Peds 2
The father of a 4-year-old boy with leukemia tells the nurse that he believes his son was misdiagnosed by his two previous oncologists and that the lab results were in error. Thus, he has switched doctors in hopes of "finding someone who can diagnose his son accurately." Which stage of grief does the nurse suspect this father to be in? denial anger bargaining depression
denial
A 14-year-old is admitted to the hospital for the second time for treatment of anorexia nervosa. Her responses to your questions on admission are either yes, no, or no response. Initially, your primary nursing goal in caring for this adolescent would be to: encourage her to eat a nutritious diet. develop rapport for a trusting relationship. decrease her anxiety. relieve her anger.
develop rapport for a trusting relationship.
A nurse is assessing an 8-year-old child with a terminal illness. The nurse determines that the child is near death based on which findings? Select all that apply. mottled hands and feet diaphoresis tachypnea positive gag reflex sunken abdomen
mottled hands and feet diaphoresis
A 15-year-old male visits their health care provider's office reporting fever, headache, malaise, and pain with chewing and along the jawline just in front of the ear lobe. After asking his parent to leave the room, the client then tells the nurse that he is also experiencing testicular pain and swelling. Which condition does the nurse suspect this client is most likely experiencing? mumps infectious mononucleosis poliomyelitis herpes zoster
mumps
A nurse is providing care for a 17-year-old client who has been diagnosed with bulimia nervosa. For which complication should the nurse assess this client? tooth erosion hypertension diabetes mellitus atherosclerosis
tooth erosion
Assessment of a child reveals black burrows of about 1-inch long between the fingers and toes and in the axilla. A diagnosis of scabies is made. When planning this child's care, the nurse anticipates which medication being prescribed? topical permethrin oral albendazole oral pyrantel pamoate oral nitazoxanide
topical permethrin
An adolescent is concerned that although he has pubic hair, he has no facial hair yet. He wishes facial hair would grow to cover acne lesions. The nurse would advise him that facial hair: usually grows before pubic hair. is rarely present before 20 years of age. is delayed in boys with acne. usually follows pubic hair growth.
usually grows before pubic hair.
A nurse is reviewing the test results of a female adolescent client with a BMI of 17.2 kg/m2. The results are as follows: White blood cell count: 3.5 × 103 cells/mm3 (3.5 × 109/l) Blood urea nitrogen: 30 mg/dl (10.71 mmol/l) Creatinine: 1.20 mg/dl (106.08 µmol/l) Total cholesterol: 180 mg/dl (4.66 mmol/l) DEXA scan T-score: -1.8 Anorexia nervosa is suspected. Which result(s) would the nurse identify as supporting this diagnosis? Select all that apply. white blood cell count creatinine blood urea nitrogen total cholesterol DEXA scan T-score
white blood cell count creatinine blood urea nitrogen DEXA scan T-score
During a routine assessment, the nurse determines that a school-age child has head lice. What did the nurse assess in this child? macular rash on the arms white flecks on hair shafts red raised rash on the neck pustule formation on the trunk
white flecks on hair shafts
The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed? "Our child is contagious for 1 week after the rash appeared." "Acetaminophen or ibuprofen can be given to help with pain." "Antibiotics are needed to help our child recover from rubella." "Family members should wear a mask when coming to visit us."
"Antibiotics are needed to help our child recover from rubella."
During a well-child visit for a 12-year-old female client, the parent states, "I have noticed a lot of physical and emotional changes in my child. How will I know when my child has reached puberty?" Which is the best response by the nurse? "By age 14, many girls have the physical appearance of a young woman." "A noticeable growth spurt usually begins for girls between the ages of 10 and 14." "Increased glandular activity causes an increase in sweat." "Your child will display significant mood swings."
"By age 14, many girls have the physical appearance of a young woman."
