Pediatric

The nurse cares cares for a child with chronic kidney disease who requires intermittent blood transfusions due to low blood counts. What medication can be used to help decrease the need for blood transfusions?

Peritonitis

The nurse is caring for a child who is diagnosed with acute glomerulonephritis. Which of the following will the nurse expect to see in the child's history and physical?

Recent strep throat infection

Which nursing actions will the nurse include in the plan of care for a child following a renal biopsy? Select all that apply

-Maintain bed rest for 24 hours following the procedure -Apply a pressure bandage to the site and sand bag if feasible -Monitor intake and output

The healthcare provider orders Fortaz 50/mg/kg po t.i.d to a child who weighs 55 pounds. Fortaz is available in an oral suspensionlabled 1 gram/ml. The nurse will administer_ mlper dose. Round to the nearest whole number

1ml

A child weighs 44 pounds is prescribed medication of 5mg/kg/day divided into 4 doses per day. The nurse will administer?

25

A child weighs 66 lbs. And is prescribed a medication for 0.8mg/kg/dose. The pharmacy supplies 10mg/2ml. The nurse will administer, round to the nearest whole number.

5 ml

The healthcare provider orders 7500 units of heparin IV stat over one hour. You have on hand 500ml Dextrose 5% in water with 50,000 units of Heparin. The rate of infusion should be_ml/hr

75 ml/hr

Which foods should the nurse serve to a childwith hepatitis?

A tuna sandwich on whole wheat with cup of milk

The nurse is caring for a newborn just diagnosed with tracheoesophageal fistula and heis on the schedule for surgery. What would the nurse expect to do for this patient in the Pre-Op period?

Administer IVF and antibiotics

The nurse should know that Nissen fundoplication is performed for what reason?

As a treatment for gastroesophageal reflux

Which is a priority for the nurse to include in the plan of care of a child diagnosed with nephrotic syndrome?

Assess daily weight

A four-month-old has vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel is sunken. The nurse notes the infant does not have any tears when he cries. Which of these tests will confirm the diagnosis of dehydration?

Drawing a basic metabolic profile

The nurse is caring for a child diagnosed with Cushing's disease. Which physical assessment findings would the nurse expect to see in this disease? Select all that apply

Excessive hair growth -Fatty deposits around face and trunk -Ruddy cheeks -Moon face

While teaching a child with type I diabetes about hypoglycemia, what signs and symptoms should the nurse include? Select all that apply

Feeling jittery -Feeling dizzy -Sweating

The nurse is caring for a child who sustained a closed-head injury. Which assessment finding indicates a neurological emergency?

Fixed dialated pupil

Which complication will the nurse assess for ina child with a history of Graves' disease taking propylthiouracil?

Leukopenia

Which is the most common clinical manifestation in a child diagnosed with Meckel diverticulum?

Intestinal bleeding

Which of the following is considered the primary treatment for a child experiencing Gullain-Barre syndrome?

Intravenous immunoglobin

The nurse cares for a seven-week-old with pyloric. The infant is on the schedule for surgery in the morning. Which of the following would the nurse expect to see on his care plan?

Keep infant NPO, start IVF

The nurse is caring for an adolecent suspected to have bacterial meningitis. Which procedure is a priority for the nurse to prepare the client?

Lumbar puncture

The nurse is assessing a client who is receiving peritoneal dialysis with 2L inflows and notes the dialysate solution to have a cloudy appearance. Which nursing action is appropriate?

Notify the provider

A child is seen in the emergency department with acute nausea, vomiting and diarrhea. The parents state the child has not been able to drink without vomiting. Which intervention is appropriate in the management of this child?

Obtain a prescription for intravenous fluids

The nurse is caring for a child diagnosed with systemic lupus erythematosus (SLE). What will the nurse teach the client to avoid to prevent exacerbation?

Overexposure to sunlight

Which of the following does the nurse recognize as cardinal signs of diabetes insipidus? Select all that apply

Polydipsia -Polyuria

What is a nursing priority assessment for a child who developed Guillain-Barre syndrome following a viral infection?

Respiratory effort

Which description of stool is characteristic of a child diagnosed with Hirschsprung disease?

