study guide exam 2 questions

When caring for the child with Kawasaki disease, what should the nurse know to provide safe and effective care? Aspirin is contraindicated. The principal area of involvement is the joints. The childs fever is usually responsive to antibiotics within 48 hours. Therapeutic management includes administration of gamma globulin and salicylates.

Therapeutic management includes administration of gamma globulin and salicylates.

Beth is a 12 year old with suspected asthma. Which of the following findings in her hx would support this dx? Wakes up at night coughing Midsternal burning after meals Breaths hard when running the mile Snores loudly at night

Wakes up at night coughing

When caring for a child after a tonsillectomy, what intervention should the nurse do? Watch for continuous swallowing. Encourage gargling to reduce discomfort. Apply warm compresses to the throat. Position the child on the back for sleeping.

Watch for continuous swallowing.

A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?

Wilms tumor

A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

Yellow Nasal Discharge

The nurse is caring for a newborn infant with a cleft lip Which observation by the nurse indicates that the parents understand how to minimize the risk of aspiration? [ ] 1. They burp the newborn frequently during feedings. [ ] 2. They position the newborn prone for feedings. [ ] 3. They feed the newborn formula thickened with rice cereal. [ ] 4. They feed the newborn only glucose water until after surgical repair of the defect

[ ] 1. They burp the newborn frequently during feedings.

When developing a care plan for a child who has undergone surgery to correct a cleft lip, how frequently should the nurse plan to remove and reapply the restraints? [ ] 1. Daily [ ] 2. Every 8 hours [ ] 3. Every 4 hours [ ] 4. Every 2 hours

[ ] 3. Every 4 hours

Surgical closure of the ductus arteriosus would: a. stop the loss of unoxygenated blood to the systemic circulation. b. decrease the edema in legs and feet. c. increase the oxygenation of blood. d. prevent the return of oxygenated blood to the lungs.

d. prevent the return of oxygenated blood to the lungs.

An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the nurse recognize as a sign of digoxin toxicity? a. Restlessness b. Decreased respiratory rate c. Increased urinary output d. Vomiting

d. vomiting

13. What laboratory finding, in conjunction with the presenting symptoms, indicates minimal change nephrotic syndrome? Low specific gravity Decreased hemoglobin Normal platelet count Reduced serum albumin

reduced serum albumin

What condition is the most common cause of acute renal failure in children? Pyelonephritis Tubular destruction Severe dehydration Upper tract obstruction

severe dehydration

How do Infants with UTI present?

malaise, irritability, difficulty feeding, poor wt. gain, fever, vomiting, diarrhea, malodor, dribbling, abd pain, colic

What blood flow pattern occurs in a ventricular septal defect? Mixed blood flow Increased pulmonary blood flow Decreased pulmonary blood flow Obstruction to blood flow from ventricles

Increased pulmonary blood flow

Which clinical manifestation would be seen in a child with chronic renal failure? a. Hypotension b. Massive hematuria c. Hypokalemia d. Unpleasant "uremic" breath odor.

d. Unpleasant "uremic" breath odor.

Which vitamin supplements are necessary for children with cystic fibrosis? a. Vitamin C and calcium b. Vitamin B12 and B6 c. Magnesium d. Vitamins a,d,e,k

d. Vitamins a,d,e,k

How do Neonates with UTI present?

jaundice, hypothermia, FTT, sepsis, vomiting, diarrhea, cyanosis, abd distension, lethargy

Nurse teaching school age child and parent about postop care following cardiac catheterization. Which instructions should the nurse include?