The nurse is caring for a 12-year-old client diagnosed with a respiratory infection and on antibiotics for the second time in a 30-day period. When assessing information from the first infection, which question is most important for the nurse to ask? "Did you finish all of the antibiotics prescribed after the last respiratory infection?" "Are the symptoms you are experiencing now worse than the last infection?" "Did you feel your infection was gone following antibiotic administration?" "Is it common for you to have respiratory infections throughout the year?"
"Did you finish all of the antibiotics prescribed after the last respiratory infection?"
The nurse is instructing a 12½-year-old boy who says, "I am too short! Girls are taller than I am. Guess I won't be playing basketball." What instructions are best included in the plan of care? Select all that apply. "Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer." "There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others." "You could add as much as 12 inches to your height before you stop growing." "You are at the age now when most boys begin their growth spurt and grow very rapidly." "If you know how tall you were at age 3, you can double that and predict fairly well how tall you will get." "You can't control when and how much you will grow. Basketball can use some really fast guards."
"Girls begin to grow rapidly at a younger age than boys do. Boys start later and grow longer." "There are a lot of size differences in your age group now because everyone enters puberty and grows at slightly different times than others." "You could add as much as 12 inches to your height before you stop growing."
The nurse is teaching a group of school-aged children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching? "There are not many physical differences between school-aged boys and girls." "Menarche is usually the first sign of puberty in school-aged girls." "Boys normally grow an average of 5 in (12.5 cm) each year." "Girls typically experience a rapid growth spurt before boys."
"Girls typically experience a rapid growth spurt before boys."
The nurse is caring for an infant brought to the clinic for a rash. The nurse notes a blanchable, rose-pink macular rash on the trunk. The nurse obtains the following vital signs: temperature 99.0°F (37°C), pulse 100 bpm, respiratory rate 22 breaths/minute, and oxygen saturation 100% on room air. Which question by the nurse will be most helpful when planning interventions? "Has your child had a recent fever?" "Is your child more fussy than normal?" "Do you have family history of seizures?" "Are your child's vaccinations up to date?"
"Has your child had a recent fever?"
The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge? "I can't believe it. We're not unclean, poor people." "We'll have to get that special shampoo." "Everybody in the house will need to be checked." "That explains his complaints of itching on his neck."
"I can't believe it. We're not unclean, poor people."
An extremely thin preadolescent is being assessed by the nurse. Which client statement will cause the nurse to suspect the client is experiencing anorexia nervosa? "I would like to grow up to be a model." "My mom says I am obsessed with fashion." "I feel chubby no matter what I wear." "I am afraid that someone is poisoning my food."
"I feel chubby no matter what I wear."
A mother brings her 8-year-old daughter into the doctor's office because over the past year her tonsils have increased in size to the point that the mother is concerned that her breathing will be obstructed. The girl has no pain, fever or other symptoms. Following this data collection, which instruction is best? "This may be normal growth of lymphatic tissue for this age." "With the increase in tissue size, tonsillitis is suspected." "A pituitary disorder may be the cause. Blood work may be indicated." "An allergic reaction is often the cause. What type of allergies does she have?"
"This may be normal growth of lymphatic tissue for this age."
The parents state they are afraid to have their child vaccinated and ask the nurse for more information. Which response by the nurse is most appropriate? "State-required vaccinations are needed for your child to attend school." "There are no side effects from vaccinations that you need to worry about." "Vaccinations are very effective at preventing serious disease and infection." "Your child will probably not acquire the disease because other children are vaccinated."
"Vaccinations are very effective at preventing serious disease and infection."
A group of grade-school children is going camping. As a school nurse, you would offer them which advice to prevent Lyme disease? "Don't drink water from mountain streams while hiking." "Don't approach strange animals outside the campsite." "Wear jeans tucked inside your socks when in the woods." "Don't touch any bush without knowing what kind it is."
"Wear jeans tucked inside your socks when in the woods."
