nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia

Immobilization of elevation of the effect of joint

Name is given to identify an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets

Immune thrombocytopenia

Clinical changes occur as a result of septic shock

Increase cardiac output

Which statement most accurately describes the pathologic changes of sickle cell anemia

Increase red blood cell destruction occurs

Common side effect of corticosteroid therapy

Increased appetite

Thieman correctly describes thalassemia major cooleys anemia

Increased incidence occurs in families of Mediterranean extraction

Nurse closely monitors the temperature of a child diagnosed with nephrosis. Purpose of this is to detect an early sign of what undesireable outcome

Infection

Clinical manifestations should the nurse expect when a child diagnosed with sickle cell anemia experience in acute Vaso-occlusive crisis

Painful swelling of hands and feet painful joints

Pancreatic enzymes are administered to the child with cystic fibrosis information included in patient education administration of these enzymes

Pancreatic enzymes can be swallowed, whole or sprinkled on a small amount of food taken at the beginning of a meal

Advantage of peritoneal dialysis

Parents and older children can perform treatments

Term is used to describe a clinical manifestation of the systemic venous congestion that can occur with congestive heart failure

Peripheral edema

Caring for an infant, who is cleft lip, was repaired which interventions

Petroleum jelly to the suture line And elbow restraints

Narrowing of prenuptial opening of foreskin is referred to as what

Phimosis

Major clinical manifestation of rheumatic fever

Polyarthritis

Nurse is caring for a child with persistent hypoxia secondary to cardiac defect. Risk of cerebral vascular. Accident exist an important objective to decrease risk is to achieve what result.

Prevent dehydration

Diagnostic finding is present when a child has primary nephrotic syndrome

Proteinuria

Which intervention should the nurse implement when caring for a child with hepatitis?

Provider will balance, low fat diet Teach parents not to administer any over-the-counter medication's Instruct parents on the importance of good handwashing

Nurse is planning activity for a four-year-old child with anemia which activity should the nurse plan for this child

Puppet play in the child's room

Objective of care the child with nephrons is is what desired outcome

Reduced excretion of urinary protein

Diagnostic test allows visualization of the renal parenchyma and renal pelvis without exposure to external beam radiation or radioactive isotopes

Renal ultrasound

Which information should the nurse teach families about reducing exposure to pollens and dust?

Replace wall-to-wall carpeting with wooden tile Use an air conditioner What does prove covers on pillows and mattresses

When caring for the child, who is Kawasaki disease the nurse should understand that the principle of care

Therapeutic management includes administration of gammaglobulin and aspirin

Conducting discharge teaching to parents about the care of their infant after cardiac surgery, instructs the parents to notify the physician for conditions occur

Temperature above 37.7°C New frequent coughing Turning blue or bluer than normal

Nurse includes in a teaching plan for the parents of ac hold with vesicoureteral reflux

The importance of taking prophylactic antibiotics

What test ordered for preschool trailer, severe anemia she's crying and upset because she remembers the venipuncture done at the clinic two days ago. The nurse should explain.

Topical application of local anesthetic can eliminate Venipuncture pain

Nursing is teaching parents of a child with chronic renal failure CRF about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Statement indicates the parents have understood the teaching

The red blood cell count should begin to improve with these injections

Clinical manifestation would be seen in a child with chronic renal failure

Unpleasant "uremic" breath odor

A child diagnosed with chronic renal failure the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as what

Uremia

Hypospadias refers to what urinary anomaly

Urethral opening along ventral surface of the penis

Mother asks the nurse what would be the first indication that acute glomerulonephritis is improving . Best response to identify which occurrence

Urinary output will increase

Secondary enuresis who reports of dysuria or urgency. Evaluated for what condition

Urinary tract infection UTi Diabetes mellitus

Which immunization should be given with caution to children, infected with human immunodeficiency virus

Varicella

Caring for an infant was suspected pyloric stenosis, clinical manifestations

Visible peristalsis and weight loss

Vitamin supplements are necessary for children with cystic fibrosis

Vitamins A, D, E, and K

Which condition is caused by a virus of primarily in fax a specific subset of T lymphocytes the CD4 T cells

Acquired immunodeficiency syndrome aids

Most appropriate nursing diagnosis for a child diagnosed with moderate anemia

Activity intolerance related to generalized weakness

Teaching the mother of a nine month old infant about administering liquid iron preparation. The nurse should include that information.

