i ****ing hate kids
what statement by a mother may indicate a cause for her 9 month old having iron deficiency anemia?
"formula is so expensive. we switched to regular milk right away."
the physician has ordered jacket restraints for a 4 year old patient. what statement by the nurse suggests that more education is needed about using restraints?
"i will tie the restraints to the side rails."
the mother of a 6 year old child has impetigo states " i am glad that my child can go on playing with the other children like before." the most appropriate response is:
"impetigo is highly contagious and may be spread to others."
which of the following statements about the gastrointestinal system in infants and children is correct? children with nausea and vomiting dehydrate less quickly than adults with those symptoms. the infant's stomach is large and empties slowly. as children grow, they have higher nutritional and metabolic needs than adults. newborns produce lots of saliva at birth.
as children grow, they have higher nutritional and metabolic needs than adults.
one manifestation of hypothyroidism in children is:
decreased mental capacity
more than half of the dermatologic problems in children are forms of:
dermatitis
the nurse assesses an injured child at the scene of a suspected terrorist incident. when evaluating the patient for any sings or symptoms that may indicate exposure to a biological agent, the nurse would asses all of the following EXCEPT: interaction with examiner developmental milestones respiratory effort skin color
developmental milestones
which of the following theories of aging is defined as: a process in which older adults and society gradually withdraw from each other to the mutual satisfaction of both?
disengagement
treatment for a child with wilms' tumor includes a combination of surgery, radiation therapy, and chemotherapy. what sign will the nurse place inside the crib?
do not palpate abdomen
to instill eardrums in an infant, what is the proper method of pulling the pinna?
down and back
the term that best relates to the patient experiencing difficulty swallowing is called?
dysphagia
a 7 month old infant is admitted to the hospital with a diagnosis of acute gastroenteritis. the priority goal of the infant's care is to prevent dehydration and [ ]
electrolyte imbalance
the single parent of a 12-year-old child tells the nurse she cannot miss work and stay home with the child who was diagnosed with chickenpox. the parent asks the nurse if there is a medication that will reduce the symptoms associated with the illness. which of the following is the most appropriate nursing response?
explain the advantages of the medication acyclovir to treat chickenpox
postural drainage is usually done three times a day, after meals are eaten, and is more effective before respiratory therapy. true or false
false
what is the best site to use for fingersticks when trying to obtain a sample for blood glucose self monitoring?
fingertips
you are receiving shift report on a 6 year old child who has TPN infusing at 10 cc/hr. there is an order to discontinue the infusion. you know that the most appropriate way to discontinue TPN is?
gradually decrease the infusion
what is an appropriate treatment for hypoglycemia?
hard candy
the nurse can minimize the problem of an unpleasant tasting drug by:
having the child punch the nose and drink the medicine through a straw
a child with hemophilia is bleeding into his joints. this condition s known as:
hemarthrosis
a father of a pediatric patient asks, "how did they determine that my child had tines capitis?" as a nurse you know that it is diagnosed by what?
history and appearance
what factor affects the infant's response to medication
immature kidney function
when teaching a mother how to administer eye drops, where should the nurse tell her to place them?
in the conjunctival sac that is formed when the lower lid is pulled down
body changes make the elderly more susceptible to side effects and toxic levels of medications
increased serum medication levels potential polypharmacy
what condition is associated with bacterial endocarditis
infection of heart valves
the LPN is caring for a two year old child diagnosed with congenital heart disease. the initial observation reveals the child is pale and grunting on expiration and the parents state she is feeding poorly. what is an appropriate action for the nurse to implement
inform the physician immediately
what is a side effect of CNS stimulant medications such as the drug Ritalin which is used for ADHD
insomnia
the endocrine system plays a major role in controlling or regulating the metabolic processes governing all of the following except? response to stress. sexual reproduction. intracellular edema. fluid and electrolyte balance.
intracellular edema
a 6 month old infant presents to the emergency room with temp 104, drawing up knees to abdomen, crying and vomiting, His parent reports the passage of red current jelly-like stools. what is the likely diagnosis?
intussusception
the LPN is teaching parents about meckel's diverticulum, a correct statement about this disease is?
