Peds Hesi Review

A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further instructions? A.stress B.Trauma C. infx D. fluid overload

D. fluid overload

The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy . The nurse notes that the platelet count is 20,000/ul. Based on the laboratory result, which intervention will the nurse document in the plan of care? a. Initiate protective isolation precautions b. Monitor closely for signs of infection c. Monitor the temperature every 4hours d. Use soft small toothbrush for mouth care

a. Initiate protective isolation precautions

The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease? Select all that apply. a. abdominal pain b. fever and malaise c. anorexia and weight loss d. painful enlarged inguinal lymph nodes e. painless firm and movable adenopathy in a cervical area

a. abdominal pain e. painless firm and movable adenopathy in a cervical area

Antibiotics are prescribed for a child with otitis media who underwent a myringotomy w/insertion of tympanostomy tubes. The nurse provides discharge instructions to the parents regarding the administration of the antibiotics. Which statement if made by the parents indicates understanding of the instructions provided? a. administer the antibiotics until they are gone b. administer the antibiotics if the child has a fever c. administer the antibiotics until the child feels better d. begin to taper the antibiotics after 3 days of a full course

a. administer the antibiotics until they are gone

The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? Select all that apply a. easy bruising occurs b. gum bleeding occurs c. it is a hereditary bleeding disorder d. treatment and care are similar to that for hemophilia e. it is characterized by extremely high creatinine levels f. the disorder cause platelets to adhere to damaged endothelium

a. easy bruising occurs b. gum bleeding occurs c. it is a hereditary bleeding disorder d. treatment and care are similar to that for hemophilia f. the disorder cause platelets to adhere to damaged endothelium

The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which action should the nurse perform immediately? a. notify the surgeon b. reinforce the dressing c. document the findings and continue to monitor d. circle the area of drainage and continue to monitor

a. notify the surgeon

The nurse is preparing for the admission of an infant w a diagnosis of bronchiolitis caused by RSV. Which interventions should the nurse include in the plan of care? Select all that apply a. place the infant in a private room b. ensure that the infant's head is in a flexed position c. wear a mask grown and gloves when in contact d. place the infant in a tent that delivers warm humidified air e. position the infant on the side with the head lower than the chest f. ensure that nurses caring for the infant w RSV does not care for other high-risk children

a. place the infant in a private room c. wear a mask grown and gloves when in contact f. ensure that nurses caring for the infant w RSV does not care for other high-risk children

The clinic nurse reads the results of a TB skin test on a 3-year old. The results indicate an area of induration measuring 10 mm. The nurse should interpret these results as which finding? a. positive b. negative c. inconclusive d. definitive and requiring a repeat test

a. positive

The nurse is reviewing a healthcare provider's prescriptions for a child w/sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse's question. Select all that apply. a. restrict fluid intake b. position for comfort c. avoid strain on painful joints d. apply nasal O2 at L/min e. provide a high-calorie, high-protein diet f. give meperidine, 25 mg IV q4hrs for pain

a. restrict fluid intake f. give meperidine, 25 mg IV q4hrs for pain

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action? a. turn the child to the side b. administer the prescribed antiemetic c. maintain NPO status d. notify the PCP

a. turn the child to the side

The nurse is monitoring a 3-year-old for s/s of increased ICP after a craniotomy. The nurse plans to monitor for which early s/s of increased ICP? a. vomiting b. bulging anterior fontanel c. increasing head circumference d. c/o a frontal h/a

a. vomiting

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for info? a. "the femur is the most common site of this sarcoma" b. "the child does not experience pain at the primary tumor site" c. "limping, if a weight-bearing limb is affected is a clinical manifestation" d. "the symptoms of the disease in the early stage are almost always attributed to normal growing pains"

b. "the child does not experience pain at the primary tumor site"

The nursing student is presenting a clinical conference and discusses the cause of B-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these? a. a child of mexican descent b. a child of Med descent c. a child whose intake of iron is extremely poor d. a breast fed child of a mother w/chronic anemia

b. a child of Med descent

The nurse is instructing the parents of a child w/iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents? a. administer the iron at mealtimes b. administer the iron through a straw c. mix the iron w/cereal to administer d. add the iron to formula for easy administration

b. administer the iron through a straw

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed b/c acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis.? a. lumbar puncture showing no blast cells b. bone marrow biopsy showing blast cells c. platelet count of 350,000 mm^3 d. WBC count 4500 mm^3

b. bone marrow biopsy showing blast cells

A 10-year-old w/asthma is treated for acute exacerbation in the ED. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? a. warm dry skin b. decreased wheezing c. pulse rate of 90 bpm d. RR of 18