The parents of a 5-year-old child who is very near death are at the bedside.The parents ask, "Can our child hear what we are saying?" Which response by the nurse is appropriate? "No, now that your child is semicomatose, there is no way your child is able to hear you." "No one really knows, so it is a good idea to make sure that you whisper quietly." "Yes, your child is still able to understand and acknowledge everything you are saying." "Yes, your child can hear what you are saying even though your child may not respond."
"Yes, your child can hear what you are saying even though your child may not respond."
A hospitalized 7-year-old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise? A sense of mistrust A sense of doubt A feeling of inferiority A sense of shame
A feeling of inferiority
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory? A sense of competence, mastery, and worth Lack of the ability to think abstractly The principle of conservation The conventional stage of development
A sense of competence, mastery, and worth
The school nurse is providing school health screenings to 7- to 11-year-olds exhibiting behaviors in Piaget's stage of concrete operational thoughts. What behaviors are anticipated in normal development? Select all that apply. Ability to assimilate and coordinate information about the world from different dimensions Ability to see things from another person's point of view and think through an action Ability to use stored memories of past experiences to evaluate and interpret present situations Ability to think about a problem from all points of view, ranking the possible solutions while solving the problem Ability to think outside of the present and incorporate into thinking concepts that do exist as well as concepts that might exist Ability to understand the principle of conservation—that matter does not change when its form changes
Ability to assimilate and coordinate information about the world from different dimensions Ability to see things from another person's point of view and think through an action Ability to use stored memories of past experiences to evaluate and interpret present situations Ability to understand the principle of conservation—that matter does not change when its form changes
A 15-month-old child with honey-crusted skin lesions around the mouth is diagnosed with impetigo. Which nursing instruction(s) will need to be placed on the discharge summary? Select all that apply. Administer amoxicillin 250 mg by mouth daily. Wash the crusted areas with soap and warm water and pat dry. Use mupirocin ointment directly to the skin lesions. Use tweezers to remove the crusted areas and allow to air dry. Prevent further impetigo transmission by washing your hands.
Administer amoxicillin 250 mg by mouth daily. Wash the crusted areas with soap and warm water and pat dry. Use mupirocin ointment directly to the skin lesions. Prevent further impetigo transmission by washing your hands.
After teaching the parents of a child with chickenpox (varicella zoster), the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time? After day 5 of the rash When the rash is completely healed Once the rash appears After the lesions have crusted
After the lesions have crusted
Which nursing action will best assist a 15-year-old client accomplish the developmental task according to Erikson? Permit the client to make decision regarding one's care Praise the client for correctly performing self-care Allow the client's friends to visit while the client is hospitalized Provide the client with crafts and puzzles to complete independently
Allow the client's friends to visit while the client is hospitalized
A toddler is being treated for pinworms. What advice should the nurse give to the mother to prevent reinfection? Everyone in the family will need to be treated. Don't allow the child to play on the floor. Urge the child to urinate every 2 hours as possible. Keep the child away from playing with the family cat.
Everyone in the family will need to be treated.
Based on Erikson's developmental theory, what is the major developmental task of the adolescent? Gaining independence Finding an identity Coordinating information Mastering motor skills
Finding an identity
The parent of a 7-year-old client tells the school nurse, "My child is afraid of going to school. I am not sure what to do." Which intervention is best for the nurse to suggest? Return the child to school and investigate the cause of the fear. Have the child stay home from school until any issues causing the fear are resolved. Investigate a new school for the child to attend where the child will not be afraid. Tell the child that privileges will be taken away if the child does not return to school.
Return the child to school and investigate the cause of the fear.
The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find? Swelling in the neck Confusion and anxiety Ring-like rash on lower leg Hypersalivation
Ring-like rash on lower leg
A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has this rash on his face and chest that looks like sunburn but feels really rough." What would the nurse suspect? Scarlet fever Community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) Diphtheria Pertussis
Scarlet fever
The parents of a child with a brain tumor are shouting that their health care provider must be incompetent or else their child would be healed. How will the nurse address the parents' anger? Defend the health care provider's competency. Sit down and discuss the parents' feelings. Offer assistance to secure a second opinion. Tell the parents this is unacceptable behavior.
