Pedi 2

The nurse is calculating the 24 fluid volume requirement for a patient. The patient weighs 31 kg. At what rate will the IV pump be set to deliver the fluid over 24 hours? _____ ml/hr. Enter the numeric value and round to the nearest whole number

72

How would the nurse best describe Gowers sign to the parents of a child with muscular dystrophy? The pelvis position during gait A transfer technique The muscle twitching present during a quick stretch A waddling type gait

A transfer technique

A child presents to the emergency department with a complain of a headache. The child's discharge diagnosis is a chronic progressive headache. Which of the following would be included in the discharge instructions? An appointment for a CT scan of the brain A prescription for antibiotics to treat science infection A referral to a counselor for a psychiatric evaluation A prescription for a preventative medication for migraines

An appointment for a CT scan of the brain

Reducing spasticity in children with cerebral palsy is a goal of therapy. After teaching a group of students about medication commonly used for neuromuscular disorders such as cerebral palsy, the nursing instructor determines that the teaching was successful when the students identify which classification of medication as therapeutic? Steroids Anti-spasmodic Beta Blockers Anti- depressants

Anti-spasmodic

The nurse is teaching a group of nursing students on the topic of Duchenne muscular dystrophy (DMD). Which of the following statements validates that learning was effective related to progressive complication of the disease? As DMD progresses monitoring of pulmonary function test and SpO2 assessment is critical as lung function decreases and chest and muscles become weaker In patients with DMD it is expected to have a decrease in serum creatine kinase due to muscle wasting It is not important for a patient with DMD to be seen by a cardiologist as DMD does not affect the heart It is important to monitor the child's cognitive status as DMD may cause developmental delay.

As DMD progresses monitoring of pulmonary function test and SpO2 assessment is critical as lung function decreases and chest and muscles become weaker

A 12-year-old boy is examined at the doctor's office. His height is reported as 154 cm. His height in inches is _____ inches. Round to two decimal places (hundredths place). A. 61 inches B. 60.63 inches C. 60.62 inches D. 60 inches

B. 60.63 inches

The nurse is planning care for a school-aged child recovering from being hit by a motor vehicle while riding a bicycle. For what will the nurse assess to determine the onset of disseminated intravascular coagulation in this child Bleeding from intravenous sites Blurred vision Sudden onset of knee pain Nausea and vomiting

Bleeding from intravenous sites

A child is brought in the emergency department after being in a motor vehicle accident. The child experienced head trauma in the accident. When assessing the child which will be the first change noted in the presence of increasing intercranial pressure? Decline in reparatory rate Increase in heart rate Reduction in heart rate Change in level of consciousness

Change in level of consciousness

A 4 month old presents to the clinic. When palpating the head nurse notes an open posterior fontanel. Which additional finding would lead the nurse to suspect congenital hypothyroidism? Tachycardia Constipation Warm, flushed skin Hypertonia

Constipation

The nurse is teaching the parents of a 9 year old girl about the socialization that is occurring in their child through school contacts. Which of the following information would the nurse include in the teaching plan? A characteristic of school age children is their formation of groups with no rules and values involved Teachers are the most influential people in the development of the school age child's social network Continuous peer relationships provide the most important social interaction for school age children Parents should establish norms and standards that signify acceptance of rejection.

Continuous peer relationships provide the most important social interaction for school age children

The nurse caring for an infant with myelomeningocele before surgical intervention will prioritize care in what way? Prevent cold stress using an isolette and blankets Cover the sac with a saline moistened dressing Change position from side to side hourly Keep the mass uncovered and dry

Cover the sac with a saline moistened dressing

The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor. Which statement should the nurse post immediately? No milk or milk products allowed No blood sampling in lower extremities No intramuscular injections Do not palpate abdomen

Do not palpate abdomen

The nurse is assessing a child who is experiencing acute splenic sequestration secondary to sickle cell disease. The nurse would identify which of the following as the priority? Pain relief Oxygen administration Antibiotic administration Emergent transfusion

Emergent transfusion

The nurse identifies the nursing diagnosis of risk for infection related to chemotherapy- induced immunosuppression. What would the nurse include in the teaching plan for the child and parents about reducing the child's risk? Encourage the child to brush his teeth regularly Encourage frequent visitors Provide fresh fruits and flowers to boost the child's mood Provide a low carbohydrate, low protein diet

Encourage the child to brush his teeth regularly

The father of a 12 year old girl report his daughter does not have high self-esteem. He asks for suggestions to increase her feelings of self-worth. Which activity would be most appropriate for the nurse to suggest? Provide her with a weekly allowance Encourage the child to join at a club at school Agree with her friends' opinions in order to gain their acceptance Allow the child to quit the softball team

Encourage the child to join at a club at school

Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkins Lymphoma? Soft tissue swelling Soft to hard, nontender mass in the pelvic area Enlarged painless, firm cervical lymph nodes Protuberant, firm abdomen

Enlarged painless, firm cervical lymph nodes

A 6 month- old girl is seen with retinoblastoma. When taking a health history from her father which symptom would you expect him to report he has noticed? He has noticed one pupil appears white in photos The infant always keeps her eyes tightly closed His daughter tugs and pulls at one ear His daughter's eye appears to be protruding

He has noticed one pupil appears white in photos

Which statement made by the parent of a 6 month old infant undergoing serial casting for treatment of clubfoot indicates the parent is correctly following the treatment plan? I monitor the temperature of his foot often to make sure that the cast still fits I am careful to leave him in his bed with his leg elevated as much as possible It's okay If the cast gets wet during baths because it will be changed often It's okay that he's not trying to roll over; he'll catch up later

