peds mod 3

When reviewing bathing habits for a child with dermatitis, which statements by the child's mother indicates the need for further instruction? Select all that apply.

"Antibacterial soap will be helpful in preventing infections at the site of the rash." "I should use the warmest water my child can tolerate during the bath."

A 2-year-old client is at the office for a follow-up visit. The client has had excessive hormone levels in recent bloodwork and the parents question why this was not found sooner. What is the best response by the nurse?

"As endocrine functions become more stable throughout childhood, alterations become more apparent."

The nurse is speaking with the mother of a child diagnosed with contact dermatitis from poison ivy. Which statement by the mother indicates a need for further education?

"As long as he takes a shower as soon as he gets inside, he shouldn't get this again."

The nurse is preparing an education plan for a pregnant woman who has venereal warts. What should the nurse include as teaching points for this client?

"During a vaginal birth, your newborn may develop warts in the throat."

The nurse is teaching glucose monitoring and insulin administration to a child with type 1 diabetes mellitus and the parents. Which comment by a parent demonstrates a need for additional teaching?

"During exercise we should wait to check blood sugars until after our child completes the activity."

The parents of a child diagnosed with atopic dermatitis ask the nurse, "My child has a skin disorder. I don't understand why a complete blood count (CBC) was ordered?" What is the appropriate response by the nurse?

"Eosinophils are a type of white blood cell that are often elevated with atopic dermatitis. These are part of the CBC and helps in making the diagnosis."

The nurse admits a 10-year-old who has just eaten lobster and has hives over much of the body. In collecting data regarding this child, which question should the nurse ask the caregiver first?

"Has the child ever eaten shellfish before now?"

The nurse is teaching a group of caregivers of children diagnosed with diabetes mellitus. The nurse is explaining insulin shock and the caregivers make the following statements. Which statement indicates the best understanding of a reason an insulin reaction might occur?

"He measures his own medication but sometimes doesn't administer the correct amount."

The parents of a child recently diagnosed with atopic dermatitis voice concern to the nurse that their child may develop asthma at some point. How should the nurse respond?

"I can understand your concern. We will closely monitor your child for asthma development."

The parents of an 8-year-old boy diagnosed with frostbite are distraught and state to the nurse, "We can't believe we didn't make our child come inside when he complained about his fingers being numb and hurting." How should the nurse respond?

"I can't imagine how you are feeling right now, but I'm sure you had no idea frostbite could happen. We will take good care of your son."

An adolescent with acne vulgaris who last week was prescribed tretinoin cream reports to the nurse, "The medicine has not helped my acne at all." What is an appropriate response(s) by the nurse? Select all that apply.

"I know it must be hard waiting for improvement, but it may take 4 to 6 weeks for the medication to begin working." "Be sure to avoid oil-based cosmetics and hair products because their use may block pores and worsen your acne." "Tell me about your daily regimen. While it takes some time for the medicine to work, there may be something in your routine that needs adjusting."

A child has been diagnosed with hookworm. The nurse is teaching the parent about the treatment for the condition. Which statement made by the parent confirms that further education is needed?

"My child can play outside bare footed when treatment is done."

The nurse is educating the parents of a client newly diagnosed with type 1 diabetes. Which statement by the parents indicates additional teaching is needed?

"Our child should not participate in sports or physical activity."

A 13-year-old adolescent with hyperthyroidism who takes antithyroid medication has a sore throat and a fever. The parent calls the nurse and asks what to do. Which is the best response from the nurse?

"Please take your child straight to the emergency department."

After explaining the causes of hypothyroidism to the parents of a newly diagnosed infant, the nurse should recognize that further education is needed when the parents ask which question?

"So, hypothyroidism can be treated by exposing our baby to a special light, right?"

The nurse is discussing acne vulgaris with a group of adolescents. The teenagers make the following statements regarding the topic. Which statement is the most accurate regarding acne vulgaris?

"Sometimes I get acne when I use my sister's makeup."

A 10-year-old child has been diagnosed with type 1 diabetes mellitus. The child is curious about the cause of the disease and asks the nurse to explain it. Which explanation will the nurse provide?

"Special cells in a part of your body called the pancreas cannot make a chemical called insulin, which helps control the sugar level in your blood."

The nurse is caring for a 2-month-old in a pediatric clinic. The mom states she is going on vacation in Florida in a month and she is concerned about sunburn. She asks if it is okay to use a sunscreen lotion made for children. What is the correct nursing response?

"Sunscreen is not recommended until 6 months of age. Use light clothing and a hat to completely cover the child when in the sun."

The nurse is talking with a parent of an adolescent who is newly diagnosed with type 2 diabetes mellitus and asks, "How could this happen? No one in our family has diabetes." What response would be appropriate?

"This is caused by insulin resistance from previous pancreatic injury or generalized infection.