b. decreased wheezing

The nurse is caring for an infant w bronchiolitis and diagnostic tests have confirmed RSV. On the basis of this finding, which is the most appropriate nursing action? a. initiate strict enteric precautions b. move the infant to a private room c. leave the infant in the present room because RSV is not contagious d. inform the staff that using standard precautions is all that is necessary when caring for the child

b. move the infant to a private room

The mother of a 6-year-old arrives at a clinic b/c the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of the diagnosis the nurse determines that which requires further investigation? a. possible trauma b. possible sexual abuse c. presence of an allergy d. presence of a resp infx

b. possible sexual abuse

The nurse is is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which position? a. supine b. side lying c. high fowlers d. trendelenburg

b. side lying

After a tonsillectomy, the nurse reviews the surgeon's postop prescriptions. Which prescriptions should the nurse question? a. monitor for bleeding b. suction every 2 hours c. give no milk or milk products d. give clear, cool liquids when awake and alert

b. suction every 2 hours

The nurse prepares a teaching plan for the mother of a child diagnosed with bacterial conjunctivitis. Which if stated by the mother indicates a need for further teaching? a. "I need to wash my hands frequently" b. "i need to clean the eye as prescribed" c. "it is okay to share towels and washcloths" d. "i need to give the eye drops as prescribed"

c. "it is okay to share towels and washcloths"

The school nurse has provided an instructional session about impetigo to parents of the children attending the school. Which statement, if made by a parent, indicates a need for further instruction? a. "it is extremely contagious" b. "it is most common in humid weather" c. "lesions most often are located on the arms and chest" d. "it might show up in an area of broken skin, such as an insect bite"

c. "lesions most often are located on the arms and chest"

A 6-year-old child w/leukemia is hospitalized and is receiving combination chemo. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet for a vase for the flowers. Which response should the nurse provide to the grandmother. a. "I have a vase in the utility room, and I will get it for you" b. "I will get the vase and wash it well before your put the flowers in it" c. "the flowers from your garden are beautiful, but should not be placed in the child's room at this time" d. "when you bring the flowers into the room, place them on the bedside stand as far away from the child as possible"

c. "the flowers from your garden are beautiful, but should not be placed in the child's room at this time"

A 10-year-old child w/hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription? a. injection of factor X b. IV of iron c. IV of factor 8 d. IM of iron using Z-track method

c. IV of factor 8

The clinic nurse reviews the record of a child just seen by the pediatrician and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder? a. pallor b. hyperactivity c. activity intolerance d. GI disease

c. activity intolerance

The nurse is monitoring a child w/burns during treatment. Which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation? a. skin turgor b. level of edema at burn site c. adequacy of cap refill d. amount of fluid tolerates in 24 hours

c. adequacy of cap refill

The mother of a hospitalized 2-year-old w viral laryngotracheobronchitis (croup) asks the nurse why the pediatrician did not prescribe antibiotics. Which response should the nurse make? a. the child may be allergic to antibiotics b. the child is too young to receive antibiotics c. antibiotics are not indicated unless a bacterial infx is present d. the child still has the maternal antibodies from birth and does not need antibiotics

c. antibiotics are not indicated unless a bacterial infx is present

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted? a. the child has no tears b. urine SPG is 1.035 c. cap refill is < 2 sec d. UOP is < 1 ml/kg/hr

c. cap refill is < 2 sec

The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record? a. incessant crying b. coughing at nighttime c. choking w/feedings d. severe projectile vomiting

c. choking w/feedings

The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse monitors the infant knowing that which is a clinical manifestation associated with this disorder? a. bile stained fecal emesis b. the passage of currant jelly like stools c. failure to pass meconium stool in the first 24 hours after birth d. sausage shaped mass palpated in the UR abdominal quadrant

c. failure to pass meconium stool in the first 24 hours after birth

The nurse should implement which interventions for a child older than 2 years w/ type 1 DM who has a blood glucose level of 60 mg/dl. Select all that apply a. administer regular insulin b. encourage the child to ambulate c. give the child a tsp of honey d. provide electrolyte replacement therapy IV e. wait 30 min and confirm the blood glucose reading f. prep to administer glucagon subQ if unconsciousness occurs

c. give the child a tsp of honey f. prep to administer glucagon subQ if unconsciousness occurs

