PED Final Exam Course point ?'s Unit 3

The nurse is teaching the parent of a child with cystic fibrosis about nutrition requirements for the child. What should be included in this teaching?

"Give your child high-calorie foods and snacks." "Feed your child foods that are high in protein. "Give pancreatic enzymes with meals."

The nurse is caring for an infant with osteogenesis imperfecta and is providing instruction on how to reduce the risk of injury. Which response from the mother indicates a need for further teaching?

"I must carefully lift the baby from under the armpits."

The nurse is providing discharge teaching to the parents of a child who had a tonsillectomy. Which statement(s) by the parents indicate learning has occurred? Select all that apply.

"If our child starts swallowing a lot, we may need to call the health care provider Fluids are very important. Our child loves popsicles so we will get a variety of flavors, except cherry and strawberry." "We can use an ice collar on the throat as long as we do not leave it on too long at a time."

A couple has one child with cystic fibrosis. The mother has just given birth to a second child. What assessment will be the priority for the nurse to complete on the newborn?

Assess for the passage of meconium stool.

A nurse is applying a cast to a 12-year-old boy with a simple fracture of the radius in the arm. What is most important for the nurse to do when she has finished applying the cast?

Assess the fingers for warmth, pain, and function

A child is diagnosed with intussusception. The nurse anticipates that what action would be attempted first to reduce this condition?

Barium Enema

A group of students are reviewing information about respiratory arrest in children. The students demonstrate understanding of this information when they identify what common causes of respiratory arrest involving the upper airway? Select all that apply.

Croup epiglottitis

The nurse receives a report on a child admitted with severe muscular dystrophy. The nurse suspects the child has been diagnosed with the most severe form of the disease, known as:

Duchenne.

The nurse is providing information to the parents of a 6-year-old boy who has been caught lying at home and at school. Which information would the nurse share with the parents? Select all that apply.

Explain that children this age typically lie to avoid punishment. Suggest reading a story with the child about the consequences of lying.

The type of fracture often seen in young children is one in which there is not complete ossification of the bone, and the bone bends and just partially breaks. What type of fracture is this?

Greenstick

The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, what would the nurse most likely find?

Hard, moveable, olive-shaped mass in the right upper quadrant

The nurse will teach parents of children with myelomeningocele to maintain an environment free of what element?

Latex

During an emergency department visit for an asthma attack, a child receives care from two nurses. Which intervention(s) represents care that provides atraumatic therapeutic care? Select all that apply.

One nurse uses distraction techniques while the other nurse inserts an intravenous catheter. The nurse requests the parent stay in the room with the child during the nebulizer treatment. The nurse includes the parent in discharge teaching because the parent is the primary caregiver. One nurse talks with the parent while the other nurse assists the radiology technician in obtaining a chest x-ray.

A child is in the emergency department with an asthma exacerbation. Upon auscultation, the nurse is unable to hear air movement in the lungs. What action should the nurse take first?

administer a beta-2 adrenergic agonist

The nurse is planning to teach the parents of a child with newly diagnosed muscular dystrophy about the disease. Which definition should the nurse use to best describe this condition?

degeneration of muscle fibers

The nurse in a neighborhood clinic is managing children who have chronic diseases. What are some examples of chronic conditions? Select all that apply.

diabetes rheumatoid arthritis asthma

A nurse taking a health history of a newborn notes that there is a maternal history of polyhydramnios. What GI condition might this history precipitate?

esophageal atresia (EA)

The nurse is conducting a physical examination of an infant with suspected pyloric stenosis. Which finding indicates pyloric stenosis?

hard, moveable "olive-like mass" in the upper right quadrant

A nurse is providing care to an 11-month-old infant diagnosed with intussusception. When assessing the appearance of the child's stool, the nurse expects to note which finding?

red, currant jelly-like stool

The nurse is assisting a child to the bed after tonsillectomy. How will the nurse place the child until fully awake?

right lateral recumbent