Pediatric Final Review
the nurse is teaching a new mother about food allergies. Which foods are frequently the cause of a food allergy
eggs, corn, oranges, soybeans
what are signs of pain in an infant
infant is crying when being held, turning head side to side, or pulling at the ears
to make toys for an infant in the hospital what can you use
a tongue blade in a roll of gauze can make a mobile, gloves can make a balloon
the parents of a newly admitted patient on the Pediatric unit are angry and upset about her child's diagnosis with a serious chronic illness. One parent is weeping asking "are you sure?" the other is pounding his fist into his hands, saying over and over, "it's not fair." What would be an appropriate response for the nurse to make in this situation?
acknowledge their sadness in their anger and let them know that the staff is available for their support
a child with a history of ear infection has dark urine, a headache, and puffy eyes. The child had a fever a few days ago but the body temperature is now 100 degrees Fahrenheit. what should the nurse suspect is occurring with the child?
acute glomerulonephritis
the nurse is teaching a group of nurses on the topic of children diagnosed with otitis media. Which statement should the nurse include during the teaching
after the eardrum ruptures, the child's pain is relieved
what is the drug most commonly abused by children and adolescents
alcohol ETOH
the nurse is caring for a child who had a seizure, fell to the ground, and hit and injured his face, head, and shoulder. This information indicates the child likely had which type of seizure?
atonic
as part of the admitting process for a child on the Pediatric unit, the nurse instills a small amount of saline into the nose, aspirates and then places the solution into a sterile specimen container. Why is this done?
diagnose an infection
microorganisms are spread by what kind of contact
direct, indirect, or droplets
the nurse is caring for a 12 year old who was hospitalized with a chronic illness. Which action might help the chronically ill preteen Thrive when hospitalized
encourage the patient to wear his or her own clothes, talk to friends on the phone, and interact with other patients who have similar illnesses
a four-year-old with a sore throat has a temperature of 102.6 Fahrenheit and sits up, and leans forward with the mouth open and the tongue out when breathing. What should the nurse expect the child is experiencing?
epiglottis
a three-year-old boy waiting for a tonsillectomy is fussy, crying, and appears nervous about the procedure. The boy's father also appears anxious. Which nursing action would be most helpful in alleviating both the child and the father's anxiety?
explain the procedure and answer the father's questions completely: stay with the child and father until the father relaxes
the nurse is admitting a child with a diagnosis of severe gastroenteritis. What should the nurse do to prevent the risk of transmitting infection to other patients?
follow standard precautions
the nurse is discussing the administration of gavage feeding to a child who was unable to take fluids and food by mouth. Which statement is accurate related to gavage feedings
from long-term gavage feedings, a gastrostomy button may be inserted
children who are malnourished
grow at a slower rate, have a higher rate of illness and infection, and have more trouble concentrating in the classroom
the nurse is teaching a new mother on the care of the newborn if a fever occurs. Which statement indicates the mother needs additional teaching
if my child starts to shiver I will know that what I am doing is working and the fever will soon come down
on a pediatric unit, where should procedures be done
in a treatment room not in the child's bed
if mask and gloves are part of the care
let the child see your face and hands prior to putting on protective gear
if the ears are set below the pinna what could this be an indicator of
mental retardation
some children try to hide pain because they fear a shot or they are afraid to say if they have pain because they will have to stay longer. what should you do if a child tells you they have no pain
monitor him or her for nonverbal cues
what is the Glasgow Coma Scale
monitors child's neurological status.
the nurse is helping the care provider with a scalp venipuncture on an infant. Which restraint would be the most appropriate for this procedure?
mummy restraint
the nurse instructs the mother of a two-and-a-half-year-old child with hyperopia about the condition. Which statement indicates that teaching has been effective
now I know why when she is working on puzzles she says her eyes sleepy
ADHD is usually not diagnosed until what age
one year or 12 months
a five-year-old hospitalized child is refusing to have blood drawn because the mother is not an attendant. Which action would be best for the nurse to do in this situation?