The child is hospitalized because of persistent vomiting. The nurse should monitor the child closely for which problem? a. diarrhea b. metabolic acidosis c. metabolic alkalosis d. hyperactive bowel sounds

c. metabolic alkalosis

Assessment findings of an infant admitted to the hospital reveal a machinery like murmur on auscultation of the heart and signs of HF. The nurse reviews congenital cardiac abnormalities and identifies the infant's condition as which disorder? a. aortic stenosis b. atrial septal deficit c. patent ductus arteriosus d. ventricular septal deficit

c. patent ductus arteriosus

The nurse is providing home care instructions to the parents of a 10-year-old child w/hemophilia. Which sport activity should the nurse suggest for this child? a. soccer b. basketball c. swimming d. field hockey

c. swimming

A child with rheumatic fever will be arriving in the nursing unit for admission. On admission assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever? a. "Has the child complained of back pain?" b. "Has the child complained of headaches?" c. "Has the child had any nausea or vomiting?" d. "Did the child have a sore throat or fever within the last 2 months?"

d. "Did the child have a sore throat or fever within the last 2 months?"

Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should give which instruction to the parents regarding the use of this treatment? a. Apply the lotion to areas of the rash only. b. Apply the lotion and leave it on for 6 hours. c. Avoid putting clothes on the child over the lotion. d. Apply the lotion to cool, dry skin at least 30 minutes after bathing.

d. Apply the lotion to cool, dry skin at least 30 minutes after bathing.

Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? a. elevated hg level b. decreased reticulocyte count c. elevated RBC d. RBC that are microcytic and hypochromic

d. RBC that are microcytic and hypochromic

The nurse reviews the lab results for a child w a suspected diagnosis of rheumatic fever, knowing that which lab study would assist in confirming the diagnosis? a. immunoglobulin b. RBC count c. WBC count d. antistreptolysin O titer

d. antistreptolysin O titer

A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription? a. obtains a weight b. takes the temp c. takes the BP d. checks the amount of UOP

d. checks the amount of UOP

A child w/B-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusion. Which medication should the nurse anticipate being prescribed? a. fragmin b. meropenem c. metoprolol d. deferoxamine

d. deferoxamine

"An adolescent client with type I diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? a. sweating and tremors b.hunger and hypertension c. cold, clammy skin and irritability d. fruity breath and decreasing level of consciousness

d. fruity breath and decreasing level of consciousness

The nurse provides home care instructions to the parents of a child with HF regarding the procedure for administration of digoxin. Which statement made by the parent indicates the need for further instruction? a. I will not mix the med w food b. if more than 1 dose is missed i will call the pediatrician c. i will take my child's pulse before administering the med d. if my child vomits after med administration i will repeat the dose

d. if my child vomits after med administration i will repeat the dose

A child with type 1 DM is brought to the ED by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of IV infusion? a. potassium infusion b. NPH insulin infusion c. 5% dextrose infusion d. normal saline infusion

d. normal saline infusion

The nurse has just administered ibuprofen to a child w/a temp of 102 F. The nurse should also take which action? a. withhold oral fluids for 8 hours b. sponge the child w/cold water c. plan to administer salicylate in 4 hours d. remove excess clothing and blankets from the child

d. remove excess clothing and blankets from the child

A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the diagnostics of Hodgkin's disease? a. elevated vanillylmandelic acid urinary levels b. the presence of blast cells in the bone marrow c. the presence of epstein-barr virus in the blood d. the presence of reed-sternberg cells in the lymph nodes

d. the presence of reed-sternberg cells in the lymph nodes

The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms? 1. Watery diarrhea 2. Projectile vomiting 3. Increased urine output 4. Vomiting large amounts of bile

2. Projectile vomiting

A new parent expresses concern to the nurse regarding sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant? 1. Side or prone 2. Back or prone 3. Stomach with the face turned 4. Back rather than on the stomach

4. Back rather than on the stomach

A mother of a 6-year-old child with type 1 diabetes mellitus calls the clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it showed positive ketones. Which of the following would the nurse instruct the mother to do? a. hold the next dose of insulin b. come to the clinic immediately c. encourage the child to drink liquids d. administer an additional dose of regular insulin

c. encourage the child to drink liquids

The nurse is monitoring an infant w/congenital heart disease closely for s/s of HF. The nurse should assess the infant for which early sign of HF? a. pallor b. cough c. tachycardia d. slow and shallow breathing

c. tachycardia

The nurse analyzes the laboratory results of a child w/hemophilia. The nurse understands that which result will most likely be abnormal in this child? a. platelet count b. Hct level c. Hg level d. PTT

