Exam 3 - possible questions

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of iron?

1/2 cup of raisins

A nurse is caring for a child who is receiving chemotherapy with anorexia and nausea. Which of the following interventions should the nurse recognize as the most appropriate for the child experiencing these symptoms?

Allow the client to eat whatever the client wants, at any time.

A nurse is creating a plan of care for a preschooler who has Wilm's tumor and is scheduled for surgery. Which of the following interventions should the nurse include?

Avoid palpating the abdomen when bathing the child before surgery

nurse is admitting a child who has a possible diagnosis of leukemia. Which of the following tests is the most appropriate for the nurse to consider when confirming a diagnosis of leukemia?

Bone marrow aspiration

A nurse is caring for a 3 year old child who is scheduled for a nephrectomy. When preparing preoperatively, which of the following actions should the nurse recognize as appropriate?

Explain the procedure to the child in simple sentences just before administering the preoperative sedation.

A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following findings should the nurse expect?

Facial rash-- predominantly on the child's cheeks, the rash lasts from 1 to 4 days

nurse is caring for a 7-year-old child diagnosed with glomerulonephritis. The child has decreased urinary output and a blood pressure of 160/78 mm Hg. The child is receiving hydralazine (Apresoline). Which of the following lunch choices should the nurse recognize as most appropriate?

Grilled chicken on a roll, pear slices, and 4 oz of apple juice

A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?

I will inspect my child's mouth every day for sores

A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?

Initiate seizure precautions for the child-- hyponatremia increases the child's risk of seizures

A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which of the following instructions should the nurse include in the plan?

Inspect the toddler's toys for sharp edges

A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?

Keep the child away from people who have an infection

A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following interventions should the nurse include in the plan?

Maintain the child on bed rest

A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?

Monitor the child for increased temperature

A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Periorbital edema

A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the nurse take?

Put a "no abdominal palpation" sign over the child's bed

A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?

Screen the child's visitors for indications of infection-- potential for an overwhelming infection

A nurse on the pediatric unit is caring for four clients who all have assessments ordered in the morning. Which of the following values should the nurse report to a client's primary care provider immediately?

Sickle cell anemia and a urine specific gravity of 1.030

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?

Tachypnea-- results when the kidneys are unable to excrete hydrogen ions and produce bicarbonate leading to metabolic acidosis

A nurse is caring for a child who has frequent urinary tract infections. When educating the parent on the prevention of urinary tract infections, which of the following instructions should the nurse include in the teaching?

Teach the child to wipe her perineum from front to back after urinating.

A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in the teaching?

The pneumococcal and influenza vaccines are recommended for your child

A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider?

Urticaria-- greatest risk is anaphylactic reaction

A nurse is caring for a male infant who has an epispadias. Which of the following finding should the nurse expect a)bladder exstrophy b)inability to retract foreskin c)widened pubic symphysis d)broad spade-like penis e) pain

a)bladder exstrophy c)widened pubic symphysis d)broad spade-like penis

A nurse is assessing a child who has nephrotic syndrome. Which finding shouldthe nurse expect a)Dipstick protein of 1+ b)edema in the ankles c)hyperlipidemia d)weight loss e)anorexia

b)edema in the ankles c)hyperlipidemia e)anorexia

A nurse is planning care for a child with a UTI. which should be included a) admin antidiuretic b)restrict fluid c)evaluate the child's self-esteem d)encourage frequent voiding

d)encourage frequent voiding

A nurse is caring for a child who has a diagnosis of iron deficiency anemia. Which of the following instructions would be appropriate for the nurse to give to the parents?

"Give the iron between meals with orange juice."

charge nurse is assigning rooms for admissions. An 8 year old child who is admitted with sickle cell anemia and is dehydrated. Which of the following is an appropriate room assignment for this child?

10-year-old male; postoperative appendectomy

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse recognize as appropriate in the care of this child?

Monitoring blood pressure every 4 hr

A nurse is assessing a child with a UTI. Which are manifestation for a UTI. a) night sweats b)swelling of the face c) pallor d)pale-colored urine d)fatigue

b)swelling of the face c) pallor d)fatigue

A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching?

Allow the stent to drain directly into your infant's diaper-- this will prevent kinking or twisting that can interfere with urine flow

A nurse is caring for a 6-year-old child who is receiving chemotherapy. The child has a platelet count of 20,000/mm3. Which of the following should the nurse recognize as the appropriate intervention for a child with this platelet count?

Encourage quiet play.

A nurse is caring for a child who has enuresis. Which is a complication of it a)UTI b) emotional problems c)urosepsis d)progressive kideny dx

b) emotional problems

A nurse is caring for an infant who has a hydrocele. Which action should the nurse take. a)prepare the child for surgery b) explain the parents that the issue will self-resolve c)retract the foreskin and cleanse several times a day d)refer the family for a genetic consulting

b) explain the parents that the issue will self-resolve

A nurse is assessing an infant who has a suspected UTI. Which are anticipated finding? a) increase in hunger b)irritability c)decrease in urination d) vomiting e)fever

b)irritability d) vomiting e)fever

A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider?

Hgb 6 g/dL

A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?

Hgb 8.5 g/dL-- child getting chemo is at risk for anemia due to chemo effects on the blood forming cells of the bone marrow.

A nurse is reviewing the lab report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?

Hematocrit 28%

A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 wk of tx, which of the following clinical manifestations indicates to the nurse that the medication is effective?

Decreased edema

A nurse is teaching a parent of a child who has UTI. Which should be included? a)wear nylon underpants b)avoid bubble baths c) empty bladder completely with each void d)provide info about manifestations of infection e)wipe perineal area back to front

b)avoid bubble baths c) empty bladder completely with each void d)provide info about manifestations of infection