Pediatric Exam 3 quizzes
The nurse is assessing a child who is experiencing renal complications as a result of lupus. Which finding is of the greatest concern?
Elevated blood pressure
Prior to discharging an infant with congenital hypothyroidism to home with the parents, what should the nurse emphasize regarding the care that this child will need going forward?
Administration of levothyroxine indefinitely
A 13-year-old adolescent has had a near-drowning experience. The nurse notices the client has labored breathing and a cough. What is the priority intervention?
Administer 100% oxygen by mask.
When teaching about Turner's syndrome, what should the nurse include?
Timing and use of growth hormone
A nurse is conducting a physical examination on an 11-year-old boy with Legg-Calvé-Perthes disease. Which assessment finding would be expected?
Trendelenburg gait
A nurse is teaching an adolescent with type 1 diabetes about the disease. Which instruction by the nurse about how to prevent hypoglycemia would be most appropriate for the adolescent?
"Carry crackers or fruit to eat before or during periods of increased activity."
The nurse is caring for a newborn with facial nerve palsy from birth trauma. The mother is very upset and concerned about the child's prognosis. Which response by the nurse would be most appropriate?
"In most cases treatment is not necessary, only observation."
An adolescent with scoliosis is refusing to wear the prescribed body brace. Which instruction is best to progress the adolescent to the treatment goals?
"It is important to wear the brace now to improve your spinal alignment, decreasing your symptoms."
The nurse is caring for a 2-month-old in a pediatric clinic. The mom states she is going on vacation in Florida in a month and she is concerned about sunburn. She asks if it is okay to use a sunscreen lotion made for children. What is the correct nursing response?
"Sunscreen is not recommended until 6 months of age. Use light clothing and a hat to completely cover the child when in the sun."
A 4-year-old child is recently diagnosed with Wilms tumor. The health care provider suggests that the child's siblings have genetic testing performed. What is the best response by the nurse when explaining this to the parents?
"Wilms tumor is associated with a genetic link to chromosome 11; with early detection and treatment there are better outcomes."
A child's parent calls the clinic nurse and states, "My child just drank an unknown amount of a cleaning solution. What should I do?" Which statement by the nurse is best?
"You need to hang up with me and call the poison control center now."
The nurse is caring for an infant with supraventricular tachycardia who is symptomatic and has an IV line in place. The infant weighs 16 ½ lb. The medication order reads: adenosine 0.01 mg/kg IV STAT followed by rapid flush. Adenosine is supplied as 6 mg/2 mL. How many milliliters will the nurse administer? Round to the nearest hundredth.
0.03
Doctor's order: Augmenting oral suspension 280 mg P.O. three times a day. Available as 125mg/5mL. How many mLs will the nurse administer for one dose?
11.2
A nurse is providing care to a child diagnosed with cerebral palsy who is experiencing painful muscle spasms. The health care provider has prescribed baclofen 40 mg/day PO in three divided doses. How many milligrams should the nurse administer in each dose? Record your answer using one decimal place.
13.3
The nurse measures the client's blood glucose level prior to breakfast. The measurement obtained is 130 mg/dl. The orders read to administer 2 units of Humalog insulin for a blood glucose of 100 to 150 mg/dl. How soon should the nurse ensure that the client eats their breakfast after receiving their insulin?
15-30
The nurse is caring for a 10-year-old diagnosed with depression. The child weighs 72 lb. The medication order reads: fluoxetine 10mg PO daily. The child refuses to swallow pills. Fluoxetine is supplied as 20 mg/5ml. How many milliliters will the nurse administer? Round to the nearest tenth.
25 mL
The nurse is caring for a child with Down Syndrome. The child weighs 26 lb. The physician orders intravenous maintenance fluids. What would be the expected maintenance IV fluid rate? (round to nearest ml)
46
What is the maintenance fluid rate for a 22 kg child
64.2
Which couple will the nurse highlight for the primary health care provider as being at highest risk for having a child with a trisomy 21 disorder?
A couple in their late 40s
Why will it be necessary for the nurse to be very supportive of parents' attempts to feed the infant with recently repaired myelomeningocele?
Assuming the usual feeding position will be difficult.
The nurse is caring for a child who is receiving an intravenous immunoglobulin treatment. The client calls the nurse and reports she vomited. What action should be completed first?
Discontinue the infusion.
During an assessment of an adolescent child, the nurse notes that the child has a protuberant tongue, fatigued appearance, poor muscle tone and exophthalmos. What medical diagnosis would the nurse expect the child to have?
Graves disease
Which immunoglobin occurs most frequently in plasma and is the major immunoglobulin synthesized during secondary response?
IgG
The nurse is assessing a child who was brought into the clinic. The nurse notes honey-colored crusting on the toddler's face, as seen in the figure. The nurse recognizes this to be what type of infection?
Impetigo
Which nursing diagnosis would be most appropriate for a child with idiopathic thrombocytopenic purpura?
Ineffective tissue perfusion related to poor platelet formation
The nurse is discussing nutritional requirements to the parents of a child diagnosed with phenylketonuria (PKU). Which food item would be appropriate to recommend?
Orange slices
The nurse is caring for a 10-year-old girl with an anxiety disorder. During a physical examination, which physical finding would the nurse expect?
Patches of hair loss
A nurse is providing care to a toddler with nephroblastoma and is being evaluated. Which nursing action would be most important?
Placing a "no abdominal palpation" sign above the child's bed
Which nursing diagnosis would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub?
Risk for suffication
The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?
Slightly yellow sclera
The nurse is teaching the parents of a 15-year-old boy who is being treated for acute myelogenous leukemia about the side effects of chemotherapy. For which symptoms should the parents seek medical care immediately?
Temperature of 101° F (38.3° C) or greater
Which sign or symptom suggests that a 5-year-old boy who does not maintain eye contact or speak may have autism spectrum disorder (ASD)?
The child constantly opens and closes his hands.
A nurse is giving a talk to high school students about preventing the spread of human immunodeficiency virus (HIV). What does the nurse identify as ways in which HIV is spread? Select all that apply.
Through breastfeeding Perinatally from mother to fetus Transfusion of contaminated blood Sharing contaminated needles Exposure to blood and body fluids through sexual contact
Temperature of 101° F (38.3° C) or greater A school nurse is teaching a group of parents about signs and symptoms of cancer in children. Which symptom is an early sign of a brain tumor?
headache, vision changes, and vomiting
A 55lb child requires a dose of Benadryl and he will only take the chewable tablets. The doctor orders 25mg every 6 hours as needed for hives. How many tablets will the child receive per dose? (Benadryl chewable tablet - 12.5mg)
2 tablets
A child has fallen off of a swing at the playground and her father states that she became groggy. After assessing a child's airway, breathing, and circulation (ABCs), what would the nurse do next?
Assess level of consciousness
Through which mechanism is Duchenne muscular dystrophy acquired?
Heredity
A nurse is caring for a 17-year-old female client with bulimia. Which complication of this disease may the nurse see in this child?
Menstrual problems
A young child has just been admitted to the emergency department with a burn that encompasses the dermis and the underlying dermis. From which type of burn does this child suffer?
Second-degree or partial-thickness burn
The nurse is working with a child diagnosed with encopresis. After a complete medical workup has been done, no organic cause has been found for the disorder. What follow-up will the nurse expect?
referred for counseling