Peds exam 4

Which of the following would be included in the plan of care for a hospitalized newborn following surgical repair of a myelomeningocele. Select all that apply

Daily head circumference measurements and an MRI scan

Brain damage and a child who sustained a closed head injury can be caused by which factor

Decrease perfusion of the brain and increased metabolic needs of the brain

The nurse is caring for a child with Kawasaki disease. A student nurse who is on the unit asks if there are medications to treat this disease. The nurses response to the student is

Immunoglobulin G and aspirin and salicylic therapy for inflammation or the current treatment

Indomethacin may be given to close to which congenital heart defect in newborns

Patent ductus arteriosus

BP screenings to detect and organ damage should be done routinely beginning at what age

Three years

The Norwood procedure is used to correct

Hypoplastic left heart syndrome

The nurse is discharging a child who has just received chemotherapy for neuroblastoma. Which of the following statements made by the child's parents indicates a need for additional teaching

I will take a rectal temperature daily report a temperature greater than 101 immediately to the position

Which is the best action for the nurse to take during a child seizure

Loosen the child's clothing and call for help

Which vaccines must be delayed for 11 months after the administration of gammaglobulin select all that apply

Measles mumps and rubella and varicella

The nurse is caring for a child who spent in a motor vehicle accident. The child falls asleep unless her name is called or she's gently shake in the state of consciousness is referred to as

Obtunded

A child with leukemia is receiving chemotherapy and is complaining of nausea. The nurse has been giving the scheduled anti-emetic. Which of the following should the nurse to you in the child's nauseated

Offer cool clear liquids

While looking through the chart of an infant with a congenital heart defect of decreased pulmonary bloodflow, the nurse would expect which laboratory finding

Polycythemia

For the child with hypoplastic left heart syndrome which drug may be given to allow the patent ductus arteriosus to remain open until surgery

Prostaglandin E

Aspirin has been ordered for the child with rheumatic fever in order to

Reduce joint inflammation

A 10-year-old child is recovering from a severe sore throat. The parent stated the child complains of chest pain. The nurse observes that the child has swollen joints, nodules on the fingers, and a rash on the chest. The likely cause is

Rheumatic fever

A parent of a two-year-old has HIV positive questions the nurse about placing the child in daycare which of the following is the best response

The child can be admitted to take care without restrictions and should be allowed to participate in all activities

The parent of a child diagnosed with Wilms tumor asked the nurse with the treatment plan will be. The nurse explained the usual protocol for this condition which information to the nurse came to the parent

The child will go to surgery for removal of the tumor in the kidney and will then start chemotherapy

The nurse is caring for a child with sickle cell anemia who is scheduled to have an exchange transfusion what information to the nurse teach the family

The procedure is done to prevent further sickling during a vaso-occlusive crisis

A three-month-old has been diagnosed with a ventricular septal defect. The flow of blood through the heart is

From left to right

Tetralogy of fallot involves which defects, Select all that apply

Ventricular septal defect, right ventricular hypertrophy, pulmonic stenosis, overriding aorta

A heart transplant maybe indicated for a child with severe heart failure and

Hypoplastic left heart syndrome

The nurse tells a family of a child with Sarabel palsy that since the 1960s the incidence of CP has

Increased

The parent of a child with neuroblastoma ask the nurse what the typical signs and symptoms are at first select the nurses best answer

The signs and symptoms vary depending on where the tumor is located but typical symptoms include weight loss, abdominal distention, and fatigue

A nurse is caring for 15-year-old who has just been diagnosed with non-Hodgkin's lymphoma. Which of the following should the nurse include in teaching the parents about this lymphoma select all that apply

The malignancy originates in the lymphoid system, mediastinal involvement is typical, the disease is diffuse rather than nodular, treatment includes chemotherapy and radiation

Which assessment indicates that the parent of a seven-year-old is following the prescribed treatment for congestive heart failure

50th percentile in height and weight for age

In which congenital heart defect with the nurse need to take upper and lower extremity bp's

Coarctatian of the aorta

The nurse is caring for an adolescent who remains unconscious for 24 hours after sustaining a closed head injury in a motor vehicle accident. She responds to deep painful stimuli with decorticate posturing and has an intracranial monitor that shows periodic increased ICP. All other vital signs remain stable. Select the most appropriate nursing action

