Peds Exam 3
Which of the following describes idiopathic thrombocytopenia purpura (ITP)? Select all that apply. 1. ITP is a congenital hematological disorder. 2. ITP causes excessive destruction of platelets. 3. Children with ITP have normal bone marrow. 4. Platelets are small in ITP. 5. Purpura is observed in ITP.
2. ITP causes excessive destruction of platelets. 3. Children with ITP have normal bone marrow. 5. Purpura is observed in ITP. Explanation: 1. ITP is an acquired hematological condition that is characterized by excessive destruction of platelets, purpura, and normal bone marrow along with an increase in large, yellow platelets. 2. ITP is characterized by excessive destruction of platelets. 3. The bone marrow is normal in children with ITP. 4. Platelets are large, not small. 5. ITP is characterized by purpura, which are areas of hemorrhage under the skin.
the nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. which instruction should the nurse tell the parents? a. administer iron at mealtimes b. administer iron through a straw c. mix the iron with cereal to administer d. add the iron to formula for easy administration
b. administer iron through a straw should use a straw placed at back of the mouth because the iron stains the teeth. the parents should be instructed to brush or wipe the child's teeth or have the child brush their teeth after administration
a nurse is educating a young boy about the assessments required to make a dx of growth hormone deficiency. which of the following info should the nurse include in his/her teaching? a. a biopsy of child's testes will be conducted b. an x-ray of the child's wrists will be performed c. the child will have an MRI of his hypothalamus d. the child will receive IV dye for an adrenal fluoroscopy
b. an x-ray of the child's wrists will be performed To determine whether the child's growth is complete, the endocrinologist will x-ray the child's wrists. The growth plate will be measured to determine whether the child has reached his or her maximum height.
in taking the hx of a child with ITP, the nurse is not surprised to discover that: a. the child's father has classic hemophilia b. the child had the flu two weeks ago c. the child fell off a bike last week d. the child suddenly had a red, raised rash appear today
b. the child had the flu two weeks ago
A nurse is admitting a baby to the newborn nursery who the nurse suspects may have congenital hypothyroidism. Which of the following findings has the nurse observed? Select all that apply. a. Clubfeet b. Cleft palate c. Jaundice d. Umbilical hernia e. Imperforate anus
c. Jaundice d. Umbilical hernia The appearance of newborns with CHT is quite distinctive: large fontanels, protruding tongue, and umbilical hernia. In addition, the nurse will likely note a baby who eats very poorly because of marked lethargy and a baby with jaundice that lasts longer than expected.
when teaching parents of a child dx with von Willebrand's disease, which info is most appropriate for the nurse to provide? a. boys are affected twice as often as girls b. only female children will be affected c. boys and girls are affected equally often d. the disease is not inherited and occurs randomly
c. boys and girls are affected equally often
The nurse should implement which interventions for a child older than 2 years with T1DM who has a BS of 60 mg/dL? Select all a. administer regular insulin b. encourage child to ambulate c. give the child a cup of OJ d. provide electrolyte replacement therapy IV e. wait 30 min and confirm the BS reading f. prepare to administer glucagon SQ if unconsciousness occurs
c. give the child a cup of OJ f. prepare to administer glucagon SQ if unconsciousness occurs
A nurse is caring for a child with von Willebrand disease. The nurse is aware that which of the following is a clinical manifestation of von Willebrand disease? Select all that apply. 1. The child bruises easily. 2. Excessive menstruation. 3. The child has frequent nosebleeds. 4. Elevated creatinine levels. 5. Elevated blood pressure.
1. The child bruises easily. 2. Excessive menstruation. 3. The child has frequent nosebleeds
The nurse is caring for a child with sickle cell disease who is scheduled to have a splenectomy. What information should the nurse explain to the parents regarding the reason for a splenectomy? 1. To decrease potential for infection. 2. To prevent splenic sequestration. 3. To prevent sickling of red blood cells. 4. To prevent sickle cell crisis.
2. To prevent splenic sequestration.
The nurse is taking care of a child with sickle cell disease. The nurse is aware that which of the following problems is (are) associated with sickle cell disease? Select all that apply. 1. Polycythemia. 2. Hemarthrosis. 3. Aplastic crisis. 4. Thrombocytopenia. 5. Vaso-occlusive crisis.
