PEDS exam 2- iclicker
a nurse is providing education to a school age child who has a new diagnosis of asthma. what should be included in teaching
avoid triggers that cause an attack
a nurse is teaching a client about positive signs of pregnancy. which of the following findings should the nurse include?
fetal heart tones detected by ultrasound
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. which of the following is a manifestation of this postop complication?
frequent swallowing
a nurse is providing discharge instructions to the parent of a 10 year old child following a cardiac catheterization. which of the following instructions should the nurse include?
give the child acetaminophen for discomfort
a nurse is developing a health program for the parents of school-age-boys. which of the following about pubescent changes should the nurse include in the program
growth spurts in height occur toward the end of midpuberty
a nurse is obtaining a health history from a child who has suspected acute rheumatic fever. which of the following questions should the nurse ask
has your son had a sore throat recently?
a nurse is caring for an infant who has inadequate motility of part of the intestine resulting in mechanical obstruction. the nurse should identify this finding with which disorder?
hirschsprungs disease
a nurse is assessing a 3 year old child who has aortic stenosis. which of the following findings should the nurse expect?
hypotension weak pulses murmur
a nurse is teaching a parent of an infant who has heart failure about meeting the infants nutritional needs. which of the following statements made by the parent indicates and understanding of the teaching
i will give my baby high cal formula as directed by the nutritionist
a nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. which of the following statements by the parent indicates an understanding of teaching?
i will keep my baby in an upright position after feedings
a 2 year old has a 6 day history of gastroenteritis, poor fluid intake and infrequent urination. on assessment you find dryness of the mucous membranes, sunken eyes with mild tenting of the skin. The serum sodium is 137 mEq/L. what intervention is appropriate for this patient?
initiate dextrose 5% in 0.45% NS IV at maintenance rate
a nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. the nurse should recognize that which of the following diagnoses is associated with these findings
intussusception
manifestations of anemia
microcytic/ hypochromic rbc's. tachycardia pallor brittle fingernails fatigue and irritability
parents of a child with sickle cell anemia ask the nurse "what happens to the hemoglobin in sickle cell anemia" which statement by the nurse explains the disease process
normal adult hemoglobin is replaced by abnormal hemoglobin
a nurse is caring for a 6 month old infant who has a prescription for clear liquids by mouth after a repair of an inussusception. which of the following fluids should the nurse select for the infant
oral electrolyte solution
a nurse is assessing a toddler who has heart failure. which of the following findings should the nurse expect?
orthopnea
a nurse in the emergency department is caring for an adolescent following a suicide attempt. after reviewing the clients history.....
previous sucide attempt
a nurse in an emergency department is caring for an adolescent following a suicide attempt. after reviewing the clients history, the nurse should determine that which of the following is the priority risk factor for suicide completion
previous suicide attempt
a nurse is caring for a 6 week old infant who has a pyloric stenosis. which of the following clinical manifestations should the nurse expect?
projectile vomitting
a nurse is preparing to administer digoxin to a 6 month old infant. prior to administering the dose, the nurse measures the apical heart rate. the nurse should withhold the dose if the infants apical heart rate is less than
90
the nurse is caring for a patient experiencing a vasocclusive crisis secondary to sickle cell anemia. The main goals of therapeutic management of a crisis include all of the following EXCEPT:
Avoid all antibiotics during crisis
a nurse is caring for a group of adolescents. which of the following findings should be reported to the provider immediately?
a clients blood pressure changes from 112/60 to 90/54 when standing
a nurse is caring for a child postop following a spinal fusion. pain is being managed with IV morphine. the nurse enters the room to find the patient unresponsive. which is the priority action
administer narcan
a nurse is caring for an 8 year old child who has acute rheumatic fever. which of the following assessments is the nurses priority immediately after admission
auscultating the rate and characteristics of childs heart sounds
a nurse is providing anticipatory guidance to the mother of an 8 year old girl. the mother asks the nurse when her daughter will begin puberty.
beast development is the first sign
a nurse is caring for an adolescent who was admitted with anorexia nervosa. which of the following should the nurse expect?
bloating
a nurse is providing teaching to a 17 year old female client who has severe acne about the use of isotretinoin. which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?
feelings of isolation
a nurse instructs the parent of a child with sickle cell anemia about factors that might precipitate a pain crisis in the child. which of the following precipitating factors identified by the parent indicates the need for further instruction?
over hydration
a nurse is caring for an infant who has a congenital heart defect. which of the following defects is associated with increased pulmonary blood flow?
patent ductus arteriosus
a nurse in an emergency department is assessing a 3 year old child who has a high fever, severe dyspnea, and is drooling. what is the nurses priority
prepare for nasotracheal intubation
you are caring for an infant who was admitted for dehydration. you note the following upon admissions: HR 130, RR 50, 11% weight loss, Na 155, high pitch cry, lack of tears, dry mucous membranes, irritability. what type of dehydration do you suspect?
severe hypertonic
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
you are speaking with a school age child and his mother during a well visit. which of the following statements accurately describes the cognitive development that occurs during this period of childhood?
they are able to classify, to group and sort, and to hold a concept in their minds while making decisions based on that concept
how does early or excessive ingestion of cows milk contribute to anemia in infants and toddlers
toddlers with excessive milk intake, do not eat other foods and milk is low in iron causing IDA milk has large proteins which are difficult for infants to digest, causing blood loss from the GI resulting in anemia milk contains phosphates that interfere with iron absorption
a nurse is caring for 3 yr old child who was admitted with acute diarrhea and dehydration. which of the following findings indicates that oral rehydration therapy has been effective
urine specific gravity 1.015
all of the following would indicate a need for increased fluid requirements except: - resp illness w fever of 40.1 c - diarrheal illness in toddler - vomitting - 3rd degree burns 10% of the BSA
vomiting following a traumatic brain injury in an infant
a nurse is caring for an infant who has gastroesophageal reflux. the nurse should recognize that which of the following findings are associated with this condition.
vomiting, weight loss, wheezing
a nurse is providing health promotion teaching to an adolescent. which of the following information should the nurse include in teaching?
your need for sleep will increase during periods of growth