Sit down and discuss the parents' feelings.
The nurse is administering 8 p.m. medications when a 9-year-old child expresses concern about dying sometime during the night. Which action by the nurse is most appropriate? Stay with the child and encourage further discussion. Set a time to return to continue the conversation. Explain why the child will not die during the night. Explain the dying process and how everyone experiences it.
Stay with the child and encourage further discussion.
An adolescent comes to the clinic reporting a sore throat and chills. The nurse suspects that the adolescent has infectious mononucleosis. Which instruction(s) will the nurse provide to this adolescent? Select all that apply. Take acetaminophen for fever and pain. Rest and sleep when possible. Sleep in a high Fowler position. Increase acidic fluid intake. Eat soft, nonirritating foods.
Take acetaminophen for fever and pain. Rest and sleep when possible. Eat soft, nonirritating foods.
A 6-month-old infant develops roseola. When obtaining information from the parent, what would the nurse expect the parent to report? The infant's temperature rose at the same time as the rash appeared. The rash is a mixture of papules and pustules. The infant's temperature fell when the rash appeared. The infant is lethargic and not interested in playing.
The infant's temperature fell when the rash appeared.
When working with the family who has just learned that their child is dying, which of the following nursing interventions would be the highest priority for the nurse to do for this family? The nurse encourages the family to express their feelings and anxieties. The nurse teaches caregivers how the child's nutritional needs will change as death approaches. The nurse explains the signs usually noted in a child whose death is imminent. The nurse encourages the family to talk about how they will move forward after the death.
The nurse encourages the family to express their feelings and anxieties.
The nurse is caring for the family of a child with a terminal illness. Which action on the part of the parents indicates to the nurse that the parents are beginning to accept the diagnosis? The parents disagree over treatment plans. The parents express frustration over treatments. The parents acknowledge feelings of sadness. The parents make plans to visit other health care providers.
The parents acknowledge feelings of sadness.
An 11-year-old girl arrives at the doctor's office with fever, a sore throat, chills, and malaise. A throat culture indicates scarlet fever. Which other symptom should the nurse notice in this client that clearly indicates scarlet fever? The tongue has a white or red "strawberry" appearance There is pain along the jawline just in front of the ear lobe Vesicles that become purulent, ooze, and form honey-colored crusts Fever blisters on the lips
The tongue has a white or red "strawberry" appearance
The nurse explains to parents of school-age children that according to Kohlberg's theory of moral development, their child is at the conventional stage of moral development. What motivation for school-age children to follow rules must parents realize? They follow rules out of a sense of being a "good person." They follow rules out of fear of being punished. They follow rules in order to receive praise from caretakers. They follow rules because it is in their nature to do so.
They follow rules out of a sense of being a "good person."
A 12-year-old girl with terminal leukemia has chosen to die in a local hospice facility. The nurse understands that which of the following is an advantage of a hospice facility over a hospital and the home in terms of an environment for death? a homelike setting combined with access to skilled professional health care the most technologically advanced medical equipment the least expensive option the number of specialty surgeons on staff
a homelike setting combined with access to skilled professional health care
A hospice nurse is caring for a child who is dying. Which assessment finding needs to be documented to officially determine that death has occurred? Select all that apply. loss of consciousness absence of respirations flat electroencephalogram lack of reflex response decreased body temperature loss of peristalsis
absence of respirations flat electroencephalogram lack of reflex response
A school-age child with a rash over the abdomen now has a bright red tongue. The health care provider is going to begin treatment for scarlet fever. On which medication should the nurse instruct the mother for the child's care? aspirin steroids antibiotics antifungal medication
antibiotics
The parent of a 7-year-old child with terminal leukemia has made elaborate plans for the funeral service and burial of their child. The parent has created a beautiful scrapbook of their child's life to remember the child by and recorded many happy memories of the child in a journal. Which best characterizes this parent's coping mechanism? anticipatory grief seeking information about the illness overintellectualization of the illness problem-solving
anticipatory grief
The parent of a child with a terminal illness starts to give away the child's toys and eventually stops visiting the child regularly in the hospital. Upon assessing the parent's actions, the nurse begins instruction on: role confusion. bargaining stage of grief. anticipatory grief that has led to the acceptance stage of grief. the inability of the parent to deal with the stress of a terminal illness.
anticipatory grief that has led to the acceptance stage of grief.
