Peds W4-W7 (Ch 21, 22, 26, 29, 30)

The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant. The adolescent needs further teaching if which statement is made

"I am glad I only have to take the immunosuppressant medication for two weeks."

An adolescent with a fractured femur is in Russell's traction. Surgical intervention to correct the fracture is scheduled for the morning. Nursing actions should include which action

Maintaining continuous traction and checking position of traction frequently

What are the results of excessive vomiting in an infant with pyloric stenosis

Metabolic alkalosis

A child is admitted to the hospital with asthma. Which assessment findings support this Diagnosis

Nonproductive cough, wheezing

During the first few days after surgery for cleft lip, which intervention should the nurse do

Remove restraints periodically to cuddle infant.

What should be administered to a child with tetanus

Tetanus immunoglobulin therapy

In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind

Diet should be high in carbohydrates and protein

The home care nurse has been visiting an adolescent with recently acquired tetraplegia. The teen's mother tells the nurse, "I'm sick of providing all the care while my husband does whatever he wants to, whenever he wants to do it." Which should be the initial action of the nurse

Listen and reflect mother's feelings.

What offers the best chance of survival for a child with cirrhosis

Liver transplantation

A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is HIV positive. Which induration size indicates a positive result for this child 48 to 72 hours after the test

> or = 5 mm

One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers. How should the nurse interpret this request

Appropriate to improve quality of care.

A nurse is conducting an in-service on gastrointestinal disorders. The nurse includes that melena, the passage of black, tarry stools, suggests bleeding from which area

Upper gastrointestinal (GI) tract

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. What is the nurse's best response

Urinary output will increase

The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis

Visible peristalsis and weight loss

A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions

WBC >2; specific gravity 1.030

Which should cause a nurse to suspect that an infection has developed under a cast

"Hot spots" felt on cast surface

An 18-month-old child is seen in the clinic with AOM. Trimethoprim-sulfamethoxazole (Bactrim) is prescribed. Which statement made by the parent indicates a correct understanding of the instructions

"I should administer all the prescribed medication."

A school-age child with diarrhea has been rehydrated. The nurse is discussing the child's diet with the family. Which statement by the parent would indicate a correct understanding of the teaching

"I should have my child eat a normal diet with easily digested foods for the next 48 hours."

A nurse is teaching an adolescent how to use the peak expiratory flowmeter. The adolescent has understood the teaching if which statement is made

"I will record the readings at the same time every day."

The nurse is talking to a parent with a child who has a latex allergy. Which statement by the parent would indicate a correct understanding of the teaching

"My child should not eat bananas or kiwis."

The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have understood the teaching

"The red blood cell count should begin to improve with these injections."

A nurse is admitting a child with Crohn disease. Parents ask the nurse, "How is this disease different from ulcerative colitis?" Which statement should the nurse make when answering this question

"With Crohn disease the inflammatory process involves the whole GI tract."

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the Teaching

"You will need to avoid adding salt to your child's food."

A nurse is interpreting the results of a child's peak expiratory flow rate. Which percentage, either at this number or less than this number, is considered to be a red zone

(Record your answer in a whole number.) 50%

The nurse is performing a pH dipstick test on a urine specimen. Which is the average pH expected for this test

(Record your answer in a whole number.) 6

A toddler is admitted to the hospital with a possible diagnosis of tetanus. The health care provider has prescribed lorazepam (Ativan) intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant. The child weighs 22 pounds. How many milligrams of Ativan should the nurse administer per dose

(Record your answer using one decimal place.) 0.5 mg

The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed orders should the nurse anticipate implementing

(Select all that apply.) Administration of analgesics for pain, IV fluids continued until tolerating PO, Clear liquids as the first feeding

A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria. Which dietary menu items should be allowed for this child

(Select all that apply.) Apples, Carrot Sticks, Strawberries

A nurse is caring for a school-age child with left unilateral pneumonia and pleural effusion. A chest tube has been inserted to promote continuous closed chest drainage. Which interventions should the nurse implement when caring for this child

(Select all that apply.) Assessing the chest tube and drainage device for correct settings, Administering prescribed doses of analgesia, Monitoring for need of supplemental oxygen

An adolescent with juvenile idiopathic arthritis (JIA) is prescribed abatacept (Orencia). Which should the nurse teach the adolescent regarding this medication

(Select all that apply.) Avoid receiving live immunizations while taking the medication, Before beginning this medication, a tuberculin screening test will be done.