3. Aplastic crisis. 5. Vaso-occlusive crisis
A nurse is caring for a 5-year-old with sickle cell vaso-occlusive crisis. Which of the following orders should the nurse question? Select all that apply. 1. Position the child for comfort. 2. Apply hot packs to painful areas. 3. Give meperidine (Demerol) 25 mg intravenously every 4 hours as needed for pain. 4. Restrict oral fluids. 5. Apply oxygen per nasal cannula to keep oxygen saturations above 94%.
3. Give meperidine (Demerol) 25 mg intravenously every 4 hours as needed for pain. 4. Restrict oral fluids. 5. Apply oxygen per nasal cannula to keep oxygen saturations above 94%. Explanation: 1. Medical treatment of sickle cell vaso-occlusive crises is directed toward preventing hypoxia. Tissue hypoxia is very painful, so placing the child in a position of comfort is important. 2. Hot packs help relieve pain because they cause vasodilation, which allows increased blood flow and decreased hypoxia. 3. Tissue hypoxia is very painful. Narcotics such as morphine are usually given for pain when the child is in a crisis. Meperidine (Demerol) should be avoided because of the risk of Demerol-induced seizures. 4. The child should receive hydration because when the child is in crisis, the abnormal S-shaped red blood cells clump, causing tissue hypoxia and pain. 5. Oxygen is of little value unless the tissue is hypoxic. The objective of treatment is to minimize hypoxia.
The mother asks about giving Tony food after he is rehydrated. Which of the following is the most appropriate recommendation? A. Offer a regular diet. B. Offer a regular diet except high-protein foods. C. Give clear liquids for the next 24 hours. D. Start the BRAT diet (bananas, rice, apples, and tea or toast).
A. Offer a regular diet. A.Early reintroduction of a regular diet is an important aspect of treatment of acute diarrhea in children to prevent malnutrition.
If a child who is suspected of having a cardiac defect, one of the first diagnostic tests that will be done is the: A. EKG B. cardiac catheterization C. chest x-ray D. Holter monitor
C. chest x-ray
A 2 month old infant with a cleft lip is transferred to the pediatric floor immediately following surgical repair of the defect. which of the following interventions should the nurse perform? a. assess placement for elbow restraints b. assess placement of gastrostomy tube c. monitor sx for hypokalemia d. monitor for passage of tarry stools
a. assess placement for elbow restraints
a nurse is teaching parents of a child who has an atrial septal defect (ASD) about possible treatment options. which treatment option does the nurse NOT include in the teaching session? a. heart transplant b. spontaneous closure c. surgical reapir d. use of closure device
a. heart transplant
a 4yo child is seen at the HCP office w/ vomiting and diarrhea for the past 24 hrs. the primary HCP orders a number of interventions. if ordered, the nurse should question the administration of which of the following meds for the child? a. lomotil b. zofran c. reglan d. dramamine
a. lomotil although the child has diarrhea, do not want to give this med. Zofran, reglan, and dramamine are all appropriate for vomiting
a nurse is teaching a community class on heart disease in children. which information about prevention is the most important for the nurse to share? a. many conditions are genetic, and preventative gene therapy may become possible b. maintaining good control of diabetes and HTN prevents most cases c. prevention is impossible bc there are few known causes of HD d. taking 400 mcg/day of folic acid will prevent most known cardiac diseases
a. many conditions are genetic, and preventative gene therapy may become possible
Which of the following are risk factors for developing congenital heart disease? select all a. maternal substance use b. maternal rubella infection c. maternal deficiency in folic acid d. maternal epilepsy e. breech presentation in utero f. positive family history of congenital heart disease
