Peds Exam 3 Quiz
A child has recurrent abdominal pain (RAP) and a dairy-free diet has been prescribed for 2 weeks. Which explanation is the reason for prescribing a dairy-free diet?
Answer: To rule out lactose intolerance
Nursing care of a child diagnosed with a SIADH should include which of the following?
Answer: Weight daily and restrict fluids
A child eats some sugar cubes after experiencing symptoms of hypoglycemia. What should follow this rapid-releasing sugar?
Answer: Complex carbs and protein
A school-age child has been admitted with an acute asthma episode. The child is receiving oxygen by nasal prongs at 2 liters. How often should the nurse plan to monitor the child's pulse oximetry status?
Answer: Continuous
Which type of croup is always considered a medical emergency?
Answer: Epiglottis
The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?
Answer: Fever with a positive blood culture
The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes. Which should be included in the teaching plan for daily injections?
Answer: He is old enough to give most of his own injections
A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?
Answer: Jaundice
Which is the initial clinical manifestation of generalized seizures?
Answer: Losing consciousness
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Which interventions should be included in the child's postoperative care?
Answer: Observe closely for signs of infection, Monitor for abdominal distention, and Maintain an accurate record of intake and output.
The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?
Answer: Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
The nurse is teaching parents about prevention of urinary tract infections in children. Which factor predisposes the urinary tract to infection?
Answer: Short urethra in young girls
A child is upset because when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. Which should the nurse suggest to remove this material?
Answer: Soak in the bathtub
Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?
Answer: Sweat chloride test
The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include?
Answer: Sweating (inappropriately), Fatigue, and decreased urinary output
An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. What should be included in the discharge teaching?
Answer: Teach family signs of central venous catheter infection.
The nurse uses the palms of the hands when handling a wet cast for which reason?
Answer: To avoid indenting the cast