Attempt to keep the environment dark and quiet and encourage minimal stimulation

The parent of a four-year-old brings the child to the clinic and tells the nurse to chat abdomen is distended. After a complete examination a diagnosis of Wilms tumor is suspected. Which of the following is most important when doing a physical examination of this child

Avoid palpation of the abdomen

During play a Toddler with a history of tetralogy of fallot it might assume which position

Squatting

The nurse is caring for an eight-year-old girl whose parents indicate that she has developed spastic movements for her extremities and trunk, facial grimacing, and speech disturbances. They stayed it seems worse when she's anxious and does not occur while sleeping. The nurse questions the parents about which recent illness

Strep throat

Exposure to which illness should be caused to discontinue therapy and substitute dipyri-sample (persantine) in a child receiving aspirin therapy for Kawasaki disease

Chickenpox or influenza

A nurse educator is providing a teaching session for the nursing staff. Which of the following individuals is a greatest risk for developing better thalassemia(Cooley anemia)?

Child Mediterranean dissent

The child is completed treatment for leukemia and comes to the clinic with the parents for a check up. The parents expressed the nurse that they are glad their child is been cured cancer in his safe from getting cancer later in life. Which of the following to the nurse consider in responding

Children surviving one cancer or at a higher risk for a second cancer

A nurse is doing discharge education with a parent who has a child with beta thalassemia (Cooley anemia). The nurse informed patient that the child at risk for which of the following conditions

Chronic hypoxic an iron overload

The parent of a tin with a diagnosis of Hodgkin disease ask for the child's prognosis will be with treatment what information to the nurse skip the parent child

Clinical staging of hot chance to see us will determine the treatment long-term survival for all stages of Hodgkin's disease is excellent

The school nurse has been following a child who comes to the office frequently for V complaints of dizziness and headache. Today she's brought in after fainting in the cafeteria following a nose bleed. Her BP is 122/85 and her radio pulses are bonding. The nurse suspects she has

Coarctatian of the aorta

A child born with down syndrome should be evaluated for which associated Cardiac manifestation

Congenital heart defect

The nurse is caring for a nine-month-old who was born with a congenital heart defect. Assessment reveals a heart rate of 160, capillary refill of four seconds, bilateral crackles, and sweat on the scalp. These are signs of

Congestive heart failure

A child is involved in a motor vehicle accident is currently on a backboard with a cervical collar in place. The child is diagnosed with cervical fracture. Which with the nurse expect to find in the child's plan of care

Continue with all forms of spinal stabilization and administer high dose methylprednisolone and ranitidine

Which of the most serious complications for a child with Kawasaki disease, select all that apply

Coronary thrombosis, coronary stenosis, coronary artery aneurysm

Congenital heart defects or classified by which of the following select all that apply

Defects with increased pulmonary bloodflow, defects with decreased pulmonary bloodflow, mixed defects, obstructive defects

What are the clinical manifestations of non-Hodgkin's lymph Alma

Depends on the anatomical site and extent of the involvemen

Prednisone is given to children who are being treated for leukemia. Why is this medication given as part of the treatment plan

Destroys abnormal lymphocytes

A child fell off his bike and sustained a closed head injury. The child is currently awake and alert but his mother states that he passed out for approximately two minutes. The mother appears highly anxious and is very tearful. The child was not wearing a helmet which is a priority for the triage nurse to say at this time

Did he vomit have a seizure or display any other behavior that was unusual when he woke up

A child is diagnosed with HIV is prescribed a combination of anti-retroviral drugs to delay

Drug resistance

A toddler who is been hospitalized for vomiting due to gastroenteritis is sleeping and difficult to wake up. Assessment reveals vital signs of a regular heart rate to 20 bpm, respiratory rate of 30 per minute, BP of 84/52, and capillary refill of three seconds. Which does arrhythmia does the nurse suspect in this child

Superventricular tachycardia

Which of the following best describes the action of chemotherapeutic agents he used in the treatment of cancer and children