a. maternal substance use b. maternal rubella infection c. maternal deficiency in folic acid f. positive family history of congenital heart disease
a nurse is providing education to 4 sets of parents whose children have been dx with T1DM. the nurse should provide follow-up education to the parents who state that they will perform which of the following actions? a. parents of a 2yo: "we will have our daughter prick her finger for each glucose testing" b. parents of a 5yo: "we will give our daughter a code word that she will say when she feels a hypoglycemic episode developing" c. parents of a 9yo: "we will monitor our daughter as she draws up and administers her insulin injections" d. parents of a 17yo: "we will allow our daughter to take responsibility for all of her own diabetic care"
a. parents of a 2yo: "we will have our daughter prick her finger for each glucose testing" 2yrs of age is too young to be pricking their finger
which of the following are consistent with congenital heart disease? a. poor infant feeding b. microcephaly c. hypoglycemia d. rapid weight gain
a. poor infant feeding
a baby with trisomy 21 is admitted to the newborn nursery. the baby should be assessed for which of the following features? a. simian crease b. polydactyly c. harlequin sign d. Mongolian spots
a. simian crease
hyperglycemia associated with DKA is defined as a BS of equal to or greater than: a. 185 mg/dl b. 250 mg/dl c. 280 mg/dl d. 330 mg/dl
b. 250 mg/dl
Intranasal administration of desmopressin acetate (DDAVP) is used to treat which condition? a. hypopituitarism b. DI c. SIADH d. acute adrenocortical insufficiency
b. DI
a child has been dx with fragile x syndrome. the nurse would predict that the child may exhibit which of the following s/sx? a. strabismus b. arm flapping c. vision deficit d. nevus flammeus
b. arm flapping
the nurse is caring for a 3 yo who had an appendectomy 2 days ago. when taking the childs temperature, the nurse notes that the child has a temp of 101.8F. the nurse notes the childs breath sounds are slightly diminished in the right lower lobe. which of the following actions is more appropriate for this patient? a. teach the child how to use an incentive spirometer b. encourage the child to blow bubbles c. obtain an order for IV antibiotics d. obtain an order for acetaminophen
b. encourage the child to blow bubbles
a child has been dx with fragile x syndrome. which of the following health-care referrals should the nurse encourage the parents to make? a. orthopedic surgeon b. genetic counselor c. registered dietician d. otolaryngologist
b. genetic counselor
Parents have been giving their child correction doses through a child's insulin pump for elevated ketones. If blood glucose remains high after 1-2 doses, what should parents do next? a. give child long-acting insulin b. give correction dose with pen device c. change pump infusion set and check infusion site
b. give correction dose with pen device pump is not working, need to give insulin d/t elevated BS
What is the dominant mechanism with which infants and young children increase their cardiac output? a. increasing ventricular contractility b. increasing HR c. increasing BP d. increasing RR e. decreasing HR
b. increasing HR
a child is admitted with neutropenia. which nursing action takes priority? a. place child on contact isolation b. maintain strict hand washing c. disinfect belongings brought from home d. do not allow visitors in the child's room
b. maintain strict hand washing at risk for infection
a 2yo with sickle cell anemia is admitted to the ED in a possible sequestration crisis. for which of the following findings should the nurse carefully monitor the child? a. severe pain b. marked hypotension c. hyperthermia d. hyperkalemia
b. marked hypotension A sequestration crisis is characterized by the marked pooling of a large quantity of blood in the spleen, resulting in hypovolemia. Tachycardia and marked hypotension, therefore, would be noted.
