Pediatric Nursing Test 2

A child with lead poisoning is admitted to the facility for chelation therapy. The nurse must stay alert for which adverse effect of chelation therapy?

seizures

A client is brought to the emergency department in respiratory distress caused by acute epiglottitis. Which assessment finding is most concerning for the nurse?

severe sore throat, drooling, and inspiratory stridor

The nurse includes recreational therapy in the plan of care for a 3-year-old child hospitalized with pneumonia and cystic fibrosis. What toy is the best choice for the child?

child's favorite doll

A nurse is teaching the parents of an infant with cystic fibrosis about chest percussion therapy. Which statement by the nurse is most accurate in explaining the rationale for using chest percussion on infants with cystic fibrosis?

"Chest percussion helps clear secretions out of the lungs."

After being hospitalized for status asthmaticus, a child is discharged with prednisone and other oral medications. Two weeks later, when the child comes to the clinic for a checkup, the nurse instructs the parent to gradually decrease the dosage of prednisone, which will be discontinued. The parent asks why prednisone must be discontinued. How should the nurse respond?

"Long-term steroid therapy may interfere with a child's growth."

An adolescent male with cystic fibrosis tells the nurse he wants to marry and raise a large family. How should the nurse respond?

"You may need to consult genetic and reproductive experts."

Parents are asking about the signs and symptoms of a urinary tract infection (UTI). What possible manifestation(s) should the nurse include in the response? Select all that apply.

-abdominal pain -vomiting -diarrhea -fever -dysuria

A parent brings her 6-year-old daughter to the pediatrician's office for evaluation. The child recently started wetting the bed and running a low-grade fever. A urinalysis is positive for bacteria and protein. A urinary tract infection (UTI) is diagnosed, and the child is prescribed antibiotics. Which nursing interventions are appropriate? Select all that apply.

-assess the paren'ts understanding of UTI and its causes -instruct the parent to administer the antibiotics as prescribed, even if the symptoms diminish

A nurse teaches an adolescent client with asthma to independently administer breathing treatments. Which principle should the nurse keep in mind when planning the teaching session?

Adolescents are worried about appearing different from their peers.

A child with asthma states, "I want to play some sports like my friends. What can I do?" The nurse responds to the child based on the understanding of what information?

Most children with asthma can participate in sports if the asthma is controlled

A child with cystic fibrosis does not like taking a pancreatic enzyme supplement with meals and snacks. The parent does not like to force the child to take the supplement. What is the most important reason for the child to take the pancreatic enzyme supplement with meals and snacks?

The child needs these pancreatic enzymes to help the digestive system absorb fats, carbohydrates, and proteins.

A child is admitted with a 5-day history of severe vomiting and diarrhea. Which intervention is the priority for the nurse?

administering IV fluids

A 4-year-old child who has been ill for 4 hours is admitted to the hospital with difficulty swallowing, a sore throat, and severe substernal retractions. The child's temperature is 104°F (40°C), and the apical pulse is 140 bpm. The white blood cell count is 16,000/mm3 (16 × 109/L). What is the priority for nursing intervention?

airway obstruction

A preschool-aged child with suspected epiglottitis is emitting no sounds during inhalation attempts and begins drooling. What is the nurse's priority action?

assisting with tracheotomy

The nurse observes an 18-month-old who has been admitted with a respiratory tract infection and is leaning forward with an open mouth and protruding tongue and is drooling. What should the nurse do first?

call the rapid response team

A client has just received a dose of theophylline I.V. for asthma. What assessment finding should the nurse expect?

decreased pulmonary wheezing

In an initial screening for lead poisoning, a toddler is found to have a minimally elevated lead level. What is the most important action the nurse should take?

educate parents on ways to reduce lead in the environment

The parent of a toddler with nephrotic syndrome asks the nurse what can be done about the child's swollen eyes. Which is the best measure that the nurse should suggest?

elevate the head of the child's bed

The nurse teaches the parent of a toddler diagnosed with lead poisoning about the importance of adherence to the treatment plan. What should the nurse include as the most serious complication if the condition goes untreated?

neurologic deficits

A school nurse is evaluating a 7-year-old child who is having an asthma attack. The child is cyanotic and unable to speak, with decreased breath sounds and shallow respirations. What is the nurse's next action?

prepare to ventilate the child

A 9-year-old child is admitted to the pediatric unit for treatment of cystic fibrosis. A nurse assessing the child's respiratory status should expect to identify:

production of thick, sticky mucus

A child is admitted to the facility with nephrotic syndrome. The nurse carefully monitors the client's fluid intake and output and checks urine specimens regularly with a reagent strip. Which finding is the nurse most likely to see?

proteinuria

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

sunken fontanel

A school-age child with cystic fibrosis (CF) is suddenly losing weight, despite having a voracious appetite. The child has large, foul-smelling stools, with excessive gas, distention, and bloating. Which is the nurse's best assessment of the etiology of this problem?

the dose of pancreatic enzyme needs to be adjusted

A toddler diagnosed with nephrotic syndrome has a fluid volume excess related to fluid accumulation in the tissues. Which measure should the nurse anticipate including in the child's plan of care?

weigh the child before breakfast

An adolescent is admitted with a diagnosis of nephrotic syndrome. Which signs or symptoms would the nurse expect to see with this syndrome? Select all that apply.

-dark frothy urine -hypoproteinemia -proteinuria -periorbital edema