Peds nearpod

The nurse is providing care to a child admitted for acute otitis media. What is the nurse's priority concern for this child? A. Acute pain B. Problems with skin integrity C. Risk for interrupted breathing patterns D. Mucous membrane dryness and cracking

A

The physician orders Penicillin oral suspension 56 mg/kg/day in 4 divided doses for a patient who weighs 55 lbs.The suspension is available in 125mg/5mL. How many mL should the nurse administer? A. 14 B. 16 C. 20 D. 45

A

Which stressor is common in hospitalized toddlers? Select all that apply A. Social isoloation B. Interrupted routine C. Sleep disturbances D. Self-concept disturbances E. Fear of being hurt

A, B, C, E

After a tonsillectomy, the nurse reviews the health care provider's (HCP's) postoperative prescriptions. Which prescription 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

How does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)? A. Not compliant with taking her vitamins. B. Not compliant with taking her enzymes. C. Eating too many foods high in fat. D. Eating too many foods high in fiber.

B

The nurse is administreing an oral medication to a school-age child . The medication is known to taste very bitter. Which of the following actions by the nurse would be most appropriate? A. Encourage the child to hold his her nose while swallowing the medication. B. Have the child suck on ice chips immediately before swallowing the medication. C. Mix the medication with a small amount of the child's favorite flavor pudding. D. Request the physician to change the order an injection.

B

The nurse 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 Fowler's D. Trendelenburg's

B

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

A nurse monitoring a preterm baby with RSV bronchiolitis notes that the baby is exhibiting signs of respiratory distress. Which of the following signs did the nurse observe? Select all that apply A. Huffing B. Tachypnea C. Nasal flaring D. Expiratory grunting E. Intercostal retractions

B, C, D, E

The nurse is performing an assessment of a 14- month-old toddler who is diagnosed with ear infection. The nurse should use which method to take the toddler's temperature accurately? A. A tympanic thermometer B. An oral thermometer C. A rectal thermometer D. A temperature strip placed on the forehead.

C

A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine if this child is experiencing a long-term effect of cleft palate, which question should the nurse ask? A. "Was the child recently treated for pneumonia?" B. "Does the child play with an imaginary friend?" C. "Is the child unresponsive when given directions?" D. "Has the child had any difficulty swallowing food?"

C - the child has hearing loss due to repetitive ear infections with cleft palate

A 12-year-old girl is admitted to the hospital with suspected appendicitis. What nursing interventions should be implemented preoperatively? A. Applying a heating pad for 5-minute intervals as prescribed B. Administering acetaminophen as needed for pain, as prescribed C. Placing the adolescent in a fetal position, side-lying with legs drawn up to chest D. Inserting a nasogastric tube and attaching it to low intermittent suction; measuring drainage as prescribed

C A could cause rupture B no because you need to know if there is pain D only time that you put an ng tube in is when there is rupture

The nurse is preparing an infant for surgery to treat Hirschsprung's disease. Which assessment finding is priority to identify and treat? A. Vomiting and irritability B. Malnourishment and lethargy C. Abdominal distension and tenderness D. Decreased blood pressure and tachycardia

D - dehydration and hypovolemia C- no because this is normal with this condition