Pedsex3

A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?

"Give the correct dose of medication at regularly scheduled times."

A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make?

"The Pavlik harness is used for infants less than 6 months of age."

A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse includes in the teaching?

"You will need to receive blood."

The nurse is caring for a child with a spinal cord injury and providing instruction to the parents on promoting skin integrity. Which response from the mother indicates a need for further teaching?

A) "I need to monitor his skin at least twice a week."

The nurse is providing postoperative care for a 14-month-old girl who has undergone a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. Which response by the nurse would be most appropriate?

A) "I will help you become comfortable in caring for your daughter."

A child with Duchenne muscular dystrophy is to receive prednisone as part of his treatment plan. After teaching the child's parents about this drug, which statement by the parents indicates the need for additional teaching?

A) "We should give this drug before he eats anything."

After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding?

A) Aortic stenosis

A child with heart failure is receiving supplemental oxygen. The nurse understands that in addition to improving oxygen saturation, this intervention also helps to do which of the following?

A) Cause vasodilation

A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all answers that apply.

A) Intravenous immunoglobulin C) Acetaminophen D) Aspirin

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?

A) Loud without a thrill

A nurse is caring for a 14-year-old girl following myelography. Which of the following would be the priority nursing action?

A) Monitoring for a decrease in spasticity B) Observing for signs of meningeal irritation C) Assessing motor function D) Observing for mental confusion or hallucinations

The nurse is assessing a child who is suspected of having Guillain-Barré syndrome. Which assessment findings would the nurse correlate as supporting this diagnosis? Select all answers that apply

A) Recent cytomegalovirus infection C) Numbness in the lower extremities D) Sustained clonus

The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels?

A) Significant cyanosis without presence of a murmur

When developing the plan of care for a child with cerebral palsy, which treatment would the nurse expect as least likely?

A) Skeletal traction

The nurse is assessing the neuromusculoskeletal system of a newborn. Which of the following would the nurse identify as an abnormal finding?

A) Sluggish deep tendon reflexes

Which of the following would the nurse include in the preoperative plan of care for an infant with myelomeningocele?

B) Covering the sac with saline-soaked nonadhesive gauze

A group of students are reviewing information about neuromuscular disorders. The students demonstrate understanding of the information when they identify which of the following as examples of autoimmune neuromuscular disorders? Select all answers that apply.

B) Guillain-Barré syndrome C) Myasthenia gravis E) Dermatomyositis

The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion?

B) Harsh, continuous, machine-like murmur under the left clavicle

The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?

B) Holosystolic harsh murmur along the left sternal border

After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding?

B) Jerky movements of the face and upper extremities

The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. Which of the following would the nurse be least likely to include?

B) Maintenance of strict bed rest

The nurse is reviewing the medical record of a child with infective endocarditis. Which of the following would the nurse expect to find? Select all answers that apply.

B) Microscopic hematuria with urinalysis C) Electrocardiogram with prolonged PR interval E) Petechiae on palpebral conjunctiva

The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli?

B) Roth spots

When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess?

B) Strawberry tongue

The nurse is teaching a group of students about myelinization in a child. Which statement by the students indicates that the teaching was successful?

B) The process occurs in a head-to-toe fashion.

The nurse is caring for a 10-year-old with Duchenne muscular dystrophy. As part of the plan of care, the nurse focuses on maintaining his cardiopulmonary function. Which intervention would the nurse implement to best promote maximum chest expansion?

B) Upright positioning

A nursing instructor is preparing for a class discussion on spinal muscular atrophy (SMA). When describing type 2 SMA, which of the following would the instructor include? Select all answers that apply.

B) Weakness most severe in shoulders and hips D) Slowly progressing condition E) Genetic disease with autosomal recessive inheritance

The nurse is teaching the mother of a 5-year-old boy with a myelomeningocele who has developed a sensitivity to latex. Which of the following responses from his mother indicates a need for further teaching?

C) "A product's label indicates whether it is latex-free."

A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the following would the nurse most likely include?

C) "A special wand that picks up sound is used to check your heart."