Ribbon-like stool

The nurse is caring for a 2 year old admitted to the pediatric unit for moderate dehydration due to vomiting and diarrhea. The child is restless, afebrile with a HR 148 and BP 90/42. Baseline lab results show Na 152, Cl 119, and glucose 11. The parents say the child has not voided in 12 hours. The nurse receives an order for a saline lock. Which of these orders should the nurse question for this patient?

Start maintenance IVF after a bolus of 05 % NSwith 10 mEq KCI/L

The nurse cares for a client with a recent headinjury who has calm and relaxed during themorning assessment. Which findings indicate to the nurse there is a progression of injury? Select all that apply

The client is difficult to arouse -The client complains of headache increasing -The client is increasingly restless -The client has a change in orientation

The nurse enters the child's room and sees the child violently jerking with loss of consciousness and foaming of the mouth. The nurse identifies this as what type of seizure?

Tonic-clonic seizure

Which assessment is a priority for a child with a myelomeningocele?

Urinary Function

A 10 year old is seen in the ER with a ruptured appendix. Which of the following will be included in the Post-Op plan of care? Select all that apply

-NG suction and gastric decompression -Administration of IV antibiotics

The nurse cares for a child experiencing a febrile seizure in the hospital bed following amoral temperature of 104F. The child has no previous history of seizure activity. Which nursing actions are appropriate? Select all that apply

-Place the client on their side to prevent aspiration -Remove pillows, raise siderails and put in flat position -Clear the area around the child of sharp or hard objects

The nurse is caring for a child following a kidney transplant. Which of the following nursing diagnoses is a priority for the child's plan of care?

-Risk for infection related to immunocompromised state and post- transplant medications

A client is prescribed 0.05 g of medicationavailable in 250/10ml. The nurse will administer

2ml

Which finding would the nurse expect to assess in a child with hypothyroidism?

Dry skin and sparse hair

The nurse caring for a 13-year-old client admitted with Syndrome of inappropriate antidiuretic hormone (SIADH). Assessment findings reveal oliguria, hyponatremia, and water intoxication. Which treatment will be included in the plan of care?

Fluid restriction

During the assessment of a child with abdominal pain and heartburn, the nurse notes he child has a chronic cough. Which condition consist with?

Gastroesophageal reflux

Which meal will the nurse select for a child diagnosed with Celiac disease?

Ham and cheese omelet and milk

The nurse recognizes which of the following as being an early indication of ketoacidosis?

Ketonuria in the presence of hyperglycemia

A child with a suspected spinal cord injury is being admitted to the emergency room. Which is the nurse's priority action?

Maintain/ensure immobilization

The nurse is caring for a child with cerebral edema resulting in increased intracranial pressure (ICP). Which medication does the nurse anticipate administering for rapid reduction of ICP.

Mannitol

The nurse cares for an adolecent diagnosed with juvenile idiopathic (JIA). Which of the clinical issues can the nurse anticipate? Select all that apply

Morning stiffness -Difficulty ambulating -Joint disfigurement -Possibility of uveitis

The nurse is caring for an adolescent who sustained a traumatic injury to the right lower leg. The wound is deep and open with exposure of the bone. The client's temperature is 101.5F, WBC 30,000/ml, and the client is experiencing chills and nausea. Based on the assessment findings, which condition would the nurse suspect?

Osteomyelitis

Which of the following should the nurse asses following the application of a cast for a fractured humerus? Select all that apply

Sensation Movement

The nurse assessing a child notes poor control of posture, difficulty maintaining balance, and hypertonicity. Which of the following are these assessment finding associated with?

Spastic cerebral palsy

An adolescent is being seen in the ER with a fractured tibia penetrating the skin. What is the priority nursing action?

Start IV and antibiotics

A 10-year-old child meausering in the 30th percentile on the growth chart for height is diagnosed with hypopituitarism. The nurse is preparing to administer a prescribed growth hormone. Which route of administration does the nurse anticipate using to administer the injection?

Subcutaneous injection

A 12-year-old female is being screened for scoliosis. Findings reveal a 55-degree curvature. Which of the following will the nurse include in the teaching plan ?

Surgical intervention