Pads #3

the parent of a pediatric client with asthma is talking to the nurse about administering the child's albuterol inhaler. Which statement by the parent leads the nurse to believe that the parents needs further education on how to administer the medication?

"I should administer two quick puffs of the albuterol inhaler using a spacer."

a school-aged child has been diagnosed with nasopharyngitis. the parent is concerned because the child has had little or no appetite for the ;last 24 hrs. the parent asks the nurse if this is a concern. which is the nurses best response?

"be sure your child is taking an adequate amount of fluid; the appetite should return soon."

the parent of a 10-month-old male brings the child to the pediatricians office with URI symptoms and a fever. the parent asks the nurse what can be done at home to improve the childs current condition. which is the nurses best response?

"give the child small amounts of fluid every hour to prevent dehydration"

the nurse is caring for a 22-month-old male who has had a related bouts of otitis media. The nurse is educating the parents indicates they need additional teaching?

"my child will have fewer ear infections if he has his tonsils removed"

The parent of a pediatric client calls the ER. The parent reports that the child has had a barky cough for the last 3 days and it always gets worse at night. The parent asks the nurse what to do. Which is the nurse's best response? 1. "Take your child outside in the night air for 15 minutes." 2. "Bring your child to the ER immediately." 3. "Give your child an over-the-counter cough suppressant." 4. "Give your child warm liquids to soothe the throat."

"take your child outside in the night air for 15 minutes?"

a pediatric client had a tonsillectomy 24 hrs ago. the nurse is reviewing discharge instructions with the parents. the parents tell the nurse that the child is a big eater and they want to know what foods to give the child for the next 24 hrs. what is the nurses best response?

"the childs diet should be restricted to soft foods"

On examination, a nurse hears a murmur at the left sternal border (LSB) in a child with diarrhea and fever. The parent asks why the pediatrician never said anything about the murmur. The nurse explains: 1. "The pediatrician is not a cardiologist." 2. "Murmurs are difficult to detect, especially in children." 3. "The fever increased the intensity of the murmur." 4. "We need to refer the child to an interventional cardiologist."

"the fever increased the intensity of the murmur"

a pediatric client is diagnosed with epiglottis. the parents ask the nurse what treatment their child will receive. which is the nurses best response?

"your child will need to complete a course of intravenous antibiotics"

Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease (KD) states: 1. "The arthritis in her knees is permanent. She will need knee replacements." 2. "I will give her diphenhydramine (Benadryl) for her peeling palms and soles of her feet." 3. "I know she will be irritable for 2 months after her symptoms started." 4. "I will continue with high doses of Tylenol for her inflammation."

" i know she will be irritable for 2 months after her symptoms started"

The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response? 1. "Thirty minutes before feeding the child breakfast." 2. "After deep-suctioning the child each morning." 3. "Thirty minutes after feeding the child breakfast." 4. "Only when the child has congestion or coughing."

30 minutes before feeding the child breakfast

a pediatric client is admitted to the ER with an acute asthma exacerbation. the nurse tells the parents that blood will have to be drawn for some diagnostic laboratory tidies. which laboratory result will provide the health-care team with the most important information regarding the child's respiratory status?

ABG

a 3-year-old is admitted to the hospital with a diagnosis of epiglottis. the child is in severe distress and needs to be intubated. the mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. which is the nurses best response?

epiglottis is rapidly progressive, you could not have predicted that his symptoms would worsen quickly

the parents of a child with CF asks the nurse which diet is recommended for their child. What is the nurses best response?

high caloric

during a well-child check up for an infant with tetralogy of fallow (TOF), the child develops severe respiratory distress and becomes cyanotic. the nurses first action should be?

hold the child in knee-chest position to decrease venous blood return

a heart transplant may be indicated for a child with severe heart failure and ... ?

hypo plastic left heart syndrome

a child is complaining of throat pain. which statement by the mother indicates that she needs more education regarding the care and treatment for her daughters pharyngitis?

i will ask the nurse practitioner for some amoxicillans

the nurse is caring for a child with Kawasaki disease. a student nurse who is on the unit asks if there are medication to treat the disease, the nurses response to the student would be:

immunoglobulin G and aspirin (high doses)

nursing care management of the pediatric client with a diagnose of mononucleosis should include which of the following?

limit the childs visitors to the family only

Indomethacin may be given to close which congenital heart defect (CHD) in newborns?

patent ductus arterioles

for the child with hypo plastic left heart syndrome. which drug may be given to allow the patent ductus arterioles (PDA) to remain open until surgery?

prostaglandin E

which medication should the nurse give to a child diagnosed with transposition of the great vessels?

prostaglandin E

a 10-year-old has undergone a cardiac catherizzation. at the end of the procedure, the nurse should first assess?

