STUDY GUIDE CH 37

A 6-year-old boy is suspected of having late-stage Lyme disease. Which assessment should the nurse use to produce findings supporting this concern?

Asking the child if his knees hurt

A 10-year-old girl with long hair is brought to the emergency room because she began acting irritable, reported a headache, and was very sleepy. Which question is most appropriate for the nurse to ask the parents?

"What were you doing prior to her beginning to feel sick?"

Which child needs to be seen immediately in the physician's office?

10-month old with a fever and petechiae who is grunting

The nurse is preparing to administer acetaminophen to a 4-year-old girl to provide comfort to the child. Which precaution is specific to antipyretics?

Ensure proper dose and interval

The nurse is caring for a 5-year-old girl with scarlet fever. Which intervention will most likely be part of her care?

Teaching proper administration of penicillin V

The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true?

Children have an immature immune response.

A 10-year-old boy has an unknown infection and will need to provide a urine specimen for culture and sensitivity. To assure that the sensitivity results are accurate, which step is most important?

Obtain specimen before antibiotics are given

The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first?

Obtain blood cultures

The nurse is caring for a 10-year-old child with a skin rash. The nurse should include which intervention to manage the associated pruritis.

Press the pruritic area

The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used?

Puncturing a vein on the dorsal side of the hand

The nurse is reviewing the assessment data from a 4-year old admitted to the hospital for management of early onset sepsis. Which finding supports the diagnosis?

The child is irritable

The nurse is administering a chicken pox vaccination to a 12-month-old girl. Which concern is unique to varicella?

This disease can reactivate years later and cause shingles.

The nurse is taking a health history for an 8-year-old boy who is hospitalized. Which is a risk factor for sepsis in a hospitalized child?

Use of immunosuppression drugs

The nurse is providing education to the parents of a 5-year old with a fever. Which statements indicate the need for further instruction? Select all that apply.

b. "I can administer two baby aspirin tablets to my child every 4 to 6 hours for the fever." c. "Sponging my child with cold water can be a soothing way to manage the fever. d."I should use a cooling fan in my child's room to keep the fever down." a. "Fever has many therapeutic properties.