"Wait 3 days before taking a tub bath.":

An infant who has a congenital heart defect with left-to-right shunting of blood is admitted to the pediatric unit. What early sign of heart failure should the nurse identify? Cyanosis Restlessness Decreased heart rate Increased respiratory rate

Increased respiratory rate

What medication used to treat heart failure (HF) is a diuretic? a. Captopril (Capten) b. Digoxin (Lanoxin) c. Hydrochlorothiazide (Diuril) d. Carvedilol (Coreg)

. Hydrochlorothiazide (Diuril)

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis? a. Bronchoscopy b. serum calcium c. urine creatinine d. sweat chloride test

. sweat chloride test

The nurse recalls that there are three copies of chromosomes, instead of two, in which genetic disorder? 1 Cystic fibrosis 2 Down syndrome 3 Sickle cell disease 4 Polycystic kidney disease

1 Cystic fibrosis

How does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)? The values indicate the child is: 1. Not compliant with taking her vitamins. 2. Not compliant with taking her enzymes. 3. Eating too many foods high in fat. 4. Eating too many foods high in fiber

1. Not compliant with taking her vitamins.

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

2 mL/kg/hr

After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action? 1. Maintain NPO status. 2. Turn the child to the side. 3. Administer the prescribed antiemetic. 4. Notify the health care provider (HCP).

2. Turn the child to the side.

At a follow-up appointment after being hospitalized, an adolescent with a history of cystic fibrosis (CF) describes his stools to the nurse. Which of the following descriptions should the nurse interpret as indicative of continued problems with malabsorption? 1.Soft with little odor. 2.Large and foul-smelling. 3.Loose with bits of food. 4.Hard with streaks of blood.

2.Large and foul-smelling.

When completing Beth's physical exam which would be inconsistent with a dx of asthma? 1. Prolonged expiratory flow time 2. Clear breath sounds bilat. 3. Digital clubbing 4. Boggy, edematous nasal mucosa

3. Digital clubbing

The nurse is caring for a 3-month-old male who is being evaluated for possible Hirschsprung disease. His parents call the nurse and state that his diaper contains a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and his abdomen appears very distended. Which of the following should be the nurse's next action? 1. Reassure the parents that this is an expected finding and not uncommon. 2. Call a code for a potential cardiac arrest, and stay with the infant. 3. Immediately obtain all vital signs with a quick head-to-toe assessment. 4. Obtain a stool sample for occult blood.

3. Immediately obtain all vital signs with a quick head-to-toe assessment.

When administering digoxin (Lanoxin) to an infant, the medication should be withheld and the health care provider notified if the: 1. pulse rate is below 60 beats/min 2. infant is dyspneic 3. pulse rate is below 100 beats/min 4. respiratory rate is above 40 breaths/min

3. pulse rate is below 100 beats/min

An 11-year-old is admitted for treatment of an asthma attack. Which of the following indicates immediate intervention is needed? 1.Thin, copious mucous secretions. 2.Productive cough. 3.Intercostal retractions. 4.Respiratory rate of 20 breaths/minute.

3.Intercostal retractions.

Joe, a 13 year old with asthma, developed a runny nose, coughing and wheezing on expiration. Joe takes Flovent 2 puffs BID. You would suggest he: 1. Take an additional 2 puffs of Flovent now and BID for 2 weeks 2. Go to urgent care immediately 3. Drink fluids and lie down to rest 4. Use albuterol inhaler 2 puffs now and every 20 minutes X 3

4. Use albuterol inhaler 2 puffs now and every 20 minutes X 3

A nurse is preparing to administer digoxin to a 6 month old infant. Prior to administering the dose, the nurse listens to the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?

90

Which signs and symptoms would lead the nurse to suspect a child has tetralogy of Fallot (TOF)? Select all that apply. A. murmur B. history of squatting C. bounding pulse D. cyanosis E. faint pulse F. tachypnea

A. murmur B. history of squatting D. cyanosis

It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent which condition? Otitis media Diabetes insipidus (DI) Nephrotic syndrome Acute rheumatic fever

Acute rheumatic fever

The test that provides the most reliable evidence of recent streptococcal infection is which? Throat culture Mantoux test Antistreptolysin O test Elevation of liver enzymes

Antistreptolysin

A nurse is admitting a toddler who has RSV. Which of the following actions should the nurse take? A. Initiate airborne precautions. B. Keep the thermometer in the toddlers room. C. Allow the toddler to play in the common room D. Place the toddler in a room that has negative air pressure.