recognize the statement as a stalling technique, reassure the child, and continue with the procedure
families must make every effort to eliminate any possible allergens from the house. what is the most important way to remove the allergens
remove rugs, pets, Etc
retractions of the thoracic region with respirations could indicate
respiratory distress
the nurse is planning care for a child with rheumatic fever. Which nursing diagnosis would be the most important to include in this child's plan of care
risk for acute pain
what is most important when caring for a child on a cardiac monitor
set the alarms for Max and minimum settings
these type of respirations would concern the nurse, note retractions if present
substernal-below the sternum subcostal-below the ribs intercostal - between the ribs suprasternal - above the sternum supraclavicular - above the clavicle
the nurse is developing a plan of care for the child hospitalized with non-organic failure to thrive. Which nursing intervention would be the highest priority for this child?
teach and support the caregiver
A child is observed pushing the nose upward and backward. What most accurately explains this motion
the child is trying to relieve the itching and open the air passages
the nurse is working with caregivers of school-age children with attention-deficit hyperactivity disorder. Which statement would be most appropriate for the nurse to make to this group of caregivers?
the medications the child is on may cause decreased appetite
the nurse recognizes that if an infant is following normal development, the child will be able to focus and follow an object with the Eyes by which age
two months of age
respirations for infant and young children
counted during a quiet time for one full minute
when are children diagnosed with acute glamerulonephritis
6 - 7 years of age
a five-year-old child waiting to be examined is having trouble using a crayon to color. During the visit, the same child climbs off the table several times after the nurse has asked him to stay on the table. When reminded the child climbs back up on the table. What should the nurse suspect is occurring with this child?
Attention Deficit Hyperactive Disorder ADHD
the nurse is collecting data from a caregiver, and the caregiver states that the child has had a "strawberry colored tongue." which health problem is associated with this clinical finding
Kawasaki disease
what can make a toy for a toddler in the hospital
a box of gloves can make a pull toy
a school-age child is diagnosed with exercise-induced asthma. What should the nurse anticipate will be prescribed for this patient?
a bronchodilator and Mast Cell stabilizer
the most common age for UTIs in children
ages 2 to 6 years old
whether the setting is the hospital or some other health care facility gathering information regarding the child's history or current status, it is important to
ask the parent or caregiver what caused you to bring your child in today
a group of nurses is reviewing the cardiovascular system and its function. Which statement is the most accurate regarding the cardiovascular system in the child
at Birth the right and left ventricles are about the same
the nurse is caring for a child who is being evaluated for possible nephroblastoma. Which nursing intervention would be important for this child?
protect the child from having the abdomen palpated
the nurse is planning care for a child with asthma. Which Laboratory diagnostic tools would likely have been used for this child
pulmonary function test
measuring height and weight is a helpful indicator of growth and development
use the measuring board for infant and toddler. when weighing a baby on the scales always keep hand within one inch to prevent Falls
how are microorganisms spread through food, water, or blood
vehicle
the nurse is discussing discipline issues with a group of caregivers a preschool-age children who have a cognitive impairment. Which statement explains how a cognitively impaired child should be disciplined?
we wait until a behavior happens a second time and immediately put the child in time out
after the provider has written a prescription for the use of heat therapy, the nurse will apply heat using a K-pad or heating pad as ordered. Which statement is the most accurate regarding the use of heat therapy?
heat causes muscle relaxation and decreased pain
what food should be suggested for a child with nephrotic syndrome
high protein, low sodium
the nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with Celiac syndrome. Which foods would be permitted in the diet of a child with Celiac syndrome
bananas, skim milk, and applesauce
what should the nurse who regularly cares for chronically ill children do to be affective when helping the family adjusted the child's condition
become aware of the implications of the disease and the resources available in the community for the child and family
what can be used to make a preschool age child a toy while in the hospital
breakfast cereal boxes and spoons
a two year old with a cold for 4 days now has a barking cough and an elevated temperature with a blue discoloration around the mouth. What should the nurse recommend that the caregiver do?
bring the child to the emergency room immediately
following administration of liquid ferrous sulfate what must a child do
brush the teeth to prevent staining
the nurse is caring for a child with an ileostomy. Which nursing intervention should be included in the child's plan of care
check for leakage around the stoma
