Peds Studying

What nursing intervention should be implemented for a patient who just underwent cardiac catheterization? a. have the patient exercise for 30 minutes following the procedure. b. vital sign assessment every 15 minutes. c. compartmentalize assessments. d. if you've came this far think again.

Answer: c A priority nursing intervention would be to promote rest following a cardiac catheterization, so the nurse would compartmentalize assessments to avoid tiring the patient.

A nurse knows aplastic crisis is extreme anemia as a result of what? a. hemorrhage. b. staph infection. c. decreased RBC production. d. decreased WBC production.

Answer: c Aplastic crisis is extreme anemia as a result of temporary decreased RBC production.

What must a nurse keep in mind about a child presenting with Wilm's tumor during a physical assessment? a. palpate abdomen to ensure location of tumor. b. ultrasound is necessary to diagnose. c. do not palpate the abdomen. d. increase fluid intake in the patient.

Answer: c If Wilm's tumor is suspected, do not palpate the abdomen.

What is a clinical manifestation of both idiopathic thrombocytopenia purpura and immune thrombocytopenia? Select all that apply. a. hemorrhage. b. epistaxis. c. petechiae. d. erythema.

Answer: c, b. Easy bruising is evident with this diagnosis so petechia (bleeding spots) would be observed in a child with this. Bleeding from mucous membranes would also occur and epistaxis may occur.

What sports could the child with idiopathic thrombocytopenia purpura participate in? Select all that apply. a. football. b. bike riding. c. swimming. d. golf. e. gymnastics.

Answer: c, d A child with ITP should not participate in any contact sports. Swimming and golfing are not contact sports so the child would be safest participating in these sports.

What are complications of Kawasaki disease? Select all that apply. a. cardiac tamponade. b. hemorrhage. c. myocardial infarction. d. coronary artery dilation or aneurysm formation. e. jaundice.

Answer: c, d Complications that may arise is coronary artery dilation or aneurysm formation which is most common in the subacute phase and would be monitored via echocardiogram to monitor changes and an administration of anticoagulation (enoxaparin) would likely be given. Myocardial infarction is also another complication.

A nurse knows that based off of Jones criteria, that major criteria for suspecting rheumatic fever would be? Select all that apply. a. fever. b. arthralgia. c. rash (erythema marginatum). d. chorea. e. subcutaneous nodules. f. carditis.

Answer: c, d, e, f Major criteria would be carditis, subcutaneous nodules, rash (erythema marginatum), and chorea. Fever and arthralgia are minor criteria for suspecting rheumatic fever. Jones criteria should demonstrate presence of 2 major criteria or 1 major and 2 minor criteria.

A nurse is caring for a child who has oral mucositis. Which of the following actions should the nurse take? Select all that apply. a. swab the mucosa with lemon glycerin swabs. b. apply viscous lidocaine. c. offer soft foods. d. use a soft disposable toothbrush for oral care. e. encourage gargling with a warm saline mouthwash.

Answer: c, d, e. You don't put lemon on a wound my dude. And you don't wanna depress the gag reflex with lidocaine, you can choke and die.

A child had a cardiac catheterization and is now post-op, what complication should the nurse assess for as a result of a cardiac catheterization? a. excess fluid volume. b. black, tarry stools. c. cardiac dysrhythmia. d. neurologic issues.

Answer: c. A post operative assessment of this patient would include watching out for cardiac dysrhythmias which may result, vital signs, electrolyte imbalances, oxygenation, I&O, dehydration, and decrease in urinary output.

What are some priority teachings the nurse should anticipate for the parents of a child with a diagnosis of rheumatic fever and at home care? a. use a stethoscope to auscultate the child's heart regularly. b. do vital sign assessment every 10 minutes at home. c. administer antibiotics/penicillin as prescribed and ensure proper dental care/promote rest. d. administer antiretrovirals as prescribed.

Answer: c. Administer antibiotics/penicillin as prescribed and ensure proper dental care/promote rest.

