quiz peds 5 & 6

A nurse is assisting with the admission of a 9 year old child who has acute rheumatic fever. When obtaining the child's history, it is appropriate for the nurse to ask the parent which of the following questions?

Has your son had a sore throat recently?" Rheumatic fever typically develops 2-6 weeks after an untreated or ineffectively treated streptococcal infection of the respiratory tract.

A nurse is caring for a school-age child with acute glomerulonephritis who has peripheral edema and is producing 35 mL of urine per hour. The client should be placed on which of the following diets?

Low sodium, fluid restricted This is to prevent complications.

The tasks that would be appropriate to expect of a 5 year-old would be

b. to set the table with paper plates. This would be an appropriate task.

What should be included when reinforcing teaching about lice to the parent of a school-age child at a well child visit?

c. "Encourage your child to avoid sharing hats with other children." Lice are transmitted from person to person on personal items.

A nurse is reinforcing teaching about self-administration of insulin to the parent of a school-age child newly diagnosed with diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

c. "I will be sure my child aspirates before injecting the insulin." It is not necessary to aspirate before injecting the insulin.

A nurse in a provider's office is caring for a school-age child whose mother reports dandruff and a rash on the back of her child's neck. On examination, the nurse notices the white flakes don't brush off the hair. The nurse suspects which fo the following disorders?

c. Pediculosis capitis This is head lice, and nits are cemented to the hair shaft. The nits are silvery to white in color, similar to dandruff. They are most commonly seen on hair on the back of the head near the nape of the neck. A papular rash may be present at the nape of the neck secondary to scratching.

When a child is experiencing a generalized tonic-clonic seizure, an appropriate nursing action would be

to move objects out of the child's immediate area. Protect from nearby hazards

A nurse is reinforcing discharge teaching to the parent of a child with a new diagnosis of diabetes mellitus. Which of the following statements by the parent requires clarification of the teaching?

"My son may have nausea and vomiting with hypoglycemia." This statement requires clarification as nausea and vomiting occurs with hyperglycemia.

During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty getting a preschool-age child to go to bed. Which of the following statements indicates to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?

"I will encourage my child to fall asleep with his favorite toy." Transitional objects, such as a blanket or toy, will provide a sense of comfort and allow the child to fall asleep more quickly.

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply)

- Daytime symptoms occur more than twice a week. A child with mild persistent asthma will typically have daytime symptoms more than twice a week, but not daily. - Minor limitations occur with normal activity. A child with mild persistent asthma will have some minor limitations with normal daily activities. - peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value. A child with mild persistent asthma will have a PEF greater than or equal to 80% of the predicted value.

A nurse is talking with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?

d. Yellow nasal discharge Yellow or green nasal discharge is a sign of an upper respiratory infection. Children who have nephrotic syndrome are at constant risk for infection, so the mother should report this manifestation so the provider can prescribe appropriate and promt treatment.

he nurse would ask the father of a patient with hemophilia A to reconsider family vacation he has planned to

Denver for skiing. Child may fall and cause bleeding in joints and/or other areas of trauma.

A nurse administers subcutaneous NPH insulin at 0700 to a diabetic child. When should the nurse observe for a possible hypoglycemic reaction?

1000 NPH is an intermediate-acting insulin, and has an expected onset of 3-4 hours.

A nurse is reinforcing teaching to an adolescent client regarding administration of Gardasil vaccine. For which of the following sexually transmitted infection does the vaccine provide immunity?

c. Human papillomavirus (HPV) This is the only HPV vaccine that helps provide immunity against 4 types of HPV.

A nurse is caring for a 4 year-old child who is newly diagnosed with diabetes mellitus and is distressed after his insulin injection. Which of the following should the nurse use to help the child deal with this injection?

A needle-less syringe and a doll. A needle-less syringe and a doll allow the child to act out feelings of anger and helplessness about getting shots.

A nurse is caring for a child with Nephrotic Syndrome. Which of the following should be the first action by the nurse?

c. Check the child's daily weight. First action is collecting data.

A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical history from the parent, the nurse recognizes the significance of which of the following data as the possible source of the child's infection?

a. A sibling had a sore throat 3 weeks ago. Typically develops 2-6 weeks after an untreated or ineffectively treated streptococcal infection of the respiratory tract. If the sibling had a respiratory infection, it is likely the client might also have had a streptococcal respiratory infection.

A nurse is monitoring a child who has just had a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?

a. Frequent swallowing Frequent swallowing and throat clearing are signs of hemorrhage after a tonsillectomy.

A nurse is providing teaching to the parent of a child diagnosed with celiac disease. The nurse should include which of the following as an acceptable food choice for this child?

a. Rice Rice is naturally gluten-free, and is an acceptable food choice for a child with celiac disease.

A nurse is checking a school-age child for pediculosis capitis. The nurse understands that which of the following manifestations is a definitive indication of this condition?

b. Firmly attached white particles on the hair. Pediculosis capitis, or head lice, are tiny parasitic insects that live on the scalp and can be spread by close contact with other people. Their eggs (nits) appear much like flakes of dandruff, but are stuck firmly to the hair shaft instead of flaking off the scalp.