Peds finial

A hematologist diagnoses a school-aged child with thrombocytopenia. The parents ask the nurse why the patient is receiving IV immunoglobulins (IVIG). The nurse gives which reply to the parents?

"It will help increase the number of platelets."

A child diagnosed with aplastic anemia is admitted to the hospital. The parents ask the nursewhat aplastic anemia is. Which response by the nurse is accurate?

"Aplastic anemia is caused by the bone marrow producing inadequate cells."

The parent of a pediatric patient does not want the child to receive the seasonal influenza vaccine because the child had the flu immediately after receiving the vaccine the previous year. Which response by the nurse would be appropriate to make?

"Body aches, fever, fatigue, and headache are common side effects of the vaccine, which can be confused as the flu."

A 13-year-old male patient has hemophilia and expresses anger to the nurse about his parents not allowing him to play touch football. He reports, "Everyone knows about my condition and why I can't play contact sports." Which statement by the nurse would support the parent's decision?

"Even slight bumps or falls can cause hidden bleeding."

A nurse is educating parents about varicella infections. What statement by the parent needs further education?

"I can give my child aspirin for the discomfort of the varicella infection."

The LPN/LVN is assisting the RN in preparing a class for parents about burns. The RN covers information about first aid for children experiencing burns. Which comment by a parent would indicate understanding of the RN's teaching?

"I must immediately remove the source of the burn."

Which statement made by the mother of a child suffering from eczema alerts the nurse to the need for more teaching?

"I will use baby wipes to clean the affected areas between baths."

A parent asks the nurse how severe childhood immunization reactions are reported. What is the nurse's best response?

"Severe reactions are reported to the Vaccine Adverse Event Reporting System (VAERS)."

A pregnant patient infected with HIV is concerned that the newborn will have the infection. Which response by the nurse would be appropriate?

"Testing cannot be done until the baby is 18 months old."

The parent of a school-age patient regrets not permitting the child to be vaccinated and fears that the child will have many illnesses in the future. Which response by the nurse would be appropriate?

"There is a catch-up schedule that can be started right away."

The nurse is providing instructions to the parents of a child with hemophilia. Which parental statement regarding the child's care indicates a correct understanding of the information provided?

"We will need to learn how to administer factor replacement therapy."

The LPN/LVN is reinforcing teaching by the RN to a family of a child being treated with oral supplements for iron-deficiency anemia. Which comment by the parent would indicate the need for additional teaching?

"We will watch closely for a common side effect, which is diarrhea"

An adolescent patient has been diagnosed with Epstein-Barr virus. Which of the following should the nurse include as appropriate teachings pertaining to this virus? (Select all that apply.)

1) Rest 2) Fluids 3) Avoid contact sports

A 2-year-old pediatric patient is diagnosed with respiratory syncytial virus (RSV). Which personal protective equipment would the nurse don to prevent spreading this virus to other patients and staff? Select all that apply.

1.Mask 2.Gown 3.Gloves

Which of the following are initial symptoms of a new diagnosis of type I diabetes? (Select all that apply.)

1. Fruity sweet oder on breath 2. Extreme thirst 3. Frequent urination

The LPN/LVN assists the RN in the preparation of a presentation to pediatric staff nurses about recognizing burns that are most likely associated with child abuse. Which comment by an attending nurse would indicate an understanding of the information? Select all that apply.

1."A sock or glove burn results from holding the foot or hand in hot liquid and is frequently associated with abuse." 2."Any burn with a mark associated with a familiar item is likely abuse."

The LPN/LVN is obtaining blood pressures from students at a local high school. One student has vivid tattoos on both arms and hands. The student states, "I wish I had never had these done." In addition to regret, for which other long-term effects would the LPN/LVN understand the student to be at risk? Select all that apply.

1.Experiences of social shunning 2.Development of poor self-esteem 3.Permanent skin discoloration 5.Negative impact on career opportunities

The nurse is assisting in the creation of a teaching tool to prevent infections from tick bites. Which information would the nurse recommend be included in this tool? Select all that apply.

1.Wear long pants. 2.Tuck pants inside socks. 4.Apply insect repellent containing DEET. 5.Wear long-sleeved shirt tucked inside pants.

The nurse is concerned that a school-age child has strep throat. Which findings would the nurse use to make this clinical determination? Select all that apply.

3.Pain with swallowing 4.Swollen neck lymph nodes 5.Red raw throat with white spots

A student is brought by ambulance from a high school automotive class. The attending teacher states, "We flushed his face with water until the paramedics came." Which type of injury would the nurse expect the student to have received?

A chemical burn

The mother of a newborn who is 18 hours old tells the LPN/LVN, "If I am patient, I can get the baby to take 2.5 oz of formula." For which reason would the LPN/LVN inform the RN of a need for patient teaching?