Suppress the function of normal lymphocytes in

The nurse expects which of the following clinical manifestations in a child diagnosed with SCID

Susceptibility to infection

Which of the following activities should a nurse suggest for a client diagnosed with hemophilia select all that apply

Swimming, golf, hiking, fishing

The nurse is caring for a child with Sarabel palsy his weight is in the 5th percentile and he has been hospitalized for aspiration pneumonia. His parents are anxious and state that they do not wanna G tube placed. What would be the nurses best response

Tell me your thoughts about G-tubes

School-age children with cancer often have a body image disturbance related to hair loss, moon phase, or debilitation. Which of the following interventions is most appropriate

Encourage them to wear a wig similar to their own hair style

Athena's in clinic for a possible diagnosis of Hodgkin's disease. The nurse is aware that which of the following symptoms should make physician suspect Hodgkin disease

Enlarged, painless, and movable lymph nodes in the cervical area

The parent of an infant diagnosed with a neuroblastoma ask the nurse what the prognosis is the best response by the nurse is

Excellent as infants with neuroblastoma have the best prognosis

A nursing action that promotes ideal nutrition an infant with congestive heart failure is

Feeding formula that is supplemented with additional calories

Which plan would be appropriate and helping to control congestive heart failure in an infant

Feeding in semi Fowler's position

Nurse is caring for a child who is receiving a transfusion of packed red blood cells. The nurse is aware that if the child had a hemolytic reaction to the blood the signs and symptoms would include which of the following select all that apply

Fever, oliguria, hypotension

Which position initially is most beneficial for an infant who has just returned from having a ventriculoperitoneal shunt placed

Flat in the crib

A nurse is caring for a five-year-old with sickle cell vasoocclusive crisis. Which of the following order should the nurse question select all that apply

Give Demerol 25 mg intravenously every four hours as needed for pain, restrict oral fluids

To treat a common manifestation of Reye syndrome which medication with the nurse expect to have readily available

Glucose

A preschooler has been having periods during which he suddenly falls and appears to be weak for a short time after the event. The preschool teacher asks what she should do select the nurses best response

Have the parents follow up with his pediatrician is this is likely in a tonic seizure

A six-month-old male has been diagnosed with positional brachycephaly. The nurse is providing teaching about the use of a helmet for his therapy. Which statement indicates that the parents understand the education

He will wear the helmet 23 hours every day

Child is diagnosed with leukemia is receiving allopurinol as part of the treatment plan. I asked parents ask why their child is receiving this medication. What information about the medication should the nurse provide

Helps reduce the uric acid level caused by cell destruction

The diet produces anticonvulsant effects from ketosis consists of

High fat and low carbohydrate foods

Which signs best indicate increased intracranial pressure in an infant select all that apply

High-pitched cry and sleeping more than usual

During a well child check up for an infant with tetralogy of fallot, the child develop severe respiratory distress and become cyanotic. The nurses first action should be to

Hold the child in your chest position to decrease venous blood return

What associated manifestation might the nurse occasionally find a child diagnosed with Wilms tumor

Hypertension

A child diagnosed with congestive heart failure is receiving maintenance doses of the Jackson and for us in mind. She is rubbing her eyes when she's looking at the lights in the room and her heart rate is 70 bpm. The nurse expect which laboratory finding

Hypokalemia

Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease states

I know she will be irritable for two months after her symptoms started

The nurse knows further education as needed about Reye syndrome when a mother states

I will give aspirin to my child to treat a headache

Which statement by the mother of a child with rheumatic fever shows she has a good understanding of the care of her child

I will give him the aspirin that is ordered for pain and inflammation

Which statement by a parent of an infant with congestive heart failure who is being sent home on digoxin indicates the need for further education

I will mix the digoxin and some formula to make it taste better

The nurse is caring for a three-year-old with an altered state of consciousness. The nurse determines that the child is oriented by asking the child to

Identify her parents and state her own name

A child with Reye syndrome is described in the nurses notes as follows 1200 comatose for sluggish peoples when stimulated demonstrates to Sarah but posturing at 1400 unchanged except that now demonstrates to coordinate posturing when stimulated the nurse conclude that the child's condition is