A child and parents are being seen in the office after discharge from the hospital. The child was newly diagnosed with type 2 diabetes. When talking with the child and parents, which statement by the nurse would be most appropriate?

"Young people can usually be managed with an oral agent, meal planning, and exercise."

A child has an order for an erythrocyte sedimentation rate (ESR). The child's mother asks what the purpose of the test is. What is the best response by the nurse?

"This test will tell if your child has an infection or inflammation somewhere in their body."

The nurse has told the 14-year-old adolescent with diabetes that the doctor would like to have a hemoglobin A1C test performed. Which comment by the client indicates that she understands what this test is for?

"This will tell my doctor what my average blood glucose level has been over the last 2 to 3 months."

The nurse is teaching the parents of a 6-year-old who has sustained a large laceration about providing care to the wound at home. The nurse determines that the parents need additional teaching when they state:

"We need to keep the wound tightly bandaged for at least 3 days."

The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions?

"We need to make sure that he washes his hands frequently."

A newborn has a generalized rash on the skin, which the nurse identifies as erythema toxicum neonatorum. Which information would the nurse include when explaining the condition to the newborn's parent?

"What you see on your newborn's skin is erythema toxicum neonatorum. It is a common newborn skin condition that typically resolves on its own in about 1 week. There is nothing special you will need to do for this."

A nurse is educating a family about the Chvostek sign after their teen tested positive for Chvostek sign. Which statements by the caregivers shows the nurse that they understand the Chvostek sign?

"When I tap on my child's facial nerve, the reaction is a facial muscle spasm."

A nurse is reinforcing the diagnosis of constitutional delay by the health provider to a 13-year-old male adolescent. Which is the best approach for this teen?

"You will not need medication because your hormone levels are normal. I would be glad to discuss these findings with you."

A school-aged child is recovering from varicella. The parent calls the school nurse and states, "my child is feeling much better" and asks when the child can return to school. What information does the nurse provide the parent?

"Your child may return to school when all of the lesions have crusted over."

Cat Scratch Fever/bartonella henselae

(Afipia felis) G- curved rod Symptoms- 7 to 12 days: small red bumps; 1 to 4 wks: lymph nodes swell and pus filled; months later: symptoms disappear Infective source- Vehicle (meat), fecal-oral, scratches from infected cat Diagnosis- Serological detection of IgM, culture, histology, interdermal skin test Treatment- antibiotics Prevention- avoid cats cats can carry the bacteria in their saliva. most often happens with kittens.

Plummer syndrome

* Symptoms: *Nontoxic goiter that develops into toxic goiter (hyperthyroidism) late in its course.* Lab Values: ** Pathophysiology: ** Treatment: *

signs and symptoms of hypothyroid

- Thick tongue, atrophic papillae - Thick edematous skin - Puffy hands and face - Dry skin, not sweaty - Slow HR - Speaks slowly - Lethargic

The nurse is preparing to administer the child's ordered lispro (Humalog) insulin at 0800. When will the child's blood glucose level begin to decline?

0815

diaper rash prevention

1. Change absorbable diapers frequently. 2. Wipe well with unscented wipes 3. Leave off the diaper to let the skin air dry 4. Skin protectants

SIADH can be caused by

1. Ectopic ADH secretion 2. Local injury to hypothalamus/Post. Pit.

Infection Process Cycle

1.) Reservoir Host 2.) Means of Exit 3.) Means of Transmission 4.) Means of Entry 5.) Susceptible Host

The physician has ordered ibuprofen 150 mg every 6 hours as needed for a 3-year-old child for a fever greater than 38°C (100.4°F). The label of the ibuprofen bottle reads "ibuprofen oral suspension 100 mg/5 ml." How much ibuprofen liquid will the nurse administer if the child's temperature goes above 38°C (100.4°F)? Record your answer using one decimal place.

7.5 ml

A 10-year-old child is newly diagnosed with type 1 diabetes. The child's hemoglobin A1C level is being monitored. The nurse determines that additional intervention is needed with the child based on which result?

8.5%

A newborn was diagnosed as having hypothyroidism at birth. The parent asks the nurse how the disease could be discovered this early. Which is the nurse's best answer?

A simple blood test to diagnose hypothyroidism is required in most states.

The nurse is conducting a physical examination of a boy with erythema multiforme. Which assessment finding should the nurse expect?

lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk

The nurse is caring for a child whose family recently emigrated from a developing country. While completing the admission history, the parents report all the child's immunizations are up to date. Which nursing action is most appropriate?

Ask parents which immunizations have been given.

hypo thyroid medications

levothyroxine/synthriod.

Sepsis definition

life-threatening organ dysfunction caused by a dysregulated host response to infection

A 13-year-old adolescent is seen in the office and appears very anxious. For the past 2 weeks, the adolescent has had some muscle twitching; upon examination, the client is found to have a positive Chvostek sign. Which would be an appropriate explanation of a Chvostek sign?