B. Keep the thermometer in the toddlers room.

a nurse is caring for a 2 year old who is cyanotic and is in the hospital for cardiac catheterization to repair cardiac defects. the pt will be transferred to the pediatric ICU following the procedure. What is the an appropriate nursing action when caring for this child? A. NPO status for 12 hours prior B. check for iodine or shellfish allergies before procedure C. elevate the affected extremity following the procedure D. limit fluid intake following procedure

B. check for iodine or shellfish allergies before procedure

After a patient returns from cardiac catheterization, the nurse notes that the pulse distal to the catheter insertion site is weaker (+1). The most appropriate nursing intervention is to A. elevate the affected extremity. B. document the findings and continue to monitor. C. notify the health care provider of the finding. D. apply warm compresses to the insertion site

B. document the findings and continue to monitor.

A nurse is providing discharge instructions to the parent of a 10-year-old child following cardiac catheterization. Which of the following instructions should the nurse include? A.) Keep the child home for 1 week B.) Give the child acetaminophen for discomfort C.) Offer the child clear liquids for the first 24 hours D.) Assist the child to take a tub bath for the first 3 days

B.) Give the child acetaminophen for discomfort

The nurse is caring for a toddler whose parents states while bathing she noticed a mass in his abdominal area and that his urine is a pink color. Which of the following actions is the nurse's priority? A.) Schedule the child for an abdominal ultrasound B.) Instruct the parent to avoid pressing on the abdominal area C.) Determine if the child is having pain D.) Obtain a urine specimen for urinalysis

B.) Instruct the parent to avoid pressing on the abdominal area

Which is diagnostic for epiglottitis A. Blood test B. Throat swab C. Lateral neck x-ray of the soft tissue D. Signs and symptoms

C. Lateral neck x-ray of the soft tissue

A nurse is caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take? A. Prepare to administer high-dose steroids B. Give the child magnesium hydroxide PO C. Prepare the child for a barium enema D. Inform the parents that the child will need a colostomy

C. Prepare the child for a barium enema

The nurse is assessing a child post-cardiac catheterization. Which complication might the nurse anticipate?

Cardiac arrhythmia

An infant with short bowel syndrome will be on total parenteral nutrition (TPN) for an extended period of time. What should the nurse monitor the infant for ?

Central venous catheter infection, electrolyte losses, and hyperglycemia

1. The nurse is caring for a child with Kawasaki disease in the acute phase. What clinical manifestations should the nurse expect to observe? (Select all that apply.) Osler nodes Cervical lymphadenopathy Strawberry tongue Chorea Erythematous palms Polyarthritis

Cervical lymphadenopathy Strawberry tongue Erythematous palms

The nurse is assessing a child with croup in the emergency department. The child has a sore throat and is drooling. Examining the child's throat using a tongue depressor might precipitate what condition?

Complete Obstruction (anything into the mouth or airway can cause a spasm)

Manifestations of nephrotic syndrome in peds

Edema Anorexia Fatigue Abdominal pain Increased weight Respiratory infection

A child is recovering from Kawasaki disease (KD). The child should be monitored for which? Anemia Electrocardiograph (ECG) changes Elevated white blood cell count Decreased platelets

Electrocardiograph (ECG) changes

which croup symptom is a medical emergency?

Epiglottitis

Bacterial infective endocarditis (IE) should be treated with which protocol? Oral antibiotics for 6 months Oral antibiotics (penicillin) for 10 full days IV antibiotics, diuretics, and digoxin IV antibiotics (penicillin type) for 2 to 8 weeks

IV antibiotics (penicillin type) for 2 to 8 weeks

A young child is suspected of having intussusception. Which assessment findings correlate with this condition? Legs extended when crying Severe gastroesophageal reflux Irritability Bloody diarrhea

Irritability

The nurse is developing a teaching plan for the parents of an 11-month-old infant with gastroesophageal reflux disease (GERD). The child will be managed medically. What actions would the nurse incorporate into the teaching plan? Select all that apply

Keeping the child upright for 30 minutes after feeding Giving the child small frequent feedings Administering prokinetics to empty the stomach quickly

A 4-year-old girl is brought to the emergency department. She has a froglike croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should intervene in which manner? Make her lie down and rest quietly. Examine her oral pharynx and report to the physician. Auscultate her lungs and prepare for placement in a mist tent. Notify the physician immediately and be prepared to assist with a tracheostomy or intubation.