Improving and progressing to a less advanced stage of Reye syndrome

Which patient could require feeding by gavage

Infant with congestive heart failure

The following are examples of acquired heart disease select all that apply

Infective endocarditis, rheumatic fever, cardiomyopathy, Kawasaki disease

Which order with the nurse question for a child just admitted with the diagnosis of bacterial meningitis

Intravenous fluids at one and a half times regular maintenance

What kind of an electrocardiogram detect select all that apply

Ischemia, injury, dysrhythmias, and conduction delay

The nurse prepares to administer baclofen to a child with cerebral palsy who just had her hamstring surgically released. The child's parents ask with the medication is for. Select the nurses best response

It is a medication that will help control her spasms

The parent of a child with hemophilia is asking the nurse what caused the hemophilia what is the nurse is best

It is an ex linked recessive disorder

A child who has red and eyes with no discharge, red swollen and peeling palms and soles of the feet are dry and cracked the lips are cracked and they have a strawberry tongue most likely has

Kawasaki disease

An 18 month old with a myelomeningocele is undergoing a cardiac Catherine station. The mother expressed his concern about the use of die in the procedure. The child does not have any allergies. In addition to the concern for an iodine allergy what other allergy should the nurse bring to the attention of the catheterization staff

Latex

Patent ductus arteriosus causes what type of shunt

Left to right. Blood flows from the higher pressure aorta to the lower pressure pulmonary artery resulting in a left to right shunt

The flow of blood through the heart with an atrial septal defect is

Left to right. The pressures in the left side of the heart or greater causing the blood to be from an area of high pressure to low pressure or left to right increasing the pulmonary bloodflow with the extra blood

Which of the following could be manifestations of leukemia child select all that

Like pain, fever, bruising, enlarged lymph nodes

The mother of a toddler reports that the child's father has just had a myocardial infarction. Because of this information the nurse recommend the child has a

Lipid profile

The parents of a 12 month old with Sarabel palsy ask the nurse if they should teach their child sign language because he has not begun to vocalize. The nurse base is the response on the knowledge that sign language

May be a very beneficial way to help children with CP communicate

Which has the potential to alter a child's level of consciousness? Select all that apply

Metabolic disorders, trauma, hypoxic episode, dehydration, and endocrine disorders

An infant is born with a sack protruding through the spine containing cerebral spinal fluid a portion of the meninges and nerve roots this condition is referred to as

Milomeningocele

Which of the following Analgesics is most effective for a child with sickle cell pain crisis

Morphine

The parent of a child with altered consciousness ask if they can stay during the morning assessment select the nurses best response

Most children feel more at ease when parents are present so you were more than welcome to stay at the bedside

The nurse is providing discharge she teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows clarification is needed when the mother says

My child seven-year-old brother is also at high risk for a febrile seizure

A child in the PICU with a head injury is comatose an unresponsive. The parent asks if he needs pain medication select the nurses best response

Pain medication is necessary to make him comfortable

Well assessing a newborn with respiratory distress, the nurse auscultate a machine like heart murmur. Other findings are a wide pulse pressure, periods of apnea, increased PaCO2, and decreased PO to. The nurse suspect the newborn has

Patent ductus arteriosus

A newborn is diagnosed with congenital heart defect. The test results revealed that the lumen of the duct between the aorta and pulmonary artery made to open. This defect is known as

Patent ductus arteriosus or PDA

The nurse is caring for a child with a skull fracture who is unconscious and has severely increased intracranial pressure. The nurse notes the child temperature is 104°F. What should the nurse do first

Place a cooling blanket on the child

The parents of the child with Sarabel palsy are learning how to feed their child and avoid aspiration the nurse would question which of the following when reviewing the teaching plan

Place the food on the tip of the tongue

Which is included in the plan of care for a newborn who has a Milomeningocele

Placed a child in the prone position with a sterile moist dressing over the defect began intravenous fluids to prevent dehydration

The nurses destruct in the parent of a child with HIV about immunizations which of the following should the nurse tell the parent

Pneumococcal and influenza vaccines are recommended

Which physiological changes occur as a result of hypoxemia in congestive heart failure

