Peds Exam 3
A child with growth hormone (GH) deficiency is receiving GH therapy. When is the best time for the GH to be administered?
There is excess growth hormone (GH) after closure of the epiphyseal plates.
bone demineralization associated with immobility
osteoporosis
What is diabetes insipidus?
hyposecretion of ADH causing polyuria, polydipsia, hypernatremia, weight loss , dehydration
Most parents of children with special needs tend to experience chronic sorrow. This is characterized by:
periods of intensified sorrow and loss that occur in waves over time.
initial assessment for a wilms tumor
abdominal swelling
clinical manifestation may occur in the child who receives too much methimazole (tapazole)
lethargy & somnolence
what treatment is injected to treat precocious puberty
luteinizing hormone releasing hormone
nursing action for a pt in Russell's traction Q: An adolescent with a fractured femur is in Russell's traction. Surgical intervention to correct the fracture is scheduled for the morning. Nursing actions should include which action?
maintain continuous traction & checking position traction frequently
what insulins are both rapid and short acting (SATA 2 answers)
novolog novolin R
position of a child post op after removing a tumor via supratentorial craniotomy
on inoperative side w/HOB elevated 20-30 degrees
what virus infects a specific subset of t lymphocytes, cd4t cells
AIDS
Frequency of childhood skin testing for tb using mantoux test
periodically for children who live in high prevalence regions
important consideration in managing tb in children
pharmacotherapy
care of infant w/pavlik harness Q: The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hip. Which should be included?
return to clinic every 1-2wks
what vaccination would you expect to give to a 4mo who is up to date on all previous recommended vaccinations (SATA 4 answers)
rotavirus diptheria, tetanus, pertussis (DTap) haemophilus influenzae type B (HIB) inactivated poliovirus (IPV)
how do you remove post cast skin which is desquamated and has sebaceous secretions Q: A child is upset because, when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. Which should the nurse suggest to remove this material?
soak in tub
nursing action for a child receiving chemo who begins to wheeze and has severe urticaria
stop infusion immediately
describe a hemangioma Q: what is a bright red rubbery nodule w/rough surface and a well defined margin that can be present @ birth
strawberry hemangioma
priority intervention for a child with juvenile idiopathic arthritis (JIA)
teach child & family correct admin of meds
nursing consideration for Legg-Calve-Perthes disease
teach family care & mgmt of corrective appliance
why discuss testicular self exam w/adolescent boys
testicular tumors during adolescence are generally malignant
which bite rocky mountain fever Q: Rocky Mountain spotted fever is caused by the bite of which of the following?
tick bites
patho of leukemia
unrestricted proliferation of immature of WBCs
which vaccination is given in caution in children w/HIV
varicella
when is a child with chicken pox no longer contagious
when lesions are crusted
What is chronic adrenocortical insufficiency also called?
Addison disease
therapeutic mgmt of tinea capitis (ringworm) infection Q: Therapeutic management of the child with ringworm infection would include which of the following?
Administer oral griseofulvin
what is priority implementation for a child in DKA
Begin 0.9% saline solution intravenously as prescribed.
The nurse is caring for a neonate with suspected meningitis. Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed (Select all that apply)?
Bulging anterior fontanel, Weak cry, Poor muscle tone
d/c teaching for a child with a cast on his arm Q: The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction should be included in the teaching?
elevate casted arm when resting & sitting up
Nursing consideration for a child with impetigo contagiosa: Q: Which of the following is an important nursing consideration when caring for a child with impetigo contagiosa?
Carefully wash hands & maintain cleanliness when caring for an infected child.
The single parent of a 3-year-old child who has just been diagnosed with chickenpox tells the nurse that she cannot afford to stay home with the child and miss work. The parent asks the nurse if some medication will shorten the course of the illness. Which is the most appropriate nursing intervention?
Explain the advantages of the medication acyclovir (Zovirax) to treat chickenpox.
what vaccine is not given to children receiving chemo
MMR
Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
prescribed medications for a child with herpes simplex virus (1 or 2) - what med would the nurse see in tx plan? Q: Treatment for herpes simplex virus (types 1 or 2) includes which of the following?
Oral antiviral agents are effective for viral infections such as herpes simplex.
lab results on a csf in a child w/bacterial meningitis - confirmation lab includes (SATA 2)
elevated WBC decreased glucose
manifestation of hodgkin disease
enlarged firm nontender lymph node
cause of tinea capitis
fungus
The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe?
Polyuria and polydipsia
what happens when a child keep scratching poison ivy Q: Matt's mother tells the nurse that he keeps scratching the areas where he has poison ivy. The nurse's response should be based on which of the following?
Scratching the lesions may cause them to become secondarily infected.
presenting symptoms for testicular cancer
hard painless mass
common manifestation of brain tumor in children
headache and vomiting
clinical manifestation that should be monitored to indicate thyroid storm (SATA 3)
hyperthermia, tachycardia, emesis
another name for Graves' disease
hyperthyroidism
The nurse is preparing to admit a 9-year-old child with syndrome of inappropriate antidiuretic hormone (SIADH). What interventions should the nurse include in the childs care plan? (Select all that apply.
initiate seizure precautions weight daily @ same time every day measure I&O hourly
what occurs w/acromegaly Q: condition that can result if hypersecretion of growth hormone occurs after epiphyseal closure
acromegaly
What gland secretes glucocorticoids, mineralocorticoids and sex steroids?
adrenal cortex
characteristic of immune mediated type 1 dm
age onset younger than 20
types of bone marrow transplant Q: A young boy will receive a bone marrow transplant (BMT). This is possible because one of his older siblings is a histocompatible donor. Which is this type of BMT called?
allogenic
meds given to a child who has had an amputation and is experiencing phantom pain
amitriptyline (Elavil)
immediate action by a school nurse who is treating a child with an injured ankle
apply ice
best time for growth hormone to be administered
at bedtime
latex allergy is suspected in a child w/spina bifida what interventions included - what action
avoid using latex products
important consideration prevention complications of congenital hypothyroidism
be certain appropriate screening done on newborns
what is buck extensions Q: what type of skin traction w/legs in extended position?
buck extension
only symptoms of Pediculus humanus capitis (head lice)
itching
which clinical manifestations are assessed in a neonate if meningitis (SATA 3)
jaundice, cyanosis, poor tone, poor sucking ability
what would cause perineal inflammation with satellite lesions that cross inguinal folds which is causing diaper rash Q: The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely caused by which of the following?
candida albicans
mother's of complex health care needs children experience what
chronic sorrow
what should follow rapid releasing sugar in treatment of hypoglycemia
complex carbs & protein
nursing care of a child w/SIADH (SATA 2)
daily weight restrict fluid
what causes bleeding tendencies associated with chemo and certain malignancies
decrease in blood platelets
lab results consistent w/hypoparathryoid
decreased serum calcium
advantage of acyclovir in treating chicken pox
decreases number of lesions
what is desmopressin acetate treat
diabetes insipidus