A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease? Playing in the woods about a week ago Rash is papular and vesicular High fever occurring about 4 days before the rash Reports of extreme pruritus with visible nits
Playing in the woods about a week ago
During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups? "The child's best friends will continue playing soccer." "The children will cheer for each other regardless of the sport being played." "Your child will rarely talk to you about his friends." "Acceptance by friends, especially of the same sex, is very important at this age."
"Acceptance by friends, especially of the same sex, is very important at this age."
A nursing instructor is teaching students about the chain of infection. What does the instructor tell students is responsible for allowing the pathogen to enter? Reservoir Portal of exit Means of transmission Portal of entry
Portal of entry
According to the American Psychiatric Association (DSM-5, 2013), a client with anorexia nervosa has a body image disturbance in which one's body weight or shape is not experienced realistically. Which statement by a client would best validate this criterion? "I realize I am a quite thin, but I am trying to gain weight." "My stomach really sticks out and looks fat." "Being this skinny really isn't a good idea for my health." "When I see myself in the mirror, I can see my ribs."
"My stomach really sticks out and looks fat."
The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructor determines the class is successful after the students correctly choose which milestone as the beginning of adolescence? The deciduous teeth falling out The beginning of puberty The child becoming self-supported The fine motor skills fully developed
The beginning of puberty
An adolescent asks the nurse what the term "puberty" means. What is the nurse's best response? "It is the age at which one first becomes capable of sexual reproduction." "It denotes the beginning of secondary sex characteristics." "It is the time span between 12 and 18 years." "It is the time span that denotes the onset of maturity."
"It is the age at which one first becomes capable of sexual reproduction."
A child is newly diagnosed with tinea capitis. Which parent statement helps the nurse identify the likely source of the condition? "My child was in a play where they shared a variety of clothes and hats." "My child plays on a basketball team where they use the facility to shower." "My child is in the band where they share meals together after band practice." "My child volunteers at a soup kitchen where people may have hygiene issues."
"My child was in a play where they shared a variety of clothes and hats."
The nurse is discussing an adolescent's development with the client's parents. Which statement by the parents indicate an understanding of the nurse's teaching? "We will work toward ensuring our adolescent is developing trusting relationships." "It is most important for our adolescent to achieve independence from our dominance." "Our adolescent is working toward achieving a sense of personal identity." "It is vital our adolescent learns to help others achieve their goals."
"Our adolescent is working toward achieving a sense of personal identity."
The school nurse is meeting with a group of 11-year-old girls to discuss expected puberty changes in their bodies. When one of the girls states, "I just feel like my whole body is changing and I don't know why" what should the nurse point out to this group? "You will feel better about yourself as you get older." "You have lots of hormone changes going on right now." "You may feel like you are changing, but you still look the same." "Your other friends are feeling like this too."
"You have lots of hormone changes going on right now."
The father of a 10-year-old who has recently been diagnosed with a terminal illness. Which statement would be most appropriate for the nurse to tell the father regarding children and the diagnosis of an illness? "The younger child might believe that her anger at her brother caused his illness; she will need reassurance that she does not have that power." "The older child might believe that his sister's anger caused his illness; he will need reassurance that his sister does not have that power." "It will be important that the children learn to play well together while the older child is alive so that the younger child will have positive memories of the older child." "Both children are likely to be more cooperative and pleasant with each other as they deal with this crisis."
"The younger child might believe that her anger at her brother caused his illness; she will need reassurance that she does not have that power."