What is a clinical manifestation of Ewing Sarcoma? a. palpable mass/bone tumors producing localized pain at the affected site. b. asymptomatic. c. palpable, non-painful mass. d. headaches.

Answer: a. A palpable mass is a common manifestation of bone tumors producing localized pain at the affected site, but systemic symptoms such as and other clinical symptoms such as spinal cord compression and respiratory distress are more frequent with patients with Ewing Sarcoma.

A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? Select all that apply. a. weak femoral pulses. b. cool skin of lower extremities. c. severe cyanosis. d. clubbing of the fingers. e. low blood pressure.

Answer: a, b, e Narrowing of the lumen of the aorta results in obstruction of blood flow from the ventricle, resulting in weak or absent femoral pulses. Narrowing of the lumen of the aorta results in obstruction of blood flow from the ventricle, resulting in cool skin of the lower extremities. A client who has coarctation of the aorta exhibits adequate oxygenation of blood. severe cyanosis is not present. Clubbing of the fingers is a manifestation of chronic hypoxemia and will not be observed in an infant who has coarctation of the aorta. Hypotension occurs when the heart is unable to meet the body's demands, and is a manifestation of coarctation of the aorta.

A nurse is providing teaching to the parent of a child who has neuroblastoma. Which of the following statements should the nurse include in the teaching? Select all that apply. a. chemotherapy and radiotherapy may be necessary for treatment. b. your child will need a bone marrow biopsy. c. your child will be paralyzed because of this tumor. d. most children are diagnosed around age 12. e. your child will need surgery for resection of the tumor.

Answer: a, b, e. Chemotherapy and radiotherapy may be necessary for treatment. Diagnostic testing for neuroblastoma includes a bone marrow biopsy. Physical effects depend on the location and size of the tumor. The majority of cases occur before the age of 10 years, with a median age of 23 months. Resection of the tumor is the treatment of choice.

A nurse is caring for a child who is experiencing neuropathy due to chemotherapy. Which of the following are manifestations of neuropathy? Select all that apply. a. constipation. b. skin breakdown. c. foot drop. d. jaw pain. e. hemorrhage cystitis.

Answer: a, c, d. hemorrhage cystitis is a complication of chemotherapy not a manifestation of neuropathy. Skin breakdown is an adverse effect of chemotherapy.

A nurse is providing teaching about epistaxis to the parent of a school-aged child. Which of the following should the nurse include as an action to take when managing an episode of epistaxis? Select all that apply. a. press the nares together for at least 10 min. b. breathe through the nose until breathing stops. c. pack cotton or tissue into the nares that is bleeding. d. apply a warm cloth across the bridge of the nose. e. insert petroleum into the nares after bleeding stops.

Answer: a, c. Pressing the nares together for at least 10 min is an appropriate action to take when managing an episode of epistaxis. Packing cotton or tissue into the naris that is bleeding is an appropriate action when managing an episode of epistaxis. Applying an ice pack across the bridge of the nose is an appropriate action when managing an episode of epistaxis.

A nurse is caring for a child who has thrombocytopenia. Which of the following actions should the nurse take? Select all that apply. a. monitor for manifestations of bleeding. b. administer routine immunizations. c. obtain rectal temperatures. d. avoid peripheral venipunctures. e. limit visitors.

Answer: a, d. The child who has thrombocytopenia is at risk for hemorrhage. Monitoring for bleeding is an appropriate action for the nurse to take. The child who has thrombocytopenia is at risk for bleeding. Avoiding venipunctures is an appropriate action for the nurse to take.

A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? Select all that apply. a. erythema marginatum (rash). b. continuous joint pain of the digits. c. tender, subcutaneous nodules. d. decreased erythrocyte sedimentation rate. e. elevated c-reactive protein.

