PEDS FINAL !!!!!!!!!!!
A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching? Select one: a. Administer the medication with meals and snacks. b. Capsules must be taken whole. c. This medication may be discontinued when symptoms diminish. d. This medication may cause a diarrhea.
A
A teenager is being seen by a nurse during a sports physical. The patient complains of how her acne is perceived by others. This patient is in what stage of development? a. Identity vs. Role confusion b. Initiative vs. Guilt c. Basic trust vs. Mistrust d. Industry vs. Inferiority
A
The nurse is inspecting a 4-year-old's mouth at a routine office visit. The child should have how many teeth? a. 20 b. 16 c. 24 d. 12
A
What is the best time to administer pancreatic enzyme replacement? a. Before meals and snacks b. Before bedtime c. Early in the morning d. After meals and snacks
A
Which of these mothers will not be able to breast feed her newborn? a. The mother of an infant who has a cleft palate. b. The mother of an infant who has a meningomyelocele. c. An infant whose mother has heart disease. d. An infant whose mother has diabetes mellitus.
A
A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The oxygen level in the tent is 25%, and blood gases are normal. What would be the correct action by the nurse? Select one: a. Restrain the child in the tent and notify the health care provider. b. Increase the oxygen concentration in the tent c. Take the child out of the tent and into the playroom. d. Ask the mother for help in comforting the child.
B
A child's father was killed in an accident. The child keeps talking about "when Daddy wakes up." The nurse knows this is normal for a child of which age? a. One-year old. b. Three to four years old. c. Eight to ten years old. d. Fourteen to sixteen years old.
B
A girl comes to the physician's office for her 14-year-old check-up. What is the most important anticipatory guidance that can be offered to the client? a. Abstinence b. Healthy diet c. Ways to prevent accidents d. Correct Handwashing technique
C
A newly admitted adolescent is being questioned by the nurse in regards to his health history. The nurse should follow up on which of the following patient statements? a. "When I am stressed out, I like to see my girlfriend" b. "My mood is always changing" c. "I only eat vegetables, I have lost 10 pounds in the past 3 weeks" d. "I have a lot of trouble waking up in the morning"
C
A nurse is assisting with the care of an infant diagnosed with spina bifida (myelomeningocele). Which of the following actions by the nurse is appropriate? a. Performing range of motion on the hips b. Maintaining of a dry dressing over the myelomeningocele sac c. Taking an axillary temperature on the newborn d. Placing infant in a side-lying position
C
A nurse who is bathing a 1-year-old child notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect? Select one: a. Pyloric stenosis b. Nephrosis c. Wilms tumor d. Intussusception
C
A parent with a 6-year-old child diagnosed with enuresis discusses with the nurse the measures that are being taken to help her child. Which statement by the parent indicates a need for further teaching? a. "I make sure that my child goes potty before going to bed." b. "I have my child help with changing the wet sheets in the morning." c. "I take away privileges such as TV time when the bed is wet in the morning." d. "I make sure that my child does not have anything to drink 2 hours before bedtime."
C
A teenage girl has been placed in a brace for the treatment of scoliosis, the most common skeletal deformity of adolescence. The family asks what they can do to be more supportive. What suggestion of the nurse is the most appropriate? Select one: a. Enrolling her in a health club b. Taking her to the mall in a wheelchair c. Purchasing clothes to disguise the cast d. Spending a majority of their time with her
C
During a home visit, the nurse finds that a 9-year-old child is very fond of riding on a scooter. The nurse teaches the child and the family about the safety measures to be followed. Which action of the child indicates a need for additional teaching? a. Using a park or secluded are for riding b. Wearing a helmet and knee pads while riding c. Riding the scooter at night when there is less traffic d. Avoiding home made ramps made from discarded furniture
C
How should the nurse measure urinary output for an infant with dehydration? Select one: a. Attaching a urine collecting bag b. Wringing out the diaper c. Weighing the diaper d. Inserting a catheter
C
Parents in the physician's office describe the following behaviors. Which is of greatest concern to the nurse? a. A two-year old who grabs another child's toys. b. A five-month old who does not sit alone. c. A two-year old who doesn't walk d. An eighteen-month old who is not toilet trained.
