Exam 6
Nurse is conducting an assessment on a school-age child with urosepsis. Assessment finding should the nurse expect
Feel with a positive blood culture
Nurses must be alert for increase fluid requirements for a child presents with which possible concern
Fever
Trial diagnosed with aplastic, anemia, bone marrow transplant may be necessary. Nurse recognizes has an important when discussing this with the family.
Finding a suitable donor involves matching antigens from the human leukocyte antigen system HLA
Information should the nurse stress to workers at a daycare center about RSV
Frequent hand washing, can decrease the spread of the virus
School age child has been admitted to the hospital digagnosed with minimal change nephrotic syndrome. Clinical manifestations should the nurse expect to assess
Generalized edema Proteinuria >2+ Fatigue Irritability
Best described as the inability of the hard to Pompano adequate amount of blood to the systemic circulation at normal filling pressures
Heart failure
Admitted with a true glomerulonephritis. Expect the urinalysis during this acute phase to show
Hematuria and proteinuria
Statements regarding hepatitis are correct
Hepatitis B can be prevented by hepatitis B virus vaccine Hepatitis B can be transferred to an infant of a breast-feeding, mother The onset of hepatitis B is insidious Immunity to hepatitis B occurs after one attack
Vaccine is now recommended for the immunization of all newborns
Hepatitis B vaccine
Hyper lipidemia with a group of adolescence nurse should explain that high levels of what substance are thought to protect against cardiovascular disease
High density Lipo proteins, HDLS
Type of dehydration, results from water loss in excess of electrolyte losses
Hypertonic, dehydration
Nurse is conducting teaching for an adolescent being discharched to home after a renal transplantation. Adolescent needs further teaching if which statement is made
I am glad I only have to take the immunosuppressant medication for 2 weeks
Intervention should the nurse implement immediately of evidence found of a cardiac tamponade
Immediately report this to the physician
Priority, nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia
Immobilization of elevation of the effect of joint
Name is given to identify an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets
Immune thrombocytopenia
Clinical changes occur as a result of septic shock
Increase cardiac output
Which statement most accurately describes the pathologic changes of sickle cell anemia
Increase red blood cell destruction occurs
Common side effect of corticosteroid therapy
Increased appetite
Thieman correctly describes thalassemia major cooleys anemia
Increased incidence occurs in families of Mediterranean extraction
Nurse closely monitors the temperature of a child diagnosed with nephrosis. Purpose of this is to detect an early sign of what undesireable outcome
Infection
Clinical manifestations should the nurse expect when a child diagnosed with sickle cell anemia experience in acute Vaso-occlusive crisis
Painful swelling of hands and feet painful joints
Pancreatic enzymes are administered to the child with cystic fibrosis information included in patient education administration of these enzymes
Pancreatic enzymes can be swallowed, whole or sprinkled on a small amount of food taken at the beginning of a meal
Advantage of peritoneal dialysis
Parents and older children can perform treatments
Term is used to describe a clinical manifestation of the systemic venous congestion that can occur with congestive heart failure
Peripheral edema
Caring for an infant, who is cleft lip, was repaired which interventions
Petroleum jelly to the suture line And elbow restraints
Narrowing of prenuptial opening of foreskin is referred to as what
Phimosis
Major clinical manifestation of rheumatic fever
Polyarthritis
Nurse is caring for a child with persistent hypoxia secondary to cardiac defect. Risk of cerebral vascular. Accident exist an important objective to decrease risk is to achieve what result.
Prevent dehydration
Diagnostic finding is present when a child has primary nephrotic syndrome
Proteinuria
Which intervention should the nurse implement when caring for a child with hepatitis?
Provider will balance, low fat diet Teach parents not to administer any over-the-counter medication's Instruct parents on the importance of good handwashing
Nurse is planning activity for a four-year-old child with anemia which activity should the nurse plan for this child
Puppet play in the child's room
Objective of care the child with nephrons is is what desired outcome
Reduced excretion of urinary protein
Diagnostic test allows visualization of the renal parenchyma and renal pelvis without exposure to external beam radiation or radioactive isotopes
Renal ultrasound
Which information should the nurse teach families about reducing exposure to pollens and dust?
