Peds exam 2

What would the nurse teach parents of a child with cystic fibrosis about Administering pancreatic enzymes?

1. Take pancreatic enzymes 30 minutes before eating to help digest food 2. Do not crush or chew enteric coated beads 3. If taking a capsule swallow it whole or sprinkle the beads inside the capsule on the food 4. If taking the powder form rents the mouth afterward to prevent mucosal damage 5. The amount of enzymes are adjusted to achieve normal growth in the child

The nurse has received a prescription to collect a urine specimen for a five week old infant, which urine collection will provide the most accuracy?

A Straight catheter

A child is admitted to the ER with a headache and vomiting. The nurse knows that the child is showing the first signs of what?

A brain tumor

What is the best treatment for a child with cystic fibrosis?

A double lung transplant

What type of technique is a catheterization in an infant?

A sterile procedure

The nurse is caring for a four month old child with a fever of 104.2, which medication is preferred for the management of a fever in a child?

Acetaminophen

The nurse is caring for a client in a pediatric intensive care unit following surgery, the patient claims it is experiencing incisional pain and has scattered rhonchi and refuses to cough. Which is the priority nursing action?

Administer pain medication as prescribed and then you can get them to deep breathe and cough

The nurse is caring for a four-year-old child, when entering the room to take vital signs, the child appears cautious and apprehensive and asked the nurse will this hurt? What nursing intervention will encourage the child to be more comfortable?

Allow the child to hold the blood pressure cuff while explaining how it is used to

The nurse understands which of the following is the treatment for a child diagnosed with osteosarcoma?

Always trying to salvage the lamb so it doesn't have to be amputated

What kinds of drugs are given to an HIV patient?

Anti-retroviral drugs

The nurse is caring for a child following cardiac Catherine station, upon assessment of the site, the nurse notes the dressing to be saturated with blood. What is the nurses first action?

Apply firm direct pressure just above the side

What would the nurse suspect for a child who was admitted to the emergency room with no fever, inflamed airway, and wheezing?

Asthma

What is it called when bone marrow donated comes from the patient?

Autologous

What is the treatment in a patient with megaloblastic anemia?

B12

The nurse is administering an oral liquid medication via a syringe to a 10 month old client. Which intervention will the nurse instruct the parent to do to the child to make them swallow the medication?

Blow a small puff of air in the child's face

A seven-year-old client complains of dry hacking cough that worsens at night presents to the clinic. The child is afebrile and has recently recovered from an upper respiratory infection. Based on this information which condition with the nurse expect?

Bronchitis

Which children are more stressed during hospitalization?

Children with chronic illness

What is the priority when cleaning a gastrostomy tube?

Clean with soap and water once per day

Which type of anemia causes the child to require blood transfusions as an adult?

Cooleys anemia aka thallasemia

Which of the following indicates that an autistic child has decreased social interaction and communication skills?

Decreased response to their own name

What was the nurse include when measuring the output on a one month old child?

Diapers

The nurse notes an increase in nausea and vomiting and a child with heart failure receiving digoxin therapy. Which lab value is a priority for the nurse to assess?

Digoxin level

What is the nurses priority prevention in a premature child for RSV?

Do you have a monthly immunization for one year called Synagis palivizumab

What type of play is best For a nurse to use to get a child to express feelings?

Dramatic play

A child is admitted to the emergency room with notable agitation, drooling, and absence of spontaneous cough. Upon speaking to Child's voice is muffled and thick with a frog like croaking sound on inspiration. The nurse recognizes the symptoms are associated with which condition?

Epiglottitis

Which is a priority nursing diagnosis for a child diagnosed with iron deficiency anemia?

Fatigue related to increase oxygen carrying capacity of the blood

The nurse is caring for a child who presents with painless, enlarged cervical lymph nodes, that are firm to palpation. Which condition are these assessments associated with?

Hodgkin's lymphoma

What will the nurse assess for in a patient postop Tonsillectomy?

If the patient has excessive swallowing assess for bleeding

A three month old infant presents to the emergency room with tetralogy of fallot. Nurses assessment reveals that the infants weight has declined from the 26th percentile to the 5th percentile. Which probable reason does the nurse associate with this infants an adequate weight gain?

In adequate oxygen perfusion leading to activity intolerance resulting in diminished energy to breast-feed

What disease in children would be OK to get the child aspirin?

Kawasaki disease

What should a child with cancer avoid taking?

Live vaccines

What is the priority nursing intervention for a child with chronic otitis media?

Medicaid for pain

A patient is admitted to the emergency room with a TP and has signs and symptoms including Purpera rash and Epistaxis (bleeding gums). What lab value would be a priority for the nurse to check?

Monitor CBC for platelet count

What surgery should a patient not have if they are diagnosed with ITP?

No splenectomy

The nurse is it meeting a child with sickle cell disease who is currently experiencing a beso occlusive crisis. Which admission prescription is the nurses priority to carry out?

Obtain IV access and begin IV hydration

Which condition is the leading cause of death in children following a heart transplant in the first six months?

Organ rejection

Which option of oxygen delivery will the nurse identify as being the best and most easily tolerated by infants?

Oxyhood

Which opportunistic respiratory infection is greatest risk For a child with HIV?

PCP pneumonia (pneumocystitis Carinii pneumonia)

What can the nurse teach the patient about using nasal spray's or decongestants for more than three days?

Rebound congestion

The parents of a 10 month old child state they have noticed a speech delay compared to the Child siblings. Which action by the nurse is a priority?

Refer the child for a hearing evaluation

Which of the following is the greatest stressor That a preschool child faces during hospitalization?

Separation from parents

The nurse is assessing a three year old client notes that the child has difficulty fixating on a single point. The child as cross to the midpoint. The nurse recognizes this as which condition?

Strabismus

What test with the nurse use to confirm a diagnosis of cystic fibrosis?

Sweat chloride test

A child with leukemia asked the nurse what induction means? Which response will the nurse provide the client?

The intensive chemotherapy treatment administered with a goal of achieving remission

After receiving the change of shift report to following clients with neutropenia, which client should the nurse assess first?

The nine year old with a fever of 100.8 and an absolute neutrophil count of 400

A nurse is assessing the IV site of a child and there's redness, pain and swelling at the site. What is the nurses first action?

The nurse should start the infusion

The nurse is discharging a client diagnosed with infectious mono, which information is important for the nurse to include in their teaching?

To avoid playing contact sports

What would be the nurses priority with a patient who is having chest tubes removed?

Treat their pain and let them know that it's going to hurt

What heart defect is caused by no opening to the right ventricle and it's considered a cyanotic heart disease?

Tricuspid atresia

The parents of a child with down syndrome state their child has frequent respiratory infections. The nurse teaches the parents that this is most likely due to which of the following?

Under developed nasal bone

What other infections with the nurse assess for in a patient with rheumatic fever?

Untreated strep

The nurse is preparing to perform a heel stick to obtain a blood sample on an infant. Which action will assist the nurse in obtaining a sample?

Using a hospital approved Heel warmer

The nurse is talking to the parents of a child with congenital heart defects. Which statement made by the parents would cause the nurse to intervene?

We will stop breast-feeding when the child is congested

The nurse is preparing a client for a bone biopsy and the client ask will this be painful? Which is the nurses best response?

You may experience pain but we will do everything we can to minimize it