NUR410 PrepU PEDS
The nurse is caring for a 6-month-old child with a rash. Which information from the parent strongly suggests that roseola is the diagnosis?
The infant's temperature fell when the rash appeared.
A nurse is teaching a group of parents about burn safety. Which statement made by a parent requires intervention by the nurse?
"I had our plumber lower our water heater temperature to 130°F (53°C).
The nurse is assessing the skin of a 6-year-old child with urticaria. When interviewing the child and parents, which question would be most important for the nurse to ask?
"Is the child having any trouble breathing?"
A nursing instructor is teaching about infectious diseases in childhood. The teacher identifies a need for clarification when a student makes which of the following statements?
"Lesions in chickenpox progress at the same rate."
An infant is seen in the emergency department with several raised red welts over the abdomen and lower extremities. The parent states that the symptoms developed suddenly over the past few hours. The infant is fussy and has a low grade temperature. What assessment is most important for the nurse to perform?
Observe the infant's respiratory effort
The parent of a child diagnosed with nonbullous impetigo brings the child back to the clinic. The parent states, "I am doing what I am supposed to for my child, but the lesions have not gone away yet." The child began treatment with a topical antibiotic ointment 7 days ago. Which response by the nurse is most appropriate?
"It takes 10 to 14 days for the lesions to decrease."
A child who developed parotid gland swelling on March 5 was diagnosed with mumps. The nurse determines that the child will no longer be contagious at which time?
March 14
A nurse completes an assessment on an 8-month-old infant seen in the pediatrician's office for a well-child visit. The nurse notes that the infant's buttocks, perineum and inner thighs are covered in a thick coating of white ointment. When questioned, the parent says the infant has a diaper rash and the ointment is to protect the infant's skin. What is the best action for the nurse to take?
Provide instruction on how to care for a diaper rash.
The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes pustule?
Small elevation of epidermis filled with a viscous fluid
The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse see first?
a child with erythema infectiosum experiencing fatigue and confusion
The mother of a child with pediculosis capitis infestation tells the nurse that she does not understand why her child still has the infestation. The mother states, "I used the prescribed treatment just like I was instructed." How should the nurse respond?
"After finding the infestation did you wash items that your child's head came into contact with, like bed linen?"
The nurse is discussing fever with the parents of a child who is in the emergency department with a temperature of 101 degrees Fahrenheit. Which statement by a parent indicates an understanding about fevers and their management in the ill child?
"Fevers can be beneficial because they can slow down the growth of the bacteria or virus that may be causing the infection."
When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate?
"Herpes zoster is a reactivation of a previous varicella zoster infection.
A new parent brings the 3-month-old infant to the clinic for a well-baby check up. During the visit, the parent asks the nurse, "I know the rays from the sun can be harmful, so what should I do to protect my infant?" Which suggestion by the nurse would be most appropriate?
"The best thing to do is keep any infant under the age of 6 months out of the sun."
The nurse is teaching the parents of a child diagnosed with erythema multiforme about the condition. The nurse determines that the teaching was successful based on which statement by the parents?
"The rash should go away in about 2 weeks."
A school nurse has discovered that one of the children has acquired a case of head lice. The school principal asks the nurse to write a letter that will be sent to parents explaining about head lice and measures to prevent infestation. What information is important for the nurse to include in the letter? Select all that apply.
1. Children should avoid sharing personal items such as combs and hats. 2. Parents should inspect their child's head for nits with a fine tooth comb. 3. A second treatment one week after the first is recommended.
A child is diagnosed with varicella zoster and has been prescribed acyclovir 15 mg/kg q 8 hours IV. The child weighs 62 lb (28.1 kg). How many milligrams should the nurse administer in each dose? Record your answer using a whole number.
420
When developing the plan of care for a 5-year-old boy with Rocky Mountain spotted fever, the nurse knows the cause of the illness is:
Bite of a tick
The rash in roseola is pruritic. Which measure would you teach the parent to provide comfort?
Apply cool compresses to the skin to stop local itching.
A child is hospitalized with a diagnosis of severe cellulitis. The nurse is preparing the family for discharge. Which instruction is most important for the nurse to convey to the family?
Complete the prescribed antibiotics
A 30-month-old child has been discharged from the hospital after receiving treatment for partial-thickness burns over 6% of the body. One week later, the parent calls the nurse to say that the child has been drinking from a cup for one year, but is now constantly pulling at the mother's breast trying to nurse and refuses to drink from a cup. What is the best way for the nurse respond?
Explain that children who have had a serious injury sometimes exhibit regressive behavior
A 7-year-old child is brought to the emergency department after suffering a burn injury. The nurse would expect the child to be transferred and admitted to the burn center based on which finding(s)? Select all that apply.
History of type 1 diabetes since age 3 Burns affecting the child's face and hands Evidence of smoke inhalation injury Demonstration of full-thickness )third-degree) burns on trunk
A child is seen in the clinic because of a rash over the face and trunk area for the past 4 days. The nurse completes an assessment and suspects the child has rubeola. Which assessment finding best supports the nurse's suspicion?
Koplik spots
The appearance of which hallmark clinical manifestation occurs in measles?
Koplik spots
A 7-year-old child with an earache comes to the clinic. The child's parent reports that 1 day ago the child had a fever and headache and did not want to play. When the nurse asks where it hurts, the child points to the jawline in front of the earlobe. What does the nurse expect the diagnosis will be for this child?
