Pediatrics Quiz 5

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for FURTHER teaching?

"I only need to catheterize myself twice every day."

A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching?

"We will notify the doctor right away if he has a fever."

A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching?

"You will need to receive blood."

A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?

A child who has nephrotic syndrome

A nurse is assessing a school-aged child after a ventriculoperitoneal (VP) shunt replacement. Which of the following findings indicates a complication of this procedure?

Abdominal distention

A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. Which of the following is the priority action by the nurse?

Administer Antibiotics when Available.

a nurse is caring for a client diagnosed with glomerulonephritis who has recurrent hypertension and edema. analyzing the clients lab results in relationship to his disease process the nurse would expect to find an increase in which values

BUN

a nurse is reviewing lab results of an adolescent who has chronic glomerulonephritis. which of the following findings should the nurse expect

BUN 50

A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is suggestive of a central nervous system infection?

Bulging Fontanel Positive Brudzinski sign

A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is suggestive of a central nervous system infection?

Bulging Fontanels

A nurse is assessing an infant who has acute gastroenteritis. Which of the following findings should the nurse identify as the priority?

Capillary refill 5 seconds

A nurse is educating the parents of an infant about symptoms that should be reported to the provider. What finding should be immediately reported?

Decreased Urine Output

A nurse is caring for a child who just underwent insertion of a ventriculoperitoneal shunt. Which of the following positions would be appropriate for the client?

Dorsal Recumbent

A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the bathroom. Which of the following actions should the nurse take first?

Ease the child to the floor in Sims' position

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (Select all that apply)

Edema in the ankles Hyperlipidemia Anorexia

A 7-year-old child with cerebral palsy has been admitted to the hospital. which information is most important for the nurse to obtain in the history?

Functional status related to eating and mobility.

The most common complication that should be anticipated and observed for in an infant with myelomeningocele after surgical repair of the defect is:

Hydrocephalus.

Which statement by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet?

I do not put any salt in foods when I am cooking.

a nurse is assessing an infant following a motor vehicle crash. which of the following findings should the nurse monitor to identify increased intracranial pressure?

Increased Sleeping

The nurse closely monitors the temperature of a child with nephrotic syndrome. The purpose of this is to detect an early sign of which possible complication?

Infection

A nurse on a pediatric unit is caring for a client who has a brain tumor. To help ensure the client's safety, which of the following actions should the nurse take?

Initiate seizure precautions for a child

A nurse is planning care for a preschooler who is immediately postoperative following the placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the plan?

Lay the preschooler on the nonoperative side

A nurse is caring for a child who has just received a ventriculoperitoneal (VP) shunt. Which of the following should the nurse know is the appropriate position for this client?

Low Fowlers

A nurse is caring for an infant who is postoperative following a myelomeningocele repair. Which of the following is the priority action the nurse should take?

Measure the infant's head circumference

A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. which of the following goals is the priority for the nurse to include in the plan of care?

Modify the environment.

A nurse is caring for a 2-day-old infant who has myelomeningocele. Which of the following actions should the nurse take

Monitor the infant's head circumference

A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). For which of the following manifestations should the nurse monitor?

Oliguria

A nurse is caring for a child who has acute gastroenteritis but is able to retain oral fluids. The nurse should anticipate providing which of the following types of fluid?

Oral rehydration solution

A nurse is planning care for a toddler who has acute gastroenteritis and was recently admitted. Which of the following should the nurse plan to provide for the child?

Oral rehydration solution

A nurse is planning care for an infant with an unrepaired myelomeningocele. Which of the following actions should the nurse take?

Palpate the abdomen for bladder distension

A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Periorbital edema

A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?

Place the child in a side-lying position

A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant?

Prone

Which diagnostic finding is present when a child has primary nephrotic syndrome?

Proteinuria

A nurse is planning care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?

Provide a Low-Sodium Diet

A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect

Serum cholesterol 700 mg/dL

A nurse is caring for a 10-year-old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?

Serum protein 5

A nurse is collecting data on an infant who has possible cerebral palsy. Which of the following manifestations of cerebral palsy should the nurse expect to find?

Sits with pillows props at eight months.

which of the following is an example of a neural tube defect?

Spina Bifida

While performing an exam on a 7-month-old infant, the nurse would suspect cerebral palsy in the following finding(s)? (Select all that apply.)

Tongue extrusion Positive tonic neck reflex Scissoring of legs in ventral suspension

Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission?

Urine is up to a trace for protein for 5-7 days.

A nurse is creating a plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include?

Use manual jaw control when feeding the toddler

a nurse is caring for a child who is having a seizure which of the following actions should the nurse take.

assess the client's airway patency place the bed in a low position

What is an appropriate intervention for a child with nephrotic syndrome who is edematous?

change the child's position every 2 hours.

a nurse is caring for a child who has acute glomerulonephritis. which of the following actions is the nurse's priority?

check the child's daily weight

a nurse is collecting data from a child which of the following is a clinical manifestation of nephrotic syndrome.

facial edema

The mother of a child who was recently diagnosed with acute glomerulonephritis asks the nurse why the physician keeps talking about "casts" in the urine. The nurse's response is based on the knowledge that the presence of casts in the urine indicates

glomerular injury

A child is admitted with acute glomerulonephritis. The nurse expects the urinalysis during this acute phase to show.

hematuria and proteinuria

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. which of the following actions should the nurse include in the plan of care

hold the infants chin to his chest and knees to his abdomen during the procedure.

a nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. which of the following actions should the nurse include in the plan of care

hold the infants chin to his chest and knees to his abdomen during the procedure.

A child with the spina bifida is placed on a bowel program at the clinic. The nurse assigned to the patient knows this is a result of...

lack of innervations in the anal sphincter or colon causes incontinence or constipation.

a nurse is caring for a school age child with acute glomerulonephritis who has peripheral edema and is producing 35ml of urine an hour. the child should be placed on which of the following diets.

low sodium fluid restricted

A nurse is caring for a child that is having a tonic-colonic seizure and vomiting. Which of the following is the priority nursing action?

position the child side-lying

a nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomengiocele sac. which of the following interventions should the nurse include in the plan of care?

provide a latex free environment.

a nurse is caring for an adolescent male who has a traumatic brain injury following a bike accident. which of the following findings should the nurse identify as an indication of increased intracranial pressure?

restlessness

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of this condition?

sit with pillow props.

The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?

tea colored urine

a nurse is assessing a toddler who has acute nephrotic syndrome which of the following findings should the nurse report to the provider.

yellow nasal drainage