C
Smoking contributes to an increased risk of heart and lung disease in children by which methods? a. Air pollution b. Allergens in the environment c. Environmental smoke d. Lack of oxygen in the air
C
The health care provider is treating a child with meningitis with a course of antibiotic therapy. When should the nurse expect the child to be out of isolation? a. When the course of antibiotics is complete b. When a negative CNS culture is obtained c. When the antibiotics have been initiated for 24 hours d. When the child has no symptoms of the disease
C
The nurse is preparing to administer eardrops to an infant. How would the nurse administer the eardrops? a. Pull up and back on the ear, and direct the solution onto the eardrum. b. Pull down and back on the ear, and direct the solution onto the eardrum. c. Pull down and back on the ear, and direct the solution toward the wall of the canal. d. Pull up and back on the ear lobe, and direct the solution toward the wall of the canal.
C
The nurse stresses that regular physical activity has been identified as a leading health indicator. Regular physical activity has which positive effect on children? a. Improves social skills. b. Reduces fluid retention. c. Increases bone and muscle strength d. Increases attention span.
C
To prevent accidental poisoning of a child, where should medications be placed in the home? a. In a dresser drawer b. In the medicine cabinet c. In a locked cupboard d. On a high shelf
C
What is the main characteristic of cystic fibrosis? Select one: a. Multiple upper respiratory infections b. An underproduction of exocrine glands c. Excessive, thick mucus d. An overproduction of thin mucus
C
What should the nurse caring for a 6-year-old child with acute glomerulonephritis anticipate as the most difficult part of the care to implement? Select one: a. Forced fluids b. Increased feedings c. Bed rest d. Frequent position changes
C
When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do? a. Convey respect. b. Talk with the child. c. Be honest. d. Talk with family.
C
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. Which responses would be the most correct? Select one: a. The epinephrine given causes nausea and vomiting. b. The child is being hydrated with IV fluids. c. The child is not hungry. d. The child's rapid respirations pose a risk for aspiration
D
The nurse is preparing to administer an intramuscular injection to a 1-year-old child. Which location would the nurse select to administer the medication? a. Deltoid muscle b. Dorsogluteal muscle c. Ventrogluteal muscle d. Vastus lateralis muscle
D
The pediatric nurse reminds the parents of a 2-year-old that by this age the child should be protected against how many vaccine-preventable childhood diseases? ct one: a. 4 b. 6 c. 8 d. 1
D
What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements? a. Respiration, temperature, pulse b. Pulse, respiration, temperature c. Temperature, pulse, respiration d. Respiration, pulse, temperature
D
The medication prescribed is digoxin 0.25 mg orally, daily. The medication label reads digoxin 0.125 mg/tablet. The nurse would prepare how many tablet(s) to administer the dose? (Fill in the blank; use decimal notation; don't write the unit of measurement.)
2
What should the therapeutic management of iron deficiency anemia include? Select one: a. Multivitamins b. Calcium c. Ferrous sulfate d. Iodine
C
A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client? 's history, it is appropriate for the nurse to ask the parent which of the following questions? a. "Has your son had a sore throat recently? b. "Was your son born with this cardiac defect? " c. "Has your child had any injuries recently? " d. "Are you aware that your son will have to be in isolation?"
A
A nurse is caring for a toddler who had a cast applied 2 hr ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse? Select one: a. Right hand fingers have capillary refill of 4 seconds. b. Fingertips of the right hand are swollen and bruised. c. Child is not attempting to move right arm or fingers. d. Parent reports the child will not keep the arm elevated on the pillow.
A
The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse? Select ONE a. "Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth." b. "Children's growth is hereditary. She may be of small stature like you." c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?" d. "Your daughter is healthy and happy. Don't worry about her growth right now."
