Peds Exam #2

A nurse is teaching a group of guardians about influenza. Which of the following information should the nurse include in the teaching?

"Oseltamivir should be given within 48 hours of onset of manifestations"

A nurse is teaching the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include in the teaching?

"You can use petrolatum to help soften and remove patches from your infants scalp."

A nurse is caring for a child who in the postoperative period following a tonsillectomy. Which of the actions should the nurse take?

Administer analgesics on a schedule

A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take? (SAA)

Administer humidified oxygen, suction the nasopharynx as needed

A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following actions should the nurse implement tot manage this client's pain?

Administer morphine sulfate IV via continuous infusion

A nurse is caring for a child who has cellulitis on the hand. Which of the following actions should the nurse take?

Administer oral antibiotics

A nurse is providing discharge teaching for a child who has CF. Which of the following instructions should the nurse include?

Administer pancreatic enzymes with meals and snacks

A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise?

Albuterol

A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions should the nurse include in the plan of care? (SAA)

Allow the buttocks to air dry, apply zinc oxide ointment to the affected areas.

A nurse is caring for a client who has a superficial partial-thickness burn. Which of the following actions should the nurse take?

Apply cool, wet compresses to the affected area

A nurse is teaching a group fo parents about preventing insects bites. Which of the following information should the nurse include in the teaching? (SAA)

Avoid areas of tall grass, wear insect repellent, check house pets frequently

A nurse is caring for an adolescent who has acne and a prescription for isotretinoin from the dermatologist. Which of the following laboratory findings should the nurse plan to monitor?

Cholesterol and triglycerides

A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?

Ensure proper placement of the sensor probe

A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? (SAA)

Family history of asthma, family history of allergens, exposure to smoke, low birth weight

A nurse is caring for a child who in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding?

Frequent swallowing and clearing of the throat

A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (SAA)

Generalized distribution of lesions, papule, and crusting lesions

A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? (SAA)

Hoarseness and difficulty speaking, difficulty swallowing, drooling, and stridor

A nurse is caring for a client who has major burns and suspected septic shock. Which of the following findings are consistent with septic shock? (SAA)

Increased body temperature, altered sensorium, and decreased urine output

A nurse is caring for a client who has a moderate burn. Which of the following actions should the nurse take?

Initiate a high-protein, high-calorie diet.

A nurse is caring for a child who is receiving a bronchodilator medication by nebulizer aerosol therapy. Which of the following actions should the nurse take? (SAA)

Obtain vital signs prior to the procedure, tell the child to take slow deep breaths, determine if the child should use a mask, and attach the device to an air source.

A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (SAA)

Pencil-like marks on hands, blisters on the soles of the feet, pimples on the trunk

A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in a plan of care? (SAA)

Place the child in an upright position, monitor oxygen saturation, administer bronchodilators

A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (SAA)

Shake the device prior to use, Rinse and expectorate after administration, Inhale slowly with medication administration

A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having CF. Which of the following findings should the nurse identify as an indication of CF?

Sweat chloride content 85 mEq/L

A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia?

Tachypnea

A nurse is admitting a child who has CF. Which of the following medications should the nurse expect to include in the plan of care? (SAA)

Tobramycin, Fat-soluble vitamins, albuterol, dornase alfa

A nurse is planning care for a child who has tinea capitis. Which of the following actions should the nurse include in the plan of care? (SAA)

Treat infected house pets, use selenium sulfide shampoo

A nurse is caring for a child who is receiving oxygen. Which of the following indicates oxygen toxicity?

Unconsciousness

A nurse is caring for a client who has a skin graft. Which of the following manifestations indicate infection? (SAA)

Unstable body temperature, subeschar hemorrhage, change in skin color around the affected area

A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching?

Use an over the counter medication containing 1% permethrin.

A nurse is performing an admission assessment for a child who has CF. Which of the following findings should the nurse expect? (SAA)

Wheezing, clubbing of fingers and toes, barrel-shaped chest

A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (SAA)

Wheezing, retraction of sternal muscles, and nasal flaring

A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (SAA)

Zero the meter before each use, perform three attempts

A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? (SAA)

remove the clothing over the rash, apply calamine lotion to the skin