Chvostek sign is a facial muscle spasm demonstrated by tapping the facial nerve.

Which results would indicate to the nurse the possibility that a neonate has congenital hypothyroidism?

low t 4 and high tsh level

After teaching a group of students about endocrine disorders, the instructor determines that the teaching was successful when the students identify insulin deficiency, increased levels of counterregulatory hormones, and dehydration as the primary cause of which condition?

DKA diabetic ketoacidosis

A nurse is assessing a 6-month-old girl with an integumentary disorder. The nurse notes three virtually identically sized, round red circles with scaling that are symmetrically spaced on both of the girl's inner thighs. What should the nurse ask the mother?

Does she wear sleepers with metal snaps?"

Lyme disease treatment

Doxycycline, amoxicillin, or cefuroxime have all been shown to have equivalent efficacy for treatment of Lyme disease. but doxycycline is always the first line abx.

A 12-year-old is being seen in the office and has hyperthyroidism; the nurse knows that the most common cause of hyperthyroidism is:

Graves disease

A parent brings an infant to the clinic for a well child visit. During the assessment, the parent asks the nurse why the infant never seems to sweat. What action should the nurse take?

Explain that this normal mechanism keeps the infant from losing too much water through the skin.

The nurse is discussing fever with the parents of a child who is in the emergency department with a temperature of 101°F (38.3°C). Which statement by a parent indicates an understanding of fevers and their management in the ill child?

Fevers can be beneficial because they can slow down the growth of the bacteria or virus that may be causing the infection."

A pediatric nurse is discharging a 1-month-old infant. The infant was diagnosed with congenital hypothyroidism on this admission and will be treated with levothyroxine. The nurse knows it is important to teach the parent about medication administration. Which process will the nurse include in the teaching?

Give the crushed medication in a syringe mixed with a small amount of formula.

The nurse is caring for a child with an order for PO prednisone. Which statement by the child's mother would indicate a need for further education?

I will give it to her at least 1 hour before all of her meals."

The appearance of which hallmark clinical manifestation occurs in measles

Koplik spots

A nurse is preparing a presentation for parents about common childhood infectious diseases. What conditions would the nurse include as being caused by a tick bite? Select all that apply.

Lyme disease Rocky Mountain spotted fever

The nurse is assessing a child who presents with a history of fever, malaise, fatigue, and headache. The nurse notes a bulls-eye rash on the child's right leg. Which action will the nurse take?

Notify the primary health care provider.

When the health care provider looks in a child's mouth during a sick-visit examination, the parent exclaims: "The tongue is bright red! It was not like that yesterday." The health care provider would most likely prescribe which medication based on the probable diagnosis?

Penicillin to prevent acute glomerulonephritis

Regular insulin (Humulin R, Novolin R)

Short-acting insulin ☐ Administer 30 to 60 min before meals to control postprandial hyperglycemia.

Which intervention is the most beneficial for a burn client undergoing a skin graft?

Provide around-the-clock pain medication as soon as pain is reported.

The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used?

Puncturing a vein on the dorsal side of the hand.

Diaper Dermatitis

Red, moist maculopapular patch with poorly defined borders in diaper area, extending along inguinal and gluteal folds; nurse should apply zinc oxide to the affected area

Short acting insulin

Regular (Humulin R, Novolin R)

posterior pituitary disorders

SIADH Diabetes Insipidus

A young child has just been admitted to the emergency department with a burn that encompasses the epidermis and the underlying dermis. From which type of burn does this child suffer?

Second-degree or partial-thickness burn

The nurse is assessing a child with a varicella infection. The nurse would be alert for which possible complication(s)? Select all that apply.

Secondary bacterial infection Pneumonia Scarring Encephalitis

What is a true statement regarding varicella zoster virus infection?

Secondary bacterial infections of the skin can occur.

What is the best technique to perform an assessment of the skin?

Skin assessment involves inspection and palpation in a room with natural daylight.

27s Report this Question After explaining the causes of hypothyroidism to the parents of a newly diagnosed infant, the nurse should recognize that further education is needed when the parents ask which question?

So, hypothyroidism can be treated by exposing our baby to a special light, right?"

A 9-month-old child has been admitted to rule out sepsis. Which finding offers the most support to the presence of this disorder?

The child has had 8 ounces of formula in the past 24 hours.

A 9-year-old child with Graves disease is seen at the pediatrician's office reporting sore throat and fever. The nurse notes in the history that the child is taking propylthiouracil. Which of the following would concern the nurse?

The child may have developed leukopenia.

precocious puberty goals in management.

The goals of nursing management include appropriate physical development and pubertal progression appropriate for age.

An adolescent comes to the clinic and is diagnosed with syphilis. The nurse discusses the treatment plan with the adolescent. In addition to medication, what instruction will the nurse give the adolescent?

The sexual partners need to be tested.