Polycythemia and clubbing

Hypoxic spells in the infant with a congenital heart defect can cause which of the following select all that apply

Polycythemia, blood clots, cerebrovascular accident, developmental delays, and brain damage

Which medication should the nurse came to a child diagnosed with transposition of the great vessels

Prostaglandin E

The nurse is caring for a child who is receiving extensive radiation is part of the treatment for Hodgkin's disease. Which intervention should be implemented

Provide adequate rest is the child may experience excessive malaise and the lack of energy

A 10-year-old has undergone a cardiac catheterization. At the end of the procedure the nurse should first assess

Pulses

Which of the following can lead to a possible diagnosis of human immunodeficiency virus and a child select all apply

Repeated respiratory infections, intermittent diarrhea, and poor weight gain

The nurse is caring for a child receiving radiation therapy for a brain tumor. The parents ask if their child will likely have any learning disabilities. Select the nurses best answer

Response varies with each child but younger children who receive radiation tend to have some amount of learning disability later in life

A parent of a newborn diagnosed with Milo meningocele asks what is a common long-term complications

Urinary tract infection

A child has been diagnosed with a midline brain tumor. In addition to showing signs of increased intracranial pressure she has been avoiding large amounts of very dilute urine. Which medication does the nurse expect to administer

Vasopressin

An 18 month old meals brought to the clinic by his mother. His height is in the 50th percentile in weight is an 80th percentile. The child is pale. The physical examination is normal but his hematocrit level is 20%. Which of the following question should assistant nurse and making a diagnosis select all that apply

What does your child eat every day, how much milk does your child drink per day

Which statement by the mother of a child with rheumatic fever shows she has an understanding of prevention for her other children select all that apply

Whenever one of them gets a sore throat I will give that child an antibiotic, if their culture is positive for group a streptococcus I will give them their anabiotic

The nurse received a call from a parent of a child with leukemia remission. The parents of the child is been exposed to chickenpox the child has never had chickenpox which of the following responses is the most appropriate

You need to bring the child to the clinic for a chickenpox immunoglobulin vaccine

A child with a ventriculoperitoneal shot complaints of headache and blurry vision and now experiences irritability and sleeping more than usual. The parents ask the nurse what they should do select the nurses best response

You should immediately take her to the emergency room as these maybe symptoms of a shunt malfunction

The parents of a three-month-old ask why their baby will not have an operation to correct a ventricular septal defect. The nurse is best response is

Your baby is defect is small and will likely close on its own by one year of age

The mother of an unconscious child has been calling her name repeatedly and gently shaking her shoulders in an attempt to wake her up. The nurse notes that the child is flexing her arms and wrists while bringing her arms closer to the midline of her body. The child's mother asks what is going on select the nurses best response

Your child is demonstrating a reflex to indicate she's overwhelmed with the stimulation she's receiving

A parent of a child with meningitis and multiple seizures ask if the child will likely develop cerebral palsy select the nurses best response

Your child will be closely monitored after discharge and a developmental specialist will be able to make the diagnosis

The nurse is caring for a one-year-old who has just been diagnosed with viral encephalitis. The parents ask if their child will be admitted to the hospital select the nurses best response

Your child will likely be admitted to the PICU for close monitoring an observation

The parents of a 12 month old with a neurogenic bladder ask the nurse if their child will always have to be catheterized select the nurses best response

Your child will never be able to completely empty her bladder spontaneously, but there are other options to traditional catheterization. And opening can be made surgically through the abdomen allowing you and her to place a catheter into the opening

A child with a seizure disorder has been having episodes during which she drops her pencil and simply appears to be daydreaming this is most likely a

Absence seizure

A child diagnosed with meningitis is having a generalized tonic clonic seizure which should the nurse to first

Administer blow by oxygen and call for additional help

Which medication should the nurse anticipate administering first to a child and status epilepticus

Administer rectal diazepam

A two month old infant is brought to the emergency room after experiencing a seizure. The infant appears lethargic was very irregular respirations and periods of apnea. Parents report the baby is no longer interested in feeding and before the seizure rolled off the couch. What additional testing should the nurse immediately prepared for

