pets 4
low placed ears; major heart problem; webbed fingers and toes
The nurse is inspecting a newborn with trisomy 18. Which findings should the nurse expect? (Select All)
polyuria
The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "The teacher tells us that our child has to use the restroom many more times a day than other students do." The caregiver's statement indicates the child most likely has:
Have you noticed any hair loss or redness on your face?
A nurse is conducting a physical examination of a 12-year-old girl with suspected systemic lupus erythematous (SLE). How would the nurse best interview the girl?
it is difficult to keep the child awake
The nurse is obtaining a health history form parents whose 4 month old boy has congenital hypothyroidism. What would the nurse most likely assess?
"We bneed to make sure that he washes his hands frequently"
The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions?
When exercising, your son should add an extra snack containing 15 to 30 g of carbohydrates for each 45 to 60 minutes of exercise
The nurse is speaking to the mother of an adolescent recently diagnosed with type 1 diabetes mellitus. The mother asks the nurse how her son's basketball training will affect his blood sugar. Which is the best response by the nurse?
Until there are no more new lesions and lesions have crusted over
The parents of a child diagnosed with varicella are concerned about their other children getting it. The nurse instructs the parents that their child is contagious for how much longer now that the rash has appeared?
The immune system of infants and young children is weaker than that of adults. The system matures as the child ages
The parents of a preschool age child as the nurse, "Why are infants and young children are so prone to getting infections?" What is the best response by the nurse.
children have an immature immune response
The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true?
Consult infectious disease to check the rash
The nurse is caring for the client with the assessment note above. Which intervention by the nurse should take priority?
I am here to answer your questions and be with you during this difficult time
The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best?
Adhering to growth hormone therapy
The nurse is developing a care plan for a 15 year old female client with Turner syndrome with the assessment notes shown above. Which expected outcome should take priority?
Antibiotics are needed to help our child recover from rubella
The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates that further education is needed?
Respiratory, cardiovascular, and neurologic
A 10 year old boy has just arrived by ambulance at the ED following a motor vehicle accident, and a nurse is assessing him. Which three body systems should the nurse evaluate first?
"Did the child have any recent cuts or trauma to the skin?"
A 10-year old is brought to the health care provider's office by the child parent. The parent voices concern over the appearance of the child's arms. The nurse documents the assessment above. The nurse suspects folliculitis. Which question would the nurse ask to help confirm the suspicion?
mupirocin
A 3 year old child is brought to the clinic for an evaluation of lesions on the child's face. Based on the assessment findings above, the nurse would anticipate which agent being prescribed?
diabetes insipidus is different from diabetes mellitus
A 4 year old diagnosed with diabetes insidious is being discharged. Which information below is most important to emphasize to the parents?
naloxone
An adolescent is brought to the emergency department for suspected overdose. Which agent will the nurse expect to be prescribed for this client?
inserting an intraosseous needle via the femoral route
CPR is in progress on an 8 year old boy who is in shock. Which nursing interventions is priority
growth hormone
The nurse is caring for a 7 year old client with Turner syndrome with renal insufficiency and a congenital heart defect. Which medication is most appropriate for this client?
parents may benefit from speaking with parents of other children with a terminal illness; it is important to withhold judgement of parents; patience is necessary as parents often have difficulty making decisions during this time
The nurse is caring for a dying child. Which factors should the nurse incorporate into the care provided? Select all that apply
stablizing the Childs physical status
The Ed nurse is caring for a child who is showing signs of anaphylaxis. The nurse evaluates how comprehensive the history of the child should be and determines that which action takes priority?
Koplik spots
The appearance of which hallmark clinical manifestation occurs in measles?
The child states that his tongue feels "too big" for his mouth; The child states he feels like he might "throw up"; The child has developed hives on his face and trunk; The child states that he feels like he might faint
The child has a peanut allergy and accidentally ate food that contained peanuts. Which clinical manifestations of anaphylaxis should the nurse expect to find? (select all)
"While immunizations are highly effective they aren't 100% effective at preventing infectious diseases"
The mother of an 8 year old boy with mumps tells the nurse that she does not understand how her son could have gotten mumps since he was immunized according to her physician's recommendations. What is the best response by the nurse?
The disease can reactivate years later and cause shingles
The nurse is administering a chicken pox vaccination to a 12-month old girl. Which concern is unique to varicella?
Failure to thrive in an infant; two or more episodes of severe sinusitis in 1 year; History of infections requiring IV abx to clear; two or more serious infections such as sepsis
The nurse is preparing an educational program for members of the office staff. The topic is the warning signs of primary immunodeficiency. What information should be included? (select all)
This medication must be given by injection
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?
Poor made control contributes to the feeding difficulties; nasal stuffiness contributes to the difficulty of sucking and breathing during feeding
The parent of a 2 week infant with trisomy 21 presents to the clinic with concerns about poor feeding in the infant. What does the nurse understand about feeding concerns in infants with trisomy 21? (select all)
Dressings containing silver help prevent infection
The parent of a child with deep partial-thickness (second degree) burns on the legs asks the nurse, "One of the staff told me that the dressings being used have silver in them. Why is that? Which response by the nurse would be most appropriate?
epinephrine
Which drug should be available for emergency treatment of a child who goes into anaphylactic shock?