I monitor the temperature of his foot often to make sure that the cast still fits

The nurse has just completed an assessment on a child who voices an interest in how things are made and who needs support when they are not successful. The child further reports being involved in clubs and sports outside the home. The nurse is aware the child is in which of Erickson's states of development? Industry versus inferiority Trust versus mistrust Autonomy versus shame and doubt Initiative versus guilt

Industry versus inferiority

The nurse is caring for a child who has been admitted for a sickle cell crisis. Which of the following would the nurse do first to provide adequate pain management? Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered Initiate pain assessment with a standardized pain scale Use guided imagery and therapeutic touch Administer morphine as ordered

Initiate pain assessment with a standardized pain scale

Which intervention would be part of the discharge plan for a child with osteomyelitis? Instruction for a referral to the Oncology clinic Instruction for the parent to return the child to team sports immediately strengthen the bone Instructions for a high-fat, low- protein diet A referral to a home healthcare agency

Instruction for a referral to the Oncology clinic

A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dl. Which of the following would the nurse do next? Administer glucagon intramuscularly Offer a complex carbohydrate snack Administer a sliding scale dose of insulin Give 10 to 15 grams of a simple carbohydrate

Offer a complex carbohydrate snack

Which of the following activities or attributes would indicate appropriate development according to Erickson's development theory for the preschool aged child Planning a tea party Taking apart a toy to see how it works Imitating their parents Building a model

Planning a tea party

After providing a lecture on puberty for 6th grade boys the nurse asks the class which secondary sex characteristic appears first? The nurse determines that the teaching was successful if the response is Presence of pubic hair Testicular enlargement Rapid growth spurt Enlargement of the penis

Presence of pubic hair

In caring for the child with Guillain-Barre syndrome the nurse will provide much supportive care while watching carefully for signs of deterioration in which body system? Genitourinary Integumentary Respiratory Cardiovascular

Respiratory

A nurse is performing a Glasgow Coma Scale assessment. She will evaluate all of the following except. Sensory response Eye opening Motor response Verbal response

Sensory response

A young mom brings her 3-year-old daughter into the clinic stating that her child refuses to eat or drink. As she undresses the child you notice there is a pustular rash on the palms of her hands and soles of her feet. What would be your priority nursing concerns? Skin integrity Oxygenation Pain control Hydration

Skin integrity

The nurse develops a plan of care for a child who has just experienced a tonic-clonic seizure while in the emergency department. In this plan of care the nurse identifies seizure precautions and documents that which item(s) is most important to have placed at the child's bedside? A cervical collar to maintain the cervical spine Padded covering for the bed rails Padded tongue blade Suction equipment

Suction equipment

A child arrives at the emergency room experience nausea, vomiting, headache and photophobia and is diagnosed with bacterial meningitis. Other findings include a decrease in urine output, hyponatremia and water intoxication. Which pituitary gland disorder would be considered? Hypersecretion of somatotropin Hyposecretion of somatotropin Diabetes insipidus Syndrome of inappropriate antidiuretic hormone

Syndrome of inappropriate antidiuretic hormone

A mother whose 7-year old child has been placed in a cast for a fractured right arm reports he will not stop crying even after taking Tylenol with codeine. He also will not straighten the fingers on his right arm. The best response by the nurse is? Take him to the emergency department Avoid letting him get so tired Wait another hour if he is still crying call back Put ice on the injury

Take him to the emergency department

The nurse is assessing a child diagnosed with Cushing disease. Which statement by the parents demonstrates a need for further teaching? The disorder is most likely due to an infection my child had recently. My child may experience excessive hair growth and rapid weight gain My child's round, full face appearance is reversible with appropriate treatment We need to pay close attention to any wounds our child gets to monitor for adequate healing

The disorder is most likely due to an infection my child had recently.

A child presents to your clinic with a chief complaint of itchy, watery eyes bilaterally. The parent also reports sneezing and a clear, runny nose. Which of the following statements by the parent indicates they understand the teaching provided? We will administer the antibiotics as prescribed We will notify the daycare of our child's condition This condition is caused by a virus There is no need for antibiotics for this conditions

There is no need for antibiotics for this conditions

The nurse is preparing teaching materials for a family whose child is prescribed somatotropin for a growth hormone deficiency. What should the nurse instruct the parents about the administration of this medication? A home health nurse will be coming to administer the injection once a week This medication must be given in the morning before school This medication must be given by injection Urine should be monitored for protein

This medication must be given by injection

The parents of an 11-year-old child ask the nurse for suggestions to promote good nutrition for their child. Which response by the nurse would be most appropriate? Use whole grain or enriched breads and cereals Be sure to limit protein to one meal every day Eat dark green leafy vegetables about twice a week Limit your milk intake

Use whole grain or enriched breads and cereals

The nurse is reviewing discharge instruction with the parents of a 3 year old child with humeral fracture and a cast in place. Which statement by the parent requires further follow up by the nurse? We will provide some small toys to play with during recovery We will not immerse the cast in water We will have a hair dryer to use on the cool setting for itching We should avoid long periods in hot weather

We will provide some small toys to play with during recovery

A mother brings a 4-year-old child to the pediatrician's office for his yearly checkup. The mother states that the child is speaking in sentences of around 4 words, singing songs, telling stories about his imaginary friends and knows his favorite colors. What is the nurses appropriate response? Your child is right on track with his language development Your child is very advanced for his age Your child is showing some signs of language delay. We should have him evaluated Your child should not be making up stories about imaginary friends. Is he watching too much television?

Your child is right on track with his language development