A 6-year-old child is scheduled for an IV urography (IVP) in the morning. Which preparatory interventions should the nurse plan to implement

(Select all that apply.) Cathartic in the evening before the procedure, Soapsuds enema the morning of the procedure, Teaching with regard to insertion of an intravenous catheter before the procedure

An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which interventions

(Select all that apply.) Cluster care to conserve energy, Administration of antibiotics

The nurse is conducting discharge teaching to parents of a preschool child with myelomeningocele, repaired at birth, being discharged from the hospital after a urinary tract infection (UTI). Which should the nurse include in the discharge instructions related to management of the child's genitourinary function

(Select all that apply.) Continue to perform the clean intermittent catheterizations (CIC) at home, Administer the oxybutynin chloride (Ditropan) as prescribed, Monitor for signs of a recurrent urinary tract infection.

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which intervention should be included in the child's care

(Select all that apply.) Encourage the child to drink 8 ounces of formula every 4 hours. Cluster care to encourage adequate rest. Place on noninvasive oxygen monitoring.

A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess

(Select all that apply.) Facial edema, Fatigue, Frothy-appearing urine

Which is true concerning hepatitis B

(Select all that apply.) Hepatitis B can be prevented by HBV vaccine, Hepatitis B can be transferred to an infant of a breastfeeding mother, Onset of hepatitis B is insidious, Immunity to hepatitis B occurs after one attack.

A school-age child is diagnosed with systemic lupus erythematosus (SLE). The nurse should plan to implement which interventions for this child

(Select all that apply.) Instructions to avoid exposure to sunlight, Teaching about body changes associated with SLE

Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)

(Select all that apply.) Lordosis, Gower sign, Waddling gait

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. Nursing care for this child includes which action(s)

(Select all that apply.) Monitoring and maintaining systemic blood pressure, Administering corticosteroids, Monitoring for respiratory complications

Which should the nurse expect to find in the cerebral spinal fluid (CSF) results of a child with Guillain-Barré syndrome (GBS)

(Select all that apply.) Normal glucose, Fewer than 10 white blood cells (WBCs/mm3)

A child has an NG tube to continuous low intermittent suction. The physician's prescription is to replace the previous 4-hour NG output with a normal saline piggyback over a 2-hour period. The NG output for the previous 4 hours totaled 50 ml. What milliliter/hour rate should the nurse administer to replace normal saline piggyback (Record your answer in a whole number.)

25

The nurse is preparing an adolescent with scoliosis for a spinal surgical instrumentation placement procedure. Which consideration should the nurse include

A chest tube and urinary catheter may be required.

How is chronic otitis media with effusion (OME) differentiated from acute otitis media (AOM)

A feeling of fullness in the ear

A nurse is admitting an infant with asthma. What usually triggers asthma in infants

A viral infection

A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered

Before chest physiotherapy (CPT)

Calcium carbonate is given with meals to a child with chronic renal disease. What is the purpose of administering calcium carbonate

Bind phosphorus

A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis

Bronchitis

The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a viral illness. Which action should the nurse include

Brush teeth or rinse mouth after vomiting.

Which is a type of skin traction with the legs in an extended position

Buck extension

The nurse is caring for a child with acute renal failure. Which clinical manifestation should the nurse recognize as a sign of hyperkalemia

Cardiac arrhythmia

Cardiopulmonary resuscitation (CPR) is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible

Carotid

The nurse is caring for an infant whose cleft lip was repaired. What important aspects of this infant's postoperative care should be included

Cleansing the suture line, supine and side-lying positions, arm restraints

The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a tongue depressor might precipitate which symptom or condition

Complete obstruction

The nurse is conducting a staff in-service on renal ultrasounds. Which statement describes this diagnostic test

Computed tomography uses external radiation to visualize the renal system.

A school-age child has been admitted with an acute asthma episode. The child is receiving oxygen by nasal prongs at 2 liters. How often should the nurse plan to monitor the child's pulse oximetry status

Continuous

Which is instituted for the therapeutic management of minimal change nephrotic syndrome

Corticosteroids

Which is used to treat moderate to severe inflammatory bowel disease

Corticosteroids

The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which intervention should the nurse plan for the care of the myelomeningocele sac

Covered with a sterile, moist, non adherent dressing

The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate

Creatinine

The nurse is caring for a preschool child immobilized by a spica cast. Which effect on metabolism should the nurse monitor on this child related to the immobilized status

Decreased metabolic rate

One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term

Deposits of urea crystals on skin

B-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action

Dilate the bronchioles

The nurse is conducting a staff in-service on casts. Which is an advantage to using a fiberglass cast instead of a plaster of Paris cast

Dries rapidly

A nurse is charting that a hospitalized child has labored breathing. Which describes labored breathing

Dyspnea

The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction should be included in the teaching

Elevate casted arm when resting and when sitting up.

