PEDS FINAL

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Urinary tract infections are most commonly caused by

E. coli

A severe, atopic dermatitis, characterized by remissions and exacerbations accompanied by vesicle formation, oozing, crusting, excoriations, and itching is

Eczema

Length must be measured supine until

Age 2

What could suddenly occur in a child with acute epiglottitis.

Airway obstruction

Treatment for a child in sickle cell crisis includes:

IV fluids, oxygen, and analgesics for pain.

When the nurse is performing a treatment, the nurse should

Identity the child before beginning the procedure

What is the communicable disease that requires isolating infected children from pregnant women.

Rubella

Bottle mouth can occur when children go to bed with a bottle that contains

Carbohydrates

The best method when approaching a 2 year old child to listen to breath sounds is

asking the child if the nurse should listen to the front or the back of the client first.

The nurse is reinforcing education to a group of adolescents on acne.

"Hormonal changes are a cause of acne," is a statement that would indicate the teaching has been affective to the adolescent.

When talking to a mother of a 6 month old girl that has just been diagnosed as having an intussusception, she asks what intussusception means. The nurse's best response is

"One portion of her intestine has telescoped into another portion of the intestine."

Vomiting and diarrhea can be very serious in an infant because the infant

loses vital electrolytes and becomes severely dehydrated very quickly.

Adolescents occurs when this age group is

"Trying to fit in"

A nurse is educating the parents of a 10 month old infant on the correct method for instilling eardrops prescribed for the infant when discharged. The statement by the parents,

"We should pull the earlobe down and back," indicates the parents understanding.

A child tests positive for the sickle cell trait, and the parents ask the nurse what this means. The most appropriate response from the nurse would be

"Your child is a carrier but doesn't have the disease."

When the newly admitted 2 year old who was potty trained before admission begins to wet the bed, the mother is frightened. The nurse should inform mother

"the stress of hospitalization makes children regress a little."

The nurse is preparing a toddle for a lumbar puncture. For this procedure, the nurse should place the child

lying on one side, with the back curved

A 2 year old child is showing signs of shock. A 10mL/kg bolus of normal saline solution is ordered. The child weighs 20kg.

200ml should be administered

A newborn baby weighs 7lbs at birth. The nurse anticipate the baby's weight will be

21 lbs at age 1

When reviewing the dietary guidelines for a child with nephrotic syndrome, the practical nurse should reinforce

A high protein diet with the parents.

An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection. The type of isolation precautions the nurse would institute in addition to droplet precautions is

Contact precautions

What provides 100% protection from STDs?

Abstinence

Ineffective breathing pattern is a priority nursing diagnosis in a child admitted with

Acute asthma

The best way for the pediatric nurse to establish a good working relationship with parents is to

Answer their questions honestly.

Watching several hours of television has contributed to

Children's obesity

What should never be used in the child's ear canal?

Cotton-tipped applicators

The main characteristic of cystic fibrosis is

Excessive thick mucus

. Cystic fibrosis is a multisystem chronic, incurable condition. It is a major dysfunction of the

Exocrine glad

When a 10 year old child returns for a follow-up examination after a streptococcal infection, his mother asks why a urinalysis is being done. The nurse explains that

Group A B-hemolytic streptococcal infections can be followed by the complication of glomerulonephritis.

indicates the parents understanding of the nurse's discharge instructions about the use of antibiotics.

I'll give my child the full course of antibiotics

The nurse caring for an infant with hydrocephalus would expect to find

Increased head circumference

When a mother asks the nurse about introducing solid foods into the child's diet, the nurse should inform mom to

Introduce one solid food at a time several days apart

During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to

Introduce rice cereal first

Wilms' tumor is an adenosarcoma found in the

Kidney

The hepatitis B vaccine series should begin at

Newborn

The nurse is caring for a child diagnosed with iron deficiency anemia. The treatment option deemed necessary by the health care provider the nurse reinforce education on is

Oral ferrous sulfate

Oral iron supplements are prescribed for a 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with

Orange juice

The area of care that deals with children and adolescents is referred to as

Pediatrics

The nurse is caring for an infant with pyloric stenosis should be alert for

Projectile vomiting

A toddler is admitted to the hospital with nephrotic syndrome. The nurse carefully monitors the toddler's fluid intake and output and checks urine specimens regularly with a reagent strip. The nurse is most likely to report

Proteinuria

What can develop if streptococcal infection s are inadequately treated.