Lyme disease

Tick-borne disease caused by the spirochete Borrelia burgdorferi. it will be a bullseye looking mark at bite site.

scarlet fever treatment

Treat with penicillin or amoxicillin unless they are sensitive to it and then treat with erythromycin.

how to remove a tick

Use fine-tipped tweezers. Protect fingers with a tissue, paper towel, or latex gloves. Grasp tick as close to the skin as possible and pull upward with steady, even pressure. Do not twist or jerk the tick. Once the tick is removed, clean site with soap and water, rubbing alcohol, or iodine scrub and wash your hands. Save the tick for identification in case the child becomes sick. Place in a sealable plastic bag and put it in your freezer. Write date of bite on the bag.

The nurse is caring for a 13-year-old client who asks about acne prevention. Which would be most appropriate for the nurse to suggest?

Wash the face twice a day with a mild soap then pat dry.

A parent expresses a concern about white scales that have begun to flake off the 1-week-old infant's scalp. The parent asks, "What can I do to prevent this?" Which response by the nurse would be most appropriate?

Your child most likely has infantile seborrheic dermatitis, or cradle cap. You can care for it by cleansing the hair and scalp daily with baby shampoo. You can also apply baby oil to the area for 10 to 15 minutes and then rinse away the flakes."

The nurse is caring for a child with suspected child abuse-induced burns. Which assessment findings would support this?

a burn to the entire right hand up to 2 cm above wrist with consistent edges

The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse see first?

a child with erythema infectiosum experiencing fatigue and confusion

precocious puberty

a condition in which puberty begins before the age of 8 in girls and 9 in boys

spina bifida

a congenital defect that occurs during early pregnancy when the spinal canal fails to close completely around the spinal cord to protect it. decreased folic acid intake malnutrition drugs and alky exposure to radiation.

The nurse is caring for an adolescent diagnosed with genital herpes. The drug of choice for treating genital herpes is:

acyclovir

The school nurse notes that a child diagnosed with diabetes mellitus is experiencing an insulin reaction and is unable to eat or drink. Which action would be the most appropriate for the school nurse to take?

administer subcutaneous glucagon

The nurse is preparing an assessment guide for the emergency department staff regarding assessment of clients who are admitted with burn injuries. What should the nurse be sure to include in the assessment guide for primary emergency assessment of burns?

airway assessment presence of edema pulsa strength

When caring for a child diagnosed with West Nile virus, the nurse will question which prescription from the primary health care provider?

amoxicillin 40 mg/kg/day orally every 8 hours

The primary health care provider has ordered a thyroid scan to confirm the diagnosis of hyperthyroidism. Which would the nurse do before the scan?

assess the client for allergies

Which child will the nurse identify as at greatest risk for developing a urinary tract infection?

an 8-month-old bottle-fed female with HIV

diabetes insipidus

antidiuretic hormone is not secreted adequately, or the kidney is resistant to its effect

The nurse is educating a parent about the treatment for a child's tinea cruris. What medication class would the nurse include in the teaching plan?

antifungal

The nurse is caring for a child with urticaria. What is the priority action?

assessing the child's airway and breathing and noting any wheezing or stridor

The nurse is caring for a child with urticaria. What is the priority action?

assessing the child's airway and breathing and noting any wheezing or stridor.

The nurse is caring for a child admitted with second-degree (partial-thickness) burns. What is most characteristic of this type of burn?

blisters appear

A nurse is teaching an adolescent with type 1 diabetes about the disease. Which instruction by the nurse about how to prevent hypoglycemia would be most appropriate for the adolescent?

carry crackers or fruit to eat before or during periods of increased activity.

The nurse is caring for a child brought to a pediatric clinic for swelling in the lower extremities. The skin is reddened with undefined borders and pits slightly when pressed. Based on the assessment findings, which of the following would the nurse suspect?

cellulitis

The nurse is caring for a 2-year-old boy with a burn. What finding would warrant referral to a burn unit?

chemical. burn

signs and symptoms of scarlet fever

fever greater than 101°F, chills, body aches, loss of appetite, nausea, and vomiting. Inspect the pharynx, which is usually very red and swollen. The tonsils may have yellow or white specks of pus, and cervical lymph nodes may be swollen. Inspect the skin for the most striking symptom of scarlet fever, which is an erythematous rash appearing on the face, trunk, and extremities. The rash is typically absent from the palms and soles of the feet. It looks like a sunburn but feels like sandpaper (Fig. 15.1A). The rash lasts approximately 5 days and is followed by desquamation, typically on the fingers and toes. Early in the illness the tongue develops a thick coat with a strawberry appearance. The tongue will later lose the coating and become bright red (Fig. 15.1B).

