Exam 5: Chapters 23-27
A nurse in a clinic is teaching a group of parents about scoliosis screening. Which of the following statements by a parent indicates an understanding of the teaching?
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging"
A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophilia. Which of the following statements by the parent indicates a need for further teaching?
"I will apply warm compress over the site."
A teenager has been fitting with a Milwaukee brace to help with her 40 degree spinal curvature. The teenager understands the nurse teaching when stating which of the following?
"I will wear my brace over a t-shirt 23 hours a day."
A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?
"It is not your fault this happened."
A nurse is reinforcing teaching with a mother of a child who has cystic fibrosis and is to take pancreatic enzymes three times per day. Which of the following statements indicates the mother understands the information>
"My child will take the enzymes to help digest the fats in food."
A nurse is reinforcing teaching with a parent of an 8-year-old child who has a fracture of the epiphyseal plate. Which of the following statements should the nurse include in the teaching?
"Normal bone growth can be affected by the fracture"
What is the medical term for lazy eye?
Amblyopia
A pediatric client the ventricular septal defect repair is placed on a maintenance dosage of digoxin (Lanoxin) elixir. The safe dosage is 0.07 mg/kg/day, the client's weight is 7.2 kg. The physician orders the digoxin to be given BID. The nurse prepares how much digoxin to administer to the client at each dose?
0.25 mg
The treatment of osteomyelitis includes the use of:
Antibiotics
When administering digoxin (Lanoxin) to an infant, the medication should be withheld and the healthcare provider notified if what?
Pulse is below 100 bpm
Define the causes each of these types of hearing loss:
Congenital hearing loss: - born with hearing loss Conductive hearing loss: - tympanic membrane prevents the sound from entering the middle ear Sensorineural hearing loss: - cochlea and acoustic nerve damage
Treatment for osteomyelitis includes antibiotic therapy for ______ weeks.
4-6 weeks
A child with a periorbital cellulitis has a rectal temperature of 102.2 degrees F (39 degrees C). The child has an order for acetaminophen (Tylenol) 280 mg by mouth. The label on the bottle reads 160 mg per 5 mL. How many mL should the nurse dispense to the child?
8.8 mL
Which principle should the nurse teach the parent concerning administering liquid iron preparations to the child with iron-deficiency anemia?
Administer between meals
The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?
A valid giving salicylate-containing (aspirin) medications to a child who has viral infections
The nurse reports which assessments that suggest a meconium ileum in a newborn? SATA
Absence of stool Vomiting Abdominal distention
The father of a 7-year-old boy reports to the nurse that two of three times over the past week he has observed his son seemingly staring into space rubbing his hands. The behavior lasts for a minute or so, followed by an inability of the child to understand what's being said to him. When the nurse asks the child about his experience, he says he doesn't know what his father is talking about. The symptoms this child is exhibiting might indicate the child is having:
Absence seizures
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Administer antibiotics when available
Match the characteristics of each type of cerebal Palsy:
Athetoid (Dyskinetic): - damage to cortex of brain, spasms with movement, verbal asphyxia Spastic: - damage to basal nuclei ganglion, continuous involuntary writhing movement, hyperbillirubinemia Ataxic: - uncoordinated movement and ataxia, lesion in the cerebellum Mixed: - combined with spastic and athetoid
The nurse would expect the parent of an infant with croup to describe the infant's cough as what?
Barking
What type of traction would a nurse expect to use for a 20-month-old child who has a fractured femur?
Bryant's
What are expected findings in an infant with congenital heart defects? SATA
Clubbing of fingers Fatigue with feeding or activity Failure to thrive
What all are trigger factors of childhood asthma? SATA
Cold Pregnancy Pollens Exercise Emotions
Bulk, frothy, foul-smelling stools are indicative of what disease in children?
Cystic fibrosis
What disease found in children is usually inherited as a sex-linked disorder?
Duchenne's muscular dystrophy
What characteristic signs does the nurse caring for a child with Duchenne's muscular dystrophy document?
Falls frequently and is clumsy
With Bryant's traction, the child's buttock should be firmly on the mattress?
False
What helps aid in the digestion of iron?
Foods high in vitamin C
Febrile seizures are common in children 6 months to 5 years of age. What can be a cause of these seizures? SATA
Genetic predisposition Rapid rise in temperature over 102 F
A seizure that has an aura, tonic-clonic movements, and a postictal phase is known as what?
Grand Mal seizure
What would the nurse include in a teaching plan for a child who is using phenytoin (Dilantin) long-term?
Gums should be massaged regularly to prevent hyperplasia
What must the nurse never do if a child is suspected of having epiglottis?
Inspect the mouth or throat
Which assessment would cause the pediatric nurse to suspect the probability of an ear infection in a 6-month-old child? SATA
Irritability Temperature of 39.4 C (103 F) Rolls head from side to side
Otitis media can be treated with ________ and/or _________.
Myringotomy/PE tubes Antibiotics
A child is experiencing a tonic-clonic seizure, what is the appropriate nursing actions for this child? SATA
Observe and record stages and manifestations Move objects out of the child's immediate area
A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first?
Obtain a detailed history
A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?
Orange ice pop
What is a common treatment for amblyopia?
Patching the good eye to force the brain to use the affected eye
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosis
A nurse is caring for an adolescent following the application of a plaster cast for a fractured tibia. Which of the following actions should the nurse take?
Perform a neuromuscular check of lower extremities
How does the pediatric skeletal system differ from the adult skeletal system? SATA
Periosteum is thicker and produces callus Heals quicker Bones are stronger Epiphysies are present
A 12-year-old girl is diagnosed with functional scoliosis. The nurse explains that what causes this type of spinal curvature defect?
Poor posture
A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document the following disorders?
Scoliosis
A nurse is reinforcing teaching about diagnostic test with the parents of a child who has suspected cystic fibrosis. Which of the following diagnostic tests should the nurse include as the most definitive when diagnosing cystic fibrosis?
Seat chloride test
Which type of fracture may indicate child abuse?
Spiral
An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the user call 911?
The seizure lasts more than 5 minutes
What is an anatomical reason that infants are more prone to ear infections?
The tubes are smaller in diameter and sits horizontal
A nurse is caring for a school-age child who has a fracture to the femur. Which of the following findings is the nurse's priority?
Tingling in the right foot
Signs and symptoms of meningitis include: severe headache, fever, stiff neck, and irregular respirations?
True
A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Tugging on affected earlobe
