Peds exam 2 Q's

The nurse is teaching he parents of a preschooler about the possibility of postoperative hemorrhage after a tonsillectomy and adenoidectomy. When should the nurse explain that the risk of bleeding is greatest?

7-10 days after surgery

When developing the teaching plan about illness for the parent of a preschooler, which information should the nurse include about how a preschooler perceives illness?

A punishment for wrong doing

A student with Type 1 diabetes tells the nurse she is feeling light headed. The student's blood glucose is 60 mg/dl. Using the 15-15 rule, what should the nurse do to treat the blood glucose?

Administer 15 g of carbohydrate, and retest the blood sugar in 15 minutes

Which factor, if described by the parents of a child with cystic fibrosis, indicates understanding the underlying problem of the disease?

An abnormality in the body's mucus secreting glands

The nurse caring for a 7 year old child who has undergone a cardiac catheterization 2 hours ago finds the dressing and bed saturated with blood. What should the nurse do first?

Apply pressure just above the cardiac catheter insertion site

A preschooler with a fractured femur of the left leg in skeletal traction tells the nurse that his leg hurts. It is too early for pain medication. What is the first action the nurse should take?

Assess the feet for signs of neurovascular impairment

A school age child with leukemia is taking immunosuppressive drugs. What health maintenance recommendation should the nurse include the teaching plan?

Avoid any live attenuated vaccines

What toy should the nurse include as part of a recreational therapy plan of care for a 3 year old hospitalized with pneumonia and cystic fibrosis

Child's favorite doll

The health care provider prescribes carbamaepine extended release for a child with seizures and cerebral palsy. The child has a gastrostomy tube. What should the nurse do in order to administer the medication?

Contact the healthcare provider to change the prescription

Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory distress? Select all that apply.

Coughing RR of 35 bpm Restlessness Diaphoresis

Nursing care management of the child with bacterial meningitis includes which interventions? Select all that apply

Decreasing environmental stimuli Administration of IV antibiotics Neuro checks every 2 hours

A nurse is making an initial visit to a family with a preschool child with early Duchenne muscular dystrophy. Which assessment is an expected finding in this child?

Difficulty riding a tricycle

The parents bring their 4 month old to the clinic for a regular well child visit and express concerns about the infant not developing appropriately. Which finding would indicate the need for further developmental screening?

Does not babble

The nurse is teaching the parents of a child with sickle cell disease. What information should the nurse give the family on how to prevent sickle cell crisis?

Drink at least 2 quarts of fluid per day

After a tonsillectomy and adenoidectomy, which finding should alert the nurse to suspect early hemorrhage in a 5 year old child?

Drooling of bright red secretions

The parent of a preschooler reports that the child creates a scene every night at bedtime. What is the best course of action?

Establish a set bedtime and follow a routine

A typically developing preschool child is experiencing pain after an appenectomy. Which data collection tool is the most appropriate for the nurse to use to assess the patient?

FACES pain rating scale

What instructions should the nurse include in the discharge teaching for a 3 month old infant with a cardiac defect who is to receive digoxin? Select all that apply

Give the medication at regular intervals Notify the healthcare provider of poor feeding or vomiting Notify the health care provider if more than two consecutive doses are missed

The nurse observes as a child with Duchenne's muscular dystrophy attempts to rise from a sitting position on the floor. After attaining a kneeling position, the child "walks" his hands up his legs to stand. The nurse documents this as wich sign?

Gower's sign

A nure is questioning the growth and development of a 10 year old. What is the expected behavior of this child?

Has a strong sense of justice and fair play

A child with cystic fibrosis has been admitted to the pediatric unit. Which type of diet should the nurse request for the child?

High calorie, high protein

The nurse teaches the family of a child with leukemia about preventing infections. How should the nurse explain to the parents why their child is a risk for infections?

Immature white blood cells are incapable of handling an infectious process

An adolescent is seen in the clinic for abdominal pain with a fever. In what order should you assess the abdomen? All options much be used.

Inspect Auscultate Percuss Palpate

A parent of a toilet trained 3 year old expresses concern over her child's bedwetting while hospitalized. What should the nurse tell the parent?

