peds exam 2 quiz/kahoot questions/some review

a child with a diagnosis of tetralogy of fallot exhibits an increased depth and rate of respirations. on further assessment the nurse notes increased hypoxemia. the nurse interrupts these findings as indicating which situation? -a hypercyanotic episode -anxiety -temper tantrum -the need for immediate health care provider info

-a hypercapnic episode

before giving digoxin to a newborn with HF, a HR of 140 bpm is noted. what is the next appropriate action? -administer the digoxin -recheck the apical pulse in 1 hour -hold the med -notify the HCP

-administer the digoxin

the nurse is planning care for a preschooler with kawasaki disease. which intervention should the nurse plan to implement? -administering IV immune globulin (IVIG) as prescribed -restricting fluids especially fruit juice -ensuring bright lighting in the room during assessments -administering penicillin G as prescribed

-administering IV immune globulin (IVIG) as prescribed

a nurse explains to the mother of a 1 year old with a hx of frequent ear infections that the primary cause of otitis media in young children is what? -sinusitis -recurrent tonsillitis' -an obstructed eustachian tube -inflamed mastoid process

-an obstructed eustachian tube

which lab result would assist in confirming rheumatic fever? -immunoglobulin -WBCs -RBCs -antistreptolysin O titer

-antistreptolysin O titer

which question would elicit information specific to the development of rheumatic fever? -any nausea or vomiting -any sore throat or fevers -any complaints for migraines -any complaints of back pain

-any sore throat or fevers

how would a nurse instruct a topical steroid cream to be applied with atopic dermatitis? -apply a thin later to affected areas and rub in thoroughly -avoid cleaning the site before application -apply cream over entire body -apply thick layer to affected areas

-apply a thin later to affected areas and rub in thoroughly

a 5 year old child undergoes cardiac catheterization. the child is in the post cardiac cath unit for 2 hours when the incoming nurse receives report from the outgoing nurse. which part of the child's report should the oncoming nurse question? -voided 100 ml since admission -bed rest with bathroom privileges -vital signs every 30 mins -pressure dressing over entry site

-bed rest with bathroom privileges

which of the following is a clinical manifestation of acute stage kawasaki disease? -conjunctival hyperemia -cracked lips -desquamation of the skin -normal appearance

-conjunctival hyperemia

what assessment finding would the nurse expect in a child with right to left cardiac shunt? -severe bradycardia -normal body weight -cyanosis -normal findings

-cyanosis

which sign in an infant with a congenital heart disease would alert the nurse to the early development of heart failure? -diaphoresis during feeding -strong sucking reflex -substernal retractions -pallor

-diaphoresis during feeding

the nurse expects to note which clinical manifestation in a child with suspected aortic stenosis? -cyanosis -exercise intolerance -hyperactivity -GI disturbance

-exercise intolerance

the parent of a 5 month old infant with heart failure questions the necessity of weighing the baby every morning. what does the nurse say that this daily information is important in determining? -medication dosage -kidney function -nutritional state -fluid retention

-fluid retention

you admit an intubated child with full thickness burns on 40% of his body. what is your priority action? -fluid volume resuscitation -application of antibiotics to burn areas s -insertion of an NG tube -administer anesthetic agents

-fluid volume resuscitation

a parent of a 7 year old child asks how to tell the difference between measles (rubeola) and german measles (rubella). what should the nurse tell the parent differentiates rubeola from rubella? -characteristics of a cold followed by a rash -N/V and abdominal cramps -rash on the trunk and pruritus -high fever and koplik spots

-high fever and koplik spots

which statement indicates a need for further instruction for a child being discharged after cardiac surgery? -i can apply lotion to the incision if its itchy -large crowds need to be restricted for at least 2 weeks -a balance of rest and activity is important -activities in which my child could fall should be avoided for 2-4 weeks

-i can apply lotion to the incision if its itchy

which parental statement indicates correct understanding for the prevention of sunburn for a toddler age patient? -i will keep my child indoors when the sun is out -i will use sunscreen with an spf of 30+ for my child -i do not have to reapply sunscreen unless they are playing in water -i will make sure my child wears long sleeves and long pants while outside

-i will use sunscreen with an spf of 30+ for my child

which statements by the parents of a child with CHF indicated a need for further education about digoxin administration ? -i will not mix the medication with food -if more than one dose is missed i will call the physician -if she vomits after administration i will repeat the dose -i will take her pulse before giving the med

-if she vomits after administration i will repeat the dose

a 1 year old child has congenital cardiac malformation that causes a right-left shunt of blood through the heart. which clinical finding should the nurse expect? -absence of pedal pulses -proteinuria -increased hematocrit -peripheral edema

-increased hematocrit

children with severe burn injury when compared to adults with burns are a higher risk for what? SATA -increased risk for protein and calories deficiency -decreased risk for dehydration -decreased risk for metabolic acidosis -increased risk for fluid and heat loss

-increased risk for protein and calories deficiency -increased risk for fluid and heat loss

a 12 month old infant has become immunosuppressed during a course of chemotherapy. what information regarding the MMR vaccine should the nurse give to the parents on discharge? -it should not be given until the infant reaches 2 years old -infants who are receiving chemo should not get these vaccines -it should be given to protect the infant from contracting any of these diseases -the parents should discuss this with their healthcare provider at the next visit

