Mixed questions- PEDS EXAM 2

A mother of a toddler who is hospitalized with mild dehydration must leave her child to go to work. Which behavior would the nurse expect to observe in the toddler immediately after the mother's departure? a. silently curled in bed with a blanket b. loudly crying and kicking both legs c. playing quietly with a favorite toy d. sucking thumb and rocking back and forth

b. loudly crying and kicking both legs

A home care nurse is providing instructions to a child with cystic fibrosis about how to perform the "huff" maneuver; the child asks the nurse about the purpose of this type of breathing. The nurse makes which response to the child? a. "this type of breathing is used to mobilize secretions so that they can be easily coughed out" b. "this type of breathing prolongs inspiration time" c. "this type of breathing moves air out of the lower lungs" d. "this type of breathing moves air through the lungs"

A. "this type of breathing is used to mobilize secretions so that they can be easily coughed out"

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 should the nurse include? A. Avoid palpating abdomen when bathing before surgery B. Refrain from auscultating the child's bowel sounds during post-op assessment C. Encourage child to play with other children on the unit prior to surgery D. Explain to the child that their pain will be managed after the surgery

A. Avoid palpating abdomen when bathing before surgery

A nurse is teaching the client taking medications by inhalation about the advantages of a newly prescribed spacer device. The nurse determines the need for further teaching if the client states that the spacer device: a. reduces the frequency of medication to only once per day b. reduces the chance of yeast infection because large drops arn't deposited on the oral tissues c. disperses medication more deeply and uniformly d. reduces the need to coordinate timing between pressing the inhaler and inspiration

A. a. reduces the frequency of medication to only once per day

A client with gastroesophageal reflux disease (GERD) has just received a breakfast tray. The nurse setting up the tray for the client notices that which of the following foods is the only one that will increase the lower esophageal sphincter (LES) pressure and thus lessen the client's symptoms? a. fresh scrambled eggs b. nonfat milk c. whole wheat toast with butter d. coffee

B. Nonfat milk

A home care nurse is instructing the mother of a child with cystic fibrosis (CF) about the appropriate dietary measures. The nurse tells the mother that the child needs to consume a: a. low calorie, low fat diet b. high calorie, high protein diet c. low calorie, low protein diet d. high calorie, restricted fat

B. high calorie, high protein diet

A clinic nurse is providing home care instructions to the mother of a 3-year-old child with a diagnosis of vomiting and diarrhea due to gastroenteritis. The nurse instructs the mother to give the child which of the following to maintain hydration status? a. popsicles b. soda pop c. apple juice d. pedialyte

D. Pedialyte

"When obtaining a history from parents of a 5 month old child suspected of having intussusception, which assessment area would be most important for the nurse to address?" a. pattern of abdominal pain b. known allergies c. dietary intake during the past 24 hours d. usual pattern of bowel movements

a. pattern of abdominal pain

Breathing exercises and postural drainage is prescribed for a child with cystic fibrosis. A nurse implements these procedures by telling the child to: a. perform the postural drainage, then the breathing exercises b. perform the breathing exercises, then the postural drainage c. schedule the procedures so they are 4 hours apart d. perform postural drainage in the morning and breathing exercises in the evening

a. perform the postural drainage, then the breathing exercises

"A nurse is caring for a child with intussusception. During care, the child passes a normal brown stool. The most appropriate nursing action is to:" a. report the passage of a normal brown stool to the physician b. prepare the child and parents for the possibility of surgery c. note the child's physical symptoms d. prepare the child for hydrostatic reduction

a. report the passage of a normal brown stool to the physician

A client is taking albuterol (Ventolin) by inhalation but cannot cough up secretions. The nurse teaches the client to do which of the following to best help clear the bronchial secretions? a. administer an extra dose before bedtime b. take in increased amounts of fluids every day c. get more exercise each day d. Use a dehumidifier in the home

b. take in increased amounts of fluids every day

"A client taking albuterol (Ventolin) experiences a severe episode of wheezing, which the nurse interprets as bronchospasm. A telephone call is made to the physician's office to report the occurrence. The nurse does which of the following while waiting for the physician to return the call?" a. administer the next dose of albuterol as scheduled b. withholds the next dose of albuterol c. administer a double dose of albuterol d. administers half the dose of albuterol

b. withholds the next dose of albuterol

"A newborn infant is diagnosed with hypospadias, and the mother asks the nurse about the disorder. The nurse bases the response on which of the following?" a. it is a congenital anomaly in which the actual opening of the urethra meatus is below the normal placement on the glans penis b. it occurs when one or both testes fail to descend through the inguinal canal into the scrotal sac c. it is a congenital anomaly in which the actual opening of the urethral meatus is dorsal to the urethral opening d. it is a congential anomaly characterized by the extrusion of the urinary bladder to the outside of the body

c. it is a congenital anomaly in which the actual opening of the urethral meatus is dorsal to the urethral opening

A nurse is assessing a child after hydrostatic reduction for intussusception. The nurse would expect to observe which finding after this procedure? a. severe colicy-type pain with vomiting b. currant jelly like stools c. passage of barium or water soluble contrast with stools d. severe abdominal distention

c. passage of barium or water soluble contrast with stools