The nurse is caring for a child with a tinea corporis infection involving several sites. Which information would be the most important for the nurse to include in the teaching plan for the parents?

finishing all prescribed oral medication, even after lesions fade

The nurse is caring for a 15-year-old boy with psoriasis. In addition to the plaques, what would the nurse expect to note?

fissures and scaling on palms and soles

A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The parent informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health care provider diagnoses the child with erythema infectiosum. The nurse tells the parent that this is also known as:

fith disease

A pediatric client has just been diagnosed with diabetes insipidus. What is the primary consideration for this client?

fluid replacement

The nurse is caring for a 1-year-old in a pediatric clinic. The child was brought to the clinic with symptoms of dry, itchy red patches of skin on the arms and legs. A diagnosis of atopic dermatitis (eczema) is made. What is a key element in the treatment regimen for this diagnosis?

frequently rehydrating the skin

Long acting insulin

glargine (Lantus) detemir (Levemir)

A young client in the clinic has a rash, cough, and fever that the parent says spiked on day 5 of the rash. The client also had conjunctivitis. What illness would the nurse expect the health care provider to diagnose?

measles

Hyperthyroid Medications

methimazole propylthiouracil works by blocking synthesis of t3 and t4 monitor pulse and blood pressure monitor I&Os daily daily wts

A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease?

mumps

The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first?

obtain blood cultures.

Addison's disease need more hormones

occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone

The nurse is assessing a 4-year-old girl with ambiguous genitalia. Which finding suggests congenital adrenal hyperplasia?

pubic hair and hirsutism

A nurse practitioner suspects that a child has scarlet fever based on which assessment finding?

red strawberry tongue

The nurse caring for a child with a skin allergy recognizes that the highest priority in the treatment for skin allergies is aimed at:

reducing swelling and relieving itching.

A child who has type 1 diabetes mellitus is brought to the emergency department and diagnosed with diabetic ketoacidosis. What treatment would the nurse expect to administer?

regular insulin

A child is receiving desmopressin (DDAVP) for the treatment of central diabetes insipidus. The child sneezes immediately after receiving the morning dose. Which is the best action made by the nurse?

repeat the full dose immediately

The nurse is planning care for a school-age child diagnosed with growth hormone deficiency. Which diagnosis should the nurse select to help the child with this health problem?

risk for situational low self esteem related to short stature

A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has this rash on his face and chest that looks like sunburn but feels really rough." What would the nurse suspect?

scarlet fever

A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of:

scarlet fever

The nurse is examining a child for indications of frostbite and notes blistering with erythema and edema. The nurse notes which degree of frostbite?

second degree frostbite.

scarlet fever look at the tongue for

strawberry appearance and later become bright red.

A 12-year-old boy arrives at the emergency room experiencing nausea, vomiting, headache, and seizures. He is diagnosed with bacterial meningitis. Other findings include a decrease in urine production, hyponatremia, and water intoxication. Which pituitary gland disorder would be most associated with these symptoms?

syndrome of inappropriate antidiuretic hormone

SIADH

syndrome of inappropriate antidiuretic hormone

Desmporessin (DDAVP)

synthetic antidiuretic hormone to treat Diabetes insipidus

The nurse admits a child who has sustained a severe burn. The child's immunizations are up to date. Which immunization would the child most likely be given at this time?

tetanus toxoid vaccine

The nurse is caring for a child admitted to the hospital for sepsis. Which assessment finding is the most concerning?

urine output of 10 ml over 3 hrs

diabetes insipidus treatment

vasopressin injections or nasal spray, oral desmopressin acetate (DDAVP), thiazide diuretics

The nurse is providing teaching on ways to maintain skin integrity and prevent infection for the parents of a boy with atopic dermatitis. Which response indicates a need for further teaching?

we should avoid using petroleum jelly

The nurse is speaking with the parents of a child recently diagnosed with hypothyroidism. Which statement by a parent indicates an understanding of symptoms of this disorder?

when they get my son's thyroid levels normal, he won't be so tired.

When assessing an adolescent for acne, what findings would lead the nurse to identify the acne as severe? Select all that apply.

widespread inflammatory lesions evidence of cysts presence of nodules

The nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormality. In caring for a child that has issues with the anterior pituitary, the nurse knows that this child has issues with which hormone?

growth hormone

What accurately depicts the hemodynamic changes that occur in the body within the first 24 to 48 hours after a burn?

hematocrit and white blood cell (wbc) counts increase

A nurse who is caring for a 7-year-old is providing client education to the child and caregiver. Which response by the caregiver demonstrates to the nurse that the caregiver understands the diagnosis of type 1 diabetes mellitus?

her body doesn't have any insulin

Rocky Mountain Spotted Fever

would have a bullseye rash where bitten

The nurse is caring for an infant with diaper dermatitis. Which statement by the child's parent would indicate a need for further education?

"I will use rubber pants over the cloth diapers in the future."

The nurse has completed client teaching with a 16-year-old female who has been prescribed isotretinoin for cystic acne. Which statements indicate learning has occurred? Select all that apply.