A
The nurse educates the family of a newly admitted child with cystic fibrosis that the treatment will be centered on what therapy? a. Chest physiotherapy b. Mucus-drying agents c. Prevention of diarrhea d. Insulin therapy
A
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femurs? Select one: a. Abduction b. Adduction c. Flexion d. Extension
A
The nurse is reinforcing discharge instructions with the parent of a child who has cystic fibrosis (CF). Which of the following statements by the parent indicate a correct understanding of the child's nutritional needs? "I know it will be important for me to Select one: a. make sure my child washes her hands well before eating. b. restrict the amount of salt in my child's food." c. put my child in daycare to ensure my child gets to socialize with other children." d. prepare low-fat meals for my child
A
The nurse observes a mother giving an oral iron supplement to her 6-year-old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching? SELEct one: a. The mother administered the iron with milk. b. The mother administered the iron with water. c. The mother administered the iron with apple juice. d. The mother administered the iron with orange juice
A
The parents of an 18-month old call the nurse neighbor and say their child swallowed eight or ten sleeping pills. What should the nurse reply? a. "Call 911 now." b. "I'll be there in 15 minutes." c. "Stick your finger down the child's throat." d. "Give the child milk to drink."
A
When assessing the laboratory values of a child with nephrosis, the nurse anticipates which results? (Select all that apply.) a. High levels of protein in the urine b. High serum lipid levels c. Low serum protein levels d. Low hemoglobin e. High white blood cell count
A B C
The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.) a. Rigid visiting hours b. Freedom to choose which medications to take c. Exclusion of family during procedures d. Discouraging family to stay overnight e. Restricting parents from reading the chart
A C D E
The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.) a. Rigid visiting hours b. Freedom to choose which medications to take c. Exclusion of family during procedures d. Discouraging family to stay overnight e. Restricting parents from reading the char
A C D E
The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child? (Select all that apply.) a. Separation b. Lack of love c. Fear of pain d. Unfamiliar food e. Loss of control
A C E
A client is to receive medication via patient-controlled analgesia (PCA), and the nursing instructor asks the nursing student caring for the client to describe the use of the PCA. The instructor determines there is a need for further teaching about the PCA when the student makes which statement? a. "The PCA gives the client greater control over analgesic administration." b. "Asking the client to rate pain is unnecessary when the client has a PCA." c. "PCA delivers predetermined amounts of analgesia within preset intervals." d. "A continuous intravenous (IV) solution is needed to keep the vein open between analgesia infusions."
B
A neonatal client is rushed to the emergency room for diarrhea and vomiting. The mother thinks that her first breast milk, which is yellowish in color, is the cause of the client's condition. She asks the nurse if she could feed the client with formula milk instead of breast milk. Which of the following statements should be the nurse's response? a. You should not feed the client with your breast milk; it is infected. b. Breast milk, especially the first milk, contains a lot of nutrients that are essential for the client c. I will inform your pediatrician. d. Yes, you should shift to formula instead of breast milk to relieve the diarrhea.
B
A nurse cares for a teenage client with scoliosis. Which of the following will likely be most difficult for this client? a. Activities of daily living b. Looking different from friends c. Physical therapy compliance d. Adequate social support
B
A nurse is planning care for a child with suspected epiglottitis. Which of the following is an appropriate action for the nurse to take? a. Obtain a throat culture b. Place client in an upright position c. Transfer for a throat x-ray d. Visualize the epiglottis with a tongue depressor
B
A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the following is an appropriate statement by the nurse? Select one: a. "The blood supply to the bone is disrupted." b. "Normal bone growth can be affected. c. "Bone marrow can be lost though the fracture." d. "The healing process will take longer."
B
A toddler's parents ask the nurse how long the child is required to use a front facing car seat. How should the nurse respond? a. "The child must be at least 6 years-old to use a regular seat belt" b. "Your child can stop using a front facing car seat when he weighs at least 40 pounds" c. "Your child must be at least 50 inches tall" d. "The child can stop using the front facing car seat when he is mature enough"
B
An infant has been diagnosed with cradle cap. What is the correct intervention to treat the scalp? Select one: a. Alcohol b. Mineral oil c. Calamine d. A&D ointment
B
How is the infant with gastroesophageal reflux (GER) typically treated? Select one: a. By making the infant NPO b. By thickening the formula or breast milk with cereal c. By placing the infant to sleep on the side d. By switching the infant to cow's milk
B
Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What would be the best response by the nurse? Select one: a. "Are you sure your child has iron deficiency anemia?" b. "This happens when the maternal stores of iron are depleted at about 6 months." c. "This anemia is caused by blood loss." d. "The child may not have had it for a long time."
