Pediatrics

A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? A. Purulent nasogastric drainage B. Absence of perstalsis C. Passage of dark red stools w. mucus D. WBC count 6,000/mm3

B. Correct; The nurse should expect absence peristalsis immediately following perforated appendix repair, until the bowel resumes functioning. ----------------- A. The nurse should expect brown to green-tinged drainage from the NG tube C. No, this is a finding of Meckel diverticulum D. Expected count for a ruptured appendix is greater than 20,000

A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. Which of the following statements by a parent indicates an understanding of the teaching? A. My child will have a cast until healing is complete B. My child will receive antibiotics C. My child can return to playing sports once they have been discharged D. My child needs to be in contact isolation

B. Correct; The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful --------------------------------- A. Bearing weight must be avoided with osteomyelitis. Therefore, the child should be placed in a comfortable position with the limb supported. There is no indication for a cast. C. Bearing weight should be avoided to prevent complications & minimize pain. Therefore, it will be several weeks to months before the child can play contact sports. D. Contact isolation is not necessary because osteomyelitis is not a communicable illness.

A nurse is assessing a school aged child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? A. Headache as 6 on a 0-10 pain scale B. Petechiae on the lower extremity C. Nuchal Rigidity D. Positive Kernig's sign

B. Correct; This can indicate the presence of meningcoccemia. This rash indicates serious rapid complications from sepsis & should be reported asap. ---------------------- ACD; expected

A nurse in an ED is caring for a child who has ingested kerosene. The child is lethargic, grunting, and gagging. Which of the following actions should the nurse take? A. Initiate chelation therapy B. Preprae for intubation with a cuffed enrtracheal tube C. Inject deferoxamine subcutaneously D. Administer activated charcoal

B. Correct; Will be required bc of the high risk of aspiration. (lethargic, grunting & gagging) -------------------- A. This remodel iron from circulating blood & is not useful for the tx of hydrocarbon ingestion C. Used in iron toxicity D. Aspirin

A nurse is planning care for a child who has cerebral palsy & is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? A. Indomethacin B. Baclofen C. Methotrexate D. Carbamazepine

B. Correct; centrally acting skeletal; muscle relaxant that will decrease muscle spasms & severe spacticity ------------------- A. Used for gout C. Antineoplastic used to tx cancers & rheumatoid arthritis D. Anticonvulsant

A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the following manifestations should the nurse expect? A. Shallow respirations B. Moist mucus membranes C. Skin Pallor D. Lethargic mood

D. Correct; hypoglycemic would be irritable & have a liable mood ------------------- A. Hypoglycemia (Kussmal) B. Dry C. Hyperglycemia WOULD BE FLUSHING

A nurse is preparing to obtain a blood sample for an hgb from a child who has hemophilia. Which of the following actions should the nurse take? A. Apply a transparent dressing to the site after the venipuncture B. Apply a cold compress to the site prior to obtaining the sample C. Perform an Allen test prior to obtaining the blood sample D. Obtain the sample using venipuncture

D. Correct; less bleeding than finger puncture ------------------ A. Hold pressure B. Vasoconstriction; bad sample C. An Allens test assesses arterial circalation. An hgb requires venous blood sampling

A nurse is providing dietary teaching to the parent of a school-aged child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? A. Wheat Crackers B. Rye Bread C. Barley Soup D. White Rice

D. Correct; white rice is a gluten free food. Kid also shouldn't consume oats, rye, barley, or wheat & sometimes lactose deficiency can be secondary to this disease ----------------------- ABC. contains gluten

A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following should the nurse plan to take? A. Obtain a sputum specimen B. Perform an Allens test C. Perform a finger stick D. Obtain a stool specimen

C. Correct; The nurse should perform a finger stick on a toddler as a component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who gave the genetic trait & children who have the disease. ----------------------------- A. Used to identify infectious organism in a child who has an acute respiratory tract infection B. Detrmines circulation D. Identify organisms that cause diarrhea or used for occult blood

A nurse is reviewing the lumbar puncture results of a school age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis? A. Decreased cerebrospinal fluid pressure B. Decreased WBC count C. Increased protein concentration D. Increased glucose level

C. Correct ----------------------- A. Increased B. Increased D. Decreased

A nurse is preparing to administer an immunization to a 4y/o child. Which of the following actions should the nurse plan to take? A. Place the child in a prone position for the immunization B. Request that the child caregiver leave the room during the immunization C. Administer the immunization using a 24-gauze needs D. Inject the immunization slowly after aspirating for 3 seconds

C. Correct 22-25 gauze needle minimizes the amt of pain the child experiences. ----------------------- a. upright position, decreases the Childs fear & anxiety b. stay to reduce anxiety d. rapidly & avoid aspiration, decreases the risk of needle displacement & lowers the Childs fear & anxiety level by decreasing time