Replace wall-to-wall carpeting with wooden tile Use an air conditioner What does prove covers on pillows and mattresses
When caring for the child, who is Kawasaki disease the nurse should understand that the principle of care
Therapeutic management includes administration of gammaglobulin and aspirin
Conducting discharge teaching to parents about the care of their infant after cardiac surgery, instructs the parents to notify the physician for conditions occur
Temperature above 37.7°C New frequent coughing Turning blue or bluer than normal
Nurse includes in a teaching plan for the parents of ac hold with vesicoureteral reflux
The importance of taking prophylactic antibiotics
What test ordered for preschool trailer, severe anemia she's crying and upset because she remembers the venipuncture done at the clinic two days ago. The nurse should explain.
Topical application of local anesthetic can eliminate Venipuncture pain
Nursing is teaching parents of a child with chronic renal failure CRF about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Statement indicates the parents have understood the teaching
The red blood cell count should begin to improve with these injections
Clinical manifestation would be seen in a child with chronic renal failure
Unpleasant "uremic" breath odor
A child diagnosed with chronic renal failure the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as what
Uremia
Hypospadias refers to what urinary anomaly
Urethral opening along ventral surface of the penis
Mother asks the nurse what would be the first indication that acute glomerulonephritis is improving . Best response to identify which occurrence
Urinary output will increase
Secondary enuresis who reports of dysuria or urgency. Evaluated for what condition
Urinary tract infection UTi Diabetes mellitus
Which immunization should be given with caution to children, infected with human immunodeficiency virus
Varicella
Caring for an infant was suspected pyloric stenosis, clinical manifestations
Visible peristalsis and weight loss
Vitamin supplements are necessary for children with cystic fibrosis
Vitamins A, D, E, and K
Which condition is caused by a virus of primarily in fax a specific subset of T lymphocytes the CD4 T cells
Acquired immunodeficiency syndrome aids
Most appropriate nursing diagnosis for a child diagnosed with moderate anemia
Activity intolerance related to generalized weakness
Teaching the mother of a nine month old infant about administering liquid iron preparation. The nurse should include that information.
Adequate dosage return the stools a tarry green color
Primary nursing intervention necessary to prevent bacterial endocarditis
Counsel parents of hi risk children about prophylactic antibiotics
School is child is emitted in vaso-occlusive, sickle cell crisis include which intervention
Adequate hydration Pain management
School age child in acute renal failure with reduced glomerular filtration rate. Urine test is the most useful clinical indication of glomerular filtration rate
Creatinine clearance
What condition is characterized by chronic inflammatory process that may involve any part of the gastrointestinal tract the mouth to anus
Crohn's disease
Term is used to describe the painful, tender pea size Nigel they may appear on the pads of the fingers or toes in case is a bacterial endocarditis
Oslers nodes
School age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Prescribed medication should the nurse plan to administer
Sodium polystyrene sulfonate
Type of hernia that has an impaired blood supply to the herniated organ
Strangulated hernia
Most common causative agent of bacterial endocarditis
Streptococcus viridans
Parents of a school age child with hemophilia ask which sports are recommended for children with hemophilia
Swimming Golf Bowling
Intervention for treating croup at home
Take the child outside if air is cool and moist
Mother, who intend to breast-feed, has given birth to an infant with a cleft palate, which nursing intervention should be included
Encouraging and helping mother to help breastfeed Recommending the use of a breast pump to maintain lactation until infant can suck
Term used to identify when the mental opening is located on the dorasal surface of the penis
Epispadias
Most appropriated nursing diagnosis for the child with acute glomerulonephritis
Excess fluid volume related to decreased plasma filtration
Child with cystic fibrosis prescribed recombinant human deoxyribonuclease(rhDNase) information should be included in the medication education provided the child and family
May cause minor voice alterations
Intervention should be implemented prior to the removal of a child's chest tube
Administer analgesics before the procedure
Nurse is caring for an adolescent who has just started dialysis. Child seems always angry, hostile, or depressed. What should the nurse contribute this behavior to?
Adolescents often resenting the control and enforced dependence imposed by dialysis
School age child is admitted to the hospital with acute glomerulonephritis and oliguria. Dietary menu items should be allowed for this child
Apples Carrot sticks Strawberries
Caring for school age girl, who has had a cardiac catheterization. The child told the nurse that her bandages to wet the nurse finds a bandage and bed soaked with blood. What is the most appropriate initial nursing action
Apply direct pressure above the catheterization site
Condition are all the formed elements of the blood simultaneously depressed
Aplastic, anemia
Which defect result in increased pulmonary blood flow
Atrial septal defect
Planning care for a spoiled child admitted to the hospital with hemophilia intervention, should the nurse plan
Avoidance of intramuscular injection Acetaminophen for mild pain control And soft toothbrush for dental hygiene
Infant diagnosed with pyloristenosis experiences, excessive vomiting that can result in which condition
Metabolic alkalosis
When should Cystic fibrosis receives air size bronchial, dilator medication
Before chest physiotherapy (CPT)
Calcium carbonate is given with meals to a child with chronic renal disease. Purpose?
