Quiz 3 Pedi

C. Apply an ice pack to the injection site.

A 6-month old infant receives a diphtheria tetanus, and acellular pertussis (DTaP) immunizations at the well-baby clinical. The parent returns home and calls the clinic to report that the infant and developed swelling and redness at the site of injection. Which instruction by the nurse is appropriate? A. Monitor the infant for a fever B. Bring the infant back to the clinic C. Apply an ice pack to the injection site D. Leave the injection site alone, because this always occurs

D. Notify the pediatrician if the child develops abnormal or left shoulder pain

A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare instructions to the parents about the care of the child Which instruction should the nurse provide to the parents? A. Maintain the child on bedrest for 2 weeks B. Maintain respiratory precautions for 1 week C. Notify the pediatrician if the child develops a fever D. Notify the pediatrician if the child develops abnormal or left shoulder pain

C. A history of anaphylactic reaction to neomycin

A child is scheduled to receive inactivated Polio vaccine (IPV) and the nurse preparing the vaccine reviews the kids chart. The nurse should question this if what is in the kids chart? A. Recent recover from a cold B. A history of frequent respiratory infections C. A history of anaphylactic reaction to neomycin D. A local reaction at the site of injection of a previous IPV

B. Encourage the child to drink calorie-free liquids

A father calls the pediatrician's office concerned about his 5 year old type 1 diabetic child who has been ill. He reports that upon checking the child's urine, it was positive for ketones. What is the nurse's best response to the father? A. Come to the office immediately B. Encourage the child to drink calorie-free liquids C. Hold the next dose of insulin D. Administer an extra does of insulin now

C. diabetes mellitus

A mother brings her child in the office for a follow-up appointment and voices concern that her child has started urinating more than normal and is constantly thirsty and hungry. As the RN you suspect? A. Hypoglycemia B. Phenylkentonria C. Diabetes Mellitus D. Tret's syndrome

A. Children who have growth hormone deficiency present with short stature with proportional height and weight Height greater than weight is unexpected An underdeveloped jaw is expected Delayed sexual development is expected

A nurse is assessing a child who has short stature. Which of the following findings would indicate a growth hormone deficiency? A. Proportional height to weight B. Height proportionally greater than weight C. Oversized jaw D. Early-onset puberty

A. Runny nose B. Mild fever C. Cough with whooping sound Mumps will have enlarged lymph nodes Measles will have red rash

A nurse is assessing a client who has pertussis. Which of the following findings should the nurse expect? Select all A. Runny nose B. Mild fever C. Cough with whooping sound D. Swollen salivary glands E. Red rash

A. 5 doses of DTaP are given with 1 at 15-months Rotavirus was completed at 6months Temp not contraindication Two HepA given with the 2nd 6-18 months after the first dose

A nurse is caring for a 15-month old child in a clinic. Which of the following actions should the nurse take? A. Administer DTaP vaccine B. Administer rotavirus vaccine C. Hold immunizations until fever subsides D. Administer Hep A vaccine

A. CT scan of the head B. Skeletal x-ray to determine bone development C. GH stimulation test D. Blood IGF-1 obtained

A nurse is caring for a child who has short stature. Which of the following diagnostic tests should be completed to confirm growth hormone GH deficiency? Select all A. CT scan of the head B. Skeletal x-ray C. GH stimulation test D. Blood IGF-1 E. DNA testing

C. Dehydration D. Mental confusion E. Fruity breath

A nurse is caring for a child who has type 1 diabetes mellitus. Which of the following are manifestations of diabetic ketoacidosis? Select all A. Blood glucose 58mg/dL B. Weight gain C. Dehydration D. Mental confusion E. Fruity breath

A. Otitis media C. Laryngitis Arthralgia is a complication of fifths disease and mumps Syncope is a complication of pertussis

A nurse is caring for a client who has rubeola. The nurse should monitor for which of the following complications? Select all A. Otitis media B. Constipation C. Laryngitis D. Arthralgia E. Syncope

A. RV (2/3 doses) B. DTap (5 doses) C. Hib (3/4 doses) E. PCV13 (4 doses) F. IPV (4 doses) HepA 12 months, 2 doses

A nurse is planning to administer recommended immunizations to a 2-month old infant. Which of the following vaccines should the nurse plan to give? Select all A. Rotovirus (RV) B. Diphtheria, tetanus, and acellular pertussis (DTap) C. Haemophilus influenzae type b (Hib) D. Hepatitis A (HepA) E. Pneumococcal conjugate (PCV13) F. Inactivated poliovirus (IPV)

A. IPV (4 doses) C. MMR (2 doses) D. VAR (2 doses) F. DTap (5 doses) Hib complete by 15 months HepB complete by 18 months

A nurse is planning to administer recommended immunizations to a 4-year old. Which of the following vaccines should the nurse plan to give? Select all A. Inactivated poliovirus (IPV) B. Haemophilus influenzae type b (Hib) C. Measles, mumps, rubella (MMR) D. Varicella (Var) E. Hepatitis B (HepB) F. Diphtheria, tetanus, and acellular pertussis (DTap)

D. Allowing an infant to suck on a pacifier w/ sucrose solution can decrease pain with immunizations Aspirin can cause high risk for Reye syndrome Z-track method not recommended Separating parents can produce anxiety

A nurse is preparing to administer immunizations to a 4-month old infant. Which of the following actions should the nurse take to provide atraumatic care? A. Administer 81mg aspirin B. Use the Z-track method when injecting C. Ask the parents to leave the room during the injection D. Provide sucrose solution on the pacifier

C. Varicella is contradicted for clients who have been taking corticosteroids or other medications that affect the immune system for 2 weeks or longer Contradicted to gelatin or neomycin allergy DTaP is contradicted to encephalopathy HepB contradicted for yeast reaction

A nurse is preparing to administer the varicella vaccine to an adolescent. Which of the following questions should the nurse ask to determine whether there is a contradiction to administering the vaccine? A. Do you have an allergy to eggs? B. Have you ever had encephalopathy following immunizations? C. Are you currently taking corticosteroid medications? D. Have you ever had an anaphylactic reaction to yeast?