"If I am sexually active I need to let my doctor know. This is not a drug to be used for all forms of acne. My sister has minor acne so I told her this wasn't for her." "It's important I get my CBC blood test when my doctor orders it."

The nurse is caring for a child recently diagnosed with growth hormone deficiency. After providing education regarding this disorder, which statement by the parent demonstrates a need for further teaching?

"If growth hormone therapy is used, it will continue for the rest of my child's life."

urse is caring for a child recently diagnosed with growth hormone deficiency. After providing education regarding this disorder, which statement by the parent demonstrates a need for further teaching?

"If growth hormone therapy is used, it will continue for the rest of my child's life."

A topical corticosteroid is prescribed for a child with contact dermatitis. Which statement by the mother would indicate the teaching was successful?

"I should not cover the area with plastic wrap after applying the cream."

cushings

cushion of hormones excess moon face edema

What is the leading cause of neonatal sepsis and death?

group B strep

When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate

"Herpes zoster is a reactivation of a previous varicella zoster infection."

An adolescent is prescribed isotretinoin. Which statement indicates that the adolescent understands the necessary precautions associated with this drug?

"I have to make sure that I do not become pregnant while taking this drug."

The father of a child with mononucleosis is concerned with his child's fever and cough. The father asks when antibiotic therapy will begin. What is the best response by the nurse?

"Mononucleosis is a viral infection so an antibiotic isn't used. We address the symptoms with appropriate therapy."

The nurse is caring for a 2-month-old infant. The parent asks if it is okay to use a sunscreen lotion made for children. Which response by the nurse would be most accurate?

"Sunscreen is not recommended until 6 months of age. Use light clothing and a hat to completely cover the child when in the sun."

An 8-month-old has been diagnosed with infantile eczema. At a follow-up appointment, the child's caregiver seems exhausted and angry. He explains that he has done all of the child's care because his wife is repulsed by the child's raw and uncomfortable appearance. What responses would be appropriate for the nurse to say to this caregiver?

"That's not an uncommon reaction, although it's hard on you and on your child."

The parents of a 4-month-old diagnosed with sepsis tell the nurse that the physician explained sepsis to them but they don't really understand it. The parents state, "Could you please explain it to us?" What is the best response by the nurse?

"The infection your child has causes the release of toxins into the system, which can lead to impaired function in the lungs, liver, and kidneys."

A nurse is reviewing with an 8-year-old how to self-administer insulin. Which of the following is the proper injection technique for insulin injections?

Elevate the subcutaneous tissue before the injection.

erythematous

condition of being red rash on face and trunk

The school nurse has completed an educational program on first aid practices in the home. Which statement about burn care by a participant would indicate a need for further education?

"I guess my mom was right; she always put ice on our burns when we were kids."

The nurse is teaching parents about the care of diaper rash. The nurse would be concerned about the parents' level of understanding if they made which statement?

"I should be certain to use fabric softener in the care of the infant's clothes."

A group of nursing students are reviewing the functions of white blood cells. The students demonstrate an understanding of the information when they identify which white blood cell as responsible for combating allergic disorders?

eosinophils

A 9-year-old was just diagnosed with type 1 diabetes. The parents state, "We hope our child won't have to take insulin injections." How should the nurse respond?

"The pancreas doesn't produce insulin in Type 1 diabetes, so it is likely that insulin injections will be necessary."

The nurse is caring for a child with burns in a pediatric hospital. What would be an appropriate nursing diagnosis for this client?

Acute pain related to thermal injuries and procedures

The nurse is developing the plan of care for a child who has suffered a major burn and has just been admitted to the acute care facility. Which nursing diagnosis would be most appropriate?

Acute pain related to thermal injuries and procedures

A nurse is caring for a child with second- and third-degree (partial- and full-thickness) burns over 15% of the body. The child reports severe itching in and around the burn sites. Which action would be most appropriate for the nurse to perform?

Administer diphenhydramine.

The nurse is caring for a 9-year-old child with partial-thickness (second-degree) burns. The client rates the pain at an 8 on a 1 to 10 numerical pain scale. The nurse notes the client is sitting in the bed playing with toys and smiling. Which action will the nurse take?

Administer pain medication as prescribed.

The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel better during her illness. What information can be provided?

Encourage rest and relaxation.

An adolescent girl and her caregiver present at the pediatrician's office. The adolescent reports severe abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is made. The nurse notes in the child's chart that this is the third time she has been treated for PID. Which action by the nurse would be most appropriate?

Take the child to a private room and interview her regarding her sexual history and partners.

A 3-year-old child is admitted after being severely burned. The nurse collects the following data. What finding would be most important for the nurse to report immediately?