pulses

a 5-year-old is brought to the ER with a temperature of 99.5, a barky cough, stridor, and hoarseness. which of the following nursing intervention should the nurse prepare for?

respiratory treatment of racemic epinephrine

a 10-year-old boy is receiving form a severe sore throat. the parent states that the clinic complains of chest pain. the nurse observes that the child has swollen joints, noodles on the fingers, and a rash on the chest. the likely cause is?

rheumatic fever

a child has been diagnosed with valvular disease following rheumatic fever (RF). during patient teaching, the nurse discusses the childs long-term prophylactic therapy with antibiotics for dental procedures, surgery, and childbirth. the parents indicate they understand when they say?

she will need to take the antibiotics foe the rest of her life

During play, a toddler with a history of Tetralogy of Fallot might assume which of the following positions?

squatting

a 6-month-old who has episodes of cyanosis after crying could have the congenital heart defect (CHD) of decreased pulmonary blood flow called?

tetralogy of Fallot (TOF)

a 6-month-old is admitted to the hospital with RAD. The nurse is assessing the child. which of the following physical findings should be of most concern?

the baby is grunting

which would the nurse explain to parents about the inheritance of CF?

the child of a mother who has CF and a father who is a carrier of the gene for CF has a 50% of acquiring CF

a 15-month-old is brought to the ER. the parents tell the nurse that the child has not been eating well and has had an increased respiratory rate. which of the following assessments is of greatest concern?

the patient is in the tripod position and has diminished breath sounds and a muffled cough

the parents of child with CF is excited about the possibility of the child receiving a double lung transplant. what should the parent understand?

the transplant will not cure the child but will allow them to have a longer life

the school nurse is planning to educate kindergarten children on how to stop the spread of influenza in the classroom. which of the following should the nurse instruct the children?

wash their hands after sneezing

a 2-year- old is admitted to the hospital in respiratory distress. the physical tells the parents that the child probably has RSV. the parents ask the nurse how they will determine if their child has RSV. which is the nurses best response?

we will swab your childs nose and send those secretions for testing

the parent of a pediatric client who has had frequent ear infections asks the nurse if there is anything that can be done to help the child avoid future ear infections. which is the nurses best response?

your child should be kept away from tobacco smoke

a physical diagnosis a school-aged child with strep throat and pharyngitis. the child's parent asks the nurse what treatment the child will need. which is the nurse's best response?

your child will need oral penicillin for 10 days and should feel better in a few days

what does the therapeutic management of CF patients include? (SATA)

- providing a high protein, high calorie diet - encourage exercise - minimizing pulmonary complications - encouraging medication compliance

A child who has reddened eyes with no discharge; red, swollen, and peeling palms and soles of the feet; dry, cracked lips; and a "strawberry tongue" most likely has?

Kawasaki disease (KD)

a 2-month-old is seen in the pediatricians office for his 2-month well checkup. the nurse is assessing the patient and reports to the physician that the child is exhibiting early signs of respiratory distress. which of the following would indicate an early sign of distress?

- the infant has tachypnea

tetralogy of Fallot (TOF) involves with defects? (SATA)

- ventricular septal defect (VSD) - right ventricular hypertrophy - pulmonic stenosis (PS) - overriding aorta

a physician prescribes 10 days of amoxicillin to treat a 6-year-old male with an ear infection. the nurse is reviewing discharge instructions with the parent. which information should be included in the discharge instructions with the parent. which information should be included in the discharge instructions?

administer the amoxicillin until all the medications are gone

a 7-year-old female with asthma is playing a soccer game in gym class. During the game the child begins to cough, wheezes, and have difficulty catching her breath. the school nurse is called to the soccer field. which of the following should the nurse administer to provide quick relief?

albuterol

what should the nurse assess prior to administering oxygen?

apical pulse rate

the nurse is caring for a child who has undergone a cardiac cauterization. during recovery, the nurse notices the dressing is saturated with bright red blood. the nurses first action is to?

apply pressure 1 inch above the puncture site

in which congenital heart defect (CHD) would the nurse need to take upper and lower extremity blood pressure?

coarctation of the aorta (COA)

a child born with down syndrome should be evaluated for which associated cardiac manifestation?

congenital heart defect (CHD)

congenital heart defects are classified by which of the following? (SATA)

- defects w increased pulmonary blood flow - defects w decreased pulmonary blood flow - mixed defects - obstructive defects

the following are examples of acquired heart disease (SATA)

- infective endocarditis - rheumatic fever - cardiomyopathy - kawasaki disease

which of the following children would benefit most from having ear tubes placed?

a 2-year-old who has had 5 previous ear infections

there are several children in the ER waiting area who all have asthma. the nurse has only one room left in the ER. Based on the following information which child should be seen first?

a 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an oxygen saturation of 93%

which of the following patents is at highest risk for requiring hospitalization as a result of RSV?

a 2-month-old who is a former 32-week preemie