Peds 2

Medication education on which drug should the nurse provide to the caregivers of a child diagnosed with rheumatic fever? a) dilantin b) aspirin c) antiviral

b) aspirin

The nurse is caring for a 6-year-old with a congenital heart defect. To best relieve a hypercyanotic spell, what action would be the priority? a) Provide supplemental oxygen b) place child in knee-to-chest position c) place the child in semi-fowlers d) notify the physician

b) place child in knee-to-chest position

The nursing instructor is discussing the various modes of transmission for pathogens. The instructor determines the session is successful when the students correctly point out that microorganisms transmitted by food, water, or blood are spread via which mechanism? a) vector b) contact c) vehicle d) droplet

c) vehicle

The nurse is preparing a child for surgery and is demonstrating and evaluating the child for using a patient-controlled analgesia device after surgery. The nurse would determine which client would be most appropriate to use this device? a) A 6-year-old who can push the nurse-call button b) a 3-year-old who has parents at the bedside at all times c) a 10-year-old with a history of behavior issues who has been compliant with care d) a 7-year-old who has told the nurse about using the control button

d) a 7-year-old who has told the nurse about using the control button

The mother of a child with asthma tells the nurse that she occasionally gives her steroid medicine for rheumatoid arthritics when the child has a "flare up" of asthma, "It's easier than going to the hospital or doctor every tie a flare up happens." What is the best response by the nurse? a) I know appointments are annoying but you steroids could give your child hyperglycemia, peptic ulcers and other complications. b) An adult should never give a child their medication. The doses may be different c) As long as it is only occasionally, it is ok if you give your child your medicine. d) I'm sure it must be difficult to cope with flare ups, but there are many side effects from steroid use and the physician needs to monitor your child's asthma symptoms

d) I'm sure it must be difficult to cope with flare ups, but there are many side effects from steroid use and the physician needs to monitor your child's asthma symptoms

The nurse is caring for a 13 y.o. girl who is hospitalized for management of her recently diagnosed diabetes. the child has been withdrawn, and when asked she reports she is "just tired of being sick". What action by the nurse will be of the greatest benefit to helping the child with this concern? a) encourage the child to call her friends on the phone b) encourage the child to explore the activity room c) encourage the parents to spend more time at the hospital d) encourage the child to participate in planning her daily care

d) encourage the child to participate in planning her daily care

A nurse with no pediatric experience has been transferred to a pediatric unit to work for the day. Which comments by the nurse indicate knowledge of developmental considerations when providing hygiene needs to a 3 month old infant. a) i need to find the talcum powder to use after the bath b) I plan on using a sponge bath to bathe the infant c) I will only leave the patient for very short periods of time if I have to step out to get a supply d) I think the patient is old enough to do a bath in the tub if I am very careful

b) I plan on using a sponge bath to bathe the infant

The nurse is caring for a preoperative pediatric client. What would it be best for the nurse to do with this client? a) Ask the patient if he is nervous about the surgery b) determine how much the child knows and is capable of understanding c) keep the child away from any food or drinks to ensure the child is NPO d) Tell the child not to worry because he will be asleep for the whole procedure

b) determine how much the child knows and is capable of understanding

Which findings are major criteria used to help the physician diagnose acute rheumatic fever in a child? Select all that apply. a) Temperature of 101.2° F(38.4° C) b) Elevated erythrocyte sedimentation rate c) Pericarditis with the presence of a new heart murmur d) Painless nodules located on the wrists

c) Pericarditis with the presence of a new heart murmur d) Painless nodules located on the wrists

The nurse is assessing an infant for peripheral edema. Based on the nurse's knowledge, the nurse would expect edema to occur in which area first? a) lower extremities b) presacral region c) face d) upper extremities

c) face

The nurse caring for a 6-month old infant can best reduce the stress of hospitalization for the patient by: a) holding and rocking the infant b) providing a pacifier for non-nutritive sucking c) supporting the parent in his or her presence and caregiving d) smiling and talking to the child while giving her a bath

c) supporting the parent in his or her presence and caregiving

The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preop medications? a) a sedative and an analgesic - atropine mixture before bed the night before the procedure b) a sedative and an analgesic-atropine mixture to be given the morning of the surgery c) a sedative and an analgesic-atropine mixture to be sent to the OR with the patient d) A sedative to be given one-and-a-half to two hours before surgery and an analgesic-atropine mixture given just before the child leaves for the operating room

d) A sedative to be given one-and-a-half to two hours before surgery and an analgesic-atropine mixture given just before the child leaves for the operating room

What acute respiratory condition is most common in early childhood?

Croup

A healthcare provider and other health team members are discussing congenital heart disorders which increase pulmonary blood flow. Which disorders are topics for this discussion? Select all that apply. a) ventral septal defect b) Tetrology of Fallot c) patent ductus arteriosis d) atrioventricular canal defect

VSD PDA atrioventricular canal defect

The nurse is preparing to admit a 4 year old who will be having tympanostomy tubes placed in both ears. Which strategy is most likely to reduce the child's fears? a) Let me show you how tiny these tubes are b) don't worry, you will be asleep the whole time c) Let me explain the procedure to you d) Let's take a tour of the OR

a) Let me show you how tiny these tubes are

The nurse is working at the child community clinic and must administer the flu vaccine to high-risk kids first. Which child would she choose? a) 22 month old who has a wound from touching a hot pan b) 26 month old who is very healthy c) 23 month old who had heart surgery as an infant for a defect d) 22 month old who has a cold

c) 23 month old who had heart surgery as an infant for a defect

A nurse is palpating the pulse of a child with suspected aortic regurgitation. Which assessment finding should the nurse expect to note? a) thready pulse b) thrill c) periorbital edema d) bounding pulse

d) bounding pulse

The nurse is assessing a child with aortic stenosis. Which findings would the nurse most likely assess? Select all that apply. a) murmur at the base b) thrill at the base c) dizziness on prolonged standing d) murmur at the apex e) chest pain with activity

thrill at base dizziness on prolonged standing chest pain with activity

The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which approach is best? a) Why don't you sit on your mom's lap? b) I need to take blood c) I need to remove a little blood d) We will put a little hole in your arm

a) Why don't you sit on your mom's lap

The nurse is administering medications to the child with congestive heart failure. Large doses of what medication are used initially in the treatment of CHF to attain a therapeutic level? a) digoxin b) spironolactone c) aspirin

a) digoxin

the physician orders fluorescent antibody testing for a child with suspected respiratory syncytial virus infection. The nurse would obtain the specimen for testing from: a) nasopharyngeal secretions b) IV blood draw c) oral swab d) sputum

a) nasopharyngeal secretions

The nurse is planning care for an 8-month-old infant with a ventricular septal defect. Which nursing diagnosis should the nurse use to help guide the care for this patient? a) Impaired gas exchange related to a right-to-left shunt b) Ineffective tissue perfusion related to inefficiency of the heart as a pump

b) Ineffective tissue perfusion related to inefficiency of the heart as a pump