Bind phosphorus
Which drug is in and angiotensin converting enzyme inhibitor
CAPTOPRIL
Structural defect constitute tetralogy of Fallot
Call Monica Thanos is ventricular, septal defect overriding aorta a right ventricle ventricular hyper trophy
Clinical manifestations, would the nurse expect to see a shock progresses in a child and decompensation develops
Call extremities and decrease skin turgor Confusion and somnolence Tachypnea poor capillary, refill time
Caring for a child with acute renal failure should recognized event as a sign of hyperkalemia
Cardiac arrhythmia
Complication should the nurse assess for when caring for a child post cardiac catheterization
Cardiac arrhythmia
Common serious, complication of rheumatic fever
Cardiac valve damage
Eight year old girl is receiving a blood transfusion when the nurse knows that she has developed precordial pain, dyspnea, distended neck pain, slight cyanosis in a dry cough. These are manifestations of what associated adverse reaction.
Circulatory overload
Intervention is a component of the therapeutic management of nephrosis
Corticosteroids
What is used to treat moderate to severe inflammatory bowel disease?
Corticosteroids
Beneficial effect is achieved by administering digoxin
Decreases edema
Clinical manifestations of chronic renal failure is uremic frost. Best describe
Deposits of urea crystals on skin
Therapy is begun on a child with thalassemia major with what I expected
Elimination of excess iron
Iron dextran nursing considerations
Injecting deeply into a large muscle
Which statement is most descriptive of Meckel's diverticulum
Intestinal, bleeding, maybe milder profuse
Child is brought to the emergency department with severe dehydration, secondary to acute diarrhea and vomiting therapeutic management of the shower, will begin with which intervention
Intravenous fluids
Statement is descriptive of renal transplantation in children
It is preferred means of renal replacement therapy in children
Postoperative intervention should be question for a child after cardiac catheterization
Keep the effective leg flex and elevated
What should the nurse consider when preparing a school-age child and family for heart surgery?
Leading the child hear the sounds of an electrocardiograph monitor
Diet of a child with chronic renal failure
Low in phosphorus
Why do infants and young children quickly have respiratory distress, acute and chronic alterations of the respiratory system
Mucus in edema, obstruct, small airways
Parent of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse should privide what explanation
Narcotics really cause addiction when they are medically indicated
Mother shares with the clinic nurse that she has been giving her four-year-old the anti-diarrheal drug loperamide conclusion should the nurse arrive at based on knowledge of this classification of drug
Not indicated
What should the nurse teach about prevention of sickle cell crisis appearance of a preschool child with sickle cell disease?
Notify the healthcare provider of a fever of 38.5°C or greater occurs Give penicillin as prescribed Notify the healthcare provider, if your child begin to develop symptoms of a cold
Interventions for the child, after cardiac catheterization, include which of the following
Oh wow ambulation as tolerated Maintain a Peyton peripheral intravenous catheter until discharge
The nurse caring for a neonate with suspected, tracheoesophageal, fistula, clued what intervention
Oh, really had to facilitate secrete drainage
What are the primary clinical manifestations of actue glomerulonephritis
Oliguria Hematuria Proteinuria Hypertension
Aplastic, anemia, which nursing diagnoses are appropriate
Risk for infection related to inadequate secondary defenses are immunosuppression Ineffective protection related to thrombocytopenia And effective tissue perfusion related to anemia
Diet of a child with nephrosis usually includes requirement
Salt restriction
Most common cause of acute renal failure in children
Several dehydration
Nursing is caring for an infant with a suspected urinary tract infection. Clinical manifestations would be observed
Vomiting Failure to gain weight Persistent diaper rash
Preschool child is being admitted to the hospital with dehydration and a urinary tract infection. Urinalysis result should the nurse expect with these conditions
WBC >2; specific gravity 1.030
Intervention is appropriated when examining a male infant for crytorchidism
Warming the room
Major complication is noted in a child with chronic renal failure
Water and sodium retention
Parents have understood the teaching about prevention of childhood otitis media
We will be sure to keep immunizations up to date
Inherited disorders descriptive a most cases of hemophilia
X-linked recessive inherited disorder in which a blood clotting factors deficient
Nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Information should the nurse include in the teaching
You will need to avoid adding salt to your child's food