It is very common for children to regress when they are in the hospital

The nurse develops the plan of care for a child with early Duchenne's muscular dystrophy. What is the priority goal for this client?

Maintain function of unaffected muscles

An adolescent client has seen the school nurse several times with headache, vomiting, and difficulty walking. When calling the adolescent's mother about these symptoms, the nurse should suggest the mother do what first?

Make an appointment with the adolescent's health care provided

A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurse assessed the patient the previous hour. What should the nurse do next?

Notify the health care provider

The nurse admits a 1 year old child to the hospital with a diagnosis of sickle cell crisis. The nurse explains to the parents that which condition leads to local tissue damage during a sickle cell crisis?

Obstruction of circulation

A child is admitted with consipation and possible appendicitis. The child is in acute pain. Which nursing interventions would be appropriate prior to surgery to decrease pain? Select all that apply.

Offer an ice pack Assume a position of comfort Limit the child's activity

A child diagnosed with tetralogy of fallot becomes upset, cries, and thrashes when a blood specimen is obtained. The child becomes cyanotic, and the respiratory rate increases to 44 breaths/min. Which action should the nurse do first?

Place the child in a knee chest position

The nurse completes discharge teaching for the family of an 8 week old with congenital heart disease. What is the most important information for the nurse to convey regarding feeding?

Provide a higher calorie formula or fortified breast milk

An uncle is shopping for a toy for his 15 month old niece. He doesn't have children of his own so he asks your advice. Which toy would be most appropriate to facilitate learning and development?

Push pull toy

The parents of a preschooler ask the nurse how to handle their child's temper tantrums. Which technique should the nurse include in the teaching plan. Select all that apply

Putting the child in time out Ignoring the child

The nurse assesses an 8 month old's language development. Which finding would the nurse consider to be typical language development?

Saying "dada" and "mama" non specifically

The nurse should refer the parents of an 8 month old child to a health care provider if the child is unable to demonstrate which gross motor ability

Sit without support for long periods of time

A 6 month old on the pediatric floor has a respiratory rate of 68, mild intercostal retractions, and oxygen saturation of 89%. The infant hasn't been feeding well for the past 24 hours and is restless. Using the SBAR technique for communication, the nurse calls the healthcare provider with the recommendation for which treatment?

Starting oxygen

A child with cystic fibrosis does not like taking his pancreatic enzymes with meals and snacks. The parent doesn't like to force the child to take the supplement. What is the most important reason for the child to take the pancreatic enzyme supplement with meals and snacks

The child needs these pancreatic enzymes to help the digestive system absorb fats, carbohydrates, and proteins

A nurse is developing a plan of care with the parents of a school age child diagnosed with a seizure disorder. What instructions should the nurse give the parents to promote the client's growth and development?

The child will likely have normal intelligence and be able to attend regular school

The nurse teaches an adolescent about returning to school after a concussion. Which statement by the adolescent reflects the need for more teaching?

Time is the most important factor in my recovery

When teaching the child with scoliosis being treated with a Boston brace about exercises, the nurse explains the the exercises are performed primarily for what reason?

To strengthen the back and abdominal muscles

Which clinical manifestations would lead the nurse to suspect an infant has hydrocephaly?

Vomiting Irritability Pupillary changes

An infant is being treated at home for bronchiolitis. What should the nurse teach the parent about home care? Select all that apply.

Watching for difficulty breathing Offering small amounts of fluid frequently

The parents bring thier 10 month old who had a myelomeningocele at birth and now has a ventriculoperitoneal shunt. The child is vomiting, not feeding well, lethargic and irritable. What interventions by the nurse are most appropriate? Select all the apply.

Weigh the child Listen to bowel sounds Obtain vital signs Assess pitch and quality of child's cry

The mother of a preschool child with juvenile idiopathic arthritis is worried that her child will have to stop attending preschool because of the illness. Which response by the nurse is most appropriate?

Your child should be encouraged to attend school but he will need extra time in the morning to work out early morning stiffness

A 16 year old client who has been confined to a wheelchair since early childhood has lately been acting rebellious and rude. Her parent's ask the nurse "Are all adolescents like this?" The nurse should respond with which statement?

Your daughter's behavior seems to be typical adolescent behavior. Let's talk more about it.