a mother brings her baby to the ED stating that the baby no longer makes tears when crying but is having multiple soaked diapers per day. which assessment by the nurse takes priority? a. last BM b. palpation of fontanels c. prenatal history d. last time of meal
b. palpation of fontanels
which of the following is a major clinical manifestation of rheumatic fever? a. fever b. polyarthritis c. osler nodes d. janeway spots
b. polyarthritis primarily large joints are affected
a nurse is working with a child who has had a bone age evaluation. which explanation of the test should the nurse give? a. "the bone age will give you a dx of your child's short stature" b. "if the bone age is delayed, the child will continue to grow taller" c. "the x-ray of the bone is compared with that of the age-appropriate standardized bone age" d. "if the bone age is not delayed, no further treatment is needed"
c. "the x-ray of the bone is compared with that of the age-appropriate standardized bone age" **this is done for growth hormone deficiency!! (hypofx of anterior pituitary gland)
Prior to giving digoxin, how long should your listen to the childs apical HR? a. 15 sec and multiple by 4 b. 30 sec and multiple by 2 c. 1 min d. do not need apical HR, peripheral pulse is fine
c. 1 min
a 10 yo child with hemophilia A has slipped on the ice and bumped his knee. the nurse should prepare to administer which prescription? a. injection of factor X b. IV infusion of iron c. IV infusion of factor VIII d. IM injection of iron using z-track method
c. IV infusion of factor VIII
early detection of hypothyroidism is essential in preventing what in infants? a. short stature b. accelerated growth c. cognitive impairment d. obesity
c. cognitive impairment
the nurse is caring for a 9 month old with diarrhea secondary to rotavirus. the child has not vomited and is mildly dehydrated. the provider is sending the child home. which of the following is likely to be included in the discharge teaching? a. administer ammonium as needed b. administer kaopectate as needed c. continue breastfeeding per routine d. the infant may return to daycare 24h after antibiotics have been started
c. continue breastfeeding per routine
which of the following is a common clinical manifestation of juvenile hypothyroidism? a. insomnia b. diarrhea c. dry skin d. rapid growth
c. dry skin
If beta cells make insulin, what do alpha cells make? a. growth hormone b. TSH c. glucagon
c. glucagon
which of the following is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets? a. aplastic anemia b. thalassemia major c. idiopathic thrombocytopenia purpura d. disseminated intravascular coagulation
c. idiopathic thrombocytopenia purpura
a 4yo child has just returned to the pediatric floor following a cardiac catheterization. which of the following actions should the nurse perform at this time? a. administer oxygen via facemask at 8-10 liters per min b. assess the childs upper extremities for color change q 5-10 min c. keep the childs affected extremity straight for the next 4-6 hrs d. continue the infusion of whole blood for another 1-2 hrs
c. keep the childs affected extremity straight for the next 4-6 hrs
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. the nurse should place the infant in which best position at this time? a. prone b. on the stomach c. left lateral d. right lateral
c. left lateral positions the infant on the side lateral to the repair or on the back upright and positions the infant to prevent airway obstruction by secretions, blood, or the tongue. This position prevents risk of aspiration if the infant vomits
a child is hospitalized bc of persistent vomiting. the nurse should monitor the child closely for which problem? a. diarrhea b. metabolic acidosis c. metabolic alkalosis d. hyperactive bowel sounds
c. metabolic alkalosis (loss of HCL from stomach causes increase in bicarb)
an important assessment for the nurse to perform in identifying cleft palate is to: a. assess the sucking ability of the infant b. assess the color of the lips c. palpate the palate w/ a gloved finger d. do all of the above
c. palpate the palate w/ a gloved finger
A nurse is assessing a child who is in the 3rd percentile for growth. when arranging lab and other assessments, the nurse places priority on which endocrine gland? a. adrenal b. hypothalamus c. pituitary d. thyroid
c. pituitary Anterior pituitary gland hypofx
a child is severely dehydrated from a diarrheal illness. the nurse assess the childs lab values. which of the following results would the nurse expect to find? a. Hct 30% b. partial pressure of oxygen 60 mm Hg c. potassium 3.0 d. platelet count 100,000 cells/mm3
c. potassium 3.0 we expect hypokalemia. Hct will increase, no change in Po2 or platelet count.
a 2yo is suspected of having acute epiglottitis. which of the following s/sx would the nurse expect to see? select all a. vomiting b. weight loss c. tachycardia d. nasal flaring e. inspiratory stridor
c. tachycardia d. nasal flaring e. inspiratory stridor
A nurse is educating the parents of a child with an ASD regarding the childs condition. which of the following info would be appropriate for the nurse to provide? a. the baby becomes cyanotic because the blood is flowing through a hole from the right side of the heart to the left side of the heart b. the baby has a murmur because there is a hole between the aorta and pulmonary artery c. the baby's heart is working harder than normal heart because some of its blood is reentering the pulmonary system d. the baby's HR is slowed b/c of the high number of RBCs in the blood
c. the baby's heart is working harder than normal heart because some of its blood is reentering the pulmonary system
in counseling the caregivers of an infant with recent onset of pyloric stenosis, which of the following is MOST appropriate to include in the education? a. the enema we give will confirm the dx and may possibly correct the problem also b. after surgery is it essential that you baby be started on an antacid like ranitidine c. the sx your baby is having now may not fully improve for 2-3 days after the procedure d. we will monitor to make sure his stools return to normal after treatment
c. the sx your baby is having now may not fully improve for 2-3 days after the procedure (may still have vomiting) a & d indicate intususseption
a 10 yo is in the hospital on bedrest with a dx of rheumatic fever complicated by carditis. when the nurse responds to the child's call bell, the child states, "I hate this! I want to get up and play" which of the following responses is appropriate for the nurse to make at this time? a. "I know you are unhappy, but you must stay in bed so you can get better and go home" b. " what if we make a deal and I promise to let you get up for 10 minutes every 2 hours if you are very good the rest of the day?" c. "I am sure that I can get the doctor to let you go to the playroom for 1 or 2 hours this afternoon" d. "I am so sorry that you are unhappy, but what if I contact the play lady and have her bring you a section of video games to play with?"