Answer: a, e. Rheumatic fever is caused by Group A beta-hemolytic streptococcus. An erythema marginatum (rash) is a manifestation. A client who has rheumatic fever exhibits migratory joint pain of the large joints. A client who has rheumatic fever exhibits nontender subcutaneous nodules of bony prominences. Rheumatic fever is caused by Group A beta-hemolytic streptococcus, which results in an elevated erythrocyte sedimentation rate. Rheumatic fever is caused by Group A beta-hemolytic streptococcus. An increase in c-reactive protein is a manifestation.

What teaching should the nurse give the parents and the patient about Ewing Sarcoma? a. hair loss, severe nausea and vomiting, peripheral neuropathy, and possible cardiotoxicity may occur as a result of treatment. b. have the patient due active range of motion exercises daily. c. make sure the patient is on strict bed rest. d. do not allow anyone to see the patient.

Answer: a. The drug regimen usually results in hair loss, severe nausea and vomiting, neuropathy, and possible cardiotoxicity and the nurse would need to educate the patient and the parents about this.

What teaching should the nurse provide to parents of a child who is going home after cardiac catheterization? a. educate the patient and parents about pain, signs of infection, and bleeding. b. educate the patient and parents that cardiac catheterization is permanent. c. educate the patient and parent that the child is likely not to live very long. d. educate the patient and parent that a permanent feeding tube would need to be place.

Answer: a. educate the patient and parents about pain, signs of infection, and bleeding. The other answer choices are wrong.

The nurse knows what to be clinical manifestations of decompensated hypovolemic shock? a. oliguria, cool, pale extremities, and poor capillary filling. b. weak pulse and hypotension. c. pallor, diminished urinary output, and reduced perfusion of extremities. d. hypertension, edema, and anuria.

Answer: a. oliguria, cool, pale extremities, and poor capillary filling are clinical manifestations of decompensated hypovolemic shock. Weak pulse and hypotension are clinical manifestations of irreversible hypovolemic shock. Pallor, diminished urinary output, and reduced perfusion of extremities are all clinical manifestations of compensated hypovolemic shock. Hypovolemic shock is low blood volume so hypertension would not be a symptom and edema is a distractor. Anuria is a clinical manifestation of irreversible hypovolemic shock.

What is a clinical manifestation of ventricular septal defect? a. the patient becomes tired fast and is fatigued. b. The patient has an elevated bp in arms and decreased bp in lower extremities. c. There are weak or absent femoral pulses/cool skin in lower extremities. d. dizziness, headaches, fainting, epistaxis.

Answer: a. HF may be observed in a patient with this diagnosis causing the patient to become tired fast and fatigued. b, c, and d are all manifestations and observations made for coarctation of the aorta.

A patient presents with a total amount 92 mcg urine catecholamines over 24 hours, what is this patient's suspected diagnosis? a. nephroblastoma. b. neuroblastoma. c. Ewing Sarcoma. d. leukemia.

Answer: b Total urine catecholamines would be between 14-110 mcg/24 hrs for a patient with neuroblastoma.

A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are manifestations from the primary site? Select all that apply. a. weight gain. b. bone pain. c. periorbital ecchymoses. d. proptosis. e. weight loss.

Answer: b, c, d, e. They don't gain weight ya bish.

A nurse is assessing an infant who has heart failure. Which of the following should the nurse expect? Select all that apply. a. bradycardia. b. cool extremities. c. peripheral edema. d. increased urinary output. e. nasal flaring.

Answer: b, c, e A client who has heart failure will exhibit tachycardia as the heart attempts to meet the body's demands. A client who has heart failure will exhibit cool extremities as the heart is unable to adequately circulate oxygenated blood. A client who has heart failure will exhibit peripheral edema as the heart is unable to adequately circulate blood through the body and back to the heart. With heart failure, the heart is unable to keep up with the body's demands. A decrease in urinary output is a manifestation of heart failure (oliguria). A client who has heart failure will exhibit nasal flaring due to inadequate oxygenation of blood.