The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What nursing care should be included

Elevate the head but give nothing by mouth.

The nurse is caring for a 12-year-old child with a left leg below-the-knee amputation (BKA). The child had the surgery 1 week ago. Which intervention should the nurse plan to implement for this child

Encourage the child to use an overhead bed trapeze when repositioning

A mother who intended to breastfeed has given birth to an infant with a cleft palate. What nursing interventions should be included

Encouraging and helping mother to breastfeed.

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and its expected good results. However, the mother refuses to see or hold her baby. What is the initial therapeutic approach for the mother

Encouraging her to express her feelings.

Which type of croup is always considered a medical emergency

Epiglottitis

Which drug is considered the most useful in treating childhood cardiac arrest

Epinephrine hydrochloride (Adrenaline)

Why are bismuth subsalicylate, clarithromycin, and metronidazole prescribed for a child with a peptic ulcer

Eradicate Helicobacter pylori

The nurse is conducting reflex testing on infants at a well-child clinic. Which reflex finding should be reported as abnormal and considered as a possible sign of cerebral palsy

Extensor reflex at 7 months of age

The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect

Fever with a positive blood culture

Which is the most appropriate nursing diagnosis for the child with acute glomerulonephritis

Fluid Volume Excess related to decreased plasma filtration

The nurse is reviewing prenatal vitamin supplements with an expectant client. Which supplement should be included in the teaching

Folic acid for all women of childbearing age

A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents ask the nurse how this will be corrected, the nurse should give which explanation

Frequent, serial casting is tried first

Which is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature

Give small amounts of favorite fluids frequently to prevent dehydration.

Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a tree. When discussing this injury with her parents, the nurse should consider which statement

Growth can be affected by this type of fracture

A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis to show during the acute phase

Hematuria, proteinuria

Which vaccine is now recommended for the immunization of all newborns

Hepatitis B vaccine

The nurse is conducting a staff in-service on common problems associated with myelomeningocele. Which common problem is associated with this defect

Hydrocephalus

A nurse is admitting an infant with dehydration caused from water loss in excess of electrolyte loss. Which type of dehydration is this infant experiencing

Hypertonic

The nurse is planning a staff in-service on childhood spastic cerebral palsy. What characterizes spastic cerebral palsy

Hypertonicity and poor control of posture, balance, and coordinated motion

Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications

If it is present in a child, both parents are carriers of this defective gene.

The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity. The nurse's response should be based on which statement

Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available.

A home care nurse is caring for an adolescent with a T1 spinal cord injury. The adolescent suddenly becomes flushed, hypertensive, and diaphoretic. Which intervention should the nurse perform first

Implement a standing prescription to empty the bladder with a sterile in and out Foley catheter

The mother of a toddler yells to the nurse, "Help! He is choking to death on his food." The nurse determines that lifesaving measures are necessary based on which symptom

Inability to speak

Which is the most common cause of acute renal failure in children

Inadequate perfusion

Which is a common side effect of short-term corticosteroid therapy

Increased appetite

The nurse is taking care of an adolescent diagnosed with kyphosis. Which describes this Condition

Increased convex angulation in the curve of the thoracic spine

The nurse closely monitors the temperature of a child with minimal change nephrotic syndrome. The purpose of this assessment is to detect an early sign of which possible complication

Infection

A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most descriptive of Meckel diverticulum

Intestinal bleeding may be mild or profuse.

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What should therapeutic management of this child begin with

Intravenous (IV) fluids

What is invagination of one segment of bowel within another called

Intussusception

Which type of dehydration is defined as "dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportion"

Isotonic dehydration

Which statement is descriptive of renal transplantation in children

It is the preferred means of renal replacement therapy in children.

A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess

Jaundice

Which should the nurse recommend for the diet of a child with chronic renal failure

Low in phosphorus

Which clinical manifestations in an infant would be suggestive of spinal muscular atrophy (Werdnig-Hoffmann disease)

Lying in the frog position

A nurse is teaching nursing students about clinical manifestations of cystic fibrosis (CF). Which is/are the earliest recognizable clinical manifestation(s) of CF

Meconium ileus

The nurse is caring for a child with carbon monoxide poisoning associated with smoke inhalation. Which is essential in this child's care

Monitor arterial blood gases.