d. PTT

A topical corticosteroid is prescribed by the healthcare provider for a child w/contact dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream? a. apply the cream over the entire body b. apply a thick layer of cream to affected areas only c. avoid cleansing the area before application of the cream d. apply a thin layer of cream and rub it into the area thoroughly

d. apply a thin layer of cream and rub it into the area thoroughly

The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented? a. watery diarrhea b. ribbon like stools c. profuse projectile vomiting d. bright red blood and mucus in the stools

d. bright red blood and mucus in the stools

A school-age child w/type 1 DM has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do? a. eat twice the amount normally eaten at lunchtime b. take half the amount of prescribed insulin on practice days c. take the prescribed insulin at noontime rather than in the morning d. eat a small box of raisins or drink a cup of orange juice before soccer practice

d. eat a small box of raisins or drink a cup of orange juice before soccer practice

The mother of an 8-year-old child being treated for RL pneumonia at home calls the clinic nurse. The mother tells the nurse that the child c/o discomfort on the right side and that ibuprofen is not effective. Which instruction should the nurse provide to the mother? a. increase the dose of ibuprofen b. increase the frequency of ibuprofen c. encourage the child to lie on the left side d. encourage the child to lie on the right side

d. encourage the child to lie on the right side

The clinic nurse reviews the record of an infant and notes that the PCP has documed a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented in the record knowing that which sign most likely led the mother to seek healthcare for the infant? a. diarrhea b. projectile vomiting c. regurgitation of feedings d. foul smelling ribbon like stools

d. foul smelling ribbon like stools

A child w/laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned b/c the child is frightened consistently crying and trying to climb out of the tent. Which is the most appropriate nursing action? a. tell the mother that the child must stay in the tent b. place a toy in the tent to make the child feel more comfortable c. call the pediatrician and obtain a prescription for a mild sedative d. let the mother hold the child and direct the cool mist over the child's face

d. let the mother hold the child and direct the cool mist over the child's face

A child undergoes surgical removal of a brain tumor. During the postoperative period, the nurse notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action? a. place the child in a supine position. b. place the child in Trendelenburg's position c. Increase the flow rate of the intravenous fluids. d. notify the health care provider (HCP).

d. notify the health care provider (HCP).

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement should the nurse make to the parent? a. the immunization schedule will need to be altered b. the child should not receive any hepatitis vaccines c. the child will receive all of the immunizations except for the polio series d. the child will receive the recommended basic series of immunizations alon w a yearly influenza vaccination

d. the child will receive the recommended basic series of immunizations alon w a yearly influenza vaccination

The nurse provides feeding instructions to a parent of an infant diagnosed w/gastroesophageal fistula disease. Which instruction should the nurse give to parent to assist in reducing the episodes of emesis? a. provide less frequent, larger feedings b. burp the infant less frequently during feedings c. thin the feedings by adding water to the formula d. thicken the feeding by adding rice cereal to the formula

d. thicken the feeding by adding rice cereal to the formula

A pediatrician has prescribed O2 PRN for an infant with HF. In which situation should the nurse administer the O2 to the infant? a. during sleep b. when changing the infants diapers c. when the mother is holding the infant d. when drawing blood for electrolyte level testing

d. when drawing blood for electrolyte level testing

The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice? a. maculopapular lesions behind the ears b. lesions in the scalp that extend to the hairline or neck c. white flaky particles throughout the entire scalp region d. white sacs attached to the hair shafts in the occipital area

d. white sacs attached to the hair shafts in the occipital area

The clinic nurse is reviewing the healthcare provider's prescription for a child who has been diagnosed with scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is noted in the child's record? a. the child is 18 months old b. the child is being bottle fed c. a sibling is using lindane for the treatment of scabies d. the child has a hx of frequent respiratory infxs

a. the child is 18 months old

The nurse provides home care instructions to the parents of a child w/celiac disease. The nurse should teach the parents to include which food item in the child's diet? a. rice b. oatmeal c. rye toast d. wheat bread

a. rice

An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The nurse should place the infant in which best position at this time? 1. Prone position 2. On the stomach 3. Left lateral position 4. Right lateral position

3. Left lateral position

The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess the urine output? A. Weighing the diapers B. Inserting a Foley catheter C. Comparing intake with output D. Measuring the amount of water added to formula