Notify the physician immediately and be prepared to assist with a tracheostomy or intubation.

What sign/symptom is a major clinical manifestation of rheumatic fever (RF)? Fever Polyarthritis Osler nodes Janeway spots

Polyarthritis

A 12-year-old is admitted to the hospital with a low-grade fever and joint pain. Which diagnostic test finding will assist to determine a diagnosis of rheumatic fever?

Presence of Aschoff's bodies

Post-op care of Tonsillectomy

Promote comfort/relieve pain o Liquid analgesics easier tolerated than pills o Offer frequent sips of clear liquid o Avoid acidic and citric juices o Avoid Milk based products - increases thick secretions o Avoid red fluid - if vomited could be mistaken for swallowed blood o After 24-48 hour's advance diet to soft foods o Ice collar if tolerated

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible. What is the primary rationale for this action? Mothers of hospitalized toddlers often experience guilt. Admit to the hospital and observe for impending epiglottitis. Provide fluids that the child likes and use comfort measures. Control fever with acetaminophen and call if cough gets worse tonight. Try over-the-counter cough medicine and come to the clinic tomorrow if no improvement.

Provide fluids that the child likes and use comfort measures.

What intervention is included in the nursing care plan for a 4-month-old infant with tetralogy of Fallot and heart failure? Providing small, frequent feedings Positioning the child flat on the back Encouraging nutritional fluids often Measuring the head circumference daily

Providing small, frequent feedings

. The physician suggests that surgery be performed for patent ductus arteriosus (PDA) to prevent which complication? Hypoxemia Right-to-left shunt of blood Decreased workload on the left side of the heart Pulmonary vascular congestion

Pulmonary vascular congestion

Nursing care of the child with Kawasaki disease is challenging because of which occurrence? The childs irritability Predictable disease course Complex antibiotic therapy The childs ongoing requests for food

The childs irritability

A 6-month-old infant has a congenital right-to-left shunt defect of the heart. What clinical findings are expected when the nurse completes a history and physical assessment and reviews the child's laboratory reports? Select all that apply. Orthopnea Tissue hypoxia Increased hematocrit Frequent respiratory infections Bounding pulses in upper extremities

Tissue hypoxia Increased hematocrit

A 6-month-old infant presents to the clinic with failure to thrive, a history of frequent respiratory infections, and increasing exhaustion during feedings. On physical examination, a systolic murmur is detected, no central cyanosis, and chest radiography reveals cardiomegaly. An echocardiogram is done that shows left- to-right shunting. This assessment data is characteristic of what? Tetralogy of Fallot Coarctation of the aorta Pulmonary stenosis Ventricular septal defect

Ventricular septal defect

Which of the following children has an increased risk of sudden infant death syndrome (SIDS) a) Premature infant with low birth weight b) A healthy 2-year-old c) Infant hospitalized for fever d) Firstborn child.

a) Premature infant with low birth weight

The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? a) Albuterol b) Theophylline c) Beclomethasone d) Acetylcysteine

a) albuterol

A child is diagnosed with short bowel syndrome. What would the nurse expect to be included in the child's plan of care? Select all that apply. a)Antibiotics b)Vitamin supplements c)Total parenteral nutrition

a)Antibiotics b)Vitamin supplements c)Total parenteral nutrition

Which structural defects constitute tetralogy of Fallot? a. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy b. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy c. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy d. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular Hypertrophy

a. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

A 3 month old infant is seen in the clinic with the following symptoms: irritability, crying, refusal to nurse for more than 2-3min, rhinitis, and a rectal temperature of 101.8F(38.8). The labor, delivery and postpartum history for this term infant is unremarkable. The nurse anticipates a diagnosis of: a. Acute Otitis Media b. Otitis Media with effusion (OME) c. Otitis externa d. Respiratory syncitial virus (RSV)

a. Acute Otitis Media

A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered? a. Before chest physiotherapy (CPT) b. After CPT c Before receiving 100% oxygen d. After receiving 100% oxygen

a. Before chest physiotherapy (CPT)

The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for? a. Cardiac arrhythmia. b. Hypostatic pneumonia. c. Heart failure. d. Rapidly increasing blood pressure.

a. Cardiac arrhythmia.