B
The neonate has a protruding tongue and a crease that transverses the entire width of each palm. The nurse recognizes that these findings are characteristic of what congenital condition? a. Hypothyroidism b. Down syndrome c. Turner syndrome d. Fetal alcohol syndrome
B
The nurse is caring for a newborn with a myelomeningocele. Before surgery, what should the nursing interventions include? a. Leaving the lesion uncovered and placing the infant supine b. Covering the lesion with a sterile, saline-soaked gauze c. Applying lotion to the lesion to keep it moist d. Covering the lesion with a dry, sterile gauze
B
The nurse is caring for a young client who has frequent involuntary urination at night. They are diagnosed with nocturnal enuresis. What is the most likely cause? a. Psychological stress b. Delayed bladder maturation c. Vesicoureteral reflux d. Urinary tract infection
B
The nurse should encourage the parents of which child to discuss the child with the physician? a. A one-year old who has one tooth. b. A fifteen-month old who does not sit up. c. An eighteen-month old who says ten words. d. A two-year old who is having temper tantrums.B
B
The parents of a child recently diagnosed with sickle cell anemia ask what can be done to avoid a sickle cell crisis. What should be included in the medical management of sickle cell crisis? Select one: a. Information for the parents including home care b. Provisions for adequate hydration and pain management c. Pain management and administration of iron supplements d. Adequate oxygenation and factor VIII
B
The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain. What is the most likely cause of the pain? a. Inflammation of the vessels b. Obstructed blood flow c. Overhydration d. Stress-related headaches
B
The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining remission of the disease. What would be the most effective therapy? Select one: a. Surgery to remove enlarged lymph nodes b. Long-term chemotherapy c. Nutritional supplements to enhance blood cell production d. Blood transfusions to replace ineffective red cells
B
What could suddenly occur in a child with acute epiglottitis? a. Increased carbon dioxide levels b. Airway obstruction c. Inability to swallow d. Bronchial collapse
B
What is the hallmark sign of intussusception? Select one: a. Mucus-like stools b. Currant jelly-like stools c. Tarry, black stools d. Green, soft stools
B
When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child? Select one: a. Excessive growth b. Cognitive impairment c. Damage to the nervous system d. Damage to the urinary system
B
Which are physical risks associated with excess weight? (Select all that apply.) a. Poor eyesight b. Heart disease c. Arthritis d. Stroke e. Appendicitis
B C D
Which of the following interventions should be included when teaching a healthy behaviors class for parents of adolescents? (Select all that apply.) a. Always monitor the child's telephone conversations. b. Insist on seatbelt use at all times. c. Encourage tanning bed use versus exposure to the sun. d. Maintain recommended immunization schedule. e. Encourage good dental care
B D E
A nurse is caring for a child that has been hospitalized multiple times for leukemia. After observing the child using several coping mechanisms, the nurse designs a plan of care that includes: a. Placing the child on psychiatric medications b. Having the child discuss his feelings during the first therapy session Explanation c. Using therapeutic play so the child can act out his feelings d. Telling the child to focus on the future
C
A nurse is performing a developmental assessment on a 4 and a half-year-old. Which of the following findings is of most concern? a. The child is unable to brush her teeth without help b. The child is unable to prepare cereal c. The child's speech is not completely understandable d. The child is unable to balance on each foot for 4 seconds
C
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate? a. "Although the actual reports are not shared, I can tell you the blood sugar is 200 mg." b. "I'll write them down for you and bring them to your room." c. "Come to the conference room where we can have privacy while you look at them." d. "I'll notify the health care provider that you wish to see the reports."
C
The nurse is preparing to hang an intravenous (IV) solution of 1000 mL 5% dextrose in lactated Ringer's to flow at 80 mL/hour. The nurse time-tapes the bag with a start time of 07:00. After making hourly marks on the time-tape, the nurse notes that the completion time for the bag would be what? a. 17:00 b. 17:30 c. 19:30 d. 21:00
C
The nurse notes that a 6-year-old child does not recognize that objects exist when the objects are outside of the visual field. Based on this observation, which action would the nurse take? a. Move the objects in the child's direct field of vision. b. Teach the child how to visually scan the environment. c. Report the observation to the primary health care provider. d. Provide additional lighting for the child during play activities.