The child's respiratory rate is 42 breaths/min.

anterior pituitary disorders

acromegaly giantism dwarfism

In a child with diabetes insipidus, which characteristic would most likely be present in the child's health history?

abrupt onset of polyuria nocturia and polydipsia.

A nurse is assessing a child with a tick-borne disease. What finding would indicate to the nurse that the child has developed ehrlichiosis and not Rocky Mountain spotted fever?

absence of a rash

The nurse is assessing a child who has had an open wound for the last 2 weeks with no signs of healing. The parents report they have been using over-the-counter antibiotic ointment with no signs of improvement. The child is active in football in the fall and the swim team in the winter. What disorder does the nurse suspect?

community acquired MRSA

A 12-year-old child has hyperthyroidism. The nurse understands that the most common cause of hyperthyroidism in children is:

graves disease

The school nurse observes an 8th grader at school who suddenly is losing weight, is not participating in gym, and is in poor academic standing. The nurse takes a history and notes that the child seems very nervous. The nurse notifies the parent, who explains that the child has just been seen by the family health care provider and tested low for thyroid-stimulating hormone (TSH). For which condition will the nurse devise a plan of care?

graves disease

The nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormality. Caring for a child who has issues with the anterior pituitary, the nurse would expect the child to have issues with which hormone?

growth hormone

Lantus (insulin glargine) onset is

his insulin group has an onset of action between 1-2 hours and a peak action time that varies between 6-20 hours. Note that Lantus® does not peak, but provides a steady level of insulin throughout the duration time. Total duration of action is anywhere between 20-36 hours.

A 10-year-old has been bitten on the lower posterior arm by a dog, requiring several stitches. The child was just admitted to the hospital for 3 days of antibiotic therapy. When developing the care plan, the nurse identifies which nursing diagnoses as being the top 2 priorities?

impaired skin integrity risk for infection

Nursing students are learning about the infectious process. They correctly identify the first stage of an infectious disease to be which period?

incubation period

Folliculitis

infections of the hair follicles

The nurse is preparing teaching materials for a family whose child is prescribed somatropin for a growth hormone deficiency. What should the nurse instruct the parents about the administration of this medication?

this medication must be given by injection

Ehrlichiosis

ticks

The nurse is caring for a 10-year-old male in a pediatric clinic with presenting symptoms of small circular patches of hair loss on the scalp. Which skin condition does the child most likely have?

tinea capitis

A 6-year-old boy has a moon-faced, stocky appearance but with thin arms and legs. His cheeks are unusually ruddy. He is diagnosed with Cushing syndrome. What is the most likely cause of this condition in this child?

tumor of the adrenal cortex

A nurse is taking care of an infant with diabetes insipidus. Which assessment data are most important for the nurse to monitor while the infant has a prescription for fluid restriction?

urine output

An infant on the pediatric floor has diabetes insipidus. Which assessment data are important for the nurse to monitor while the infant is on strict fluid precautions?

urine output

The nurse is caring for a child newly diagnosed with diphtheria. Which nursing interventions would the nurse include in the child's plan of care? Select all that apply.

Administering antitoxin intravenously Monitoring for airway obstruction Adhering to droplet precautions Ensuring complete bed rest

Prior to discharging an infant with congenital hypothyroidism to home with the parents, what should the nurse emphasize regarding the care that this child will need going forward?

Administration of levothyroxine indefinitely

The nurse is assessing a 1-month-old girl who, according to the mother, doesn't eat well. Which assessment suggests the child has congenital hypothyroidism?

enlarged tongue

The nurse is preparing to administer acetaminophen to a 4-year-old child to provide comfort. Which precaution is specific to antipyretics?

ensure proper dose and interval

A nurse is assessing a neonate with sepsis. The nurse understands that most commonly the cause involves:

bacteria

growth hormone replacement goals

improved growth rate as in 3-5 inches of linear growth in the first yr without complications. monitor height every 3-6 months and provide family and pt teaching about normal development and growth rate, bone age and growth potential. Enhancing the child's self esteem.

The nurse is caring for a 10-year-old child with growth hormone (GH) deficiency. Which therapy would you anticipate will be prescribed for the child?

injections of GH

The nurse is interpreting the negative feedback system that controls endocrine function. What secretion will the nurse correlate as decreasing while blood glucose levels decrease?

insulin

scarlet fever

is an infection resulting from group A streptococci. It usually occurs with a group A streptococci throat infection (i.e., strep throat) or rarely streptococcal skin infection

The nurse is caring for an adolescent diagnosed with syphilis. The drug of choice for treating syphilis is:

penicillin

The nurse is conducting a primary survey of a 12-year-old child involved in a motor vehicle accident. Which assessment finding most concerns the nurse?

the presence of stridor

A school-age child is diagnosed as having Cushing syndrome from long-term therapy with oral prednisone. What assessment finding is consistent with this child's diagnosis and treatment?

there are purple striae on the abdomen

A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of:

scarlet fever.