Adequate dosage return the stools a tarry green color

Primary nursing intervention necessary to prevent bacterial endocarditis

Counsel parents of hi risk children about prophylactic antibiotics

School is child is emitted in vaso-occlusive, sickle cell crisis include which intervention

Adequate hydration Pain management

School age child in acute renal failure with reduced glomerular filtration rate. Urine test is the most useful clinical indication of glomerular filtration rate

Creatinine clearance

What condition is characterized by chronic inflammatory process that may involve any part of the gastrointestinal tract the mouth to anus

Crohn's disease

Term is used to describe the painful, tender pea size Nigel they may appear on the pads of the fingers or toes in case is a bacterial endocarditis

Oslers nodes

School age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Prescribed medication should the nurse plan to administer

Sodium polystyrene sulfonate

Type of hernia that has an impaired blood supply to the herniated organ

Strangulated hernia

Most common causative agent of bacterial endocarditis

Streptococcus viridans

Parents of a school age child with hemophilia ask which sports are recommended for children with hemophilia

Swimming Golf Bowling

Intervention for treating croup at home

Take the child outside if air is cool and moist

Mother, who intend to breast-feed, has given birth to an infant with a cleft palate, which nursing intervention should be included

Encouraging and helping mother to help breastfeed Recommending the use of a breast pump to maintain lactation until infant can suck

Term used to identify when the mental opening is located on the dorasal surface of the penis

Epispadias

Most appropriated nursing diagnosis for the child with acute glomerulonephritis

Excess fluid volume related to decreased plasma filtration

Child with cystic fibrosis prescribed recombinant human deoxyribonuclease(rhDNase) information should be included in the medication education provided the child and family

May cause minor voice alterations

Intervention should be implemented prior to the removal of a child's chest tube

Administer analgesics before the procedure

Nurse is caring for an adolescent who has just started dialysis. Child seems always angry, hostile, or depressed. What should the nurse contribute this behavior to?

Adolescents often resenting the control and enforced dependence imposed by dialysis

School age child is admitted to the hospital with acute glomerulonephritis and oliguria. Dietary menu items should be allowed for this child

Apples Carrot sticks Strawberries

Caring for school age girl, who has had a cardiac catheterization. The child told the nurse that her bandages to wet the nurse finds a bandage and bed soaked with blood. What is the most appropriate initial nursing action

Apply direct pressure above the catheterization site

Condition are all the formed elements of the blood simultaneously depressed

Aplastic, anemia

Which defect result in increased pulmonary blood flow

Atrial septal defect

Planning care for a spoiled child admitted to the hospital with hemophilia intervention, should the nurse plan

Avoidance of intramuscular injection Acetaminophen for mild pain control And soft toothbrush for dental hygiene

Infant diagnosed with pyloristenosis experiences, excessive vomiting that can result in which condition

Metabolic alkalosis

When should Cystic fibrosis receives air size bronchial, dilator medication

Before chest physiotherapy (CPT)

Calcium carbonate is given with meals to a child with chronic renal disease. Purpose?