A nurse is doing a cardiac assessment on a child suspected to have rheumatic fever. What clinical manifestations would be indicative of rheumatic fever based on the cardiac assessment? Select all that apply. a. bradycardia. b. heart murmur. c. pericardial friction rub and carditis. d. loud, bounding heart sounds. e. muffled heart sounds. f. tachycardia. g. cardiomegaly.

Answer: b, c, e, f, g. The cardiac assessment is extremely important for a patient with rheumatic fever. Tachycardia, cardiomegaly, new or changed heart murmur, muffled heart sounds, pericardial friction rub, and chest pain (carditis) are all clinical manifestations that may be observed on cardiac assessment.

A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? Select all that apply. a. hematuria. b. anorexia. c. petechiae. d. ulcerations in the mouth. e. unsteady gait.

Answer: b, c, e. Hematuria, and ulcerations in the mouth are late manifestations of leukemia. The rest are early manifestations.

What teaching would need to be provided for an adolescent who just experienced a sickle cell crisis? Select all that apply. a. avoid others with sickle cell disease. b. adhere to fluid intake requirements. c. watch out for dvt. d. avoid children with rashes. e. avoid extreme temperatures, especially cold temperatures. f. wear a medical identification wristband/tag.

Answer: b, e, f Adhere to fluid requirements to prevent dehydration. Extreme temperatures exacerbate sickle cell anemia so this should be avoided. The child would also need to wear a medical identification wristband/tag in the event a crisis occurs so proper care can be given in a timely manner.

What does the nurse know to be common treatment measures taken for a patient with Ewing Sarcoma? a. amputation of affected limb. b. radiotherapy and chemotherapy. c. IV rehydration therapy. d. close monitoring.

Answer: b. Amputation may only be considered if the results of radiotherapy render the extremity useless or deformed. The treatment of choice for the majority of lesions is involved field radiotherapy and chemotherapy.

A nurse is teaching a group of adolescents about HIV/AIDS. Which of the following statements is MOST appropriate when discussing the mode of transmission? a. HIV is transmitted through IV substance use. b. HIV may be transmitted sexually. c. HIV is transmitted from hugging. d. HIV is transmitted from kissing.

Answer: b. HIV may be transmitted through IV substance use, but the most appropriate statement for this age group is knowing that HIV is transmitted sexually. BUT if asked about this, IV substance use is typically the answer if the other answer choice doesn't appear for this specific age group.

A nurse is caring for a 2-year old child who has a heart defect and is scheduled for cardiac catheterization. Which of the following actions should the nurse take? a. place on NPO status for 12 hr prior to the procedure. b. check for iodine or shellfish allergies prior to the procedure. c. elevate the affected extremity following the procedure. d. limit fluid intake following the procedure.

Answer: b. Iodine-based dyes can be used in this procedure, so the child is assessed for allergies to iodine or shellfish which could lead to anaphylaxis.

The nurse notates what sound over the left sternal border of a patient with ventricular septal defect? a. pericardial friction rub. b. loud, harsh murmur. c. systolic murmur. d. rales.

Answer: b. Loud, harsh murmur is heard over the left sternal border for ventricular septal defect. Systolic murmur may be heard for tetralogy of fallot. Rales is a lung sound not heart sound but could be heard with patent ductus arteriosus and a systolic murmur would be heard for this diagnosis.

A child comes in with suspected rheumatic fever. What lab tests does the nurse anticipate to order to screen for rheumatic fever? a. CBC Panel. b. throat culture, blood antistreptolysin O titer, and CRP. c. urinalysis, throat culture, and blood antistreptolysin O titer. d. CRP, troponin, and arterial blood gasses.

Answer: b. Throat culture for GABHS, blood antistreptolysin O titer, and CRP are correct. Blood antistreptolysin O titer would be elevated or rising titer-most reliable test. CRP would be elevated in response to inflammatory diagnosis.

What are common signs of digoxin toxicity in children? a. weight gain, tachycardia, and edema. b. nausea/vomitting, anorexia, and bradycardia. c. hypertension, oliguria, and bradycardia. d. hypotension, polyuria, and tachypnea.

