mat peds chp 22-27 practice quiz

Dimming the lights in the room

A 5-year-old is admitted to the health care unit with meningitis. Which nursing intervention would be included in the child's care plan?

Fifth cranial nerve (trigeminal)

A child who was involved in a motor vehicle accident is unable to chew. Which cranial nerve is likely to be affected in the child?

"Your child may have shin splints, so provide well-fitting shoes."

A child's parent tells the nurse, "My child complains of pain and discomfort in the lower leg after running on the floor." Which statement provides the best advice to the child's parents?

prednisone (duchannes)

A patient with hypertrophy of the calf muscles has Gowers' maneuver and contractures of the ankles and hips. The laboratory reports of the patient indicate an increase in serum creatine phosphokinase levels. Which medication will be beneficial for the patient?

A difference in the blood pressure between the upper extremities and the lower extremities

Coarctation of the aorta presents with which clinical finding?

cystic fibrosis

The nurse is caring for a child who exhibits dyspnea and wheezing. The nurse finds clubbing of fingers and salty skin in the child. The sweat chloride test of the child reports 70 mEq/L of sodium chloride. Which condition do these findings indicate?

Long bone x-ray

The nurse is caring for a child with suspected osteosarcoma. Which diagnostic test would the nurse expect to find?

redness in ear canal pain when moving tragus/pinna

The nurse is caring for a child with suspected otitis externa. Which clinical manifestations would the nurse expect to find? Select all that apply.

Continued ductus arteriosus

The nurse is caring for a newborn with a nonfunctional left ventricle and hypoplasia of the ascending aorta. The nurse learns that the newborn will undergo surgical correction in 2 days and has been prescribed prostaglandin E1. Which is the expected outcome of this medication?

Buck's skin traction

The nurse is caring for a patient who has slipped capital femoral epiphysis. Which traction would the nurse expect to be prescribed for the patient?

Fasciotomy--- compartment syndrome

The nurse is caring for a patient with an arm injury who has an arm cast. The patient complains of severe pain even after receiving acetaminophen. Which treatment strategy does the nurse expect to be beneficial for the patient?

Beclomethasone

The nurse is caring for a patient with asthma. Upon physical examination, the nurse finds that the patient has excessive expectoration. Which medication does the nurse expect to be beneficial for the patient?

To reduce pain To reduce edema To reduce bleeding To reduce infection

The nurse is caring for a patient with soft-tissue injury in the lower arm. The nurse applies cold packs and elastic wraps to the patient alternately every 30 minutes. Which is the rationale for this nursing intervention? Select all that apply.

Torticollis (wry neck)

The nurse is caring for a postpartum patient who has undergone a forceps-assisted delivery. Upon reviewing the medical history, the nurse finds that the patient's fetus was in the breech position during birth, and therefore the patient has congenital hip dysplasia. Which musculoskeletal disorder would the nurse expect to find in the patient's neonate?

Providing warmed and humidified oxygen to the infant

The nurse is caring for an infant who has been placed in a radiant warmer and prescribed oxygen therapy. Which nursing intervention is most beneficial for this infant?

lack of startle Poor results on a visual reinforcement audiometry (VRA) Poor response on the evoked optoacoustic emissions test

The nurse is caring for an infant with suspected hearing impairment. Which test results would the nurse expect to find? Select all that apply.

A 4-year-old walking on their toes

The nurse is caring for children in a pediatric clinic. Which child would the nurse assess first?

may fall out in 6 months

The nurse is providing preoperative instructions to the parents of a child scheduled to have a tympanostomy ventilating tube surgically inserted. Which statement made by the parents indicates effective understanding of this procedure?

8th cranial nerve

The nurse is reviewing the medical history of a child who became deaf after an accident. Which cranial nerve might have been affected in the child?

"I should take my child for regular dental checkups." "I should give folic acid supplements along with the medication." "I should provide vitamin D supplements along with the medication."

The nurse teaches the parent of a child with seizures about taking precautions during phenytoin medication. Which statements of the parent indicate effective teaching? Select all that apply.

"It is a condition in which the child loses coordination between the two eyes.

The parent of a child affected with myopia asks the nurse about the disease. What is the appropriate response by the nurse?

Prednisone

The presence of nosebleeds, bruising, petechiae, and purpura, along with a platelet count of less than 20,000/mm3, indicates that the child has idiopathic thrombocytopenia purpura. what can be used to treat the pain?