An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate

C) "Breast milk may help to boost her immune system, so you can continue to use it."

A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful?

C) "He should avoid taking a bath for about 3 days but he can shower."

A 6-year-old boy with cerebral palsy has been admitted to the hospital for some tests. His condition is stable. The boy's mother remains with her son, but she is obviously exhausted and stressed. Which response by the nurse would be most appropriate?

C) "He's in good hands; consider going home to get some sleep."

The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?

C) "I need to feed him every hour to make sure he eats enough."

A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information?

C) "I should eat plenty of fresh fruits and vegetables."

Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following?

C) Grade IV

A nurse is preparing a program for a group of parents about injury prevention. Which of the following would the nurse include as an important contributing factor for cervical spine injury in a child?

C) Increased mobility of the spine

A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication?

C) Indomethacin

During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, "We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle." Which nursing diagnosis would the nurse identify as most appropriate?

C) Interrupted family processes related to demands of caring for the ill child

A child with spastic cerebral palsy is to receive botulin toxin. The nurse prepares the child for administration of this drug by which route?

C) Intramuscular injection

The nurse has developed a plan of care for a 6-year-old with muscular dystrophy. He was recently injured when he fell out of bed at home. Which intervention would the nurse suggest to prevent further injury?

D) Recommend raising the bed's side rails when a caregiver is not present.

The nurse is developing a teaching plan for the parents of a child with a myelomeningocele who will require clean intermittent catheterization. Which of the following would the nurse include?

D) Soaking the catheter in a vinegar and water solution to sterilize

The nurse is caring for an 8-year-old boy with myasthenia gravis and is teaching his parents about the signs of cholinergic crisis. Which of the following responses by the parents indicates a need for further teaching?

B) "He might have difficulty swallowing."

A child with myasthenia gravis is brought to the emergency department by his parents. The parents have noticed a sudden increase in respiratory difficulty. The nurse suspects myasthenic crisis based on which statement by the parents?

B) "He was coughing and had a slight fever yesterday and today."

The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which of the following statements by the mother would warrant further investigation?

B) "The baby seems more comfortable over my shoulder."

The nurse is caring for a 2-month-old with cerebral palsy. The infant is limp and flaccid with uncontrolled, slow, worm-like, writhing, and twisting movements. Which of the following would the nurse use when documenting these observations?

B) Athetoid

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

B) Atrial septal defect

A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level would be of significant concern?

D) 210 mg/dL

The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and_notify the physician if the infant's apical pulse rate was:

D) 80 beats per minute

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?

D) Administer next dose as ordered in 12 hours

A child with cerebral palsy has undergone surgery for placement of a baclofen pump. Which of the following would the nurse include when teaching the parents about caring for their child?

D) Discouraging the child from stretching or bending forward for 4 weeks

After teaching a class of nursing students about muscular dystrophy, the instructor determines that the teaching was successful when the students identify which type of muscular dystrophy as demonstrating an X-linked recessive pattern of inheritance?

D) Duchenne

Which of the following would the nurse expect to find initially in a child with Guillain- Barré syndrome?

D) Lower extremity pain

The nurse is assessing a newborn who was delivered after a prolonged labor due to an abnormal presentation. The newborn sustained a cranial nerve injury. The nurse would most likely expect to assess deficits related to which cranial nerve?

B. Facial

A nurse is caring for an infant and notices an audible click in their left hip. Which of the following diagnostic test should the nurse expect the provider to perform? (Select all that apply.)

Barlow test Ortolani test

A nurse is caring for a 20yearDold child who has a heart defect and is scheduled for cardiac catheterization. Which of the following actions should the nurse take?

Check for iodine or shellfish allergies prior to the procedure.

A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

Cool extremities Peripheral edema Nasal flaring

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.)

Erythema marginatum (rash) Elevated creative protein

A nurse is assessing a child who has Legg Calve Perthes disease. Which of the following findings should the nurse expect? (Select all that apply.)

Hip stiffness Back pain Limited ROM Limp with walking

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

Weak femoral pulses Cool skin of lower extremities Low blood pressure