Answer: b. GI symptoms for digoxin toxicity include nausea, vomiting, and anorexia. Cardia symptoms for digoxin include bradycardia, and dysrhythmias.

On physical assessment the nurse would notate what as being characteristic of the subacute phase of Kawasaki disease? a. Strawberry tongue with white coating or red bumps on posterior aspect. b. peeling skin around nails, palms, and soles. c. red oral mucous membranes w. inflammation including the pharynx. d. red eyes without drainage.

Answer: b. Irritability, peeling skin around nails, palms, and soles, and temporary arthritis are characteristic of the subacute phase of Kawasaki phase. a, c, and d are all characteristic of the acute phase not the subacute phase.

What does the nurse know as the main priority for a patient with terminal cancer? a. reassurance and restoration of ADLs. b. making the patient comfortable. c. crying with the patient and parent. d. praying with the patient and parent.

Answer: b. Pain management is necessary in ensuring that the patient is comfortable at all times. Making the patient comfortable is the main priority for a patient who is terminally ill.

A nurse is caring for a toddler who has a Wilm's tumor. Which of the following actions should the nurse take? a. palpate the child's abdomen to identify the size of the tumor. b. prepare the child for surgery. c. teach the parents about dialysis. d. obtain a 24-hr urine specimen from the child.

Answer: b. Pressure applied to the abdomen could rupture the encapsulated tumor. Removal of the tumor occurs within 24 to 48 hour of admission. Preparation for surgery should be included in the plan of care. Wilm's tumor is usually unilateral. A urine specimen is usually obtained for a diagnostic evaluation of Wilm's tumor.

What teaching should the nurse inform the parent of when administering liquid iron supplementation PO to their child? a. expect loose stools. b. use straw when administering. c. do not massage after injection. d. use z-track into deep muscle for parenteral injection.

Answer: b. Priority teachings would be to tell the parent to have the child use a straw with liquid preparation to prevent staining of teeth, give with vitamin C to increase absorption, and expect stools to turn tarry green. Loose stools would not be expected. The other answer choices refer to other ways iron supplements may be given but this question is worried about education of a liquid iron medication PO.

The nurse knows what as characteristics of hypovolemic shock? a. fever, localized swelling, and blood loss. b. reduction in size of vascular compartment, falling bp, poor capillary filling, and low cvp. c. tachycardia, tachypnea, and weak, thready femoral pulse. d. arrhythmia, excess fluid volume, and increased urinary frequency.

Answer: b. Reduction in size of vascular compartment, falling bp, poor capillary filling, and low cvp are all characteristic of hypovolemic shock. The other answer choices are distractors.

What alterations in a CBC would be present for a patient with severe anemia? a. increased RBCs, decreased HGB (normal 13.5 g/dl), hematocrit changes. b. decreased RBCs, decreased HGB (normal 13.5 g/dl), hematocrit changes. c. hematocrit stays the same, decreased HGB (normal 13.5 g/dl), and increased RBCs. d. CBC is not a way to determine signs of severe anemia.

Answer: b. The CBC should reveal decreased RBCs, decreased HGB, and hematocrit alterations.

A nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease. a. sickle solubility test. b. hemoglobin electrophoresis. c. complete blood count. d. transcranial doppler.

Answer: b. The hemoglobin electrophoresis test should be performed to distinguish if the infant has the trait or the disease.

What does the nurse know to do when giving a blood transfusion? a. Transfuse blood rapidly for the first 15 to 20 minutes or initial 20% of blood volume; remain with patient. b. Transfuse blood slowly for the first 15 to 20 minutes or initial 20% of blood volume; remain with patient. c. Avoid urinary catheter insertion to decrease risk of infection. d. If the patient os exhibiting headache, chills, shaking, or fever than reduce transfusion rate.