The nurse is caring for a newborn with 21-OH enzyme deficiency congenital adrenal hyperplasia (CAH). The nurse identifies one goal of the plan of care as being the understanding of the importance of maintaining hormone supplementation. Which outcome criteron demonstrates this goal has been met?

During follow-up visits the child demonstrates normal growth and development.

Assessment of a newborn reveals that the child has hypothyroidism. How does the nurse document this finding?

congenital hypothyroidism

A nursing instructor is teaching the students about the standard and transmission-based precautions. What type of precautions require placing a client in an isolated room with limited access, wearing gloves during contact with the client and all body fluids or contaminated items, wearing two layers of protective clothing, and avoiding sharing equipment between clients?

contact precautions.

The nurse knows that which condition is caused by excessive levels of circulating cortisol?

cushing syndrome

An 8-year-old child is seen for moodiness and irritability. The child has begun to develop breast and pubic hair and the parents are concerned that these changes are occurring at too early an age. Which would the nurse suspect?

precocious puberty

Cellulitis

diffuse, acute infection of the skin marked by local heat, redness, pain, and swelling

An adolescent is having an annual physical. The adolescent has a documented weight loss of 9 lb (4.08 kg). The parent states, "He eats constantly." Exam findings are normal overall, except that the child reports having trouble sleeping, and the child's eyeballs are noted to bulge slightly. Which interventions would the nurse perform based on these findings?

discuss preparing for a thyroid function test.

A child is prescribed glargine insulin. What information would the nurse include when teaching the child and parents about this insulin?

do not mix with other insulins

rocky mountain spotted fever is treated with

doxycycline

A 15-year-old adolescent is scheduled for a pelvic ultrasound to evaluate for a possible ovarian cyst. Which instruction by the nurse would be most appropriate?

drink plenty of fluids because you need to have a full bladder.

During a visit to the clinic, the adolescent client with hypothyroidism tells the nurse that she takes her levothyroxine "whenever I think about it...sometimes I miss a dose, but not very often." What is the best response by the nurse?

"I know it's hard to remember medicines, but it is really important for you to take it before breakfast each day to control your hypothyroidism."

The nurse is discussing dietary intake with the parents of a 4-year-old child who has been diagnosed with atopic dermatitis. Later, the nurse notes the menu selection made by the parents for the child. Which selection indicates the need for further instruction?

peanut butter and jelly sandwich

A child is diagnosed with scarlet fever. History reveals that the child has no known drug allergies. When preparing the child's plan of care, the nurse would anticipate administering which agent as the drug of choice?

penicillin V

The nurse is taking a health history of a 6-year-old girl with suspected Stevens-Johnson syndrome. During the physical examination, the nurse would expect to note which physical findings?

erythema multiforme with inflammatory bullae of at least two types of mucosa

An adolescent girl is going to be treated for a severe case of acne vulgaris. A pregnancy test should be done prior to the adolescent starting treatment with:

isotretinoin

Parents bring their 9-year-old child to the clinic for a well-child visit. They are concerned because several children in the neighborhood have developed Lyme disease and ask for suggestions on what to do to reduce their child's risk. What would be appropriate for the nurse to suggest? Select all that apply.

Inspecting the skin closely for ticks after the child plays in wooded areas. Contacting the health care provider if there is any area of inflammation that might be a bite. Wearing protective clothing when playing in wooded areas.

A nurse completes an assessment on an 8-month-old infant seen in the pediatrician's office for a well-child visit. The nurse notes that the infant's buttocks, perineum and inner thighs are covered in a thick coating of white ointment. When questioned, the parent says the infant has a diaper rash and the ointment is to protect the infant's skin. What is the best action for the nurse to take?

Provide instruction on how to care for a diaper rash.

While assessing a child, the nurse notes a runny nose, temperature 100.4°F (38°C), and a whoop sound when the child coughs. On which diagnosis will the nurse anticipate providing education for this family?

pertussis

The nurse is caring for a 10-year-old boy with diphtheria. What would the nurse institute as a tier 2 precaution?

use of a protective mask

A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what should the nurse focus when assessing this client?

dehydration

A 7-year-old child who has type 1 diabetes mellitus is at school reporting a headache and dizziness. The school nurse notices sweat on the child's face. What should the nurse do first?

offer the child 8 oz of juice or sode

A 2-year-old child is brought to the urgent care center for treatment of burns on both hands. The parent reports that the child pulled the coffee pot over and the hot liquid splashed on to the child's hands. The nurse examines the child and notes that the backs of the hands are reddened with a well-defined line of demarcation at the wrists. Several medium to large blisters are also present. What initial action should the nurse take?

Make arrangements to transfer the child to the hospital.

precocious puberty nursing management.

-Teaching the parents & child about the condition -Provide emotional support -Child very self-conscious -Provide for privacy

what white blood cells come first when there is a infection

neutrophils