During an examination, an adolescent client tells the nurse about being anxious and frustrated because of the facial acne. Which nursing response is appropriate? "This is one of the most common physical changes during adolescence." "I will tell your primary health care provider about your acne." "Most people get acne during adolescence. It will go away as you get older." "Consuming fried foods and chocolate can cause acne to develop."
"This is one of the most common physical changes during adolescence."
The parents of a child diagnosed with a terminal illness tell the nurse, "This isn't fair!" What is the most therapeutic nursing response? "I agree, this isn't fair for your family to go through this." "This must be very difficult for your child and family." "It is important for you to face the facts of this disease." "Would you like to talk to someone from a support group?"
"This must be very difficult for your child and family."
During a health visit, an adolescent client tells the nurse, "Why am I having all this acne?" Which response by the nurse would be appropriate? "Your thyroid gland is secreting more hormones as you grow." "Your acne is most likely from not keeping your skin clean enough." "Your body is producing hormones called androgens that are responsible for your acne." "You must have a vitamin deficiency because you're not eating healthy."
"Your body is producing hormones called androgens that are responsible for your acne."
When planning activities for school-age children, the nurse organizes games that include competition. At which age are these kinds of games preferred by children? 7 years old 8 years old 10 years old 12 years old
10 years old
In which situation would the nurse expect parents to experience the stages of anticipatory grief? 14-year-old who has committed suicide 8-year-old who has died in a car accident 2-year-old drowning victim 9-year-old with terminal bone cancer
9-year-old with terminal bone cancer
What is the priority nursing intervention for the sibling of a child who has died? Assess the child's feelings about the sibling's death. Encourage the parent to hug the child. Allow the child to experience the grieving process without intervention. Call the chaplain to talk with the child about the sibling's death.
Assess the child's feelings about the sibling's death.
The nurse is educating a parent support group for adolescents with anorexia nervosa. The parents express concern for their adolescents and appear anxious about doing the "right thing" as parents. For beginning instruction, which content is essential for the parents to understand? Avoid making comments about the adolescent's appearance. Stress average weight with the adolescent. Discuss food choices and calories with the adolescent. Instruct on ways to improve the adolescent's self-concept.
Avoid making comments about the adolescent's appearance.
The nurse is preparing a presentation for a local health fair depicting the differences in maturity between preadolescents. Which differing factor should the nurse prioritize in the presentation? Boys grow at a slower, steadier rate than do girls. Girls grow at a slower, steadier rate than do boys. Boys grow at a rapid, sporadic rate. Boys and girls grow at the same rate.
Boys grow at a slower, steadier rate than do girls.
The nurse is performing a physical examination for a 7-year-old girl who was bitten by a tick. What would alert the nurse to the possibility of early localized Lyme disease? Bull's-eye rash around the bite Multiple erythema migrans on the skin Cranial nerve palsies Recurrent arthritis in the large joints
Bull's-eye rash around the bite
An adolescent has been diagnosed with bulimia, and the parents are asking how to best deal with this problem. What suggestion should the nurse make to the parents to help care for the adolescent? Monitor the adolescent constantly to ensure that she is not binge eating. Administer antiemetics on a regular basis to reduce the urge to vomit after eating. Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals. Minimize or ignore any comments made by the adolescent about body image distortion or being overweight and dieting.
Develop a contract with the adolescent, setting goals of behavior and her diet, as well as privileges gained by meeting the contracted goals.
A nurse is teaching a class to new parents on how to prevent the spread of infection in their children. What is the best suggestion the nurse could offer to these parents? Keep children at home most of the time. Encourage frequent hand hygiene. Keep children away from other children younger than their children. Dress children in long sleeves and pants as often as possible.
Encourage frequent hand hygiene.
The nurse is providing discharge instructions to a child diagnosed with encopresis. Which of the following instructions would the nurse question? Limit the amount of milk given. Encourage positive reinforcement for the child's toilet habits. Complete diet log or record. Make a follow up visit with a child psychologist/psychiatrist.