The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. What is the priority nursing intervention

Monitoring pulse oximetry

The nurse is teaching a group of nursing students about newborns born with the congenital defect of myelomeningocele. Which common problem is associated with this defect

Neurogenic bladder

A child is admitted with bacterial gastroenteritis. Which lab results of a stool specimen confirm this diagnosis

Neutrophils and red blood cells

Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)

Nonsteroidal antiinflammatory drugs (NSAIDs)

Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. What enema solution should be used

Normal saline

A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him the antidiarrheal drug loperamide (Imodium A-D). The nurse's response should be based on what knowledge about this drug

Not indicated

The nurse is caring for a boy with probable intussusception. He had diarrhea before admission but, while waiting for administration of air pressure to reduce the intussusception, he passes a normal brown stool. Which nursing action is the most appropriate

Notify practitioner

Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. Which action should the nurse take first

Notify the practitioner of the changes noted.

The nurse is conducting an admission assessment on a school-age child with acute renal failure. Which are the primary clinical manifestations the nurse expects to find with this Condition

Oliguria and hypertension

Which statement best characterizes hepatitis A

Onset is usually rapid and acute.

Which therapeutic management should the nurse prepare to initiate first for a child with acute diarrhea and moderate dehydration

Oral rehydration solution (ORS)

A child is diagnosed with influenza. Management includes which recommendation

Oseltamivie (Tamiflu)

Which can result from the bone demineralization associated with immobility

Osteoporosis

Which observation made of the exposed abdomen is most indicative of pyloric stenosis

Palpable olive-like mass

Pancreatic enzymes are administered to the child with cystic fibrosis (CF). What nursing considerations should be included

Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.

What is an advantage of peritoneal dialysis

Parents and older children can perform treatments.

Which frequency is recommended for childhood skin testing for tuberculosis (TB) using the Mantoux test

Periodically for children who reside in high-prevalence regions

The nurse is conducting a staff in-service on newborn defects of the genitourinary system. Which describes the narrowing of the preputial opening of the foreskin

Phimosis

The nurse enters a room and finds a 6-year-old child who is unconscious. After calling for help and before being able to use an automatic external defibrillator, which steps should the nurse take

Place in correct order. Place on a hard surface, Use the head tilt-chin lift maneuver and check for breathing, Give two rescue breaths, Feel carotid pulse while maintaining head tilt with the other hand, Place heel of one hand on lower half of sternum with other hand on top, Administer 30 chest compressions with two breaths.

An infant is brought to the emergency department with dehydration. Which physical assessment finding does the nurse expect

Poor skin turgor

A school nurse is conducting a staff in-service to other school nurses on idiopathic scoliosis. During which period of child development does idiopathic scoliosis become most noticeable

Preadolescent growth spurt

Home care is being considered for a young child who is ventilator-dependent. Which factor is most important in deciding whether home care is appropriate

Preparation and training of family

A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. Which is an appropriate nursing goal related to this

Prevent infection

The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. Which describes the most appropriate way to position and feed this Neonate

Prone, head turned to side, and nipple-fed

What should be included in caring for the newborn with a cleft lip and palate before surgical repair

Providing satisfaction of sucking needs

Which is a high-fiber food that the nurse should recommend for a child with chronic Constipation

Raisins

A 4-year-old child has just been diagnosed with pseudohypertrophic (Duchenne) muscular dystrophy. The management plan should include which action

Recommend genetic counseling.

Which is an objective of care for a 10-year-old child with minimal change nephrotic Syndrome

Reduce excretion of urinary protein

A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. What is the purpose of this medication

Reduce gastric acid production

The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. What is most likely the cause of the weight loss

Reduction of edema

Which is an important nursing consideration in the care of a child with celiac disease

Refer to a nutritionist for detailed dietary instructions and education.

The nurse is teaching nursing students about normal physiologic changes in the respiratory system of toddlers. Which best describes why toddlers have fewer respiratory tract infections as they grow older

Repeated exposure to organisms causes increased immunity

A nurse is receiving report on a newborn admitted yesterday after a gastroschisis repair. In the report, the nurse is told the newborn has a physician's prescription for an NG tube to low intermittent suction. The reporting nurse confirms that the NG tube is to low intermittent suction and draining light green stomach contents. Upon initial assessment, the nurse notes that the newborn has pulled the NG tube out. Which is the priority action the nurse should take

Replace the NG tube and continue the low intermittent suction.

