Peds test 3

Michael's 4 yr old roommate in the care unit is scheduled for a tonsilectomy later today. In order to ensure that your nursing care is empathetic and patient centered, what food would be best to offer the roommate following his surgery?

a cold green ice pop

Megan has been diagnosed as having tetralogy of fallot, a congenital heart disorder. With this disorder, the right ventricle tends to become distended because extra blood flows into it across a septal wall defect. Which pattern on an ECG would let you know ventricular hypertrophy has occurred?

a high and wide R wave

A nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases may lead to pneumonia? (select all that apply)

rebeola (measles). pertussis (whooping cough). varicella (chicken pox).

erythmia infectiosum (5th disease) what do you see in these children?

red cheek, rash

A nurse is caring for a child who has contact dermatitis due to poison ivy. which of the following should be included in the plan of care? (select all that apply)

remove the clothing over the rash. apply calamine lotion to the skin.

cardiac cath is usually which vein?

right femoral vein

A nurse is assessing a client who has pertussis. Which of the following are clinical manifestations of pertussis? (select all that apply)

runny nose. mild fever. whooping sound cough.

Whats the position you put a kid in with HF?

semi fowlers

cystic fibrosis meds?

short acting beta 2 agonists- proventil cholinergic antagonists- atrovent or advair Antibiotics- tobramycin, ticarcillin or gentamicin

A nurse is providing teaching about the management of epistaxis to a child and his family. Which of the following positions should the nurse instruct the child to take when experiencing a nosebleed?

sit up and lean forward

What do you do for epitaxis?

sit up right and apply pressure

action of digoxin?

slows and strengthens the heart rate

A nurse is caring for a child who has AIDS. Which of the following isolation should the nurse implement?

standard

know causative agent for exanthema?

strep

what is hydrocephalus child going to be showing?

sun setting sign (white sclera showing) is common in which the whites of the eyes are visible above the iris

test for cystic fibrosis?

sweat test

A nurse on your care team calls you into work ill because shes worried she has contracted mumps (infectious parotitis). Which of the following symptoms is most associated with mumps?

swelling above the jaw line in front of one ear

treatment for bronchiolitis?

antipyretics, adequate hydration, and maintaining a watchful eye for progression of a more serious illness

A nurse is caring for a child who has cellulitis on the hand. Which of the following is an appropriate action for the nurse to take?

apply hot compresses

Suppose you are preparing to enter Marty's room. because his infection involves potential airborne transmission, what isolation precautions should you use?

mask, gown, and nonsterile gloves

How do we detect congential hydrocephalis?

measure the kids head

what do you do to treat lice?

medication with 1% permethrin

tetralogy of fallot tell parents what if child become cyanotic or dyspneic?

put them in the knee chest position

Michael has a barking cough, sore throat, and fever. You want to see if his throat looks sore and swollen. what is the safest and most accurate way of performing this assessment?

ask him to open his mouth and inspect his throat visually

Know how to assess a child with meningomyelocele

check voiding pattern

A nurse is caring for an adolescent who has acne and is prescribed isotretinoin 13 cis retinoic acid (amnesteem) Which of the following laboratory findings should monitored?

cholesterol and triglycerides

A nurse is teaching the parent of a child who has hand, foot, and mouth disease. Which of the following should be included in the teaching?

"Your child can be contagious when the symptoms are gone"

A nurse is providing teaching to the mother of an infant who is to start taking digoxin (lanoxin) which of the following instructions should the nurse include?

"give the correct dose of medication at regularly scheduled times"

You want to teach Michaels 3 yr old about peak flow testing during the diagnostic test, what instruction should you provide?

"i need you to blow out through the meter as hard and fast as you can"

A nurse is providing teachin to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching?

"my child should take the supplement through a straw"

Children with CHF are often prescribed digoxin. knowing that this drug possesses a high risk of adverse effects, you have provided education materials to Megan's parents. Which statement by Megan's mother would alert you that she has not received all the education that she needs?

"nausea and vomiting are expected side effects to the first few weeks of treatment"

A nurse is teaching the parent of an infant who has seborrheic dematitis. Which of the following should be included in the teaching?

"the cause is unknown and not contagious"

A nurse is teaching a group of adolescents about HIV/AIDS. Which of the following should be included in the teaching?