Encourage positive reinforcement for the child's toilet habits.
An 8-year-old male child is being seen for a well-child visit. His weight at his visit last year was 50 lb (22.7 kg) and his height was 47 in (119 cm). If he is developing normally, which finding will the nurse expect to note this year? Weight 62 lb (28.1 kg) Height 49.5 in (124 cm) The child's weight is seven times his birth weight. The child has all of his adult teeth present.
Height 49.5 in (124 cm)
Nursing students are learning about the infectious process. They correctly identify the first stage of an infectious disease to be which period? Incubation period Prodromal period Illness period Convalescent period
Incubation period
A nurse is instructing the parents of a child who is suspected of having pinworms on how to check their child. Which instruction is appropriate? Look on the child's bed linens for evidence of black dots. Inspect the child's anus with a flashlight 2 to 3 hours after the child is asleep. Check the washcloth after having the child wipe themselves during bathing. Observe the characteristics of the child's stool, which will be watery.
Inspect the child's anus with a flashlight 2 to 3 hours after the child is asleep.
A child is brought to the clinic with fever, cough, and coryza. The nurse inspects the child's mouth and observes what look like tiny grains of white sand with red rings. How would the nurse document these findings? Koplik spots Lymphadenopathy Slapped cheek appearance Nits
Koplik spots
The appearance of which hallmark clinical manifestation occurs in measles? Conjunctivitis Koplik spots Fever Cough
Koplik spots
The nurse is assessing a child who presents with a history of fever, malaise, fatigue, and headache. The nurse notes a bulls-eye rash on the child's right leg. Which action will the nurse take? Notify the primary health care provider. Place the child on contact precautions. Obtain an electrocardiography (ECG). Clean the rash with rubbing alcohol.
Notify the primary health care provider.
What activities would a nurse recommend to the families of school-aged children to promote attainment of Erikson's developmental stage of industry vs. inferiority? Select all that apply. Participating on the school soccer team Praising the child for their academic efforts Voicing parental doubts when the child begins a new activity, such as playing a musical instrument to avoid embarrassment Allowing the child to assist her teacher in straightening up the classroom Commiserating with the child when he or she does not get selected for the school choir
Participating on the school soccer team Praising the child for their academic efforts Allowing the child to assist her teacher in straightening up the classroom
A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child? Ibuprofen Acyclovir Penicillin V Doxycycline
Penicillin V
A nurse practitioner suspects that a child has scarlet fever based on which assessment finding? Severity of the sore throat An enanthematous rash Red, strawberry tongue White exudate on the tonsils
Red, strawberry tongue
What information should be included in the teaching plan for a child with varicella? Administer aspirin for fever. Place the child in a warm bath for skin discomfort. Utilize salt solutions to assist in healing oral lesions. Remind the child not to scratch the lesions.
Remind the child not to scratch the lesions.
The nurse has been working for several days with an adolescent who has anorexia nervosa. What is an indication that the adolescent is developing trust in the nurse? The adolescent stating "You're the best nurse on the unit." The adolescent telling the nurse purging occurs after each meal. The adolescent stating the desire to eat again. Saying which nurse's orders the adolescent will follow.
The adolescent telling the nurse purging occurs after each meal.
The nurse knows that the school-age child is in Erikson's stage of industry versus inferiority. Which best exemplifies a school-aged child working toward accomplishing this developmental task? The child signs up for after-school activities. The child performs his bedtime preparations autonomously. The child becomes aware of the opposite sex. The child is developing a conscience.
The child signs up for after-school activities.
Which behavior best demonstrates an example of Erikson's developmental task for the school-age child? The child spends a rainy day putting together a puzzle of a large jungle animal. The child begins to mimic imaginary characters. The child spends all day on a weekend going to the local mall with a group of friends. The child plays by himself even though there is a room full of children the same age.
The child spends a rainy day putting together a puzzle of a large jungle animal.