C
What practice should be used by a pediatric nurse to remind parents of their responsibility in reducing the number of accidents involving children? a. Child awareness b. Good manners c. Anticipatory guidance d. Strict discipline
C
What should be the focus of a practice where the pediatric nurse uses a developmental approach? a. Stimulation of the child to reach expected norms b. Age-centered care plans c. Strengths and abilities of the child d. Characteristics for the particular age
C
When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with: a. encouraging the parents to have another baby. b. encouraging the parents to remain stoic. c. allaying feelings of guilt and blame. d. learning how the event could have been prevented.
C
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother? a. "Don't be concerned. Accidents happen." b. "Let's put a diaper on your child until this gets better." c. "The stress of hospitalization makes children regress a little." d. "Your child will relearn 'potty-training' if you are patient."
C
Which factor is mostly associated with problems such as domestic violence, sexually transmitted infections (STIs), school failure, and motor vehicle accidents (MVAs)? a. Lack of supervision b. Psychological problems c. Substance abuse d. Physiological problems
C
Which is a causative factor of Hirschsprung disease? a. Frequent evacuation of solids, liquid, and gases b. Excessive peristaltic movement c. The absence of parasympathetic ganglion cells in a portion of the colon d. One portion of the bowel telescoping into another
C
Which signs/symptoms would be considered classical signs of meningeal irritation? Select one: a. Positive Kernig sign, diarrhea, and headache b. Negative Brudzinski sign, positive Kernig sign, and irritability c. Positive Brudzinski sign, positive Kernig sign, and photophobia d. Negative Kernig sign, vomiting, and fever
C
A nurse is caring for a child that is experiencing a seizure. Which of the following would be the most appropriate action for the nurse to take? a. Attempt to stop the seizure b. Restrain the child's arms c. Use a padded tongue blade d. Position the child laterally
D
A nurse is caring for a client who has a fractured femur. Which of the following techniques should the nurse use when collecting data about the client? 's circulatory status? a. Ask the client to cough and deep-breathe. b. Observe the client's ability to turn himself in bed. c. Assist the client in performing bicep exercises. d. Instruct the client to wiggle his toes.
D
A nurse is preparing an infant for a lumbar puncture. In what position should the nurse hold the infant? a. Sitting with the buttocks at table's edge and the head flexed b. Prone with the head extended over the table's edge and the extremities swaddled c. Lateral recumbent with the back at the table's edge and the head and legs extended d. Side lying with the back at table's edge and the head flexed with the knees brought to the chin
D
A toddler-age client with Down syndrome has several cardiac defects that are inoperable. The parents are struggling to decide the next step. Subsequently, a care conference is held consisting of the family, the provider, the social worker, and the chaplain. Why should the nurse be involved in this discussion? a. The nurse can lead the group in prayer. b. The nurse has witnessed many deaths and can help comfort the parents. c. The nurse is an expert in terminal illnesses. d. The nurse can act as the client advocate and the liaison between the parents and the healthcare team. Explanation
D
Because the water in the infant's residential area is not fluoridated, when should the nurse suggest that the infant receive supplemental fluoride? a. 2 months old b. 4 months old c. 5 months old d. 6 months old
D
Following a bout of diarrhea, which foods should be offered to the school-age child? a. Apricots and peaches b. Chocolate milk c. Applesauce and milk d. Bananas and rice
D
The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission? a. A week prior b. 2 weeks prior c. The day of admission d. Only 2 or 3 days before
D
What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis? a. A history of diarrhea following each feeding b. Gastric pain evidenced by vigorous crying c. Poor appetite due to a poor sucking reflex d. An olive-shaped mass right of the midline
D
When measuring the head circumference of an infant, where should the nurse place the tape measure? a. Across the eyebrows and around the occipital lobe b. Over the zygomatic arches and around the parietal areas c. Around forehead and around the crown of the head d. Above the eyebrows and pinnas, and around the occipital lob
D
A nurse is collecting data about a 2-year-old client who has AIDS. Based on the client's risk for opportunistic infections associated with this diagnosis, the nurse should inspect the inside of the child's mouth for Select one: a. candidiasis. b. gingivitis. c. canker sores. d. Koplik spots.
