Peds Week 8 Exam

which observation by a nurse indicates that an 18 month old in bryant's traction is properly positioned?

hips are slightly elevated off the bed

which condition could cause sinus tachycardia?

hyperthermia

which sign is considered a late sign of shock in children

hypotension

In a 3 month old infant, fluid and electrolyte imbalance can occur quickly. This is primarily because

immature kidney function. it does not develop until 2 years of age

five days after a thermal burn injury, a nurse observes persistent oliguria in her patient. what is most likely?

inadequate fluid replacement. if question was 2 days, persistent oliguria would be normal

What statement about cat scratch is true?

it is caused by scratch by a small animal such as a kitten or cat

the parents of an infant diagnosed with myelomeningocele asks the nurse why surgerical repair needs to be done immediately

it's done to decrease the possibility of infection and further cord damage. no diaper, lay on tummy, sterile gauze

which condition by the nurse would be an early warning sign for cancer?

masses felt like tumors

The goal of therapeutic management for the child with cerebral palsy

maximize the child's capabilities

when planning care for a 9 year old boy with Down's syndrome, which statement should a nurse keep in mind?

nurse should assess the child's developmental level before hand

bobby is 2 years old. he is admitted with hypertonic dehydration. the nurse's priority nursing intervention for Bobby would be

perform neurologic assessments as needed. worse case scenario is seizures

what would the nurse expect to see on a 5 year old male with nephrotic syndrome on a morning assessment?

peri-orbital edema, abdominal ascites with anorexia

2 month old child is seen in the ED for supraventricular tachycardia. the child is stable except for HR. which intervention should be attempted first?

place ice to the face (causes Valsalmir maneuver)

electrolyte that is usually depleted with most diuretic therapy and is most likely to cause dysrhythmias

potassium

major goals in the therapeutic management for children with muscular dystrophy (muscle weakness)

promoting..

what would the nurse expect to see in a child with nephrotic syndrome?

proteinuria and hypoalbuminemia (protein in the urine and decrease in albumin)

14 year old girl is admitted for sickle cell crisis

provide adequate oxygenation, hydration, and pain management

children with cat scratch disease usually seen with

regional lymphadenopathy

because of the drug with kawasake disease, what disease is the long term effect?

reye's syndrome

which goal is nursing care the most difficult to accomplish in caring for a young child with meningitis?

signs of increased ICP

3 year old has a high RBC count and polycythemia. in planning care, the nurse should anticipate which goal to help prevent clot formation?

the child will not exhibit s/s of dehydration

Condition recognized in the infant with limited neck motion, where the neck is flexed and turned to the affected side

torticollis

Julie, age 10, has been placed in a long leg cast for open fracture. The nurse immediately notifies the physician if assessment findings include

unrelenting pain after receiving pain medication (compartment syndrome)

bobby, 2 years old, has suffered a minor burn injury. expected management would include

watching wound margins for redness, edema, and/or purulent drainage

the nurse auscultates the first heart sound interpreting this sound as occuring

with closer of the mitral and tricuspid valves

The nurse should suspect pain in a comtaose child if the child exhibits...

Increased agitation

bryan, 10 year old idiopathic thromnocytopenia purpura and is complaining of a headache. medications for pain should be AVOIDED?

NSAIDS

brock, 12 years old, has burns involving epidermis and part of the dermis. blister and edema formation are present, and burns are extremely sensitive to temperature chances, exposure to air and light touch. brock has

Partial thickness second degree burns (most painful)

Which sign is used to evaluate increased ICP (intracranial pressure) in the infant but not in the adult?

Pulsating fontanel

The nurse is caring for 7-year-old Charles after insertion of skeletal traction. What is contraindicated?

Release the traction when repositioning Charles in bed

Nursing intervention for a child during a tonic-clonic seizure should include attempts to..

Remain calm and prevent the child from harm

A mother is infected with HIV and is acquiring about the possibility of breastfeeding her newborn. What should the nurse say?

The mother will not be able to breastfeed due to transmitting HIV to the baby.

parents of a child with congenital heart defect should know the signs of heart failure. what are they?

- poor feeding - sudden weight gain - increased efforts to breathe

when obtaining history from the parent of an infant suspected to have altered cardiac function, the nurse expects to hear

feeding difficulty, sweating with feedings, poor weight gain

the process of the formation of the heart's atrial septum results in a temporary flap called

foramen ovale

What is the most frequent form of internal bleeding in the child with hemophilia?

Hemarthrosis

ER treatment for a child with a fracture includes

Immobilization of the limb, including joints above and below the injury site (so you don't case a worse fracture)

2 motnh old infant arrives in the ED with HR of 180 and a temp of 103.1. which intervention is most appropriate?

adninister an appropriate dose of children's tylenol

urine test daily for child receiving meds for nephrotic syndrome

albumin

bleeding occurs at the insertion site after cardiac catheterization. the nurse should apply

apply pressure 1 inch above the insertion site

2 year old child with hemophilia who sustains a joint injury is best treated promptly in which location?

at home

s/s should a nurse expect to be present in a 12 yr old admitted to the ped unit with a diagnosis of possible brain tumor?

behavioral changes

which nursing intervention is most appropriate when caring for an infant with heart failure?

cluster nursing activities

cerebral palsy (hypoxic episodes in L&D) is best described as

difficulty in controlling voluntary muscles due to brain damage