Peds EAQ (test 2 content)
Which client would the nurse asses first after a shift report
A 6 month old with a croup cough and inspiratory stridor with exertion (he is demonstrating respiratory distress)
Which assessment finding in a newborn is suggestive of cystic fibrosis?
Abdominal distention
Pilocarpine is used as part of the diagnostic process of a toddler suspected of cystic Fibrosis. The nurse knows that the pilocarpine would stimulate which process?
Activity of sweat glands (used to stimulate sweat on skin and the sweat is then tested for CF)
Which meds would the nurse anticipate teaching the parent about for a preschooler newly diagnosed with CF
Antibiotics (used to treat respiratory tract infections ) Pancreatic enzymes Fat soluble vitamins
Which parent education would the nurse provided For a 4 month old infant with a newly diagnosed acute otitis media and fever
Antibiotics are recommended for infants younger than 6 months with acute otitis media
Which med should be used?
Benzyl benozate (scabies infection)
Permethrin cream(lice) parent teaching
Child's hair must be combed with a fine tooth comb to remove nits
Which info would the nurse include when educating a group of daycare workers on infection control guidelines? Select all that apply
Cleaning toys Hand hygiene Food preparation
Which intervention would the nurse provide a 3 month old infant hospitalized with RSV
Clustering care to conserve energy
The nurse would include which instruction to the parents of a child beinf treated with oral ampicillin for otitis media?
Complete the entire course of antibiotic therapy
Which assessment finding would the nurse expect in an infant who has undergone myringotomy for recurrent otitis media?
Drainage into the external auditory canal
Which pathophysiological abnormality is present in cystic fibrosis
Dysfunction of mucus-secreting glands (Exocrine overproduction not endocrine glands are involved in CF,)
Which infection would the nurse monitor for in the toddler based on structural characteristics at this age? Select all that apply
Ear infection Acute sinusitis Laryngotracheobronchitis Inflammation of tonsils
The nurse is caring for a school aged child with cystic fibrosis . Which pathophysiological factor has the greatest effect on the child's health?
Extremely thick mucous causing obstructed airways
Best way to prevent spread of infection
Hand washing before and after client xare
Which action would the nurse teach an older adult to take to prevent frequent colds
Hand washing before putting them near nose and mouth
Which treatment would the nurse anticipate for an infant admitted with Bronchiolitis?
Humidifier air and adequate hydration
The nurse is discussing sexuality with a teenage female who has cystic fibrosis. Which statement best reflects the teenagers understanding of healthy sexuality?
I won't have sex unless I use a condom
Which pathophysiological process would the nurse expect to account for growth failure in a 4 year old child with newly diagnosed cystic fibrosis
Impaired digestion and absorption because of the lack of pancreatic enzymes
Which bacterial condition is suspected when a client with vesiculopustular lesions with honey colored crusts on face visits a primary health provider
Impetigo
Which condition is commonly seen following infestation with Pediculosis capitis?
Impetigo
Which condition is commonly seen in preschoolers ?
Impetigo
Which infection is suspected when a client reports facial lesions surrounded by redness and cause itching with lesions that are found to be thick with honey colored crust and surrounded by erthema?
Impetigo
Which complication would the nurse instruct the parents of a toddler who had a myringotomy to report upon discharge
Increased pain Lack of drainage
A 3 year old child is to undergo myringotomy and have tubes surgically implanted after multiple episodes of otitis media. Which recommendation would the nurse include in the discharge preparation for this family?
Insert earplugs during the child's bath
An infant is admitted to the pediatric unit with Bronchiolitis caused by respiratory syncytial virus. Which intervention would the nurse provide for the infant? Select all that apply
Instilling saline nose drops Maintaining contact precautions Nasal suctioning to remove mucous
How to check for lice
Look at your child's head along scalp line for white dots
Which action would the nurse include in the plan for care for a 6 month old infant with respiratory syncytial virus who is in respiratory distress?
Maintain Droplet and Contact precautions
Which clinical finding would the nurse recognize as an early sign of cystic fibrosis in a neonate?
Meconium illeus
Which nursing intervention would the nurse provide for a 6 month old infant with Bronchiolitis
Monitoring skin color, anterior fontanel, vital signs
A 2 year old has hearing loss caused by recurrent otitis media. Which treatment would the nurse anticipate that the practitioner will recommend
Myringotomy
The parent of a child with Cystic fibrosis tells the nurse they have switched to natural pancreatic enzymes because of financial issues , which response by the nurse is most appropriate?
Natural enzymes are not as effective as the name brand product. This is something you need to discuss with your health care provider
Which condition would the nurse suspect when assessing an 11 month old infant sitting on the parents lap CRYINF and tugging at the right ear
Otitis media
The nurse is obtaining the health history of a 7 month old infant who has repeated episodes of otitis media. Which question is most important for the nurse to include in the interview with mom?
Please describe how you position your child during feedings
An infant with cardiopulmonary disease displays s/s of Bronchiolitis and pneumonia . Which condition would the nurse anticipate when planning care?
RSV
A primary health care provider diagnosed the clients condition as otitis media. Which assessment finding supports that diagnosis?
Redness of the eardrum
Which factor would the nurse consider when the parent of a 10 month old infant expresses frustration that this is the baby's third otitis media in 3 months
The Eustachian tube is short and horizontal
Which parental statement would prompt the nurse to provide education for a 3 year old child with cystic fibrosis ?
We'll have to move to a warm climate
Which physiological response to Bronchiolitis would the nurse expect to observe on the pediatric intensive care unit? Select all that apply
Wheezing Sternal retractions Nasal flaring Prolonged expiratory phase ❌bradycardia (tachy)
4 month old admitted with diagnosis of Bronchiolitis. Which feeding recommendation would the nurse give the mother?
Withhold feeding( come back to this one)