The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hip. Which should be included

Return to clinic every 1 to 2 weeks.

Which pathogen is the viral pathogen that frequently causes acute diarrhea in young children

Rotavirus

Which type of traction uses skin traction on the lower leg and a padded sling under the knee

Russell

Which is included in the diet of a child with minimal change nephrotic syndrome

Salt Restriction

The nurse is teaching parents about prevention of urinary tract infections in children. Which factor predisposes the urinary tract to infection

Short urethra in young girls

Which drug is usually given first in the emergency treatment of an acute, severe asthma episode in a young child

Short-acting B2 agonists

The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant displays which clinical manifestation

Signs of an earache

Which term is used to describe a type of fracture that does not produce a break in the skin

Simple

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because which disease or assessment findings may develop

Slowed Growth

A child steps on a nail and sustains a puncture wound of the foot. Which is the most appropriate method for cleansing this wound

Soak foot in warm water and soap.

A child is upset because when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. Which should the nurse suggest to remove this Material

Soak in a bathtub.

A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to Administer

Sodium polystyrene sulfonate (Kayexalate)

When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation

Sudden relief from pain

Which therapeutic management treatment is implemented for children with Hirschsprung Disease

Surgical removal of affected section of bowel

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this Diagnosis

Sweat chloride test

A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which test should the nurse expect

Sweat chloride test, stool for fat, chest radiograph films

Parents of two school-age children with asthma ask the nurse, "What sports can our children participate in?" The nurse should recommend which sport

Swimming

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. What should be included in the discharge teaching

Teach family signs of central venous catheter infection.

The nurse is caring for a school-age child diagnosed with juvenile idiopathic arthritis (JIA). Which intervention should be a priority

Teach the child and family correct administration of medications

A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing considerations should include which action

Teaching the family the care and management of the corrective appliance

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside as much as possible. The nurse's rationale for this action is described primarily in which statement

The mother's presence will reduce anxiety and ease the child's respiratory efforts.

The nurse is admitting a newborn with hypospadias to the nursery. The nurse expects which finding in this newborn

The urethral opening is along the ventral surface of the penis.

A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma

There is heightened airway reactivity.

Which explains why cool-mist vaporizers rather than steam vaporizers are recommended in home treatment of childhood respiratory tract infections

They are safer.

A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. Which should the nurse suggest to minimize reflux

Thicken formula with rice cereal.

The nurse uses the palms of the hands when handling a wet cast for which reason

To avoid indenting the cast

A child has recurrent abdominal pain (RAP) and a dairy-free diet has been prescribed for 2 weeks. Which explanation is the reason for prescribing a dairy-free diet

To rule out lactose intolerance

Which clinical manifestation would be seen in a child with chronic renal failure

Unpleasant "uremic" breath odor

The nurse should monitor for which effect on the cardiovascular system when a child is immobilized

Venous stasis

The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complication should the nurse monitor related to the child's immobilization status

Venous stasis leading to thrombi or emboli formation

The nurse is preparing to admit a newborn with myelomeningocele to the neonatal intensive care nursery. Which describes this newborn's defect

Visible defect with an external saclike protrusion containing meninges, spinal fluid, and nerves

A child with cystic fibrosis (CF) is receiving recombinant human deoxyribonuclease (DNase). Which is an adverse effect of this medication

Voice Alters

Which should the nurse recommend to prevent urinary tract infections in young girls

Wear cotton underpants.

A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. The nurse should recognize that preparing this child psychologically is:

necessary because it will be an adjustment.

A nurse is caring for a child in acute respiratory failure. Which blood gas analysis indicates the child is still in respiratory acidosis

pH 7.32, CO2 50

Effective lone-rescuer CPR on a 5-year-old child should include:

two breaths to every 30 chest compressions.

When a child has chronic renal failure, the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as:

uremia.

The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is appropriate to relieve the abdominal discomfort

Allow to assume position of comfort.

The nurse is caring for an adolescent with osteosarcoma being admitted to undergo chemotherapy. The adolescent had a right above-the-knee amputation 2 months ago and has been experiencing "phantom limb pain." Which prescribed medication is appropriate to administer to relieve phantom limb pain

Amitriptyline (Elavil)

Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours. The nurse should further ask the parents if the toddler has which associated factor that is causing the acute diarrhea

Antibiotic therapy

Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal allergies that are being treated with antihistamines. What should the nurse suspect caused the constipation

Antihistamines

A young girl has just injured her ankle at school. In addition to calling the child's parents, what is the most appropriate immediate action by the school nurse

Apply ice.