Answer: b. The nurse would need to transfuse blood slowly for the first 15 to 20 minutes or initial 20% of blood volume; remain with patient. The nurse would need to stop the transfusion immediately if the patient has a sudden, severe headache, chills, shaking, and fever as these are signs of a hemolytic reaction and the nurse would need to maintain a patent IV line in this event and notify the provider.

The nurse knows what may result from rheumatic fever? a. hole in septum between right and left ventricle. b. cardiac valve becomes damaged. c. narrowing of lumen of the aorta. d. AIDS

Answer: b. cardiac valve becomes damaged. All other answers do not occur as a result of rheumatic fever.

What does the nurse know to be a clinical manifestation of Beta-Thalassemia before confirmed diagnosis? a. warm, flushed skin. b. cool temp. c. splenomegaly or hepatomegaly. d. excessive hunger.

Answer: c. Clinical manifestations before diagnosis would be pallor, unexplained fever, poor feeding, and enlarged spleen or liver. Small stature, delayed sexual maturation, and bronzed, freckled complexion (if not receiving chelation therapy) could also be observed with someone who is suspected to have beta-thalassemia. The patient may also present with a flat or depressed bridge of the nose.

What nursing intervention should a nurse do for a 4-year old demonstrating blue spells or tet spells? a. elevate the head of the bed 45 degrees. b. administer oxygen via non-rebreather mask. c. have the toddler squat down. d. put the toddler's knees to their chest.

Answer: c. During episodes of acute cyanosis and hypoxia (blue spells or tet spells), the nurse should assist the toddler to squat down to increase oxygenation. Putting the knee to chest would be used in infants with blue spells, not toddlers.

A nurse is providing teaching to the caregiver of an infant who has a prescription of digoxin. Which of the following instructions should the nurse include? a. do not offer your baby fluids after giving medication. b. digoxin increases your baby's heart rate. c. give the correct dose of medication at regularly scheduled times. d. if your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.

Answer: c. The correct amount of digoxin should be administered at regularly scheduled times to maintain therapeutic blood levels.

A nurse is planning care for an infant who is scheduled to have a lumbar puncture. Which of the following actions should the nurse include in the plan of care? a. cleanse the thoracic area of the infant's back with an antiseptic solution. b. apply a eutectic mixture of local anesthetic cream just before the procedure begins. c. restrain the infant during the procedure to prevent movement. d. position the infant with his head extended and his chin raised.

Answer: c. Decrease the potential of injury through restraint.

The nurse knows that a ventricular septal defect has an increase of pulmonary blood flow because of what? a. narrowing of lumen of the aorta. b. pulmonary stenosis. c. hole in septum between right and left ventricle. d. right ventricular hypertrophy.

Answer: c. Hole in septum between right and left ventricle is what a ventricular septal defect is and results in an increase of pulmonary blood flow. Narrowing of the lumen is characteristic of coarctation of the aorta. Right ventricular hypertrophy, and pulmonary stenosis are part of the tetralogy of fallot which would result in a mixed blood flow. Also it is important the nurse knows this can close spontaneously without interventions.

What could occur as a result of chemotherapy? a. increased WBC count. b. increased hair growth. c. mucosal ulceration. d. breakdown of scalp skin.

Answer: c. Mucosal ulceration.

What does the nurse know to be early symptoms of Hodgkin's disease? a. fever, pallor, and excess RBCs. b. leukocytosis, pallor, and fever. c. fever, chills, leukocytosis. d. warm flushed skin, and coughing.

Answer: c. Some of the early symptoms include fever, chills, and leukocytosis, as if a viral infection were present.

A nurse knows what can be observed in a newborn with tetralogy of fallot? a. tachypnea b. tachycardia c. cyanosis d. bradycardia

Answer: c. The nurse would observe cyanosis at birth and auscultate a systolic murmur.

What is the priority teaching a nurse should give parents about leukemia? a. educate about muscle tone. b. educate about decreasing fluid intake. c. educate about preventing infection. d. educate about the behavioral changes a child will exhibit.