d. "I am so sorry that you are unhappy, but what if I contact the play lady and have her bring you a section of video games to play with?"
A parent calls the nurse expressing concerns. Over the last few days, their child has been experiencing headaches, joint pain, and increased urination. The child has recently been started on human recombinant growth hormone. the nurse's best response is: a. "these are normal responses to the medication. his body will adjust over time" b. "how often is he receiving his medication?" c. "what locations have you been giving his injections?" d. "Let's set up an appointment for your provider to see your child today"
d. "Let's set up an appointment for your provider to see your child today"
the parent of a 6 mo calls the childs HCP and states, "my child has had 5 loose stools since she work up this morning, what should I do?" the mother is exclusively breastfeeding her baby. which of the following responses by the nurse is appropriate? a. "let's figure out what you may have eaten during the last day that could have caused the diarrhea" b. "continue to feed the baby breast milk and give oral rehydration therapy after each feeding" c "that's not unusual for babies who are breastfed but do call again if the stools turn a green color" d. "bring the baby in for an appointment with the doctor so we can weigh and check over the baby"
d. "bring the baby in for an appointment with the doctor so we can weigh and check over the baby" baby needs to be weighed to determine dehydration
the pediatric nurse monitoring electrolytes understands that at what level does hyponatremia pose the treat of causing seizures? a. <150 mEq/L b. <145 mEq/L c. <130 mEq/L d. <125 mEq/L
d. <125 mEq/L
a child is dx with chronic immune thrombocytopenia. which dx platelet count supports this dx? a. <5,000 b. <10,000 c. <50,000 d. <150,000
d. <150,000 normal platelet count: 150,000-450,000
An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of which of the following complications? a. Air embolism b. Allergic reaction c. Hemolytic reaction d. Circulatory overload
d. Circulatory overload
the nurse analyzes the laboratory results of a child with hemophilia. the nurse understands that which result will most likely be abnormal in this child? a. platelet count b. hematocrit level c. hemoglobin level d. PTT
d. PTT prolonged PTT
lab studies are performed for a child suspected to have iron deficiency anemia. the nurse reviews the lab results, knowing that which result indicates this type of anemia? a. elevated hemoglobin level b. decreased reticulocyte count c. elevated RBC d. RBC that are microcytic and hypochromic
d. RBC that are microcytic and hypochromic
A 4yo is admitted to the hospital with sickle cell disease. her VS are temp: 38C (100.4F), HR 124, RR 38, BP 70/40. she is pale and listless and has splenomegaly. she is experiencing: a. aplastic crisis b. acute chest syndrome c. CVA d. acute sequestration crisis
d. acute sequestration crisis (back up of sickle cells into spleen - emergency)
signs of hyperglycemia include: a. tremors, sweating, headache b. hunger, nausea, lethargy c. confusion, slurred speech, anxiety d. blurred vision, weakness, polyphagia
d. blurred vision, weakness, polyphagia
a 2yo child has been dx with T1DM. the nurse is providing education to the parents regarding sx of hypoglycemia. which of the following info should the nurse include in her teaching session? a. child's breath will smell like fruit b. child will c/o excessive thirst c. child will c/o sleepiness and will appear fatigued d. child's behavior will resemble a burst of anger or temper tantrum
d. child's behavior will resemble a burst of anger or temper tantrum Caring for toddlers with type 1 diabetes can be difficult because the children's daily behaviors often mimic signs of hypoglycemia. For that reason, parents must be forewarned to consider hypoglycemia as the reason for a child's aberrant behavior rather than simply as a "phase that the child is going through."
the clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors r/t sickle cell crisis. which, if ID by the parents as a precipitating factor, indicates the need for further instruction? a. stress b. trauma c. infection d. fluid overload
d. fluid overload
which of the following is considered a cardinal sign of DM? a. nausea b. seizures c. impaired vision d. frequent urination
d. frequent urination
the nurse provides feeding instructions to a parent of an infant dx w/ GERD. which instruction should the nurse give to the parent to assist in reducing the episodes of emesis? a. provide less frequent, larger feedings b. burp the infant less frequently during feedings c. thin the feedings by adding water to the formula d. thicken the feedings by adding rice cereal to the formula
d. thicken the feedings by adding rice cereal to the formula feedings thickened w/ rice cereal may reduce episodes of emesis. if thickened formula is used, cross-cutting of the nipple may be required.
the parents of a child diagnosed with Kawasaki's disease ask the nurse to explain the disease and sx. which response by the nurse is the most appropriate? a. bacterial infection after an invasive procedure b. chronic viral infection of unknown origin c. genetic defect causing vessel abnormalities d. vasculitis affecting all organs of the body
d. vasculitis affecting all organs of the body
a school age child with T1DM has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. which should the school nurse tell the child to do? a. eat twice the amount normally eaten at lunchtime b. take half the amount of prescribed inulin on practice days c. take the prescribed insulin at noontime rather than in the morning d. eat a small box of raisins or drink a cup of OJ before practice
d. eat a small box of raisins or drink a cup of OJ before practice
a child has been admitted for suspected bacterial endocarditis. what action takes priority? a. administering antibiotics b. education on valve replacement c. giving an antipyretic d. obtaining blood cultures
d. obtaining blood cultures
a 5yo child has a congenital HD is to receive digoxin PO. prior to administration, the nurse checks the most recent lab report. which lab values should be of most concern to the HCP? a. creatinine 0.4 mg/dL b. hgb 10g/dL c. digoxin level 0.8 ng/ml d. potassium 3.0 mEq/L
d. potassium 3.0 mEq/L norm creatinine levels 0.2-0.5 mg/dL)
a child has been dx with a pituitary tumor. what medical management does the nurse prepare the child and family for? a. chemotherapy b. radiation treatments c. steroid infusions d. surgical removal
d. surgical removal
which sx is the primary clinical manifestation of hemophilia? a. petechiae b. prolonged bleeding c. decreased clotting time d. decreased WBC
b. prolonged bleeding
which of the following is a condition in which the normal adult hgb is partly or completely replaced by abnormal hgb a. aplastic anemia b. sickle cell anemia c. thalassemia major d. iron deficiency anemia
b. sickle cell anemia
which of the following is a common sx of digoxin toxicity? a. seizures b. vomiting c. bradypnea d. tachycardia
b. vomiting other sx include: dysrhythmias, n/v, fatigue, hypokalemia
The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. The nurse should know that: a. SCA is not inherited. b. all siblings will have SCA. c. each sibling has a 25% chance of having SCA. d. there is a 50% chance of siblings having SCA.
c. each sibling has a 25% chance of having SCA.
An adolescent client with type I diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? a) sweating and tremors b) hunger and hypertension c) cold, clammy skin and irritability d) fruity breath and decreasing level of consciousness
d) fruity breath and decreasing level of consciousness
Tony is 3½ years old and his brother, John, is 6 months old. Both children are brought to the clinic by their mother because of vomiting, loose stools, and fever. The nurse assesses the children and determines that they are mildly dehydrated. The mother asks what to do about breast-feeding John. The nurse should recommend: A.Stop breast-feeding for 24 hours. B.Stop breast-feeding until diarrhea stops. C.Bottle feed glucose water, alternating it with breast-feeding. D. Continue breast-feeding and give an oral rehydration solution to replace diarrheal losses.