The nurse is working with school-aged children who are having enuresis or encopresis. What will most likely be the first step in this child's treatment? The child will be given medications. The child will be taken to a therapist. The child will have a complete physical exam. The child will be given a strict daily schedule.
The child will have a complete physical exam.
A mother brings her 15-year-old girl to the gynecologist's office for a physical examination. The mother pulls the nurse to the side and says that she is concerned that her daughter may have an eating disorder. Which finding would tend to confirm a diagnosis of anorexia nervosa? The girl repeatedly describes herself as "fat" even though she appears to be severely underweight The girl's body mass index (BMI) is 21 The girl has an intense fear of losing weight The girl has a regular period each month
The girl repeatedly describes herself as "fat" even though she appears to be severely underweight
The mother of a 5-year-old girl with terminal brain cancer tells the nurse, "I'm not ready to throw in the towel yet. I just made a big donation to the American Cancer Society (ACS) and told God that I would support that organization for the rest of my life if my girl will just pull through." Which stage of grief does the nurse suspect this mother to be in? bargaining denial anger acceptance
bargaining
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease? measles mumps whooping cough scabies
mumps
The nurse caring for children with fungal infections most often administers which medication? benadryl acetaminophen prednisone griseofulvin
griseofulvin
To be an effective nurse with a female child who is dying, it is first necessary to: explain the stages of grief to her parents. assess at which stage of grief the parents are. help the child understand the grieving process. identify your own reactions and feelings about death.
identify your own reactions and feelings about death.
According to Erikson, the adolescent develops their own sense of being an independent person with individual thoughts and goals. This stage is referred to as: identity vs. role confusion. autonomy vs. doubt and shame. industry vs. inferiority. intimacy vs. isolation.
identity vs. role confusion.
The developmental task of the school-aged period, according to Erikson, is gaining a sense of: autonomy versus shame. independence versus dependence. industry versus inferiority. identity versus failure.
industry versus inferiority.
What is the priority nursing action for a dying child who is restless, moaning, and vomiting? oral care pain assessment and control assessment of intake and output administration of PO fluids
pain assessment and control
While assessing a child, the nurse notes a runny nose, temperature 100.4°F (38°C), and a whoop sound when the child coughs. On which diagnosis will the nurse anticipate providing education for this family? pertussis tuberculosis influenza nasopharyngitis
pertussis
The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes erythema? redness of the skin produced by congestion of the capillaries small, circumscribed, solid elevation of the skin discolored skin spot not elevated at the surface small elevation of epidermis filled with a viscous fluid
redness of the skin produced by congestion of the capillaries
The nurse is working with a child diagnosed with encopresis. After a complete medical workup has been done, no organic cause has been found for the disorder. What follow-up will the nurse expect? referred for counseling started on methylphenidate administered antidiarrheal medications put on a high-calorie, high-protein diet
referred for counseling
A nurse in a pediatrician's office is performing a comprehensive assessment on an 8-year-old male client at a scheduled wellness visit. Past medical history: Cleft lip repair, ulnar fracture, innocent heart murmur. The assessment reveals the child is alert and oriented, speech is clear but child is soft spoken . Lungs are clear to auscultation and respirations are regular, unlabored . Heart murmur heard and unchanged . Capillary refill less than 3 seconds in all extremities . The client's abdomen is round, protruding ; last bowel movement (BM) 2 days ago. Vital signs: temperature, 97.8°F (36.5°C); heart rate, 105 beats/min; blood pressure, 100/70 mm Hg; respiratory rate, 20 breaths/min . The parent expresses a concern, stating that "my child seems to be having difficulty in school even though they sit in the front of the class. My child also seem to trip and fall frequently."
round, protruding The parent expresses a concern, stating that "my child seems to be having difficulty in school even though they sit in the front of the class. My child also seem to trip and fall frequently."
A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of: pneumonia. impetigo. scarlet fever. osteomyelitis.
scarlet fever.
