ped q3 set 3

17. A nurse is collecting data from an infant who has gastroesophageal reflux. Which of the following findings should the nurse expect? (Select all that apply)

-Weight loss - Vomiting - Wheezing

19. The nurse reinforces home-care instructions to the parents of a child with celiac disease. Which of the following food items would the nurse advise the parents to include in the child's diet

Rice

7. A nurse reinforced instructions to the mother of a child with croup about the measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further instruction?

"I will place a steam vaporizer in my child's bedroom."

36. The nursing instructor asks a nursing student about phenyketonuria(PKU). Which statement, if made by the student, indicates and understanding of this disorder?

- "All 50 states require routine screening of all newborns for PKU"

4. A nurse is collecting data from a 1-year-old who has Wims' tumor. Which of the following findings should the nurse expect?

- Abdominal mass

18. An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure should the nurse stress to the parents as they prepare to take this child home?

Avoid tub baths until the stent has been removed

3. A mother calls a neighborhood nurse and tells the nurse that her 3-year-old child has just liquid furniture polish. The nurse would direct the mother to immediately:

Call poison control center

1. A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse include that TSS is commonly associated with which of the following?

High-absorbency tampons

23. A nurse is planning to speak to a group of adolescents about toxic shock syndrome(TSS). The nurse include that TSS is commonly associated with which of the following?

High-absorbency tampons

38. A nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis.(pink eye) Which of the following, if stated by the mother, would indicate the need for further instructions?

I need to use hot compress to relieve the eye irritation

6. A nurse is caring for a toddler who has laryngotracheobronchitis. For which of the following findings should the nurse monitor to detect airway obstruction?

Increased heart rate

10. A child has been diagnosed with meningococcal meningitis. Which of the following isolation techniques is appropriate?

Isolation precautions for at least 24 hours after the initiation of antibiotics

2. A nurse is collecting data about a child who has been admitted to the hospital with a diagnosis of seizures. The nurse checks for causes of the seizure activity by:

Obtaining a history regarding factors that may occur before the seizure activity.

5. The nurse is reinforcing teaching with an adolescent who has a new prescription for sulfamethoxazole-trimethoprim. Which of the following adverse effects should the nurse include in the teaching?

Photosensitivity

11. A nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data would the nurse expect to note documented in the child's record?

Projectile vomiting

26. A nurse who is working in the emergency department is caring for a child who has been diagnosed with epiglottitis. Indications that the child may be experiencing airway obstruction include which of the following?

The child thrusts the chin forward and opens the mouth

44. An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. The best position in which to place this infant at this time is:

left lateral position

8. A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings would the nurse expect to observe? (SATA)

● Anorexia ● Proteinuria ● Ascites ● Periorbital and facial edema

4. A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis by the respiratory syncytial virus (RSV). Choose the interventions that would be included in the plan of care. SATA

*Place the infant in a private room. ● Place the infant in a room near the nurses' station. ● Ensure that the infant's head is in a flexed position ● Wear a mask at all times when in contact with the infant. ● Place the child in a tent that delivers warm, humidified air. ● Position the infant side-lying, with the head lower than the chest.

A nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis( pink eye) . Which of the following, if stated by the mother, would indicate the need for further instructions?

- "It is OK to share towels and washcloths"

33. A nurse is reinforcing discharge teaching with the parents of an infant who has prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

- "We will rotate the probe of the pulse oximeter every 24 hours"

27. A nurse on a pediatric unit is receiving report from an assistive personnel(AP). Which of the following clients should the nurse plan to visit first?

- A 1-year-old infant who has roseola and a temperature of 39C(102.2F)

A nurse is instructing the mother of a child with cystic fibrosis(CF) about the appropriate dietary measures. Which of the following meals best illustrate the most appropriate diet for a client with cystic fibrosis?

- A piece of fried chicken and loaded baked potato

43. A nurse is caring for an 18-month-old child who has been vomiting. The appropriate position in which to place the child during naps and sleep time is:

- A side-lying position

14. A nurse is working with several clients on an acute pediatric unit. Which of the following clients requires the nurse's immediate attention?

- An 8-year-old client who had a tonsillectomy and is swallowing frequently

37. The parents of a newborn have been told that their child was born with bladder exstrophy, and the parents ask the nurse about this condition. The nurse bases the response on knowledge that this condition is:

- An extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall

32. A nurse on a pediatric unit received change-of-shift report. Which of the following clients should the nurse plan to see first?

- An infant who has pertussis and is receiving oxygen via nasal cannula

48. A nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which of the following?

- Bacteriuria

34. A nurse is caring for a child with a diagnosis of intussusception. Which of the following symptoms would the nurse expect to note in this child?

- Blood and mucus in the stool

47. A nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to note which most likely clinical manifestation of this condition in the medical record?

- Choking with feedings

24. A nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubes. The nurse notes a small amount of reddish drainage from the child's ear after the surgery. On the basis of this finding, the nurse takes which action?

- Document the findings

31. A nurse reviews the record of a 3-week-old infant and notes that the health care provider has documented a diagnosis of suspected Hischsprung's disease. The nurse understands that which of the following symptoms led the mother to seek health care for the infant?

- Foul-smelling, ribbon-like stools

12. A nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions does the nurse anticipate will be prescribed? Select all that apply

- Initiate an intravenous line - Administer preoperative medications - Maintain nothing-by-mouth status - Administer intravenous antibiotics

20. A child has been diagnosed with Reye's syndrome. The nurse understands that a major symptom associated with Reye's syndrome is:

- Persistent vomiting

50. A day care nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which of the following observations may be indicative of this condition?

- The child consistently tilts his or her head to see

22. A child diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about the signs of possible strangulation. The nurse tells the parents that which of the following signs would require health care provider(HCP) notification by the parents?

- Vomiting

21. A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

- White coating in the mouth

35. The nurse reinforces instructions to the mother about dietary measures for a 5-year-old child with lactose intolerance. The nurse tells the mother that which of the following supplements will be required as a result of the need to avoid lactose in the diet?

-calcium

9. A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?

Small for gestational age