Peds Lippincott Exam 3

An 11-year-old child is diagnosed with scoliosis and scheduled for brace application. The parent asks the nurse how long her child will have to wear the brace. How should the nurse respond?

"about 3 to 5 years"

After a plaster cast has been applied to the arm of a child with a fractured right humerus, the nurse completes discharge teaching. The nurse should evaluate the teaching as successful when the mother agrees to seek medical advice if the child experiences which symptom?

inability to extend the fingers on the right hand

The nurse is caring for the following infant after surgery. Which short term goal is the priority?

The infant will remain infection free in the postoperative period.

The nurse provides a neonate with an initial feeding. The nurse would suspect a tracheoesophageal fistula if the neonate demonstrated which behavior?

coughing, choking, and cyanosis that occur after several swallows of formula

A 5-year-old is admitted to the pediatric unit with diagnosis of possible intussusception. Which assessment data supports this diagnosis? Select all that apply.

currant jelly stools, abdominal pain, abdominal distention

An adolescent client scheduled for an emergency appendectomy is to be transferred directly from the emergency department to the operating room. Which statement by the client should the nurse interpret as most significant?

"All of a sudden it does not hurt at all."

During a developmental screening, the nurse finds that a toddler child with cerebral palsy has arrested social and language development. What should the nurse tell the family?

"I need to refer you for more developmental testing."

A child brought to the hospital with ketoacidosis is to receive regular insulin via an IV infusion. Which IV solution should the nurse expect the primary care provider to prescribe initially?

0.9% saline

A student with type 1 diabetes tells the nurse she is feeling light-headed. The student's blood sugar is 60 mg/dL (3.3 mmol/L). Using the 15-15 rule, what should the nurse do to treat the blood glucose?

Administer 15 g of carbohydrate and retest the blood sugar in 15 minutes.

The nurse is admitting a 12-year-old child diagnosed with osteomyelitis of the left femur. What will be the nurse's first action for the child's care?

Draw blood for cultures as ordered.

An 8-year-old child is admitted with a T3 spinal cord compression following a motor vehicle accident. The child has an abrupt onset of elevated blood pressure, headache, profuse sweating, and flushing of the skin. What is the priority action for the nurse to take?

Empty the child's bladder.

The nurse observes as a child with Duchenne muscular dystrophy attempts to rise from a sitting position on the floor. After attaining a kneeling position, the child "walks" his hands up his legs to stand. The nurse documents this as which sign?

Gower's sign

A nurse is caring for a pediatric client with scoliosis who has to wear a brace. The nurse should develop a teaching plan with the client to include which instruction?

Wear a form-fitting t-shirt under the brace.

An adolescent client reports right lower quadrant pain, nausea, vomiting, and a low-grade fever for the past 12 hours. A physical examination reveals rebound tenderness and a positive psoas sign. Based on these findings, what should the nurse suspect?

appendicitis

Which assessment would be most important for the nurse to make initially in a school-age child being seen in the clinic who has a sore throat, muscle tenderness, arms feeling weak, and generally is not feeling well?

difficulty swallowing

A child with a fractured left femur receives a cast. A short time later, the nurse notices that the toes on the child's left foot are edematous. Which nursing action would be most appropriate?

elevating the foot of the bed

The physician suspects tracheoesophageal fistula in a 1-day-old neonate. Which nursing intervention is most appropriate for this child?

elevating the neonate's head and giving nothing by mouth

The nurse is caring for a 10-year-old child who is newly diagnosed with type 1 diabetes mellitus. The nurse is teaching the parents how to recognize signs and symptoms of hyperglycemia. Which of the following is most important for the nurse to include as an initial symptom of hyperglycemia?

increased thirst

According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage?

industry versus inferiority

According to Erikson's theory of development, chronic illness can interfere with which stage of development in an 11-year-old child?

industry versus inferiority

The nurse is planning interventions for a school-aged child hospitalized with acute poststreptococcal glomerulonephritis in need of diversional activity. Which activity should the nurse expect to include?

playing a card game with someone the same age

The nurse should assess a child with newly diagnosed hyperthyroidism for which signs or symptoms? Select all that apply.

rapid pulse, heat intolerance

Which finding indicates that the infant has adequately evacuated the barium after undergoing a barium enema?

stools that progress from clay-colored to brown