extra

A 17-year-old adolescent is found wandering around. The adolescent is confused, sweaty, and pale. Which test would the nurse expect to be performed first? A. Blood glucose level B. CT scan C. Arterial blood gases D. Blood cultures

A

A nurse is providing parental teaching on measures to prevent urinary tract infections in toddlers. Which statement made by the parents indicates to the nurse that teaching has been successful? A. "Drinking cranberry juice can make the urine unreceptive to bacteria." B. "I should give my toddler the prescribed antibiotic until the symptoms disappear." C. "Colas and other drinks with caffeine help to prevent urinary tract infections." D. "I should teach my toddler to wipe from back to front after voiding."

A

A 10-year-old child is newly diagnosed with type 1 diabetes. The child's hemoglobin A1C level is being monitored. The nurse determines that additional intervention is needed with the child based on which result? A. 8.5% B. 6.5% C. 7.5% D. 7.0%

A

The nurse is speaking with the parents of a school-aged child recently diagnosed with diabetes mellitus regarding the differences between hypoglycemia and hyperglycemia. Which statement by a parent indicates a need for further teaching? A. "If I notice changes in my son like tearfulness or irritability, his blood sugar may be high." B. "When my son's breath smells fruity, it almost always indicates high blood sugar." C. "If my son says he feels shaky, his blood sugar may be low." D. "Dry flushed skin may be a sign of high blood sugar."

A

The parent of a child with acute glomerulonephritis asks the nurse why the urine is such a funny color. Which is the nurse's best response? A. There is blood in your child's urine that causes it to be tea colored B. Your child's urine is very concentrated, so it appears to be discolored C. It it not unusual for the urine to be discolored when children are receiving steroids and blood pressure medications D. A ketogenic diet often causes the urine to be tea-colored

A

When describing the negative feedback system that controls endocrine function, the nurse explains that a decreased secretion of which correlates with a decrease in blood glucose levels? A. insulin B. glucagon C. Adrenocorticotropic hormone D. Glycogen

A

Which is instituted for the therapeutic management of minimal change nephrotic syndrome? A. corticosteroid B. Antihypertensive agents C. Long-term diuretics D. Increased fluids to promote diuresis

A

A child has been admitted with a diagnosis of minimal change nephrotic syndrome. The clinical manifestations will include which of the following? Select all that apply A. Edema B. Massive proteinuria C. Fever D. Hypertension E. Hematuria

A B

The nurse is assigned a child who is contraction. Which of the following assessment should the nurse mix. Select all that apply A. Child pain level B. Child's bowel sound C. Capillary refill of toes D. Wound assessment E. Long sound

A C

The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The nurse teaches them that the signs of diabetic ketoacidosis (DKA) include (Select all that apply.) A. Change in mental status B. Tachycardia C. Fruit breath odor D. Rapid shallow respirations E. Abdominal pain

A C E

Prevention of hemolytic uremic syndrome includes Select all that apply A. Cook ground beef thoroughly B. Use unpasteurized products C. Handle reptiles with care D. Wash fruit and vegetable E. Avoid petting zoos

A D E

A nurse is providing care to a toddler with a diagnosis of pyelonephritis. The nurse plans to focus care on urinary elimination. Which intervention(s) is applicable to the plan of care? Select all that apply. A Monitor strict intake and output. B Restrict oral fluids to 500 ml per day. C Keep the child NPO until the condition resolves. D Monitor vital signs every hour. E Assess for signs of constipation.

A E

3 year old child is admitted with facial edema, proteinuria, hypertension, and hyperlipidemia based on this finding the nurse would conclude that the child has A. Hepatorenal syndrome B. Nephrotic syndrome C. End stage renal disease D. Acute glomerulonephritis

B

A 3-year-old child is admitted to the hospital with a diagnosis of pyelonephritis. During the admission assessment, which question is most important for the nurse to ask the parents? A. "What time was the child's last meal?" B. "Does the child have any allergies to medication?" C. "Can you tell me what your child's urine looks and smells like?" D. "Does your child take medications easily?"

B

A nurse is providing care for a 3-year-old child diagnosed with pyelonephritis. The child is fussy, has pain on urination, and is receiving intravenous maintenance fluids. Based on this information, what is the nurse's priority in the child's care? A Administering analgesics B Monitoring intravenous infusion C Providing diversional activities D Educating the parents on the treatment plan

B

A nurse is providing discharge instructions to the parents of a toddler hospitalized with a diagnosis of pyelonephritis. Which instruction is most important for the nurse to include? A. Encourage oral fluids. B. Complete the entire course of antibiotics. C. Encourage the toddler to void often. D. Avoid constipation.

