Quiz 5

A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site. In which order should the nurse take the following actions? (Place in order from first step to last step). Stop the infusion Elevate the extremity Notify the provider Remove the IV line

Stop the infusion Remove the IV line Elevate the extremity Notify the provider

A nurse is assessing a 6 month old infant at a well-child visit. The nurse should notify the provider about which of the following assessment findings? None of the above are concerning An reddened annular lesion with raised borders An area of deep blue pigmentation over the buttocks A flat, dark pink area between the eyes that blanches

b

Which child in the oncology unit would be placed on both neutropenic and thrombocytopenic precautions based on their current labs? Plt count 60,000; WBC 1200; Hgb 8.8; Bands 9%; Polys 9% Plt count 20,000; WBC 2100; Hgb 8.7; Bands 12%; Polys 12% Plt count 55,000; WBC 2800; Hgb 7.7; Bands 6%; Polys 6% Plt count 42,000; WBC 300; Hgb 7.8; Bands 9%; Polys 7%

d

A nurse is assessing a 2-month-old infant who has a ventricular septal defect (VSD). Which of the following findings should the nurse report to the provider? Heart rate 125/min Systolic murmur Weight gain of 4lbs Flat fontanel

c

Which of the following should be done to protect the central nervous system from the invasion of malignant cells in a child newly diagnosed with leukemia? Intravenous steroid therapy High dose intravenous chemotherapy Intrathecal chemotherapy Cranial and spinal radiation

c

For a sickle cell patient experiencing a vaso-occulsive crisis, which of the following is the priority nursing intervention ? Administering IV Opioids Administering multiple fluid boluses Administering PO NSAIDs Applying cold compresses to painful areas

a

Of the following, which child does the nurse recognize as needing to be placed on thrombocytopenic precautions? Plt count 49,000; WBC 17,000; report of hematuria Plt count 47,000; Hgb 10.3; moist mucus membranes Plt count 50,000; Hgb 11.7; light green/yellow drainage from NG tube Plt count 152,000; Hgb 12.8; oozing Broviac site

a

A 15-month-old is in the clinic with a Hemoglobin of 9.1. Vital signs: HR 120 RR 26 Sat 98% on room air. She lives with her mom and grandmother, who both report she is a picky eater. Which is most likely to be part of an ineffective treatment plan? Administer po iron daily; scheduled hemoglobin checks monthly x 3-5 months Encourage child to drink at least 4 cups of milk daily; scheduled hemoglobin checks monthly x 3-5 months Administer IV erythropoietin x 1; recheck hemoglobin in 24 hours to determine if hemoglobin level has increased Encourage child to eat iron-fortified cereal puffs during snacktime; scheduled hemoglobin months until returned to baseline

b

A nurse is assessing a preschooler who has influenza and the reports the new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider? The child's temperature is 102 F The child is drooling The child's voice is hoarse The child's skin is sallow

b

An 11 month old child is receiving chemotherapy for a diagnosis of acute lymphoblastic leukemia (ALL). Which of the following vaccinations is safe for the nurse to administer to the child? Varicella PCV MMR Influenza

b

A 12 year old boy with a history of sickle cell anemia and a diagnosis of vaso-occlusive crisis is being assessed by the admitting nurse in the ED. Which of the following signs/symptoms would the nurse expect to see? Select All That Apply. Hematocrit 39% Hematuria Pain level 2/10 Priapism Elevated liver enzymes

b,d,e

A child diagnosed with leukemia is receiving allopurinol as part of the treatment plan. The parents ask why their child is receiving this medication. What information about the medication should the nurse provide? "Used to make chemotherapy work better." "Given to reduce the nausea and vomiting associated with chemotherapy." "Helps reduce the uric acid level caused by cell destruction." "Helps decrease pain in the bone marrow."

c

A child has been diagnosed with acute lymphoblastic leukemia (ALL). With which of thefollowing signs/symptoms did the child likely present to the primary health care provider? Select All That Apply. Leukopenia Erythema Bruising Rash Lethargy Jaundice

c,e

A nurse is creating a plan of care for an 18 month old toddler with cerebral palsy. Which of the following interventions should the nurse include? Use a mobile walker for the toddler Discourage activities involving repetitive joint movements Discourage the use of wrist splints Use manual jaw control when feeding the toddler

d

A nurse is planning to teach a 9-year-old child who has a diagnosis of diabetes mellitus. The nurse should identify that school-age children are attempting to master which of the following developmental tasks? Initiative vs Guilt Trust vs Mistrust Identify vs Role Confusion Industry vs Inferiority

d

A nurse is assessing an infant who is at risk for increased intracranial pressure (ICP). Which of the following findings should indicate to the nurse that this complication is developing? High-pitched cry Sunken fontanel Increased awake time Tachycardia

a

A 12 week gestation African American woman asks her OB/GYN nurse whether her baby could be born with sickle cell disease. Which of the following replies is appropriate for the nurse to give? "The baby could only have sickle cell anemia if both you and the baby's father carry a sickle cell gene." "If either you or the baby's father has sickle cell anemia, your child may be born with the disease." "It is possible because 1 out of every 500 African Americans is diagnosed with sickle cell disease." "If the child is a boy, he could have sickle cell anemia, but if the child is a girl, she will definitely be healthy."

a

A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include? Provide a high-fat diet for the toddler Allow the toddlers to skip meals when not hungry Limit the toddler's daily intake of sodium Increase the toddler's intake of foods high in folic acid

a

A toddler has been diagnosed with iron-deficiency anemia. Which of the following information should the nurse educate the parents regarding medication administration? Have the child drink orange juice right after taking the medicine Crush the tablets and mix the medicine with his applesauce Administer the medicine directly before meals Add iron elixir to morning bottle

a

The nurse is taking a health history from an adolescent with hemophilia. The nurse should ask the client whether he is experiencing any signs and symptoms of which of the following illnesses? Osteoarthritis Diabetes mellitus Asthma Hypothyrodism

a