Peds 2

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Albuterol

The nurse is caring for a child with Wilm's tumor. What is the most important nursing intervention preoperatively?

Avoid abdominal palpation

The Physician ordered an IV fluid bolus to be followed by IV rehydration maintenance. The directions in the policy for rehydration maintenance are as follows: Give 100ml/kg/day for the first 10 kg, then give 50ml/kg/day for the next 10 kg and then give 20ml/kg/day for each of the remaining kg. The child weighs 36 kg. What will the nurse set the IV pump at (mL/hr)? (the pump functions at the tenth space) Enter a numeric value only.

75.8

A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest:

bacterial conjunctivitis.

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. which of the following diagnostic tests will confirm the diagnosis

sweat chloride test

Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The enema solution should be:

Normal saline

Which is an advantage of peritoneal dialysis?

Parents and older children can perform treatments.

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Place the child in an upright position.

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Placing her child on the back when sleeping will decrease the risk of SIDS.

The nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation should the nurse expect to observe?

Polyuria and polydipsia

As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in:

Potassium

The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?

Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

The mother of a hospitalized 2 year-old child with viral laryngotracheobronchitis (croup) asks a nurse why the physician did not prescribe antibiotics. The appropriate response is:

"Antibiotics are not indicated unless a bacterial infection is present."

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

"We'll discard his toothbrush and buy another."

The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?

"You may need to increase the caloric density of your infant's formula."

A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. The purpose of this is to:

Reduce gastric acid production.

A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because of which reason?

Regression is seen during hospitalization

The nurse is caring for a child with acute renal failure. Which clinical manifestation should the nurse recognize as a sign of hyperkalemia?

Cardiac arrhythmia

The nurse should expect to assess which clinical manifestations in an adolescent with Cushing syndrome? (Select all that apply.)

Child with a "moon face"

The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant's postoperative care include:

Cleansing the suture line, supine and side-lying positions, arm restraints.

An infant with pyloric stenosis experiences excessive vomiting that can result in:

Metabolic alkalosis

A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While an airway is being established, the nurse should prepare which medication for immediate administration?

Epinephrine (Adrenalin)

A nurse is planning to teach the parents of a child recently diagnosed with cystic fibrosis (CF) about why the child has respiratory problems. What should the nurse consider about the underlying pathophysiology?

Excessively thick mucus obstructs airways

A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess? (Select all that apply.)

Facial edema Fatigue

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

Frequent swallowing

The nurse is teaching the parents of a child who is receiving methimazole (Tapazole) for the treatment of hyperthyroidism (Graves disease). Which statement made by the parent indicates a correct understanding of the teaching?

If my child develops a sore throat and fever, I should contact the physician immediately."

An adolescent comes to the clinic with and uneven gait and shoulders not even in height. The physician diagnosis the teen with scoliosis. The nurse know what it the major concern for this person?

Impaired Body Image

What is probably the most important criterion on which to base the decision to report suspected child abuse? important criterion on which to base the decision to report suspected child abuse?

Incompatibility between the history and injury observed

A child is admitted with partial-thickness burns on 21% of the total body surface area (TBSA) progresses from the emergent phase to the acute phase of burn care. What is the most important nursing intervention at this time?

Instituting a pain management plan

Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you. It isn't fair that you get everything and we have to stay with the neighbours." What is the nurse's best assessment of this situation?

Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.

When caring for the child with Kawasaki disease, the nurse should understand that:

Therapeutic management includes administration of gamma globulin and aspirin.

A child who was rescued from a burning building is admitted to the burn unit with a diagnosis of smoke inhalation. For what complication should the nurse monitor?

Tracheobronchial edema

A child is admitted with acute glomerulonephritis. The nurse should expect the urinalysis during this acute phase to show:

hematuria, proteinuria.