Peds EAQ (test 2 content)

Which client would the nurse asses first after a shift report

A 6 month old with a croup cough and inspiratory stridor with exertion (he is demonstrating respiratory distress)

Which assessment finding in a newborn is suggestive of cystic fibrosis?

Abdominal distention

Pilocarpine is used as part of the diagnostic process of a toddler suspected of cystic Fibrosis. The nurse knows that the pilocarpine would stimulate which process?

Activity of sweat glands (used to stimulate sweat on skin and the sweat is then tested for CF)

Which meds would the nurse anticipate teaching the parent about for a preschooler newly diagnosed with CF

Antibiotics (used to treat respiratory tract infections ) Pancreatic enzymes Fat soluble vitamins

Which parent education would the nurse provided For a 4 month old infant with a newly diagnosed acute otitis media and fever

Antibiotics are recommended for infants younger than 6 months with acute otitis media

Which med should be used?

Benzyl benozate (scabies infection)

Permethrin cream(lice) parent teaching

Child's hair must be combed with a fine tooth comb to remove nits

Which info would the nurse include when educating a group of daycare workers on infection control guidelines? Select all that apply

Cleaning toys Hand hygiene Food preparation

Which intervention would the nurse provide a 3 month old infant hospitalized with RSV

Clustering care to conserve energy

The nurse would include which instruction to the parents of a child beinf treated with oral ampicillin for otitis media?

Complete the entire course of antibiotic therapy

Which assessment finding would the nurse expect in an infant who has undergone myringotomy for recurrent otitis media?

Drainage into the external auditory canal

Which pathophysiological abnormality is present in cystic fibrosis

Dysfunction of mucus-secreting glands (Exocrine overproduction not endocrine glands are involved in CF,)

Which infection would the nurse monitor for in the toddler based on structural characteristics at this age? Select all that apply

Ear infection Acute sinusitis Laryngotracheobronchitis Inflammation of tonsils

The nurse is caring for a school aged child with cystic fibrosis . Which pathophysiological factor has the greatest effect on the child's health?

Extremely thick mucous causing obstructed airways

Best way to prevent spread of infection

Hand washing before and after client xare

Which action would the nurse teach an older adult to take to prevent frequent colds

Hand washing before putting them near nose and mouth

Which treatment would the nurse anticipate for an infant admitted with Bronchiolitis?

Humidifier air and adequate hydration

The nurse is discussing sexuality with a teenage female who has cystic fibrosis. Which statement best reflects the teenagers understanding of healthy sexuality?

I won't have sex unless I use a condom

Which pathophysiological process would the nurse expect to account for growth failure in a 4 year old child with newly diagnosed cystic fibrosis

Impaired digestion and absorption because of the lack of pancreatic enzymes

Which bacterial condition is suspected when a client with vesiculopustular lesions with honey colored crusts on face visits a primary health provider

Impetigo

Which condition is commonly seen following infestation with Pediculosis capitis?

Impetigo

Which condition is commonly seen in preschoolers ?

Impetigo

Which infection is suspected when a client reports facial lesions surrounded by redness and cause itching with lesions that are found to be thick with honey colored crust and surrounded by erthema?

Impetigo

Which complication would the nurse instruct the parents of a toddler who had a myringotomy to report upon discharge

Increased pain Lack of drainage

A 3 year old child is to undergo myringotomy and have tubes surgically implanted after multiple episodes of otitis media. Which recommendation would the nurse include in the discharge preparation for this family?

Insert earplugs during the child's bath

An infant is admitted to the pediatric unit with Bronchiolitis caused by respiratory syncytial virus. Which intervention would the nurse provide for the infant? Select all that apply

Instilling saline nose drops Maintaining contact precautions Nasal suctioning to remove mucous

How to check for lice

Look at your child's head along scalp line for white dots

Which action would the nurse include in the plan for care for a 6 month old infant with respiratory syncytial virus who is in respiratory distress?

Maintain Droplet and Contact precautions

Which clinical finding would the nurse recognize as an early sign of cystic fibrosis in a neonate?

Meconium illeus

Which nursing intervention would the nurse provide for a 6 month old infant with Bronchiolitis

Monitoring skin color, anterior fontanel, vital signs

A 2 year old has hearing loss caused by recurrent otitis media. Which treatment would the nurse anticipate that the practitioner will recommend

Myringotomy

The parent of a child with Cystic fibrosis tells the nurse they have switched to natural pancreatic enzymes because of financial issues , which response by the nurse is most appropriate?

Natural enzymes are not as effective as the name brand product. This is something you need to discuss with your health care provider

Which condition would the nurse suspect when assessing an 11 month old infant sitting on the parents lap CRYINF and tugging at the right ear

Otitis media

The nurse is obtaining the health history of a 7 month old infant who has repeated episodes of otitis media. Which question is most important for the nurse to include in the interview with mom?

Please describe how you position your child during feedings

An infant with cardiopulmonary disease displays s/s of Bronchiolitis and pneumonia . Which condition would the nurse anticipate when planning care?

RSV

A primary health care provider diagnosed the clients condition as otitis media. Which assessment finding supports that diagnosis?

Redness of the eardrum

Which factor would the nurse consider when the parent of a 10 month old infant expresses frustration that this is the baby's third otitis media in 3 months

The Eustachian tube is short and horizontal

Which parental statement would prompt the nurse to provide education for a 3 year old child with cystic fibrosis ?

We'll have to move to a warm climate

Which physiological response to Bronchiolitis would the nurse expect to observe on the pediatric intensive care unit? Select all that apply

Wheezing Sternal retractions Nasal flaring Prolonged expiratory phase ❌bradycardia (tachy)

4 month old admitted with diagnosis of Bronchiolitis. Which feeding recommendation would the nurse give the mother?

Withhold feeding( come back to this one)