it is the most common congenital malformation of the GI tract
a three year old child presents to the pediatric clinic with a 104F temp for 6 days, conjunctivitis, a strawberry tongue and palms of the hands peeling. what is the most likely diagnosis?
kawasaki disease
the LPN explains the clinical manifestations of a hernia to parents of a 15 month old boy. the LPN knows that a hernia:
may cause irritability, vomiting and constipation
non pharmacological strategies for pain management:
may reduce pain perception
acyclovir (Zovirax) is given to immunocompromised children with chicken pox to:
minimize itching decrease the number of lesions shorten the duration of the fever
the LPN is caring for a four year old child in advanced left sided heart failure. what is one of the most important nursing interventions to perform?
monitor respirations
the pediatric nurse warns student nurses about medicating newborns and young children because these children are:
more susceptible to medication effects than adults
a client calls the pediatric clinic and states, "my 3-year old child had a mild fever 36 hours ago." this morning, the child developed a red macular/papular rash, with pustules filled with clear fluid. the nurse advises the client that the child does not have:
mumps (parotitis)
which of the following would be included in the therapuetic management of a child's blood glucose level of 150 mg/dl prior to an evening meal? (Select all that apply.) NPH Insulin. glucagon. orange juice. regular insulin.
nph insulin regular insulin
the pediatrician has ordered a nasal cannula for the toddler you are caring for. as a LVN, you know the following to be true regarding nasal cannula. the cannula supplies oxygen concentrations of 100%. you should tape the cannula at the toddler's neck to ensure it remains secure the cannula will be fine as long as you explain to the toddler why he needs it. older, cooperative children can use a nasal cannula.
older, cooperative children can use a nasal cannula
a parent brings a child to the pediatric clinic, noting that the child has a "bumpy red rash" on the arms and legs. this type of circular, reddened, raised lesions on the skin are known as:
papular lesions
preschoolers growth and development may be impacted by surgery on the urinary or genital tract because of:
perceiving the treatment as punishment
acute golmerulonephritis may appear after what conditions?
pharyngitis skin infections
after the urine collection bag has been applied and you are ready to place a clean diaper on the infant, which of the following should be done prior to applying the diaper?
place a slit in the diaper and pull the urine collection bag through the slit
what is the correct position for a jugular venipuncture?
place on exam table with shoulder at edge of table and turn head 45 degrees
obstructive uropathy includes many conditions, such as calculi (stones), tumors, strictures and scarring that causes an obstruction of normal urine flow. what conditions are related to obstructive uropathy?
polycystic kidney disease and hydronephrosis
a three week old infant is brought to the clinic for vomiting shortly after nursing and constant hunger. on exam, the LPN notices an olive shaped mass in the RUQ. the most likely diagnosis is:
pyloric stenosis
the nurse has applied an elbow restraint t a 5 month old infant. How often should the restraint be removed to exercise the extremity?
q2h
an 8-month-old infant is restrained to prevent interference with the IV infusion. the nurse should do which of the following?
remove restraints every 2 hours for exercise
describe second degree burns in children
skin is mottled, blistered, and painful
describe the urine of the client with acute glomerulonephritis.
smokey brown or bloody
a 6 month old infant is admitted with gastroenteritis. you need to start an iv on her. what is the most appropriate site to select?
superficial vein of the foot
while the nurse is preparing to administer an IM injection to a 4 week old infant, what is the most appropriate position for the pt?
supine with the leg extended
a 6 year old child presents to the clinic with a muddy bronze complextion, abdominal distention, protruding teeth and anemia. these signs and symptoms are most likely associated with which of the following disease processes?
thalassemia
an 8-year-old has just had a central venous access device line inserted in the intensive care unit. the peripheral intravenous line (PIV) is still in place and patent. a dose of antibiotic is due now. as the nurse, which venous access site would you use?
the PIV must be used until placement of central venous catheter is confirmed by radiograph
a 4 month old infant with gastro-esophageal reflux (GER) is admitted to your nursing unit. the LPN explains to the parents that GER results when:
the lower esophageal sphincter is relaxed and allows stomach contents to be easily regurgitated into the esophagus.
who is responsible for explain the procedure and obtaining consent?