A. Frequent monitoring is done to identify hyper/hypoglycemia D. Test for ketones, early detection of ketoacidosis E. Notify provider levels greater than 240mg/dL

A nurse is reviewing sick-day management with a parent of a child who has type-1 diabetes mellitus. Which of the following should the nurse include in the teaching? Select all A. Monitor blood glucose levels every 3hr B. Discontinue taking insulin until feeling better C. Drink 8oz of fruit juice every hour D. Test urine for ketones E. Call the provider if the blood glucose is greater than 24omg/dL

C. Early manifestation of hypoglycemia is irritability Should eat 3 meals/day Insulin requirements decrease with exercise Regular insulin then NPH when drawing up

A nurse is teaching a child who has type 1 diabetes mellitus about self-care .Which of the following statements by the child indicates understanding? A. I should skip breakfast when i am not hungry B. I should increase my insulin with exercise C. I should drink a glass of milk when i am feeling irritable D. I should draw up the NPH insulin into the syringe before the regular insulin

D. Obtaining immunizations

A nurse is teaching a group of family members about communicable diseases. The nurse should include that which of the following is the best method to prevent communicable disease? A. Hand washing B. Avoiding person who have active disease C.Covering your cough D> Obtaining immunizations

B. Rubeola (measles) C. Pertussis (whooping cough) D. Varicella (chickenpox)

A nurse is teaching a group of family members about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? Select all A. Rubella (German measles) B. Rubeola (measles) C. Pertussis (whopping cough) D. Varicella (chicken pox) E. Mumps

D. 4-6 injections about 2.5cm apart before switching sites Needle at 90-degree angle Do not mix glargine and regular insulin Not necessary to aspirate blood prior

A nurse is teaching a school-age child who has diabetes mellitus about insulin administration. Which of the following should the nurse include? A. You should inject the needle at a 30-degree angle B. You should combine your glargine and regular insulin C. You should aspirate blood before injecting insulin D. You should give 4-6 injections in one area before switching sites

B. Hunger D. Irritability E. Sweating and pallor

A nurse is teaching an adolescent who has diabetes mellitus about manifestations of hypoglycemia. Which of the following findings should the nurse include? Select all A. Increased urination B. Hunger C. Poor skin turgor D. Irritability E. Sweating and pallor F. Kussmaul respirations

A. Delayed sexual development B. Premature aging D. Short stature

A nurse is teaching the parent of a child who has a growth hormone deficiency. Which of the following are complications of untreated growth hormone deficiency? Select all A. Delayed sexual development B. Premature aging C. Advanced bone age D. Short stature E. Increased epiphyseal closure

A. Polydipsia B. History of recent vaginal yeast infections D. Polyphagia E. Polyuria

A nursing student is instructing a family in symptoms of diabetes. Which of the following are correct? Select all A. Polydipsia B. History of recent vaginal yeast infections C. Synthesis D. Polyphagia E. Polyuria F. Social isolation G. Weight gain

C. Treatment usually stops when the child grows less than 1 in/year and has reached required bone maturity

A parent of a school-age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following responses should the nurse make? A. Injections are usually continued until age 10 for girls and age 12 for boys B. Injections continue until your child reaches the fifth percentile on the growth chart C. Injections might be stopped once your child grows less than 1in/year D. The injections will need to be administered throughout your child's entire life

B. Give 15ml of carbohydrates and retest blood sugar in 15 min

A student with type 1 diabetes mellitus complains of feeling lightheaded. Her blood sugar is 60mg.dL. Using the 15/15 rule, the nurse should A. Give 15ml of juice, and repeat dose in 15 min B. Give 15ml of carbohydrates and retest blood sugar in 15 min C. Give 15 grams of carbohydrates and 15g of protein D. Give 15 ounces of juice and retest blood sugar in 15 min

D. Immunoglobulins

Administration of which substance provides passive immunity? A. Vaccines B. Toxoids C. Antitoxins D. Immunoglobulins

D. Respiratory disease caused by a virus involving the parotid gland

The mother of a toddler with mumps asks the nurse what she needs to watch out for in her child with this disease. The nurse bases the response of the understanding that mumps is which type of communicable disease? A. Skin rash caused by virus B. Skin rash cause by a bacteria C. Respiratory disease cause by virus involving the lymph nodes D. Respiratory disease caused by a virus involving the parotid gland

A. Skeletal proportions are normal for age

What statement best describes hypopituitarism? A. Skeletal proportions are normal for age B. Weight is usually more retarded than height C. Growth is normal during the first 3 years of life D. Most of theses children have subnormal intelligence

C. A life-threatening situation

When a child develops diabetic ketoacidosis, what is this considered by the nurse? A. Expected outcome B. Best treated at home C. A life-threatening situation D. Best treated a practitioners office or clinic

A. Vaccines work by stimulating the humoral immune system

Which statement MOST accurately describes the pharmacodynamics of vaccine? A. Vaccines work by stimulating the humoral immune system B. Vaccines provide IgG antibodies to protect against the infection C. Vaccines prevent the formation of antibodies against a specific antigen D. Vaccines work by suppressing the amino acids immunoglobulin sequence