CT scan of the head and dilation of the eyes

The nurse is caring for an unconscious six-year-old who has had a severe closed head injury and notes the following changes heart rate has dropped from 120 to 55, blood pressure is increased from 110/44 to 195/62, and respirations are becoming more regular. What should the nurse do you first after Calling the physician

Call for additional help and prepare to administer mannitol

The ________ services the septal opening between the atria of the fetal heart

Foremen ovale

Which should be included in the plan of care for a child who has a neuroblastoma with metastasis to the bone marrow and pancytopenia

Administer red blood cells

Which is the nurses best response to the parents of a neonate with a meningocele who ask what they can expect

After initial surgery to close the defect most children experience no neurological dysfunction

A 10-year-old with severe factor VIII deficiency falls, Angers an elbow, and is brought to the ER. The nurse should prepare which of the following

An IV infusion a factory VIII

Treatment for congestive heart failure in an infant begins three days ago and it has included digoxin and furosemide. The child no longer has retractions, lungs are clear, and heart rate is 96 bpm while the child sleeps. The nurse is confident that the child has diary successfully and it's good renal perfusion when the nurse notes the child's your an output is

1cc/kg/hr

A child recently diagnosed with epilepsy is being evaluated for anticonvulsant medication therapy. The child will likely be placed on which type of regimen

One oral anti-convulsant medication to observe effectiveness and minimize side effects

A nurse instructed the parents of the child with sickle cell anemia about factors that might precipitate a pain crisis in the child. Which of the following factors identified by the parent as being able to cause a pain crisis indicates a need for further instruction

Overhydration

What should the nurse assessed prior to administering to Digoxin select all that apply

Apical pulse rate

The child is being admitted with the diagnosis of meningitis select the procedure the nurse should do first

Send the spinal fluid and blood samples to the laboratory for cultures

Which finding might delay a cardiac catheterization procedure on a one-year-old

Severe diaper rash

A child has been diagnosed with valvular disease following rheumatic fever. During patient teaching the nurse discusses the child's long-term prophylactic therapy with anabiotic's for dental procedures, surgery, and childbirth. The parents indicate they understand when they say

She will need to take the anabiotic's for the rest of her life

Which child is at increased risk for cerebral palsy

Six-month-old who always reaches for toys with the right hand

The most common cardiac dysrhythmia in pediatrics is

Superventricular tachycardia

The nurses taking care of a child with sickle cell disease. The nurse is aware that which of the following problems are associated with sickle cell disease select all that apply

A plastic crisis, splenic sequestration, vaso-occlusive crisis

Select the best room assignment for a newly admitted child with bacterial meningitis

A private room that is dark and quiet with minimal stimulation

The nurse is caring for a child with a diagnosis of a LL who is receiving chemotherapy. The nurse noted that the child's platelet count is 20,000 based on this laboratory finding what information should the nurse provide to the child and parents

A soft toothbrush should be used for mouth Kerr

A child with Sarabel palsy has been fitted for braces and is beginning physical therapy to assist with ambulation. The parent asks why he needs the braces when he was crawling without any assistive devices select the nurses best response

As your child grows different muscle groups may need more assistance

Which does the nurse include in a child with Milomeningocele post operative plan of care following ligament release

Assist the child to change positions to avoid skin breakdown

Where is the primary side of origin of the tumor and children who have neuroblastoma

Abdomin

Which drug should not be used to control secondary hypertension in a sexually active adolescent female who uses in a minute birth control

Ace inhibitors

Which intervention should be implemented after a bone marrow aspiration

Administer analgesics as needed for

Which interventions decreased cardiac demands in an infant with congestive heart failure select all that apply

Allow parents to hold and rock their child, make frequent position changes, feed the child when sucking the first, change Badlands only when necessary, organize nursing activities

The nurse is caring for a child with leukemia. The nurse should be where the children being treated for looking and experience with it which of the following complications select all the reply

Anemia and infection

A child has been seen by the school nurse for dizziness since the start of the school term. It happens when standing in line for recess and homeroom. The child now reports that she would rather sit and watch her friends play hopscotch because she cannot count out loud and jump at the same time. When the nurse asked if her chest ever hurt she says yes. Based on the history the nurse suspect that she has