A
The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four congenital defects. What are the defects? Select one: a. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy b. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy c. Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
B
A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to help promote sleep? Select one: a. Explain cause of fears. b. Turn off the room light. c. Provide home bedtime rituals d. Encourage play exercises in the evening.
C
Which is a long-term complication of cleft lip and palate? Select one: a. Cognitive impairment b. Altered growth and development c. Faulty dentition
C
The medication prescribed is hydromorphone hydrochloride 3 mg intramuscularly, every 4 hours as needed. The medication label reads hydromorphone hydrochloride 4 mg/1 mL. The nurse would prepare to administer how many mL to the client? (Fill in the blank; use decimal notation; don't write the unit of measurement.)
0.75
A 4-year-old girl decided to surprise her mother by making hot chocolate and spills hot water on her legs, resulting in partial-thickness burns. Because of the child's age, the nurse's discharge instructions to the parents should emphasize the importance of: a. Teaching the child basic safety rules b. Disciplining the child for unacceptable behavior c. Discussing with the child what the word "hot" means d. Having a parent present when the child is in the kitchen
A
A 6-month-old infant has had surgery to correct intussusception. The surgeon has prescribed clear liquids by mouth. The nurse correctly administers which of the following? Select one: a. Oral electrolyte solution b. Half-strength infant formula c. Full-strength orange juice d. Sterile water
A
A nurse is caring for a client who has seasonal allergies and has been taking diphenhydramine (Benadryl). The provider recommends fexofenadine (Allegra) for the client. The client asks the nurse about the advantage of taking fexofenadine. Which of the following would be the correct response? a. "Fexofenadine does not cause sedation." b. "Fexofenadine is available without a prescription." c. "Fexofenadine can be taken nasally." d. "Fexofenadine has decongestant properties."
A
A nurse is caring for a school-age child is receiving treatment for a systemic disorder with antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The client reports soreness of his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse suspects which of the following conditions? a. Candidiasis from antibiotic therapy. b. Dermatitis from immunosuppressive therapy. c. Herpes simplex from corticosteroid therapy. d. Squamous cell carcinoma from exposure to second hand smoke.
A
A child with Duchenne muscular dystrophy rises from the floor by walking up the thighs with the hands. How should the nurse record this observation? Select one: a. Hand assistance b. Leg crawling c. Gowers sign d. Bright sign
C
A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent? Select one: a. Provide a high carbohydrate meal. b. Give the child syrup of ipecac. c. Contact the poison control center. d. Do nothing because the ferrous sulfate will induce vomiting.
C
A nurse is caring for a 3-year-old child admitted with acute diarrhea and dehydration. Which of the following client findings indicates that oral rehydration therapy has been effective? a. Heart rate 130/min b. Respiratory rate 24/min c. Urine specific gravity 1.015 D. Capillary refill greater than 3 seconds
C
A nurse is caring for a child who has idiopathic thrombocytopenic purpura and is experiencing a nose bleed. Which of the following is an appropriate action by the nurse? a. Apply ice to the back of the neck. b. Position the child supine. c. Insert cotton into each nostril. D. Tilt the child? 's head back.
C
A major dental problem among very young children is bottle mouth caries. What is a preventive measure the nurse should suggest? a. Juice at bedtime b. Milk at bedtime c. A sugar-coated pacifier d. Water at bedtime
D
A nurse is caring for a 6-week-old infant admitted to the pediatric unit for evaluation of a suspected pyloric stenosis. Which of the following findings should the nurse expect? Select one: a. Metabolic acidosis b. Effortless regurgitation c. A distended abdomen d. Projectile vomiting
D
A nurse is caring for a 7-year-old client who has a diagnosis of upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction? Select one: a. "I will encourage drinking a half a cup of water or sugar-free fluids every 30 minutes." b. "I will report a change in breathing or any signs of confusion." c. "I will notify the doctor if the temperature is not controlled with acetaminophen." d. "I will continue to check his blood sugar two times a day.
D