"the incubation period can be months to years"

whats the treatment for for tracheoesophageal fistula?

Surgery??

Any child can have an anaphylactic reaction to food, drug, or vaccine and Dexter is at risk because of his allergy history. if you were a school nurse and dexter who weighs 48 kg, had an anaphylactic reaction after you gave him a vaccine, the correct dose of epinephrine for you or a staff member to give him would be

0.48 mg

Marty, who has scarlet fever is missing his school friends so is eager to return to school. Because he received an antibiotic when should you inform the school nurse that is would be safe for him to return to school?

24 hrs after began antibiotics

A nurse is admitting a child who has HIV. Which of the following are clinical manifestations of a child who is severely symptomatic? (select all that apply)

kaposi's sarcoma. pulmonary candidiasis. cardiomyopathy.

Treatment for kawasaki disease?

long term aspirin

What do you give to prevent whooping cough?

Tdap

Dexter is atopic, or prone to allergies. When planning his care, what desired outcome should you prioritize?

Dexter states that his symptoms do not interfere with being able to play with his friends

Dexter's mother asks you about the potential risks and benefits of hyposensitization, stating that some web sites she has consulted convey dire warnings against the practice. What potential benefit would you describe to Dexter's mother to alleviate her anxiety?

Dexter's will level of helpful immunoglobulins will be increased

Coarctiation of the aorta

absent femoral pulses

Pharyngitis causative agent?

adenovirus

Marty's rash is causing him to scratch his skin, in order to maintain skin integrity and promote comfort, which of the following actions should you prioritize in his plan of care?

administer an antihistamine as prescribed

asthma meds

albuterol, terbutaline, atrovent, solu-medrol or prednisone

A nurse is caring for an infant who has diaper dermatitis. Which of the following should included in the plan of care? (Select all that apply)

allow the bum to air dry. apply zinc oxide ointment to the affected area.

deficiency in humoral immunity what expect to see reduced?

antibodies

A nurse is teaching a group of parents about preventing insect bites. Which of the following should the nurse include in the teaching? (select all that apply)

avoid areas of tall grass. wear insect repellent. check house pets frequently.

allergic rhinitis and contact dermatitis how do you identify and treat it?

avoidance of allergen (example sunscreen)

It is important that all members of the care team be certified to perform CPR. What action should you perform first if you have to administer CPR?

begin chest compressions at a rate of 100 per min

A nurse is caring for a 2 yr old child who is cyanotic and is in the hospital for a cardiac catheterization to repair cardiac defects. The child will be transferred to the pediatric ICU following the procedure. which of the following is an appropriate nursing action when providing care to this child?

check for iodine or shell fish allergies prior to the procedure

Michael's history reveals he was born with choanal atresia. You know that screening protocols on the birthing unit of your hospital specify assessments for his condition. What assessment at birth may be performed to determine if newborns have this condition?

close his mouth and observe if he can breathe through his nose

Bobby tells you her baby was born on an unlucky day because the baby born before hers had his bowel outside his body, What is the most important nursing consideration at birth in the care of a baby with gastroschisis?

contain the intestine in a warmed, sterile saline-lined bowel bag

A nurse is assessing an infant. Which of the following should the nurse recognize as clinical manifestations of heart failure? (select all apply)

cool extremities. peripheral edema. nasal flaring.

esophageal atrasia with tracheal esophageal fistula what would you find on assessment?

coughing and choking

A nurse is admitting a child who has HIV. Which of the following are clinical manifestations of a child who is mildly symptomatic? (select all that apply)

dermatitis. hepatomegaly. lymphadenopathy.

cystic fibrosis diet?

diet high in protein and calories, give 3 meals a day with snacks encourage oral fluids

A nurse is caring for an adolescent client who has mononucleosis. The nurse assess fever, fatugue. swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse discuss with the adolescents and her parents? (select all that apply)

drink plenty of fluids. avoid participating in strenuous activities. allow for periods of rest. gargle with salt water ever 2-3 hrs.

Allergy to food but don't know to what food teach parents what?

elimination diet

what techniques help kids with laryngotracheobronchitis (croup)?

epinephrine and nebulizer

A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following manifestations support this diagnosis? (select all that apply)

erythema marginatum (rash). elevated c reactive protein.