In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind? a. Diet should be high in carbohydrates and protein. b. Diet should be high in easily digested carbohydrates and fats.10 c. Most fruits and vegetables are not well tolerated. d. Fats and proteins must be greatly curtailed.

a. Diet should be high in carbohydrates and protein.

Which statement expresses accurately the genetic implications of cystic fibrosis (CF)? a. If it is present in a child, both parents are carriers of this defective gene. b. It is inherited as an autosomal dominant trait. c. It is a genetic defect found primarily in non-Caucasian population groups. d. There is a 50% chance that siblings of an affected child also will be affected.

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

The earliest recognizable clinical manifestation of cystic fibrosis (CF) is: a. Meconium ileus. b. History of poor intestinal absorption. c. Foul-smelling, frothy, greasy stools. d. Recurrent pneumonia and lung infections.

a. Meconium ileus.

The health care provider suggests surgery be performed for ventricular septal defect to prevent what complication? a. Pulmonary hypertension b. Right-to-left shunt of blood c. Pulmonary embolism d. Left ventricular hypertrophy

a. Pulmonary hypertension

The nurse explains that the treatment of choice for a child with intussusception is: a. a barium enema. b. immediate surgery. c. IV fluids until the spasms subside. d. gastric lavage.

a. a barium enema.

The nurse should explain to the parents that their child is receiving furosemide (Lasix) for severe congestive heart failure because of its effects as a. a diuretic b. a beta-blocker c. a form of digitalis d. an ACE inhibitor

a. a diuretic

A parent brings an infant in for poor feeding. Which of the following assessment data would most likely indicate a coarctation of the aorta? a) Cyanosis with feeding b) Pulses weaker in lower extremities compared to upper extremities c) Cyanosis with crying d) Pulses weaker in upper extremities compared to lower extremities

b) Pulses weaker in lower extremities compared to upper extremities

Which type of croup is always considered a medical emergency? a. Laryngitis b. Epiglottitis c. Spasmodic croup d. Laryngotracheobronchitis (LTB)

b. Epiglottitis

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase). This drug: a. May cause mucus to thicken. b. May cause voice alterations. c. Is given subcutaneously. d. Is not indicated for children younger than 12 years

b. May cause voice alterations.

Nursing care of a 9 month old who has recently undergone cleft palate lip repair can be expected to include feeding with a(n): a. Plastic spoon b. Open cup c. Pigeon bottle d. Special needs feeder

b. Open cup

A nurse is caring for a child who has Hirschsprung's disease.Which of the following actions should the nurse take? a. Encourage a high‑fiber, low‑protein, low‑calorie diet. b. Prepare the family for surgery c. Place an NG tube for decompression d. Initiate bed rest.

b. Prepare the family for surgery

An infant is diagnosed with transposition of the great vessels. Prostaglandin E1 is given intravenously. The parents ask how long the child will remain on the prostaglandin E1. What is the appropriate response by the nurse? a. Prostaglandin E1 will be given intermittently until corrective surgery is performed. b. Prostaglandin E1 will be given continuously until corrective surgery is performed. c. Prostaglandin E1 will be given continuously throughout the preoperative and postoperative periods until the child is stable. d. Prostaglandin E1 will be given intermittently throughout the preoperative and postoperative periods until the child is stable.

b. Prostaglandin E1 will be given continuously until corrective surgery is performed.