Answer: c. The priority teaching would be to educate the parents about preventing infection. The patient with leukemia will have thrombocytopenia (low platelets), anemia (low blood count), neutropenia (low neutrophils), leukemic blasts (immature WBCs) as evidenced by a blood smear. This makes this patient highly susceptible to infection and at an increased risk with chemotherapy implementation.

What does the nurse know a clinical manifestation of rheumatic fever to be? a. splenomegaly. b. purpura. c. nodules over bony prominence/large joints and painful swelling. d. hematoma/excess bruising.

Answer: c. nontender, subcutaneous nodules over bony prominence and large joints (knees, elbows, ankles, wrists, shoulders) with painful swelling (polyarthritis) are clinical manifestations of rheumatic fever.

A nurse knows what to be a possible cause of aplastic crisis? a. bacterial infection. b. sickle cell anemia. c. hematuria. d. a virus.

Answer: d Aplastic crisis is typically triggered by an infection with a virus.

What type of headache is indicative of a brain tumor in a child? a. sharp, localized pain in the evening. b. dull, localized pain, relieved by a dark room. c. Sharp pain that intensifies with sneezing. d. dull and throbbing, worse on arising.

Answer: d The patient with a suspected brain tumor would usually have dull and throbbing pain that is worse on arising, less during the day. It is intensified by lowering head and straining, such as during a bowel movement, coughing and sneezing. The patient would demonstrate a loss of balance, irritability, visual defects, hypothermia or hyperthermia, seizures, and bizarre behavior as other symptoms.

How is leukemia diagnosed? a. CBC laboratory results. b. clinical manifestations. c. evidence of myelosuppression. d. bone marrow aspiration or biopsy analysis.

Answer: d. Bone marrow aspiration or biopsy analysis, cerebrospinal fluid analysis, and liver and kidney function studies are all diagnostic procedures of leukemia.

What teaching should be provided to a parent with a child with a diagnosis of Hemophilia? a. use NSAIDS as the primary treatment. b. put a bandaid on when the child injures themselves. c. constant supervision is necessary. d. control bleeding episode using RICE.

Answer: d. NSAIDs should be used cautiously as this can decrease the clotting factor. The nurse would tell the parent to control a bleeding episode using RICE (rest, ice, compression, elevation).

The nurse know what as being indicative of the acute phase of Kawasaki disease? a. resolution of fever and gradual subsiding of other manifestations. b. no manifestations except altered laboratory findings. Resolutions is about 6 to 8 weeks from onset. c. myocardial infarction. d. onset of high fever, lasting 5 days to 2 weeks (unresponsive to antipyretics).

Answer: d. The acute phase is characterized by the onset of high fever, lasting 5 days to 2 weeks with a fever that is not reduced from use of antipyretics. Myocardial infarction is a complication of Kawasaki disease. The subacute phase is characterized by the resolution of fever and gradual subsiding of other manifestations. The convalescent phase is characterized by no manifestations except altered laboratory findings. Resolutions is about 6 to 8 weeks from onset.

The nurse knows pallor is a clinical manifestation of what type of hypovolemic shock? a. funded. b. irreversible. c. decompensated. d. compensated.

Answer: d. Apprehensiveness, irritability, unexplained tachycardia, normal BP, narrowing pulse pressure, thirst, pallor, diminished urinary output, and reduced perfusion of extremities are all clinical manifestations of compensated hypovolemic shock.

What would be a nursing intervention for a child with epistaxis? a. tilt the child's head up and have them lay supine. b. have the child lay prone and stick a tampon in each nostril. c. put the child in side lying position with a pillow supporting their head. d. have the child sit up with head tilted slightly forward.

Answer: d. have the child sit up with head tilted slightly forward to prevent aspiration of blood.

A child is vomiting frequently after chemotherapy, what nursing intervention should be implemented? a. provide an analgesic. b. increase oral intake. c. provide simple carbs prior to procedure. d. provide an antiemetic prior to administration.

Answer: d. provide an antiemetic prior to administration to decrease likelihood of vomiting induced by chemotherapy.