Aortic stenosis

The nurse is caring for a child who has undergone a cardiac catheterization. During recovery the nurse notices the dressing is saturated with bright red blood. And the nurses first action is to

Apply direct pressure 1 inch above the puncture site

The nurse is caring for an infant with a Milomeningocele. The parents ask the nurse why the nurse keeps measuring the babies head circumference. So like the nurses best response

Babies with a Milomeningocele are at risk for hydrocephalus which shows up as an increase in head size

The nurse is aware that Cloudy cerebral spinal fluid will most likely indicates

Bacterial meningitis

Which activity should an adolescent just diagnosed with epilepsy avoid

Being in a car at night

A child has a Glasgow coma scale of three, heart rate of 88 bpm and regular respiratory rate of 22, BP of 78/52, and blood sugar of 35 mg/dL. The nurse asked the caregiver about accidental ingestion of which drug

Beta blocker

A 16-year-old being treated for hypertension has laboratory values of hemoglobin B 16 g/dL, hematocrit level 43%, sodium 139MEQ per liter, potassium 4.4 MEQ per liter and a total cholesterol of 220 mg/dL. Which drug does the nurse suspect the patient takes based on the total cholesterol

Beta blockers

A nurse is caring for a child with von Willebrand disease. The nurse is aware that which of the following is a clinical manifestation of von Willebrand disease select all that apply

Bleeding of the mucous membranes, the child bruises easily, excessive menstruation, the child has frequent nose bleeds

A five-year-old is admitted to the hospital with complaints of like pain and fever. On physical examination the child is pale and has bruising over various areas of the body the physician suspect that this child has all the nursing forms the parents of the diagnosis will be confirmed by which of the following

Bone marrow aspirate

The nurse is caring for a six month old infant diagnosed with meningitis. When the child is placed in the supine position and flexes his neck and nurse notes he flexes his knees and hips. This is referred to as

Brudzinski sign

A six-month-old who has episodes of cyanosis after crying could have the congenital heart defect of decreased pulmonary bloodflow called

Tetralogy of fallot or TOF

The nurse is caring for a child being treated for a LL. Laboratory results indicate that the child has a white blood cell count 5000 with 5% Pollis and 3% vans. Which of the following analyses is most appropriate

The absolute neutrophil count is 400 and the child is neutropenic

I'm caring for a child with lymphoma the nurse needs to be aware of which of the following

The aggressive chemotherapy with central nervous system prophylaxis will give the child a good prognosis

A child with hemophilia A fell and injured a Knee while playing outside. The knee is swollen and painful. Which of the following measures should be taken to stop the bleeding select all that apply

The extremity should be immobilized, the extremity should be elevated, factor VIII should be administered

On examination a nurse here's a murmur at the left sternal border and a child with diarrhea and fever. The parent asks why the pediatrician never said anything about the murmur. The nurse explains

The fever increase the intensity of the murmur

The nurse is caring for 10-year-old with leukemia who is receiving chemotherapy. The child is on neutropenic precautions. Friends of the child come to the desk and ask for a vase of flowers. Which of the following is the best response

The flowers from your garden are beautiful but should not be placed in the room at this time

The nurse is caring for a two month old infant who is at risk for Sarabel palsy due to extreme low birth weight and prematurely. His parents ask why a speech therapist is involved in his care select a nurse is best response

The speech therapist will help with tongue and Jaw movements to assist with feeding

A six month old infant was just diagnosed with craniosynostosis. The infants father ask the nurse for more information about reconstructive surgery select the nurses best response

The surgery is important to allow the brain to grow properly. Although most children do well serious complications can occur so your child will be closely observed in the intensive care unit

The nurse knows that young infants are at risk for injury from shaken baby syndrome because

They have an insufficient musculoskeletal support and a disproportionate head to body ratio

Which child would likely have experienced a delay in the diagnosis of a brain tumor

Three month old as signs and symptoms would not have been readily apparent

The nurse is caring for a child with sickle cell disease who is scheduled to have a splenectomy. What information should the nurse explain to the parents regarding the reason for a splenectomy

To prevent splenic sequestration