Which is an appropriate nursing intervention when caring for a child in traction

Assess for tightness, weakness, or contractures in uninvolved joints and muscles.

The nurse is admitting a school-age child with suspected Guillain-Barré syndrome (GBS). Which is a priority in the care for this child

Assessing respiratory efforts

An infant's parents ask the nurse about preventing OM. Which should be recommended

Avoid tobacco smoke.

Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include which action

Avoid using any latex product.

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include which action

Avoid using for more than 3 days.

Which is a parasite that causes acute diarrhea

Giardia lamblia

Parents of a child undergoing an endoscopy to rule out peptic ulcer disease (PUD) from H. pylori ask the nurse, "If H. pylori is found, will my child need another endoscopy to know that it is gone?" Which is the nurse's best response

"We can collect a stool sample and confirm that the H. pylori has been eradicated."

Parents have understood teaching about prevention of childhood otitis media if they make which statement

"We will be sure to keep immunizations up to date."

A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI). Further teaching is indicated if the parents make which statement

"We're glad there is a cure for this disorder."

The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours. Which action should the nurse include in the child's postoperative care plan

(Select all that apply.) Notify the surgeon if the child swallows frequently. Place the child on the abdomen until fully wake, Allow the child to have diluted juice after the procedure.

A child who has just had definitive repair of a high rectal malformation is to be discharged. Which should the nurse address in the discharge preparation of this family

(Select all that apply.) Perineal and wound care, Reporting any changes in stooling patterns to practitioner, Use of diet modification to prevent constipation

A nurse is planning preoperative care for a newborn with tracheoesophageal fistula (TEF). Which interventions should the nurse plan to implement

(Select all that apply.) Positioning with head elevated on a 30-degree plane, Suctioning with a Replogle tube passed orally to the end of the pouch, Gastrostomy tube to gravity drainage

The nurse is caring for an infant with developmental dysplasia of the hip. Which clinical manifestations should the nurse expect to observe

(Select all that apply.) Positive Ortolani click Unequal gluteal folds

The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment findings indicate possible compartment syndrome

(Select all that apply.) Severe pain not relieved by analgesics, Tingling of extremity, Inability to move extremity

The nurse in the neonatal intensive care unit is caring for an infant with myelomeningocele scheduled for surgical repair in the morning. Which early signs of infection should the nurse monitor on this infant

(Select all that apply.) Temperature instability, Irritability, Lethargy

The nurse is caring for an infant with a suspected urinary tract infection. Which clinical manifestations should be expected

(Select all that apply.) Vomiting, Failure to gain weight, Persistent diaper rash

A nurse is conducting dietary teaching on high-fiber foods for parents of a child with constipation. Which foods should the nurse include as being high in fiber

(Select all that apply.) Whole grain breads, Bran pancakes, Raw carrots

How much folic acid is recommended for women of childbearing age

0.4 mg

What is the best description of pyloric stenosis

Hypertrophy of the pyloric muscle

When is it generally recommended that a child with acute streptococcal pharyngitis may return to school

After taking antibiotics for 24 hours.

Which condition in a child should alert a nurse for increased fluid requirements

Fever

Which best describes acute glomerulonephritis

Occurs after a streptococcal infection

Which consideration is the most important in managing tuberculosis (TB) in children

Pharmacotherapy

Which type of hernia has an impaired blood supply to the herniated organ

Strangulated hernia

Which is a major complication in a child with chronic renal failure

Water and sodium retention

Which clinical manifestation would be the most suggestive of acute appendicitis

Abdominal pain that is most intense at McBurney point

A family wants to begin oral feeding of their 4-year-old son, who is ventilator-dependent and currently tube-fed. They ask the home health nurse to feed him the baby food orally. The nurse recognizes a high risk of aspiration and an already compromised respiratory status. What is the most appropriate nursing action

Acknowledge their request, explain the risks, and explore with the family the available options

The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescription should the nurse clarify with the health care provider before implementing

Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.

The nurse is caring for an adolescent who has just started dialysis. The child seems always angry, hostile, or depressed. To what are these behaviors most likely related

Adolescents often resenting the control and enforced dependence imposed by dialysis