A newborn's stomach capacity is 15 to 20 mL.

The LPN/LVN is assisting the RN in caring for a female teen diagnosed with acne vulgaris. The health care provider prescribes isotretinoin to be started in 1 month. For which reason would the LPN/LVN understand the delay in starting the medication?

A pregnancy test is needed.

An adolescent patient receives a foot wound after stepping on a rusty nail during a hike. Which information would the nurse obtain from the parents as part of this patient's care?

Date of the last tetanus booster

A child with a refractive error in which the light rays fall in front of the retina would have what issue?

Myopia (Inability to see far away)

The LPN/LVN is assisting in the care of an adolescent hospitalized with a sickle cell anemia (SCA) crisis. The adolescent states that their pain is an 8 on a scale of 0 to 10. Which intervention would be most effective in managing the adolescent's current level of pain?

Administration of narcotic pain drug

The nurse is caring for a newborn patient. At which time would the test for phenylketonuria (PKU) be completed?

After the baby is 24 hours old and breastfeeds or formula fed

A child is experiencing ringing and buzzing sounds in their ears. This sensation can be caused by all of the following except for what?

Nausea

A pediatric patient is diagnosed with Haemophilus influenzae type B. Which treatment would the nurse anticipate being prescribed for this patient?

Antibiotics

A 3-year-old child is admitted with weight loss, anorexia, and bone pain to undergo testing for leukemia. Which test would the nurse recognize as being performed to validate the diagnosis?

Bone marrow aspiration

Which test would the nurse recognize as being performed to validate the diagnoses of leukemia?

Bone marrow aspiration

A patient is suspected of having acute leukemia. Which of the following diagnostic tests does the nurse prepare for to verify that diagnosis?

Bone marrow biopsy

The nurse suspects that a pediatric patient is experiencing an adverse effect from a vaccine. Which action would the nurse take first?

Call for help.

The nurse is providing care for a child diagnosed with idiopathic thrombocytopenia purpura. The child has not responded positively to IV corticosteroid therapy, and the health care provider prescribes IV immunoglobulin (IVIG) therapy. Which action would the nurse take if the child exhibits hypotension, fever, and urticaria after the infusion is complete?

Call the health care provider immediately.

An adolescent is brought to the emergency department. The patient reports decreased urine output, headaches, and abdominal swelling. Based on these data, which condition does the nurse suspect?

Chronic glomerulonephritis

The nurse is caring for a preschool-age child who is diagnosed with the flu. Which recommendation would the nurse make in addition to providing the child with antipyretics?

Encourage fluids.

Before initiating the process of administering a blood transfusion to a child, which safety precaution would the nurse take?

Ensure diphenhydramine and epinephrine are available on the unit.

A 16-year-old male client who has be diagnosed with infectious mononucleosis asks the health care provider what caused the condition. The nurses best respones would be?

Epstein-Barr Virus

A newborn drools, chokes and becomes cyanotic during the first feeding. This is most likely due to:

Esophageal atresia and tracheoespophageal fistula

The nurse learns that a pediatric patient has a Clostridium difficile infection. Which precaution would the nurse anticipate when caring for this patient?

Expanded contact precautions

A child presents to the pediatric clinic with a "slapped cheek" facial rash. The nurse understands that this typical rash is associated with which virus?

Fifth disease

The nurse is reinforcing teaching by the RN to family members of a young toddler diagnosed with hemophilia. Which information would be most important to emphasize with the family about incidents when severe bleeding occurs?

How to store and administer IV clotting factors

The pediatric nurse tells the parents that this type of sickle cell anemia (SCA) crisis is caused by an increasing rate of RBC destruction, which leads to severe anemia and a state of jaundice. Which type of sickle cell crisis is this child experiencing?

Hyper-hemolytic crisis

A pediatric patient receiving high-dose steroid therapy for asthma is showing signs of a weakened immune system. Which treatment would the nurse anticipate being prescribed to prevent the child from developing a cytomegalovirus (CMV) infection?

Immunoglobulins

The nurse is teaching the parents of an infant diagnosed with candidiasis in the diaper area how to treat it and decrease the risk for future occurrences. Which teaching point does the nurse include in the teaching session?

Keeping the diaper area as dry as possible

The nurse caring for a child with severe pruritus knows that which of the following findings are not consistent with a scabies diagnosis?

Mild regional swollen lymph nodes

what is a Non-immunizable Communicable Illness caused by Epstein Barr virus?

Mononucleosis

The LPN/LVN is assisting in the care of a child hospitalized with respiratory-related chronic hypoxemia. Which manifestation would the LPN/LVN expect to see in this child?