B

A parent has brought the toddler to the urgent care center with reported "signs of a bladder infection." The parent states "I am not sure how to deal with this. None of my other kids got bladder infections." What is the nurse's best response? A. "Urinary tract infections can run in families, so I am surprised your other children never had one." B. "Can you tell me why you think your child has a bladder infection?" C. "Is this the first time your child has shown these symptoms?" D. "What technique do you use to clean the child after going to the bathroom?"

B

The nurse completed discharge teaching for the family of a child with a urinary tract infection. Which of the following statements by one of the caregivers would indicate an understanding of the nurse's teaching about the antibiotics? A. "We will fill half of the prescription for antibiotics and if there are still symptoms when those are gone, we will fill the other half." B. "We will give the antibiotics until they are all gone, even if the child is feeling well and looks well." C. "We will save a few of the antibiotic tablets and then the next time our child has this problem, we can start them early." D. "We will stop the antibiotics when the child is fever-free, or the urine culture come back negative."

B

The nurse is caring for a child with hemolytic uremic syndrome notices that the child's lab reports indicate a worsening anemia and a falling hematocrit and platelet count. The nurse will need to plan some interventions to deal with which of the following problems that the child is most at risk of developing based on these changed in lab values? A. congestive heart failure B. bruising, bleeding, and purpura C. edema and electrolyte imbalance D. altered levels of consciousness and seizures

B

The nurse is teaching parents about prevention of urinary tract infections in children. Which factors predisposes the urinary tract to infection? A. increased fluid intake B. short urethra in young girls C. Prostatic secretions in males D. Frequent emptying of the bladder

B

Which behavior by parents or teachers will best assist the child in negotiating the developmental task of industry? A. Identifying failure immediately and asking the child's peers for feedback B. Structuring the environment so the child can master tasks C. Completing homework for children who are having difficulty in completing assignments D. Decreasing expectations to eliminate potential failures.

B

Which of the following makes the kidneys of a child more susceptible to trauma compared to those of an adult? A. Backward falls are associated with direct compression of the kidneys. B. The kidneys are less protected in the child due to unossified ribs and less fat padding C. There are not as many renal tubules, and the kidneys themselves are not as thick as the adult kidneys D. The kidneys are much smaller and closer to the surface

B

A nurse is caring for a family with a 3-year-old child who has been diagnosed with cystitis. The family asks the nurse how to tell if the child has cystitis. What information should the nurse include in the response? Select all that apply. A, Flank pain is an early sign of cystitis. B. Frequency with small amounts of urine passed at a time. C. There is burning or pain when urinating. D. Child's behavior will be unchanged. E. Daily urinary output is decreased.

B C

A school-age child has been admitted to the hospital diagnosed with minimal-change nephrotic syndrome. Which clinical manifestations should the nurse expect to assess? (Select all that apply." A. Weight loss B. Generalized edema C. Proteinuria > 2+ D. Fatigue E. Irritability

B C D E

3-year-old child is hospitalized with suspected pyelonephritis. The nurse is reviewing the child's history. Which finding should the nurse consider most indicative of a diagnosis of pyelonephritis? A. Vomiting B. Fever C. Flank pain D. Dysuria

C

A 2-year-old child is brought to the pediatric clinic with reports of decreased urine output and fever over the past 3 days. As the nurse begins an assessment, the child is crying and moving about in the parent's arms. Which action should the nurse take first? A. Ask the parent to place the child on the exam table. B. Request a prescription for an antipyretic. C. Ask the parent when the child voided last. D. Use the FLACC scale to assess the child for pain.

C

A toddler's mother reports that her child will only eat peanut butter and jelly sandwiches for several days in a row. The child will then refuse to eat them for several weeks. Which term would the nurse use to document this behavior? A. Physiologic anorexia B. Echolalia C. Food jag D. Egocentrism

C

The nurse is talking to the parents whose child has wet her pants several times during the day. The nurse know that this is referred to as which of the following. A. Primary enuresis B. Nocturnal enuresis C. Diurnal enuresis D. Secondary enuresis

C

What should be included in the teaching plan for a child with type 1 diabetes mellitus who is going home on insulin therapy? A. Children show an increased need for insulin during the first months after glucose control is established B. Once glucose control is established, there will never be a need for an increase in the amount of insulin administered C. It is absolutely normal for the growing child to require an increase in insulin; this does not mean his/her condition is getting worse. D. All children should be on at least two types of insulin to establish glucose control

C

A teenager has arrived in the emergency department with confusion. The physical suspects diabetic ketoacidosis. A stat glucose is done, and the results is 400 mg/dL. The nurse expects that this teen has which symptoms? A. sweating, photophobia, and tremors B. tachycardia, dehydration, and abdominal pain C. dry skin, shallow rapid breathing, and dehydration D. Dry mucous membranes, blurred vision, and weakness

D