PEDs quiz3

A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?

- Speak slowly while facing the child

A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

- Deliver a breakfast tray to a child who has been administered regular insulin.

A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?

- Determine if the toddler is voiding

A nurse is collecting data from a child who has spina bifida occulta. Which of the following findings should the nurse?

- Dimple in the sacral area.

A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?

- Small for gestational age

A nurse is collecting data from an infant who has gastroesophageal reflux. Which of the following findings should the nurse expect? Select all the apply.

- Vomiting - Weight loss - wheezing

A nurse is assigned to care for a child after a myringotomy with the insertion of tympanostomy tubes. The nurse notes a small amount of reddish orange drainage from the child's ear after the surgery. On the basis of this finding, the nurse takes which action?

- Document the findings

A nurse reinforces to the mother of a child with croup about which measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further instruction?

- I will place a steam vaporizer in my child's room.

A nurse is reinforcing discharge instructions with a parent of a 6-year- old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?

- I'll call the doctor if my child is swallowing continuously

What are the symptoms associated with Reye's Syndrome?

- Profuse vomiting no medication containing salicylic (aspirin)

An 18-month-old child is being discharged after surgical repair of hypospadias. Which postoperative nursing care measure should the nurse stress to the parents as they prepare to take this child home?

- Avoid tub baths until the stent has been removed

A nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. The nurse reviews the child's record for the laboratory results of the urine test and would most likely expect to note which of the following?

- Bacteriuria

A nurse is caring for a child with a diagnosis of intussusception. Which of the following symptoms would the nurse expect to note in this child?

- Blood and mucus in the stools

A mother calls a neighborhood nurse and tells the nurse that her 3-year-old child has just ingested ..sorry can't read... The mother should direct the mother to immediately:

- Call the poison control number

Smoke inhalation injury: (Select all that apply):

- Can lead to atelectasis - Inhibit surfactant secretion - Can lead to acute respiratory distress syndrome (ARDS) - Can cause carbon monoxide poisoning.

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

- Check the child's weight daily

A nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to note which most likely clinical manifestation of this condition in the medical record?

- Choking with feedings

Which of the following meals best illustrates the most appropriate diet for a client with cystic fibrosis?

- A piece of fried chicken and a loaded baked potato

A nursing instructor asks a nursing student about phenylketonuria (PKU). Which statement, if made by the student, indicates an understanding of this disorder?

- All 50 states require routine screening of all newborns for PKU

A nurse is working with several clients on an acute care pediatric unit. Which of the following clients requires the nurse's immediate attention?

- An 8-year-old client who had a tonsillectomy and is swallowing frequently.

The parents of a newborn have been told that their child was born with bladder exstrophy, and the parents ask the nurse about this condition. The nurse bases the response on knowledge that this condition is:

- An extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall.

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

- Assess fluid balance.

A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

- "I will keep my baby in an upright position after feedings."

A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?

- "My belly doesn't hurt anymore".

A nurse reviews the record of a 3-week old infant and notes that the health care provider has documented a diagnosis of suspected Hirschsprung's disease. The nurse understands that which of the following symptoms led the mother to seek health care for the infant?

- Foul-smelling, ribbon-like stools

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

- Periorbital edema.

A child has been diagnoses with meningococcal meningitis. Which of the following isolation techniques is appropriate?

- Isolations precautions for at least 24 hours after the initiation of antibiotics.

A nurse is preparing for the admission of an infant with a diagnosis of _____ caused by RSV. Choose the invention that would be in the plan of care. Select all that apply.

- Place the infant in a private room - Place the infant in a room near the nurse's station.

A nurse is collecting data regarding the pain level of a 3-year-old child on the second postoperative day following an appendectomy. Which of the following actions should the nurse take?

- Use the FACES scale to assess the child's pain.

A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?

- Potassium 2.5 mEq/L

A nurse is collecting data from an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect?

- Projectile vomiting.

The appropriate child position after a tonsillectomy is which of the following?

- Side-lying position

A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?

- Increased respiratory rate

A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?

- abdominal mass.

A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse includes that TSS is commonly associated with which of the following?

- High absorbency tampons

A nurse is caring for a toddler who has laryngotracheobronchitis. For which of the following findings should the nurse monitor to detect airway obstruction?

- Increase heart rate

A nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions does the nurse anticipate will be prescribed. Select all that apply?

- Initiate an intravenous line. - Maintain nothing-by-mouth statis. - Administer intravenous antibiotics. - Administer preoperative medications.

A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority?

- Instruct the parent to avoid pressing on the abdominal area.

A nurse reinforces instructions to the mother about dietary measures for a 5-year-old child with lactose intolerance. The nurse tells the mother that which of the following supplements will be required as a result of the need to avoid lactose in the diet?

calcium

A nurse has provided instructions to the mother of a child who has been diagnosed with bacterial conjunctivitis. Which of the following, if stated by the mother, would indicate the need for further instructions?

it is ok to share towels and washcloths

A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?

pedialyte

A nurse is monitoring for signs of dehydration in a 1-year-old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?

rectal

A nurse reinforces home-care instructions to the parents of a child with celiac disease. Which of the following food items would the nurse advise the parents to include in the child's diet?

rice

A child with a diagnosis of a hernia has been scheduled for a surgical repair in 2 weeks. The nurse reinforces instructions to the parents about signs of possible hernial strangulation. The nurse tells the parents that which of the following signs would require health care provider (HCP) notification by the parents?

vomiting

A nurse is developing a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure? Select all that apply.

- Time the seizure - Stay with the child - Move furniture away from the child

A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

- We will rotate the probe of the pulse oximeter every 24 hours.

A nurse is reinforcing discharge teaching instructions for a client who has asthma and is about to start using betamethasone MDI. For which of the following findings should the nurse instruct the clint to monitor and report to the provider as an adverse effect of the medication?

- White coating

A nurse is reinforcing teaching with a group of parents about malignant renal and intra-abdominal cancers of childhood. The nurse should include which of the following cancers is the most common malignant renal and intra-abdominal tumor of childhood?

- Wilms' Tumor.

A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings are associated with this diagnosis? (Select all that apply.)

- coughing - apnea - cyanosis - frothy saliva

A day care nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which of the observations may be indicative of this condition?

- The child consistently tilts his or her head to see

A nurse on a pediatric unit is receiving report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?

- A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1,002

A nurse is caring for a school-age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate, the provider will prescribe?

- Low sodium, fluid restricted.

A nurse is collecting data about a child who has been admitted to the hospital with a diagnosis of seizures. The nurse checks for causes of the seizure activity by

- Obtaining a history regarding factors that may occur before the seizure activity

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. The best position in which to place the infant at this time is:

- On his or her left side

A child is admitted to the hospital with a probable diagnosis of nephrotic syndrome. Which findings would the nurse expect to observe? Select all that apply.

- Pallor - Edema - Anorexia - Proteinuria

A nurse is reinforcing teaching with an adolescent who has a new prescription for trimethoprim-sulfamethoxazole. Which of the following adverse effects should the nurse include in the teaching?

- Photosensitivity