IM (should be subcutaneous)

The primary health care provider has prescribed epinephrine to a child after an allergic reaction. After administering the drug, the nurse finds that the child is developing dysrhythmia. Which route of administration could have resulted in this complication?

"Apply sunscreen lotion before exposing the child to sunlight

The primary health care provider prescribes imipramine to a 7-year-old child. Which advice would the nurse give to the parents of the child about the safe use of the medication?

Pulmonary insufficiency (1st few hours) pulmonary edema (6-72 hours) bronchopneumonia (after 72 hrs)

The three stages of inhalation injury are; which may cause atelectasis.

Leg-Calve-Perthes Disease

Thigh pain and a painless limp are signs of

0.5mL

What is the maximum volume of a drug administered via the intramuscular route in an infant?

fatigue, HF

Which are complications associated with bradycardia in infants? Select all that apply.

fever dysphagia anorexia

Which are the signs and symptoms of acute pharyngitis? Select all that apply.

Increased toxicity of the antacids

Which complication would the nurse anticipate in the child as a result of the concomitant administration of theophylline and antacids

Thalassemia

Which condition is associated with the destruction of abnormal red blood cells (RBCs)?rdiac problems?

Congestive heart failure (CHF)

Which disorder causes a rapid pulse, weak cry, sudden increase in weight, and sweat around the scalp and forehead?

Shunting of blood to achieve proper flow

Which is a desired outcome following a Blalock-Taussig procedure in a premature infant diagnosed with tetralogy of Fallot?

Decerebrate

Which posturing of a child indicates damage to the brainstem?

Vaccinate the child with pneumococcal conjugate vaccine (PCV).

Which precaution is the best to prevent sepsis?

enucleation

Which procedure is the standard treatment for a child with advanced-stage unilateral retinoblastoma when there is no possibility to save the child's vision?

migratory polyarthritis, skin eruptions, chorea, inflammation of the heart Subcutaneous nodules may appear beneath the skin

Which symptoms are indicative of rheumatic fever (RF)? Select all that apply.

grand mal (tonic clonic)

Which term describes a seizure in which the child cries out, falls to the floor, becomes rigid, and then suffers a convulsion?

contact

Which type of isolation precaution is for infants infected with respiratory syncytial virus (RSV)?

ICP

While collecting data on a 4-year-old child, the nurse finds that the child has irregular respiration, an increase in systolic blood pressure, and a pulse rate of 70 beats per minute. Which condition would the nurse infer from these findings?

Coxa plana

While collecting data on a patient with a musculoskeletal disorder, the nurse finds that the patient has difficulty walking and has a painless limp. The patient's x-ray reports indicate distortion of the femur head and an imperfect fusion of joints. Which disorder would the nurse infer from these findings?

anemia

While collecting data on an infant, the nurse advises the infant's parent to avoid giving the infant whole cow's milk and to instead use breast milk or formula. Which complication is this restriction intended to prevent?

fluid overload

While monitoring a hospitalized infant who is on intravenous (IV) therapy, the nurse finds that the infant's pulse rate is 120 beats/min and the blood pressure is 110/80 mm Hg. The nurse also finds that the infant has distended neck veins and puffy eyes. What does the nurse interpret from these findings?

Removing the residual contents from the infant's stomach

While preparing a 3-month-old infant for a gastrostomy tube feeding, the nurse finds that there is 25 mL of residue in the infant's stomach. Which will be the first nursing intervention to ensure safe administration of the infant formula?

shin splints

a sporting injury most common in athletes. They are associated with pain along the tibia. The child experiences pain and discomfort in the lower leg caused by repeatedly running on hard concrete surfaces

The infusion provides symptom relief and prevents coronary artery disease.

child with Kawasaki disease (KD), who is febrile and not responding to antibiotic therapy, is prescribed intravenous immune globulin (IVIG). Which teaching about the infusion would the nurse provide to the child's parents regarding this medication?

pallor low grade fever enlarged lymph nodes

early symptoms of leukemia?

dyspnea increase pulse pressure Machinery-type murmur

symptoms of patent ductus arteriosus (PDA) in the infant?

nystagmus

which side effect would the nurse likely find in an epileptic child who has been treated with phenytoin for a prolonged period?