Peds Exam 2

What teaching would the RN working with a 5-year old with an ileostomy EMPHASIZE to the parent about avoiding an emergency situation?

"Call the healthcare provider immediately if the stoma is not pink/red and moist."

In the teaching plan for a family whose child has been diagnosed with vesicoureteral reflux (VUR), the nurse includes the following: (Multiple Answer) A)Pyelonephritis could occur if the kidneys are exposed to infected urine from bladder B)The child may be maintained on a low daily dose of antibiotic which should should be given as prescribed. C) Postoperatively, hematuria is unusual and should be reported to nurse immediately D) Encourage ambulation and advancement of diet to promote return of appropriate bowel function.

ABD

The nurse knows the following are risk factors for cleft lip and palate: A)Advanced maternal age B)Family history C)Anticonvulsants, steroid use early in the pregnancy D)Multiple Pregnancies. E)Prenatal infection

ACE

A child is diagnosed with short bowel syndrome. What would the nurse EXPECT to be included in the child's plan of care? A)Total Parenteral Nutrition B)Laxatives C)Enema D)Vitamin supplements E)Antibiotics

ADE

The pediatric nurse understands that SOME nursing considerations for administration of iron supplements are: Give with vitamin C containing foods to increase absorption Knowledge that iron may color stools and urine black Refrain from administering with milk or milk products Give with vitamin C containing foods to increase absorption

ALL OF THE ABOVE

On the pediatric unit where you work, a mother of a newborn diagnosed with cleft lip and palate approaches you about the possible complications with the condition. You would include the following complications EXCEPT:

Adequate intake but normal growth pattern

The following would be incorporated in the teaching plan for a 15-month old with gastroesophageal reflux (GERD) disease EXCEPT:

Administering prokinetics and antibiotics

In your teaching plan for a 16-year old female diagnosed with pelvic inflammatory disease (PID), you will include the following information: Antibiotic therapy will be needed to treat condition long term complications include infertility Common symptoms reported are, painful sexual intercourse, dysuria, prolonged menstrual bleeding

All of The Above

which of the following information about Hydronephrosis is true? Back or side pain. Fever and Vomiting. Cloudy or bloody urine Lower belly pain.

All of The Above

Nursing management of a child with Guillain-Barre Syndrome includes the following : turning and positioning of the bed-ridden patient to prevent prevent the development of pressure ulcers Performing or encouraging performance of range of motion(ROM) exercises Providing emotional support to families Managing pain and maintaining adequate nutrition.

All of the Above

The nurse teaches the female adolescent (age 17) patient diagnosed with urinary tract infection (UTI) to do the following: Encourage drinking of fluids, especially water. Avoid Drinking Coffee and Colas Urinate frequently to prevent urinary stasis Void immediately after sexual intercourse Clean vaginal area from front to back

All of the Above

What are the clinical manifestations of acute glomerulonephritis Fever Periorbital Edema Proteinuria urine is dark, RBCs and RBC casts are present

All of the above

The nurse is caring for a child with ADHD. Which behavior would the nurse NOT EXPECT the child to display?

Attentiveness and compliance during play with children his age

You are discharging a patient with hemophilia. which of the following responses by the parents indicate an understanding of this disorder? (Multiple Answer) A)"My child should remain active to decrease joint problems, and most children with hemophilia can participate in the same activities as peers." B)"Care should be taken to avoid bleeding of gums, and softening the toothbrush in warm water before brushing or using a sponge-tipped disposal toothbrush may be helpful." C)"Signs of bleeding should be recognized, such as headache, slurred speech, loss of consciousness (from cerebral bleeding), and black, tarry stools( from gastrointestinal bleeding)." D) "All of my son's teachers need to be aware of what to do if he gets a bloody nose."

BCD

A child is hospitalized with dehydration as a result of rotavirus. You are the RN working with the child, what would you anticipate would be included in the plan of care. (Multiple answer) A)Antibiotic therapy B)IV fluid administration C)Monitor of intake and output D)Antidiarrheal agents E)Daily weight management

BCE

A child with sickle cell anemia is admitted in a Sickle-Cell Crisis. Which of the following interventions should the nurse expect to see ordered? (multiple answer) A) Cold compresses to painful joints B) IV fluids started, and oral fluids encouraged C) Adequate pain management to decrease child's stress level D) Antibiotics ordered for any existing infection E) Hgb electrophoresis to demonstrate the presence of Hgb S and Hgb F

BCE

Common signs and symptoms of food allergies include the following EXCEPT:

Bleeding

After teaching the parents of a child diagnosed with pernicious anemia about the disorder and treatment, the nurse determines that teaching was successful when the parents state: (Multiple Answer) A) Our child may get constipated from the supplement B) Our child needs to eat more green leafy vegetables to cure the anemia **C) Our child has a deficiency in Vitamin B12 and will need those vitamin supplements for life. **D) Her blood will be checked for RBC, Hgb, Hct, and B12 levels E) We will need to plan for a bone marrow transplant soon.