-infants who are receiving chemo should not get these vaccines

a 4 year old child is being transported to a trauma center for treatment of a partial and full thickness burn injury that is estimated as covering more than 40% of the body. the nurse anticipates that which treatment be prescribed initially? -insertion of a foley -insertion of an NG tube -administration of anesthetic agent for sedation -application of an antimicrobial agent to the burns

-insertion of a foley

which is an early sign of congestive heart failure in a child? -pallor -irritability -cough -slow,shallow breathing

-irritability

a 3 year old child is scheduled for cardiac catheterization. what is the priority nursing care after this procedure? -monitoring the site for bleeding -encouraging early ambulation -restricting fluids until the blood pressure has stabilized -comparing blood pressure readings in the lower extremities

-monitoring the site for bleeding

a 4 year old is undergoing a diagnostic workup for pulmonic stenosis. the mother asked the nurse about the diagnosis. how does the nurse describe pulmonic stenosis? -hardening of the valves between the right ventricle and the arch of the aorta -hardening of the valve between the right atrium and right ventricle -narrowing of the valve between the left atrium and left ventricle -narrowing of the valve between the right ventricle and the pulmonary artery

-narrowing of the valve between the right ventricle and the pulmonary artery

an infant with a congenital heart heart defect is returned to the unit after cardiac catheterization. the nurse manager is observing a nurse newly assigned to the unit, which nursing intervention should the nurse manager interrupt? -performing range of motion exercises -offering fluids and foods as tolerated -monitoring the apical pulse for rate and rhythm -assessing the pulses distal to the catheterization site

-performing range of motion exercises

which of the following is a compensatory response to chronic hypoxia? -anemia -polycythemia -hypotension -dehydration

-polycythemia

what findings should a nurse expect when examining the laboratory report on a preschooler with rheumatic fever? -positive antistreptolysin titer -negative c-reactive protein -increased reticulocyte count -decreased sedimentation rate

-positive antistreptolysin titer

a nurse in the pediatric clinic is teaching a mother how to care for her infant who has eczema. what is most important to teach the mother? -ensuring physical growth -identifying causative factors -preventing secondary infections -providing adequate hydration

-preventing secondary infections

Before administering a vaccine, the nurse should ask about a history of a severe allergy to what? -penicillin -eggs -sulfonamides -previous dose of the vaccine about to be administered

-previous dose of the vaccine about to be administered

which assessment finding specifically associated with HR should be reported to the HCP? -fine crackles noted in lung bases unchanged from baseline on admission -pulse 160 bpm increased from baseline of 120 bpm at admission -weight gain of 0.1 kg -peripheral 1+ pitting edema

-pulse 160 bpm increased from baseline of 120 bpm at admission

a school aged child is brought to the emergency department with partial and full thickness burns of the lower extremities. the practitioner writes multiple prescriptions. what is the nurse's priority intervention? -starting an IV line with a large bore catheter -administering oxygen -inserting a foley -giving prescribed pain medication

-starting an IV line with a large bore catheter

the parent of a 10 month old infant with otitis media tells the nurse that this is the babies 3rd episode in 3 months. the infant is tugging at the ear but is not acutely acting ill. what factor should the nurse consider before responding? -the eustachian tube is short and horizontal -analgesics are contraindicated -oral antibiotics will be prescribed -the labyrinth and cochlea are inflamed

-the eustachian tube is short and horizontal

a 5 year old child is undergoing chemotherapy. the mother tells the nurse that the child is not up to date on the required immunizations for school. what is the best response by the nurse? -it's important to complete the immunization bc your child needs to be protected from childhood diseases that could be fatal -by this time your child has developed sufficient antibodies to provide immunity -this isn't the best time to finish the immunizations because your child's immune system is suppressed -maintaining current immunizations is critical. make sure the series is completed

-this isn't the best time to finish the immunizations because your child's immune system is suppressed

what is a common assessment finding in an infant with coarctation of the aorta? -crackles in the lung bases -bounding of pedal pulses -peripheral edema -thready pulses in lowers

-thready pulses in lowers

what is the most appropriate way to monitor output in an infant with CHF? -weighing diapers -comparign Is and Os -inserting a foley -measuring the amount of water added to the formula

-weighing diapers

a 4 month old infant is admitted to the peds unit with a diagnosis of congestive heart failure. which nursing assessment would most accurately demonstrate improvement in the infant's condition? -decreased tremors -weight loss during the next 2 days -increased hours of sleep -more rapid HR in next 2 days

-weight loss during the next 2 days

to evaluate kidney function, the nurse must accurately measure the hourly urine output of a 1.5 year old toddler weighing 22 lb (11kg) who has been admitted with extensive burns. what is the minimum safe output per hour for a child this age? -10-20 -61-80 -41-60 -21-40

10-20

priorities after cardiac surgery

1: ABCs 2: Initiate IV access 3: monitor for bleeding and infection at surgical site 4: monitor urine output

priorities for burns

1: ABCs 2: pain management 3: infection prevention 4: nutrition (high protein high cal d/t hypermetabolic state

fluid replacement formula for burns

4ml x % of TBSA x kg

the order reads dopamine 10 mcg/kg/min. patient weighs 20 kg. you have dopamine 400 mg/250 ml. what is the rate/hour? -75 ml/hr -0.75 ml/hr -7.5 ml/hr -75mg/hr

7.5 ml/hr

the mean arterial pressure (MAP) for a child with a bp of 90/60 is? -60 -70 -80 -90

70

MAP formula

diastolic(2) +syslotic/3

goal for escharotomy

return on spontaneous neurovascular function