A nurse is assessing an infant who has eczema. Which of the following are clincal manifestations of eczema in an infant? (select all that apply)

generalized distribution. papules. crusting lesions.

Michael as had to streptococcal pharyngitis infections in the past. You would want your team members to know to remind parents of children with streptococcal pharyngitis to give the full course of prescribed antibiotic because, without this, a few children develop a complication such as:

heart or kidney disease

A nurse is caring for an infant whose screening test receals that he may have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease?

hemoglobin electrophoresis

Because Bobby's baby was born with developmental hip dysplasia, he has a pavlik harness prescribed. What information would you want Bobby to know about his care?

her baby should wear the harness at all times except while bathing

Ortolani and Barlow signs what are they checking for?

hip dysplasia

what causes esophageal atresias?

hydraminos

The primary health care provider for Bobby's baby asks you to observe him for signs that he is developing increased intracranial pressure while he waits for surgery. What vital sign changes should most prompt you to report the findings to the primary care provider?

increased temp and decreased pulse rate

A nurse is teaching a parent of a child who has HIV. Which of the following should be included? (select all that apply)

obtain yearly influenza vaccination. avoid live immunizations. avoid individuals who have colds. provide nutritional supplements.

A nurse is teaching a group of parents about communicable disease. which of the following is the most appropriate method to prevent a communicable disease?

obtaining immunization

You position Bobby's baby on his side to keep pressure off his back. She asks you why you're not positioning a baby with diaphragmatic hernia in the same way. Before surgery, what would be the best position for a new born with left sided diaphragmatic hernia?

on his left side elevated in an infant chair

lice whats it called?

pediculosis capitis

A nurse is assessing an infant who has scabies. Which of the following are expected findings? (select all that apply)

pencil like marks on hands. blisters on the soles of the feet. pimples on the trunk.

worms out the hiney?

pin worms

A danger for children with teratology of fallot is that they develop "tet spells" or sudden periods of extreme cyanosis, often following exertion. When teaching megans parents to respond to such events. What should you encourage them to do first?

place megan in a knee chest position

Suppose Megan develops long term CHF subsequent to tetraology of fallot, At school age, how could you best reconcile her physical limitations with her need for stimulation and activity?

plan activities that are achievable and engaging, yet not overly physical

A nurse is providing teaching about epistaxis to the parent of a school age child. Which of the following should the nurse include as an approrpiate action to take when managing an episode of epistaxis? (select all that apply)

press the nares together at least 10 min. pack cotton or tissue into the naris that is bleeding. insert petroleum into the naris after the bleeding stops.

Suppose Bobby's baby develops a torticollis and she is distraught by her baby's appearance. What care measure would best relieve the infants physical anomaly and Bobby's distress?

teach bobby how to perform her baby neck stretching exercises

Marty's sister is home with "mono". or infectious mononucleosis. In the event that she requires hospital care, assessment protocols should emphasize what actions?

the spleen should be palpated gently to prevent rupture

assessment for a kid with kawasaki disease?

they have a strawberry tongue

A nurse is planning care for a child who has tinea capitis. Which of the following should the nurse include in the plan of care? (Select all that apply)

treat infected house pets. use selenium sulfide shampoo.

A nurse is teaching a parent of a child who has pediculousis capitis. Which of the following should the nurse include in the teaching?

use an OTC medication containing 1% permethrin

Dexter is at his primary care provider's office and you've been asked to assist with his physical examination. What safety intervention should you use with Dexter because he's known to have many allergies?

use nonlatex gloves to conduct the exam

A nurse is preparing to administer iron dextran (Proferdex) IM to a school age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate?

use the z track method when administering the dose

how do you assess a child with asthma?

usually wheezing on expiration

When Dexter's mother learned he had an immunologic disease, her first thought was that he had developed AIDS. When reviewing the blood work of a child with this infection, what blood components would you use to gauge the course of the disease? (select all that apply)

viral load. CD4 count.

how do you prevent a toddler from reinfecting himself with pin worms?

wash hands and keep his hands out of his mouth

A nurse is caring for an infant. Which of the following are clinical manifestations of coarctation of the aorta? (select all that apply)

weak femoral pulses. cool skin of lower extremities. heart failure.

Torticollis when are they getting better?

when they can turn towards affected side, muscle

What will you see when assessing ductus arteriosus?

wide pulse pressure