Week 6
A worried parent informs the nurse, "My 6 year old is otherwise healthy but still wets the bed at night." The nurse is teaching the parent necessary steps to manage the child's nocturnal enuresis. Which statement made by the parent indicates effective learning? Select all that apply. - "I should give my child diet soda instead of regular soda in the evening." - "I should encourage my child to drink lots of water during the day." - "I should avoid giving my child fruit juice after 4 pm." - "I should wake my child at the same time every night to use the bathroom." - "I should make my child wear diapers during the day hours while at school."
- "I should encourage my child to drink lots of water during the day." - "I should avoid giving my child fruit juice after 4 pm." - "I should wake my child at the same time every night to use the bathroom."
Which clinical findings indicate to the nurse that a 6 year old child has nephortoic syndrome rather than acute glomerulonephritis? Select all that apply. - massive proteinuria - gross hematuria - unchanged blood pressure
- massive proteinuria
An infant recovering from dehydration is ordered maintenance IV fluid. He weighs 30.8 lb. What is the required IV flow rate in mL/hr to maintain proper fluid levels? Answer in whole number. _________ mL/hr.
50 mL/hr
After a cleft lip repair a nurse places elbow restraints on the infant. The parents ask the nurse, "Why does out child have to have restraints?" How should the nurse respond? - "Legally we're required to put them on infants after lip surgery." - "Because we're keeping the arms straight, your baby won't be able to touch the mouth." - "The staff can't be with your baby continuously to prevent touching of the mouth." - "They're used routinely on infants who have had lip surgery."
? - "Because we're keeping the arms straight, your baby won't be able to touch the mouth." - "The staff can't be with your baby continuously to prevent touching of the mouth."
The nurse is administering medication to a child with gastroesophageal reflux (GERD). Which of the following would be documented as given? - Iansoprazole (Prevacid) - Prednisone - Glycopyrrolate (Robinul) - Furosemide (Lasix)
Iansoprazole (Prevacid)
An infant with pyloric stenosis is admitted to the pediatric unit. What does the nurse expect to find when palpating the infant's abdomen? - rhythmic peristaltic waves in the lower abdomen - marked tenderness around the umbilicus - an olive sized mass in the right upper quadrant - a distended colon
an olive sized mass in the right upper quadrant
A 6 week old infant has just been found to have gastroesophageal reflux. What teaching is most important to discuss with the parents at this time? - placing the infant on its back immediately after feedings - explaining changes in care after surgical repair of the esophageal defect - providing formula thickened with cereal - feeding cereal with a spoon
providing formula thickened with cereal
A 1 month old infant is admitted to the pediatric unit with tentative diagnosis of Hirschsprung disease. What procedure does the nurse expect to be used to confirm the diagnosis? - fiberoptic nasoenteric tube - multiple saline enemas - colonscopy - rectal biopsy
rectal biopsy
A nurse is planning care of an infant with severe dehydration. Which of the following would be the most appropriate intervention? - start administering pedialyte (electrolyte fluid) immediately -start IV therapy immediately - feeding water 3 ounces every 3 hours without formula - feeding concentrated formula with more than the needed water
start IV therapy immediately
An ER nurse is assessing is a pre-school age child could have a urinary tract infection. Which of the following assessment findings would be consistent with this? - proteinuria, frothy urine, fever - headache, hematuria, vertigo - urgency, dysuria, fever - severe flank pain, nausea, headache
urgency, dysuria, fever