Mumps
A child is brought to the emergency department by his parents. The parents report that he stepped on a rusty nail about a week and a half ago. The child is complaining of cramping in his jaw and some difficulty swallowing. The nurse suspects tetanus. When assessing the child, the nurse would be alert to which muscle groups being affected next?
Neck
A child, injured in a house fire, is brought to the emergency department. The nurse performs a primary assessment on the child. What assessment(s) is important for the nurse make initially? Select all that apply.
Observe the child's breathing efforts Examine the face for signs of soot Observe for changes in the child's color
When the health care provider looks in a child's mouth during a sick-visit examinaiton, the parent exclaims: "The tongue is bright red! It was not like that yesterday." The health care provider would most likely prescribe which medication based on the probable diagnosis?
Penicillin to prevent acute glomerulonephritis
An adolescent is brought to the urgent care clinic for evaluation of the hands. The adolescent had been out snowboarding for the past several hours in 20oF (-6.7oC) temperatures. The adolescent was wearing gloves but took them off because they were wet and causing problems with holding onto the snowboard. The nurse completes an assessment and documents the findings. Based on the assessment findings above, which action would be appropriate as part of the plan of care?
Placing the hands in warm water for 30 minutes
A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?
Playing in the woods about a week ago
As part of a spring health fair at a local school, the nurse is presenting information for parents about treating insect stings. The nurse determines that the more teaching is needed when the parents state that they would apply which substance to provide comfort?
Topical antibiotic ointment
The parents of a child diagnosed with varicella are concerned about their other children getting it. The nurse instructs the parents that their child is contagious for how much longer now that the rash has appeared?
Until there are no more new lesions and lesions have crusted over
The nurse is assessing a child with a varicella infection. The nurse would be alert for which of the following as a possible complication? Select all that apply.
secondary bacterial infections
A parent calls the nurse to discuss a rash. The nurse suspects that the rash possibly could be varicella when the parent describes rash characteristics as:
various stages of lesions present at the same time.
A health care provider has prescribed cephalexin 30 mg/kg PO daily in 4 divided doses for a child diagnosed with impetigo. The child weighs 30 lb (14 kg). How many milligrams should the child receive each day?
420
A child weighing 66 lb (30 kg) with deep partial thickness burns is receiving fluid resuscitation. The nurse is monitoring the child's urine output via Foley catheter every hour and documenting the findings on the flowsheet above. The nurse would notify the health care provider about which urine output?
56 mL
The nurse is preparing to administer acyclovir intravenously to a child with varicella infection who is immunocompromised. The nurse correctly administers the medication over which time frame?
60 minutes
After teaching the parents of a child with varicella zoster, the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time?
After the lesions have crusted
A nurse is providing care to an infant who is admitted with burns over the face, neck and chest. The nurse identifies which goal as priority for planning the infant's care?
Airway remains patent
A parent is observing a nurse provide care for the parent's 2-year-old toddler who was burned in a house fire. When the nurse is finished, the parent tells the nurse "I cannot believe this has happened. I should have been able to prevent this from happening." What is the best action for the nurse to take?
Encourage the parent to talk more about feelings
A nursing student learning about childhood infectious diseases correctly identifies which of the following as the disease related to chickenpox, which tends to occur in older children or young adults?
Herpes zoster
What information should be included in the teaching plan for a child with varicella?
Remind the child not to scratch the lesions.
When reviewing infectious diseases in the pediatric population, nursing students identify which disease as a common childhood exanthema?
Rubella
The mother of a 4-year-old boy has contacted the physician's office. She reports her son was exposed to someone with chickenpox. She has inquired about when her son may show if he has gotten the disease. What information should be provided?
The incubation period for the disease is between 10 and 21 days.
Which of the following is a true statement regarding measles?
The incubation period is 10 to 12 days.
A 4-year-old is brought to the urgent care center for evaluation of a burn on the forearm. On inspection, the burn is minor. After teaching the parents about how to care for this minor burn. the nurse determines that the teaching was successful based on which statement by the parents?
"If blisters form, we should leave them alone and not break them."
A nursing instructor is describing the progression of signs and symptoms associated with varicella from earliest to latest. Place the signs and symptoms below in the sequence that the instructor would describe them.
Low-grade fever Macular rash Papular rash Vesicle formation Crusting
What is a true statement regarding varicella zoster virus infection?
Secondary bacterial infections of the skin can occur.
The nurse is conducting a presentation for a group of parents at the local pediatric community health center. The nurse is describing the importance of immunizations to prevent common viral infections such as rubeola and rubella. As part of the presentation, the nurse describes the development of rubeola and explains the progression of signs and symptoms. Place the signs and symptoms listed below in the order that the nurse would describe them. Use all options.
Fever Rash Koplik spots Desquamation
A parent brings an infant to the clinic for a well child visit. During the assessment, the parent asks the nurse why the infant never seems to sweat. What action should the nurse take?
Explain that this normal mechanism keeps the infant from losing too much water through the skin.
A 5-year-old child is brought to the pediatric health clinic for evaluation. The nurse completes the assessment and documents the findings. Based on the assessment findings above, which condition would the nurse suspect?
Measles
A young client in the clinic has a rash, cough, and fever that the parent says spiked on day 5 of the rash. The client also had conjunctivitis. What illness would the nurse expect the health care provider to diagnose?
Measles