Exam 3 Review Questions

the nurse is caring for a child with nephrotic syndrome. the child is noted to have edema. the edema would most likely be seen where on this child?

eyes

an 18-month-old infant is brought to the emergency department with flu-like symptoms. the infant is diagnosed with pneumonia secondary to aspiration of stomach contents. the nurse explains to the parents that pneumonia is a condition that often occurs secondary to:

gastroesophageal reflux disease

a child, diagnosed with a urinary tract infection, is afraid to void because it hurts. what action should the nurse recommend to the parents to help relieve this fear?

have the child sit in a sit bath of warm water to void

when assessing a child with hydronephrosis, what would the nurse expect to find? SATA

intermittent hematuria, abdominal mass

after teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which assessment finding?

jerky movements of the face and upper extremities

the nurse is providing care to a child with pancreatitis. when reviewing the child's laboratory test results, what would the nurse expect to find? SATA

leukocytosis, elevated serum amylase levels

a nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. after auscultating the child's heart sounds, how would the nurse document this murmur?

loud without a thrill

the health care provider prescribes an abdominal radiograph for a newborn to check for Hirschsprung disease. the nurse examines the newborn and finds which symptoms that are indicative of this disease?

abdominal distention, absence of stool in the rectum, enterocolitis, bilious vomiting

a nurse is working with a 12-year-old client with osteomyelitis who is recovering from surgery. what nursing intervention(s) should the nurse include in the care plan? SATA

administer IV antibiotics at hospital, instruct the parents on antibiotic administration, teach the parents how to monitor for signs of infection

coarctation of the aorta demonstrates few symptoms in newborns. what is an important assessment to make on all newborns to help reveal this condition?

assessing for the presence of femoral pulses

the nurse is caring for a 2-month-old with cerebral palsy. the infant is limp and flaccid with uncontrolled, slow, worm-like, writhing, and twisting movements. what would the nurse use when documenting these observations?

athetoid

after teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

atrial septal defect

the nurse is administering an enteral feeding to a child with a gastrostomy tube (G-tube). which action will the nurse take when administering a prescribed feeding through the client's G-tube?

check for gastric residual before starting feeding

a nurse is caring for an infant with a meningocele. which finding alerts the nurse that the lesion is increasing in size?

constipation and bladder dysfunction

a nurse examining a neonate is unable to identify the fetal stomach. the nurse knows that this sign strongly indicates which condition?

esophageal atresia

a teacher sends a child to see the school nurse for irritability and bruising. which symptom would be indicative of hemolytic uremic syndrome?

oliguria and jaundice

when reviewing the record of a child with tetralogy of Fallot, what would the nurse expect to discover?

polycythemia

a 10-year-old child in renal failure is on continuous cycling peritoneal dialysis (CCPD). what would be important to teach the parents?

severe cramping and pain should not occur with an infusion

the nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. which finding is most likely if the child had transposition of the great vessels?

significant cyanosis without the presence of a murmur

the nurse is conducting a physical examination of a child with a racial plexus injury. which finding would lead the nurse to be highly suspicious of Erb palsy?

the involved extremity is adducted, prone, and internally rotated