PrepU Peds assignment 7

A nurse is teaching a group of parents about hepatitis A viral infection. The nurse would describe which of the following as the route of transmission?

Fecal-oral

The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed?

"Antibiotics are needed to help our child recover from rubella."

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."

The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge?

"I can't believe it. We're not unclean, poor people."

The nurse is providing care for a 14-year-old girl with severe acne. The girl expresses sadness and distress about her appearance. Which response by the nurse would be most appropriate?

"Many people feel this way; I know someone who can help."

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."

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

A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?

Pertussis

An 11-year-old girl arrives at the doctor's office with fever, a sore throat, chills, and malaise. A throat culture indicates scarlet fever. Which other symptom should the nurse notice in this client that clearly indicates scarlet fever?

The tongue has a white or red "strawberry" appearance

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 hours

A parent calls the nurse to discuss a rash which the mother suspects as varicella. The nurse states that the rash possibly could be varicella when the parent describes rash characteristics as:

various stages of lesions present at the same time.

After teaching the parents of a child with varicella zoster, the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time?

After the lesions have crusted

The nurse is caring for a child whose family recently immigrated 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.

The nurse is caring for a 12-year-old female patient who came to the pediatric clinic presenting with genital warts. Which nursing intervention is most beneficial for this patient?

Assess for sexual activities and possible sexual abuse.

The nurse at the pediatrician's office receives a call from the mother of a child who has just been bitten by the neighbor's dog. What action would be the priority?

Tell the mother to seek medical help immediately.

Which of the following is a true statement regarding measles?

The incubation period is 10 to 12 days.

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."

When developing the plan of care for a 5-year-old boy with Rocky Mountain spotted fever, the nurse knows the cause of the illness is:

Bite of a tick

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

Blisters appear

The nurse is performing a physical examination for a 7-year-old girl who was bitten by a tick. What would alert the nurse to the possibility of early localized Lyme disease?

Bull's-eye rash around the bite

The nurse is caring for a child with a partial-thickness burn. What assessment findings would the nurse expect to observe?

Edema with wet blistering skin

A child is admitted to the burn unit with a third-degree burn over 35% of the body. Which infection prevention measures would the health care team use with this child? Select all that apply.

Frequent handwashing Gown Mask Head cover

A toddler is treated for pinworms. To prevent reinfection, what advice would you give the mother?

Help the child wash hands before eating.

The nurse is working in a community setting and receives a call from a local day care center. One of the children in the center has been diagnosed with impetigo, and the director of the day care center wants to know whether she should be concerned. The nurse's response should reflect what information related to impetigo?

Impetigo is highly contagious and can spread quickly.

During a health promotion seminar with community members, the nurse provides information to support the 2020 National Health Goal to prevent and reduce the incidence of infectious disease in children. What information did the nurse most likely provide?

Importance of maintaining appropriate immunizations

A school-age child is placed in contact precautions for a communicable disease. Which observation indicates that teaching about these precautions has been effective?

Mother applies a gown and gloves before entering the child's room

A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child?

Penicillin V

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 mother asks the nurse about bathing her child. Which response by the nurse would be most appropriate?

Use lukewarm water with a mild soap and allow the child to remain in the tub for a short time to avoid supersaturation

The nursing diagnosis of risk for infection related to a disruption in the protective skin barrier is noted on a child's plan of care. Which action would be of greatest importance?

Using appropriate hand hygiene

An infant is seen in an ambulatory clinic for streptococcal-based impetigo. An important point of care you would teach the mother would be:

proper administration of penicillin.

The nurse is caring for a child with a severe burn. The treatment for this child during the first 48 hours will be most likely be related to:

hypovolemic shock.

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 home care nurse is observing a mother prepare mupirocin to treat a preschool-age child's skin rash. At which point should the nurse stop the mother during the preparation of the medication?

Mother measures out a teaspoon of the medication for the child to take orally.

When the physician looks in a child's mouth during a sick-visit exam, the mother exclaims: "Her tongue is bright red! It was not like that yesterday." The physician would most likely order which medication based on the probable diagnosis of scarlet fever?

Penicillin to prevent acute glomerulonephritis

A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?

Playing in the woods about a week ago

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

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

Parents usually ask when their child can return to school after having chickenpox. The correct answer would be:

as soon as all lesions are crusted.

The nurse is teaching the parents of a child with varicella about the disorder. The nurse determines that the teaching was successful when the parents state which of the following?

"We will make sure to remind him not to scratch the lesions."

The nurse is caring for a 6-year-old child brought into the emergency department for burns from a house fire. The nurse notes burn areas surrounding the client's nose and mouth upon initial assessment. Which priority complication should the nurse be alert for?

Airway obstruction related to upper respiratory swelling