The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sign of digoxin toxicity? a. Respiratory distress b. Sudden change in pulse c. Constipation d. Headache

b. Sudden change in pulse

A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the Medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels

b. a decrease in peripheral edema

When reviewing the record of a child with tetralogy of Fallot, which of the following would you expect to discover? a) Anemia b) Increased platelet level c) Polycythemia d) Leukopenia

c) Polycythemia

A 16-year-old female, Mary-Jane has been diagnosed with possible appendicitis. What diagnostic testing would the nurse anticipate prior to an appendectomy? a. CT, urinalysis, basic metabolic panel b. X-ray, blood culture c. CT, complete blood count, serum HCG, urinalysis d. Ultrasound, urine pregnancy

c. CT, complete blood count, serum HCG, urinalysis

5. The nurse is teaching a client to prevent future urinary tract infections (UTIs). What factor is most important to emphasize as the potential cause? a. Poor hygiene b. Constipation c. Urinary stasis d. Congenital anomalies

c. Urinary stasis

The nurse is conducting an assessment on Peter Parker, a 7-year-old patient who is 36 hours post op following an appendectomy. The nurse does not hear any bowel sounds and the patient and parents denies flatus. Which of the following actions is most appropriate by the nurse? a. Encourage the patient to increase fluid intake to promote peristalsis b. Encourage the patient to increase solid food intake to promote peristalsis c. Withhold food and fluid intake until intestinal motility has returned d. Withhold food and encourage fluid intake to keep patient hydrated

c. Withhold food and fluid intake until intestinal motility has returned

A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching? a. Weight the child once each month month b. withhold digoxin of the child's pulse is greater than 100 / minutes c. provide for periods of rest d. increase the child's oxygen flow rate until the child no longer has cyanosis

c. provide for periods of rest

An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The nurse knows that a child infected with this virus requires what type of isolation? Reverse isolation Airborne isolation Contact Precautions Standard Precautions

contact/ droplet precautions

Which of the following risk factors is related to sudden infant death syndrome (SIDS)? a) Feeding habits b) Gestational age of 42 weeks c) Immunizations d) Low birth weight

d) Low birth weight

You would teach the mother of a boy with tetralogy of Fallot that if he suddenly becomes cyanotic and dyspneic to a) lie him supine with the head turned to one side. b) lie him prone, being sure he can breathe easily. c) place him in a semi-Fowler's position in an infant seat. d) place him in a knee-chest position.

d) place him in a knee-chest position.

The nurse is caring for a 14-year old client with celiac disease. The nurse knows that the client understands the diet instructions by ordering which of the following meals? a)Eggs, bacon, rye toast, and lactose-free milk. b)Pancakes, orange juice, and sausage links. c)Oat cereal, breakfast pastry, and nonfat skim milk. d)Cheese, banana slices, rice cakes, and whole milk.

d)Cheese, banana slices, rice cakes, and whole milk.

The nurse reviews the lab results for a child with a suspected diagnosis of rheumatic fever, knowing that which lab study would assist in confirming the diagnosis? a. Immunoglobulin b. Red blood cell count c. White blood cell count d. Anti-streptolysin O titer

d. Anti-streptolysin O titer

7. What recommendation should the nurse make to prevent urinary tract infections (UTIs) in young girls? a. Avoid public toilet facilities. b. Limit long baths as much as possible. c. Cleanse the perineum with water after voiding. d. Ensure clear liquid intake of 2 L/day.

d. Ensure clear liquid intake of 2 L/day.

A major complication in a child with chronic renal failure is: a. Hypokalemia. b. Metabolic alkalosis. c. Water and sodium retention. d. Excessive excretion of blood urea nitrogen

d. Excessive excretion of blood urea nitrogen

Pancreatic enzymes are administered to the child with cystic fibrosis. Nursing considerations should include: a. Do not administer pancreatic enzymes if the child is receiving antibiotics. b. Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools. c. Administer pancreatic enzymes between meals if at all possible. d. Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.

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

The physician suggests that surgery be performed for patent ductus arteriosus (PDA) to prevent which complication? a. Hypoxemia b. Right-to-left shunt of blood c. Decreased workload on the left side of the heart d. Pulmonary vascular congestion

d. Pulmonary vascular congestion

what kind of teaching will you do with a child taking lasix

encouraged to eat foods rich in potassium, oranges, bran cereals, bananas

17. A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in which condition? Cyanosis Heart failure Decreased pulmonary blood flow . Bounding pulses in upper extremities

heart failure

what diet does hirschspurgs diseases have?

high protein, high calorie, low fiber

if you have strep and pharyngitis, why do you need antibiotics?

to treat the infection and prevent rheumatic fever and other complications.