Bind phosphorus

Which drug is in and angiotensin converting enzyme inhibitor

CAPTOPRIL

Structural defect constitute tetralogy of Fallot

Call Monica Thanos is ventricular, septal defect overriding aorta a right ventricle ventricular hyper trophy

Clinical manifestations, would the nurse expect to see a shock progresses in a child and decompensation develops

Call extremities and decrease skin turgor Confusion and somnolence Tachypnea poor capillary, refill time

Caring for a child with acute renal failure should recognized event as a sign of hyperkalemia

Cardiac arrhythmia

Complication should the nurse assess for when caring for a child post cardiac catheterization

Cardiac arrhythmia

Common serious, complication of rheumatic fever

Cardiac valve damage

Eight year old girl is receiving a blood transfusion when the nurse knows that she has developed precordial pain, dyspnea, distended neck pain, slight cyanosis in a dry cough. These are manifestations of what associated adverse reaction.

Circulatory overload

Intervention is a component of the therapeutic management of nephrosis

Corticosteroids

What is used to treat moderate to severe inflammatory bowel disease?

Corticosteroids

Beneficial effect is achieved by administering digoxin

Decreases edema

Clinical manifestations of chronic renal failure is uremic frost. Best describe

Deposits of urea crystals on skin

Therapy is begun on a child with thalassemia major with what I expected

Elimination of excess iron

Iron dextran nursing considerations

Injecting deeply into a large muscle

Which statement is most descriptive of Meckel's diverticulum

Intestinal, bleeding, maybe milder profuse

Child is brought to the emergency department with severe dehydration, secondary to acute diarrhea and vomiting therapeutic management of the shower, will begin with which intervention

Intravenous fluids

Statement is descriptive of renal transplantation in children

It is preferred means of renal replacement therapy in children

Postoperative intervention should be question for a child after cardiac catheterization

Keep the effective leg flex and elevated

What should the nurse consider when preparing a school-age child and family for heart surgery?

Leading the child hear the sounds of an electrocardiograph monitor

Diet of a child with chronic renal failure

Low in phosphorus

Why do infants and young children quickly have respiratory distress, acute and chronic alterations of the respiratory system

Mucus in edema, obstruct, small airways

Parent of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse should privide what explanation

Narcotics really cause addiction when they are medically indicated

Mother shares with the clinic nurse that she has been giving her four-year-old the anti-diarrheal drug loperamide conclusion should the nurse arrive at based on knowledge of this classification of drug

Not indicated

What should the nurse teach about prevention of sickle cell crisis appearance of a preschool child with sickle cell disease?

Notify the healthcare provider of a fever of 38.5°C or greater occurs Give penicillin as prescribed Notify the healthcare provider, if your child begin to develop symptoms of a cold

Interventions for the child, after cardiac catheterization, include which of the following

Oh wow ambulation as tolerated Maintain a Peyton peripheral intravenous catheter until discharge

The nurse caring for a neonate with suspected, tracheoesophageal, fistula, clued what intervention

Oh, really had to facilitate secrete drainage

What are the primary clinical manifestations of actue glomerulonephritis

Oliguria Hematuria Proteinuria Hypertension

Aplastic, anemia, which nursing diagnoses are appropriate

Risk for infection related to inadequate secondary defenses are immunosuppression Ineffective protection related to thrombocytopenia And effective tissue perfusion related to anemia

Diet of a child with nephrosis usually includes requirement

Salt restriction

Most common cause of acute renal failure in children

Several dehydration

Nursing is caring for an infant with a suspected urinary tract infection. Clinical manifestations would be observed

Vomiting Failure to gain weight Persistent diaper rash

Preschool child is being admitted to the hospital with dehydration and a urinary tract infection. Urinalysis result should the nurse expect with these conditions

WBC >2; specific gravity 1.030

Intervention is appropriated when examining a male infant for crytorchidism

Warming the room

Major complication is noted in a child with chronic renal failure

Water and sodium retention

Parents have understood the teaching about prevention of childhood otitis media

We will be sure to keep immunizations up to date

Inherited disorders descriptive a most cases of hemophilia

X-linked recessive inherited disorder in which a blood clotting factors deficient

Nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Information should the nurse include in the teaching

You will need to avoid adding salt to your child's food