SIADH
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?
establish an IV site
a 12 year old boy has broken his arm and is showing signs and symptoms of shock. Which of the following would the nurse do first?
blood glucose level
a 17 year old adolescent is found wandering around. The adolescent is confused, sweaty and pale. Which test would the nurse expect to be performed first?
suctioning the upper airway to ensure airway latency
a 3 year old had a near drowning incident when she fell into a wading pool. Which intervention is the highest priority
rubella
a 5 year old child is brought to the pediatric health clinic for evaluation. The nurse completes the assessment and documents the findings. Based on the assessment findings above, which condition would the nurse suspect?
volume replacement
a 5 year old child is exhibiting manifestations of hypotension. Which of the following is the first-line treatment for poor perfusion and hypotension?
The pancreas doesn't produce insulin in type 1 diabetes, so it is likely that insulin injections will be necessary
a 9 year old was just diagnosed with type 1 diabetes mellitus. The parents state, "We hope our child won't have to take insulin injections." How should the nurse respond?
joint pain
a child with SLE is receiving high-dose corticosteroid therapy over the long term. The nurse would instruct the parents and child to report:
hypovolemic
after teaching a group of nursing students about shock in children, the instructor determines that the teaching was successful when the students identify which type of shock as most common?
709 mL bolus
math question
assess the family ability to learn about the disorder?
the nurse is caring for an 8 year old girl who has just been diagnosed with fragile x syndrome. Which intervention is the highest priority?
taking oral hypoglycemic agents
the nurse working with the child diagnosed with type 2 diabetes mellitus recognize that the disorder can be managed by:
The disorders are considered single-gene
the student nurse is studying the genetics of clients who are seeking assistance from a genetic counseling center. The student nurse notes monogenic discord's have which characteristics?
atropine
which medication is used for symptomatic bradycardia unresponsive to ventilation and oxygenation?
If blisters form, we should leave them alone and not break them
A 4 year old is brought to the urgent care center for evaluation of a burn on the forearm. On inspection, the burn is minor. After teaching the parents about how to care for the minor burn, the nurse determines that the teaching was successful based on which of the following?
how can I help you get through this
A 9 year old has suffered a severe anaphylactic reaction and is seriously ill. The nurse is providing support to the parents. Which statement by the nurse would be most effective in assisting parents to cope?
heart and respiratory rates
A child experiencing shock has received three boluses of normal saline solution. Which assessment will the nurse make to determine if the child is responding to the fluids?
mumps
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?
complete the prescribed antibiotics
A child is hospitalized with a diagnosis of severe cellulitis. The nurse is preparing the family for discharge. Which instruction is most important for the nurse to convey to the family?
assess the Childs airway and manage airway latency
A child presents to the ED via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be?
3 copies of trisomy 21 has occurred instead of 2 copies
A child with diagnosis of Down syndrome has which chromosomal abnormality
Avoid unattended baths for the toddler
A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning ?
musty or mousy odor to the urine
The nurse is assessing a 2-week-old boy who was born at home and has not had metabolic screening. Which sign or symptom indicates phenylketonuria?
disturbed body image
The nurse is caring for 7 year old girl diagnosed with precocious puberty. The child is tearful when talking with the nurse about the signs and symptoms of the disorder. She states, "I don't look like my friends." When preparing the care plan for this child, which nursing diagnosis has the highest priority?
Impetigo, varicella
The nurse is preparing an educational program for a group of parents with young children about bacterial and viral skin infections. The nurse plans to address how each of the infections is spread. Which infection(s) will the nurse include as being transmitted by contact with the lesions? (Select all)
swimming
Which exercise would the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis
powerlessness related to difficulty determining a cause of allergy, anxiety related to continuing or controlled allergic response, impaired skin integrity related to skin barrier function
Which nursing diagnosis will the nurse select as appropriate for the child with atopic dermatitis? Select all
low sodium, low fat, low protein
Which of the following are appropriate diet interventions for children with diabetes inspidus?
Carry crackers or fruit to eat before or during periods of increased activity
a nurse is teaching an adolescent with type 1 diabetes mellitus about the disease. Which instruction by the nurse about how to prevent hypoglycemia would be most appropriate for the adolescent?
keep cleaning solutions locked up
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning?
The child develops an active immunity
A nurse is promoting vaccine administration. When instructing on the physiological changes, Which statement best explains what occurs in the child when vaccines are administered?
additional measures are necessary to meet the child's metabolic requirements
A nurse is providing care to a child diagnosed with septic shock. The nurse believes the child's condition is progressing to decompensated shock. What significance does the nurse's belief have on the Childs condition?
space between the eyes, the shape of the ears, the number of fingers and toes
A nurse working s a member of a genetic counseling team carefully assesses which body areas in a newborn to gain important indications for structural genetic disorders
bone marrow, lymph nodes, tonsils, liver, thymus, spleen (all of them)
A nursing instructor teaching a class about immunity asks the students to identify the organs of the immune system. Which would the nursing instructor want them to include? (select all)