Rheumatic fever and acute glomerulonephritis

The nurse is reinforcing education for a parent about newborn care and how to prevent SIDS (sudden infant death syndrome). The statement made by the parent that would indicate an understanding of SIDS is

SIDS is an unexplained death of an infant.

the action the practical nurse should implement for a child who has ingested a corrosive product is to

Telephone the poison control center and act on their advice is

In a 6 month old infant who is teething, the nurse would expect

The 2 lower central incisors to erupt first

An infant who weighs 8kg is to receive ampicillin 25mg/kg IV every 6 hours.

The nurse should administer 200mg per dose.

At 12 months an infant would be expected to

Triple his birth weight

A 1 year old child is brought to the emergency department with a mild respiratory infection and a temperature of 101.3 Fahrenheit. Otitis media is diagnosed. The nurse would also expect to find

Tugging on the ears

The nurse should recommend that the parents should dress the child in cotton underpants to help prevent

UTIs

Tetralogy of Fallot consists of four separate cardiac defects:

VSD, pulmonary stenosis, overriding aorta, right ventricular hypertrophy

The nurse should measure urinary output for an infant with dehydration by

Weighing the diaper

The nurse know to monitor a child with a diagnosis of pertussis for the development of

Whooping cough

When gathering data on a preschool child, observation of swelling within the abdomen indicates that a child has a potential

Wilms tumor

A nurse is caring for a child who received a hip spica cast 24 hours ago for hip dysplagia. The data obtained and should be reported to the nurse is

absent pedal pulses

The nurse is legally responsible for reporting

all suspected and confirmed cases of abuse or neglect.

The nurse is assigned to care for a male 3 year old on the pediatric unit that has a Wilm's tumor. The appropriate intervention is to

avoid manipulation or pressure on the child's abdomen that could increase the possibility of metastasis.

The two main types of medication used to treat asthma are

bronchodilators and ant-inflammatory agents.

Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels, the should expect to find

closed anterior and posterior fontanels.

he hallmark sign of intussusception is

currant jelly-like stools.

A health care provider is preparing to examine the throat of a child diagnosed with acute epiglottitis. A priority nursing responsibility would be to

have a tracheotomy set at the bedside

A nurse is planning to administer immunizations to a 4 year old who has up-to-date immunizations. The nurse should anticipate administering

inactivated poliovirus (IPV), measles, mumps, rubella (MMR), and varicella.

The nurse's neighbor, age 7 years old, has developed a red, raised rash on her face, neck, and trunk. She also has a temperature of 101.4F and whitish spots on the back of her throat. From these symptoms the nurse knows that the child has

measles (rubeola)

According to Erikson , an infant who was abandoned by his or her primary caregiver is at risk for developing

mistrust

A male patient, age 18 months is admitted to the hospital for a bilateral myringotomy because of frequent occurrences of otitis media. Otitis media occurs more frequently in young children than in older children because

of the different position and shape of the young child's Eustachian tubes.

A parent brings in a 5 year old male patient for his first vaccine. When administering the vaccine to the patient, the nurse knows the patient will receive

one injection today and will receive the second injection at least 4 weeks from today.

To prevent accidental poisoning of a child, medications should be

placed in a locked cupboard

Separation anxiety includes the stages of

protest, denial, and despair.

A nurse preparing to administer immunizations to a 2 month old infant. The nurse should anticipate administering

rotavirus (RV), Haemophilus influenza type b (HiB), Diptheria, tetanus, pertussis (Dtap), and Pnuemococcal (PCV).

Children weighing up to 20lbs must be secured in

the back seat in a rear facing safety seat.

While assessing a newborn with a cleft lip, the nurse would be aware that

the sucking ability will most likely be compromised.

When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in

the supine position to sleep.

The infant with gastroesophageal reflux is typically treated by

thickening the formula or breast milk with cereal.

When developing a plan of care for a child with sickle cell disease, the most important nursing intervention would be

to administer analgesics promptly.

2 year old child comes to the emergency department with inspiratory stridor and a barking cough. The highest priority action by the nurse is

to establish and maintain the airway.

A 6 month old infant with uncorrected tetralogy of Fallot suddenly becomes increasingly cyanotic and diaphoretic, with weak peripheral pulses and an increased respiratory rate. The priority action by the nurse should be

to place the infant in a knee-chest position.


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