Obvious clubbing of the fingers

The LPN/LVN is assisting with the care of a preschool child admitted with cellulitis. The LPN/LVN observes red streaks from a reddened area with a small indentation in the center. For which reason would the LPN/LVN understand the child being admitted for IV antibiotic therapy?

Oral antibiotics were not effective

The initial survival of the newborn with hypoplastic left heart is dependent on which one of the following?

Patent ductus arteriosus and patent foramen ovale

A school-age child is brought for emergency care because of sudden paralysis after having mild cold symptoms and a low-grade fever. For which health problem would the nurse anticipate providing care?

Polio

A nurse is providing room/bed assignments for a child placed on neutropenic precautions. What type of room should the nurse assign this patient?

Positive-pressure room

The nurse is performing an annual physical at a pediatric clinic on a 10-year-old child. Which observation alone would cause the nurse to make an immediate referral to the child's health care provider?

Presence of petechiae and abnormal bleeding

Which teaching point should the nurse include in the discharge instructions for a pediatric patient recovering from subacute bacterial endocarditis (SBE)?

Prophylactic antibiotics are required for any dental, oral or upper respiratory tract procedures.

The LPN/LVN is taking care of a child diagnosed with anemia and hypoxia. For which reason would the LPN/LVN monitor laboratory values of the child's complete blood count (CBC)?

Red blood cell (RBC) count is likely to be low.

Leukocoria (cat eye reflex) is a sign associated with what visual disorder?

Retinoblastoma

The nurse is caring for a pediatric patient who has body and joint aches, sore throat, and a faint maculopapular rash on the forehead. Which health condition would the nurse suspect the patient is experiencing?

Rubella

A child is admitted to the hospital with intussusception. What form and color of stool did the parents report their child having?

Scant stool appearing like red jelly

A burn into the dermis that is very painful, edematous, and weeping is a ____________.

Second-degree burn

Which finding noted by the school nurse while conducting pediculosis capitis (head lice) checks indicates the need for treatment?

Silver/white sacs attached to the hair shafts in the occipital are

An infant is diagnosed with galactosemia. What formula should the parents be instructed to use when feeding this infant?

Soy milk

The LPN/LVN is looking at pictures of a neighbor's infant and notices that the reflection in one of the infant's eyes is white in appearance. Which suggestion would the LPN/LVN offer the neighbor?

Strongly suggest contacting the infant's health care provider.

A patient is admitted to the pediatric floor with a suspected diagnosis of Hodgkin's lymphoma. Which common finding does the nurse expect to see?

Swollen lymph nodes

A new preschool teacher calls the pediatric clinic for the guidelines on caring for a child who presents with impetigo. What is the important action to prevent the spread of infection

Teach the child and family good handwashing techniques.

The nurse is providing care for a child receiving chemotherapy for cancer. The child's daily laboratory work indicates a hemoglobin concentration of 6.3 g/dL. The child is prescribed packed red blood cells. Which cause of the low hemoglobin would the nurse recognize?

The bone marrow is suppressed.

What is the term used to describe skin condition of depigmentation that has no known cause?

Vitiligo

The LPN/LVN is assisting with the care of a toddler brought to a pediatric clinic with a serious, generalized rash. The LPN/LVN suspects poison ivy, and the parent validates a recent family excursion through a local forest. Which conclusion would the LPN/LVN draw if the rash occurred 20 days after possible exposure?

This is the toddler's initial exposure.

Cutaneous fungal infections occur in various areas on the body and are generally named according to the location. The nurse documents a cutaneous fungal infection on the toenails as which of the following?

Tinea unguium

The nurse is providing care for an infant diagnosed with severe contact dermatitis in the perineal area. The rash is red with white spots and is identified as a yeast infection. Which medication would the nurse anticipate being prescribed?

Topical antifungal cream

Which primary function of red blood cells (RBCs) should the nurse consider when providing care to a pediatric patient who has been diagnosed with anemia?

Transporting hemoglobin that carries oxygen from the lungs to the tissues

The nurse is collecting data on a 24-month-old patient. Which observation would indicate to the nurse that the patient has otitis media?

Tugging on the ear

The LPN/LVN is assisting with the care of a child admitted with a history of sickle cell anemia (SCA). The presenting symptoms include severe pain in the joints, bones, and abdomen and swollen joints, feet, and hands. Which type of SCA crisis would the LPN/LVN identify?

Vaso-occlusive crisis

Which blood product is a source of stable coagulation factors?

fresh frozen plasma

what site would the nurse select for administration of an IM vaccine in a 3 month old?

vastus lateralis

how should parents be taught to bathe their child with eczema?

warm water only once a day with gentle patting dry