the provider
what causes a higher incidence in hypertension in children?
there is a higher incidence of htn in children with hypertensive parents
what best describes staphylococcal infections?
they are caused by bacteria that are found in dust and on skin
what cell is responsible for blood coagulation
thrombocyte
what statement describes the pathophysiology of esophageal atresia?
tissues of the GI tract fail to separate properly from the respiratory tract in utero
it is the nurses' responsibility to make sure the provider correctly calculates medication doses of children. true or false
true
the urinary system consists of
two kidneys, two ureters, urinary bladder and one urethra
treatment and nursing care for a child with appendicitis can be challenging since he/she may have difficulty expressing symptoms. which of the methods below is appropriate to assess pain in children?
use pain perception scales and observe behaviors of the child
what is a true statement r/t acute renal failure (ARF)
usually reversible but mortality in pediatric patients is high
a ten year old female is at the clinic for a physical examination when her mother mentions that she is concerned about her daughter's recent bed-wetting accidents. the nurse would suspect the girl is experiencing?
uti
what is the preferred site for intramuscular injections in infants?
vastus lateralis
how do you weigh a child with nephrotic syndrome?
weight the child on the same scale, at the same time each day
while conducting pt teaching to a new teenage mother, what would be appropriate to explain to her about changing her newborn daughter's diaper?
wipe from front to back with plain water or wipe
a mother calls the outpatient clinic requesting information on appropriate dosing for over-the-counter medications for her 13-month-old who has symptoms of an upper respiratory infection and fever. the box of acetaminophen says to give 120 mg q4h when needed. at his 12-month visit, the nurse practitioner prescribed 150 mg. the nurse's response is based on what?
"it is inappropriate to use dosages based on age because children have a wide range of weights at different ages." "the nurse practioner ordered the drug based on weight, which is more accurate way of determining a therapeutic dose."
the nurse suctioning a 5 year old patient to remove secretions from their tracheostomy must limit the suction time to what?
5 seconds
a child seen in the pediatric clinic has blisters and ulcerations in the diaper area. the nurse recognizes that the child has a case of diaper rash. treatment for this condition includes what?
A&D or zinc oxide applied to the affected area
while feeding solids to a 6 month old infant, you should do what to compensate?
Decrease the quantity of milk to prevent overfeeding
during a routine assessment of a 2 week old infant, the nurse notes a continuous machine-like murmur and bounding pulses. these symptoms are consistent with what type of congenital heart defect?
PDA
parent or guardian consent for treatment of minor children in an emergency situation is not necessary if the parent or guardian refuses to give consent true or false
apparently this is true.
which of the following is a true statement concerning the elderly?
about 90% of older adults own and live in their own homes
once the diagnosis of hodgkin's disease has been confirmed, the basis for treatment protocols and expected prognosis for hodgkin's disease is?
accurate staging of the extent of the disease
children often fear induction of anesthesia by face mask. what things can be done to decrease the anxiety the mask causes?
allow for the child to sit up rather than lie down for induction use a transparent mask rather than an opaque mask
the nurse understands that the most common cause of dementia is:
alzheimer's disease
what is one of the most frequently presenting clinical manifestations of leukemia?
anemia
which of the following drugs is an angiotensin-converting enzyme (ACE) inhibitor? captopril (Capoten). furosemide (Lasix). spironolactone (Aldactone). chlorothiazide (Diuril)
captopril (Capoten)
what is a major manifestation of jones criteria that is used to diagnose an initial attack of rheumatic fever?
carditis
nonprescription remedies that could be used in treating pediculus capitus include what?
combing the hair with a fine-toothed comb dipped in a 1:1 solution of white vinegar and water. shampooing the hair with pyrethrin and combing it with a fine-toothed comb
when obtaining vital signs from a child the nurse will be expected to:
compare vital signs to expected normal values
nursing care of the newborn with oral candidiasis (thrush) includes what?
continue medication for prescribed number of days
which of the following congenital heart defects can obstruct blood flow from the ventricles because o stenosis(narrowing) of a vessel?
correction of the aorta
what urodynamic procedures is used to determine the source of urinary problems by providing a graphic comparison of bladder pressure as a function of volume?
cystometrogram