A. Weighing the diapers

On assessment of a child admitted w a diagnosis of acute-stage Kawasaki disease the nurse expects to note which clinical manifestation of the acute stage of the disease? a. cracked lips b. normal appearance c. conjunctival hyperemia d. desquamation of the skin

c. conjunctival hyperemia

The mother of a 3-year-old arrives at a clinic and tells the nurse that the child has been scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's skin? a. fine grayish red lines b. purple-colored lesions c. thick, honey-colored crusts d. clusters of fluid-filled vesicles

a. fine grayish red lines

The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding? a. frequent swallowing b. a decreased pulse rate c. c/o discomfort d. an elevation in BP

a. frequent swallowing

The mother of a 4-year-old child tells the peds nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that the child is eating well, and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment? a. palpating the abdomen for a mass b. assessing the urine for the presence of hematuria c. monitoring the temperature for the presence of fever d. monitoring the BP for presence of HTN

a. palpating the abdomen for a mass

A child has been diagnosed with acute otitis media of the right ear. Which interventions should the nurse include in the plan of care? a. provide a soft diet b. position the child on the left side c. administer the antihistamine q2day d. irrigate the right ear w/normal saline q8hrs e. administer ibuprofen for fever q4hrs as prescribed and as needed f. instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy

a. provide a soft diet e. administer ibuprofen for fever q4hrs as prescribed and as needed f. instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy

Which interventions should the nurse include when creating a care plan for a child with hepatitis? Select all that apply a. providing a low fat well balanced diet b. teaching the child effective handwashing techniques c. scheduling playtime in the playroom with other children d. notifying the HCP if jaundice is present e. instructing the parents to avoid administering meds unless prescribed f. arranging for indefinite homeschooling b/c the child will not be able to return to school

a. providing a low fat well balanced diet b. teaching the child effective handwashing techniques e. instructing the parents to avoid administering meds unless prescribed

The nurse caring for a child who sustained a burn injury plans care based o which pediatric considerations associated with this injury? Select all that apply. a. scarring is less severe in a child than in an adult b. a delay in growth may occur after a burn injury c. an immature immune system presents an increased risk of infx for infants and young children d. fluid resus is unnecessary unless the burned area is more than 25% of the total body surface area e. the lower the proportion of body fluid to body mass in a child increases the risk of CV problems f. infants and young children are at increased risk for protein and calorie deficiency, b/c they have smaller muscle mass and less body fat than adults

b. a delay in growth may occur after a burn injury c. an immature immune system presents an increased risk of infx for infants and young children f. infants and young children are at increased risk for protein and calorie deficiency, b/c they have smaller muscle mass and less body fat than adults

The nurse has provided home care instructions to the parents of a child who is being discharged after cardiac surgery. Which statement made by the parents indicates a need for further instruction? a. a balance of rest and activity is important b. i can apply lotion or powder to the incision if it is itchy c. activities in which my child could fall need to be avoided for 2-4 weeks d. large crowds of people need to be avoided for at least 2 weeks after surgery

b. i can apply lotion or powder to the incision if it is itchy

The nurse reviews the record of a child who is suspected to have glomerulonephritis. Which statement by the child's parent should the nurse expect that is associated with this diagnosis? a. his pediatrician said his kidneys are working well b. i noticed his urine was the color of cola lately c. im so glad they didnt find any protein in his urine c. the nurse who admitted my child said his BP was low

b. i noticed his urine was the color of cola lately

A mother brings her 2 week old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/dl (60.5 mcmol/L). The nurse reviews this result and makes which interpretation? a. it is positive b. it is negative c. it is inconclusive d. it requires screening at age 6 weeks

b. it is negative

The nurse is reviewing the laboratory results for a child scheduled for a tonsillectomy. The nurse determines that which laboratory value is most significant to review? a. creatinine level b. prothrombin time c. sedimentation rate d. blood urea nitrogen level

b. prothrombin time

Which specific nursing intervention sare implemented in the care of a child w/leukemia who is at risk for infx? Select all that apply a. maintain the child in a semiprivate room b. reduce exposure to environmental organisms c. use strict aseptic technique for all procedures d. ensure that anyone entering the child's room wears a mask e. apply firm pressure to a needlestick area for at least 10 min

b. reduce exposure to environmental organisms c. use strict aseptic technique for all procedures d. ensure that anyone entering the child's room wears a mask

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? a. the child has difficulty hearing b. the child consistently tilts the head to see c. the child does not response when spoken to d. the child consistently turns the head to hear

b. the child consistently tilts the head to see

The ED nurse is caring for a child diagnosed w/epiglottitis. In assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction? a. the child exhibits nasal flaring and bradycardia b. the child is leaning forward, with the chin thrust out c. the child has a low grade fever and c/o a sore throat d. the child is leaning backward, supporting herself or himself w/hands and arms

b. the child is leaning forward, with the chin thrust out