CD

What teaching would the RN working with a 5-year old with an ileostomy EMPHASIZE to the parent about avoiding an emergency situation? This question is repeated

Call the health care provider if the stoma is not pink/red and moist

The following about aplastic anemia are true EXCEPT:

Cause of acquired aplastic anemia is bacterial, and requires treatment with IV antibiotics.

A parent schedules a tele-health visit with you, the RN at a pediatrician's office. You observe a localized area on the child's leg that is erythematous, edematous, and warm to touch. You appropriately interpret this description as most likely :

Cellulitis

Complications of anorexia and bulimia include the following EXCEPT:

Cerebral Malformation

In your discharge teaching for a parent whose 12-month old has a lead level of 40mcg/dL you will include all of the following about sources of lead EXCEPT..

Chalk, ashes

The most common causes of Pelvic inflammatory disease (PID) is:

Chlamydia Trachomatis and Neisseria Gonorrhoeae

A nurse is assessing a 6 month old who has been vomiting and experiencing diarrhea. Which findings will indicate to the nurse that the infant is experiencing SEVERE dehydration?

Cool mottled extremities, and Sunken Fontanels

The most common causative organism for UTI is:

Escherichia coli

Risk factors for substance abuse include all EXCEPT:

Genetic Predisosition

The following are all causes of periorbital cellulitis EXCEPT:

Group A hemolytic streptococcus

Which of the following is a U.S. territory?

Guam

The nurse is caring for an adolescent who says, "I am sick of this. I wish i weren't living anymore." What is the best response by the nurse?

Have you thought about hurting yourself?

What test would the nurse expect to be ordered to confirm Thalassemia?

Hemoglobin Electrophoresis

A 10-month-old has been admitted to the hospital with suspicion of abnormal blood clotting. The nurse notes epistaxis, black tarry stools, joint swelling and tenderness and interprets these findings as MOST likely indicating;

Hemophilia or von Willebrand Disease

The mother of a child diagnosed with iron deficiency anemia UNDERSTANDS the importance of feeding her 3-year-old iron-rich foods when she states the following:

I will offer her foods such as tuna, salmon, eggs, iron fortified breakfast cereal

What is the most accurate genetic explanation for a family with hemophilia?

It is an X-linked recessive disorder

You are working with a recent graduate RN on the pediatric unit. You are assigned to take care of an adolescent with Thalassemia. The nurse needs more teaching about the disease if she states which of the following?

It is inherited through an autosomal dominant process.

Nursing care of an infant with bladder exstrophy includes the following EXCEPT:

Keeping the infant in a side a side-lying position to prevent skin break down

The pediatric nurse knows that likely sites for childhood cancer are all EXCEPT:

Lung

A 6-year is admitted to the pediatric unit. She presents with generalized edema, pallor, and fatigue. Her labs also indicate hyperlipidemia and proteinuria. What is the likely diagnosis of this patient?

Nephrotic Syndrome

The following statements about enuresis are true EXCEPT

Parents may control nocturnal enuresis by limiting fluid intake before bedtime, encouraging voiding immediately before bedtime and punishing the child if behavior persists

The nurse is conducting of a 20-year-old with suspected of Chron's disease. What finding would the nurse identify as a HALLMARK of this condition?

Perianal Skin Tags

The nurse is taking care of a 20-month old with frequent non-bilious onset of severe vomiting. Which description would SUGGEST pyloric stenosis?

Projectile vomiting

The nurse is assessing a child and notices large areas of purple looking, blanchable hemorrhagic areas on the patient's body. She interprets this skin finding as:

Purpura

Which of the following is not a mammal?

Shark

The following statements about Munchausen syndrome by proxy are true EXCEPT:

The perpetrator often meets the psychological needs of the child during the course of illness

The nurse is caring for a 4 year-old girl with a history of frequent urinary tract infections. What should the nurse be aware of before obtaining a urine sample?

The size of catheters may range from 6Fr to 12Fr

Postoperative care for the child with Hypospadias includes the following EXCEPT:

Understanding that tub baths are generally not contraindicated as long as they are cleaned very well.

Which stool collection method would be MOST EFFECTIVE for a 13-month old who has soft formed stool?

Using a tongue blade to scrape specimen from diaper

A child is admitted to the pediatric unit. The mother reports that the doctor says her son is anemic . The nurse would expect to see these laboratory findings/manifestations to confirm iron deficiency anemia EXCEPTT:

Vaso-occlusive pain crisis

A mother of a 2-year-old recently diagnosed with Celiac disease has asked you for classic symptoms of the disease. In your teaching you include all of the following EXCEPT

Weight gain

A child is to receive a 28-day corticosteroid as part of a treatment regimen for leukemia. After teaching the child and family about this drug, the nurse determines the family understand her teaching when they state: (multiple answers) A)We will keep our child away from infectious family and friends. B)We will need to gradually taper decrease the dosage C)We might develop a moon face from this drug. D)We will not give our child any NSAIDS. E)May cause myelosuppression F)Administer after meals and maintain adequate hydration

abce

Which teaching about the medication ZOFRAN (Ondansetron) is FALSE?

may cause fever, chills or rigors.