D. Continue breast-feeding and give an oral rehydration solution to replace diarrheal losses.
•All of the following children have been brought to the ED w/ dehydration. You are receiving a report from the previous nurse. Which of the following patients would be priority for the nurse to assess? •A. abbott, a 12 yo brought in after playing in an all-day soccer tournament in 90 degree weather. Abbott is described as thirsty and somewhat irritable with his parent, but is otherwise reported as tired and cooperative •B. Bethany, a 6 yo who weighs 55lbs, somewhat lethargic upon arriving to ED. She just finished receiving second 500 ml NS bolus and is reported as alert and interactive •C. Caleb, a 2 yo w/ canker sore for past 2 days, reported by his parent to be reluctant to eat or drink. Caleb is irritable and resistant to being examined. Caleb has had a large void and his specific gravity was 1.022 •D. Daphne, 4 mo infant has had moderate-severe diarrhea for past week, but no fever. Her parent states daphne has been less interested in her bottle and has been sleeping for most of the day.
D. Daphne, 4 mo infant has had moderate-severe diarrhea for past week, but no fever. Her parent states daphne has been less interested in her bottle and has been sleeping for most of the day.
the parents of a 6 yo being evaluated for appendicitis tells the nurse that the physician diagnosed their child with a positive Rovsing sign. they ask the nurse what this means. select the nurses best response a. your childs physician should answer that question b. a positive rovsing sign means the child feels pain in the right side of the abdomen when the left side is palpated c. a positive rovsing sign means pain is felt when the physician removes the hand from the abdomen d. a positive rovsing sign means pain is felt in the right lower quadrant when the child coughs
b. a positive rovsing sign means the child feels pain in the right side of the abdomen when the left side is palpated
a nurse working in a preschool has just been advised a toddler w/ fragile x syndrome has been admitted to the school. the nurse should advise the teacher that the child may exhibit which of the following characteristics? a. lordotic posturing b. aggressive behavior c. two different eye colors d. asynchronous breathing
b. aggressive behavior Aggressive behavior is associated with fragile X syndrome.
A 2.5 yo is in the hospital w/ Kawasaki disease. which of the following actions by the nurse is important for the childs psychosocial care? a. place the child in a single-bedded room b. make sure the child always has his transitional object with him c. supply the child with board games to play d. let the child see what he looks like in a surgical mask and cap
b. make sure the child always has his transitional object with him Transition objects (e.g., blankets, dolls, pacifiers) help toddlers to deal with stressful situations. Unless medically contraindicated, nurses should make sure that young children are in possession of their transition objects at all times while in the hospita
the nurse admits a child to the hospital w/ a dx of pyloric stenosis. on assessment, which data would the nurse expect to obtain when asking the parents about the childs sx? a. watery diarrhea b. projectile vomiting c. increased UO d. vomiting larger amounts of bile
b. projectile vomiting
a nurse suspects that a newly delivered baby has Down syndrome. the nurse noted that the baby exhibited which of the following physiological characteristics? select all that apply a. elongated face b. protruding tongue c. large, high-set ears d. wide, flat nasal bridge e. asymmetric moro reflex
b. protruding tongue d. wide, flat nasal bridge
an 8-year-old with T1DM is c/o headache and dizziness and is visibly perspiring. the nurse, after obtaining a BS, should do which of the following? a. administer glucagon immediately b. provide child juice c. administer rapid acting insulin d. provide the child 8oz of water or calorie free liquid
b. provide child juice
a nurse is assessing a 2mo infant in the pediatric clinic. which of the following behaviors would the nurse expect the child to exhibit? a. voluntarily grasping a rattle b. smiling socially c. cooing and babbling d. playing with hands and feet
b. smiling socially voluntarily grasping rattle @ 4-5 mos, cooing seen at 3 months, playing with hands and feet at 4-5 mos.
A baby, exhibiting no obvious sx of CHF, has been dx w/ a small VSD. Which of the following info should the nurse explain to the baby's parents? a. the baby will likely need open-heart surgery within a week b. the defect w/ likely close w/o therapy c. the defect likely developed early in the second trimester d. the baby will likely be placed on high-cal formula
b. the defect w/ likely close w/o therapy
What is thought to trigger the development of diabetes? a. bacterial infection b. viral infection c. summer months
b. viral infection
a 7yo has been dx with rheumatic fever. which of the following physical findings would the nurse expect to assess? a. vesicular rash over face and chest b. warm and swollen knees and elbows c. palpable mass in the URQ of the abdomen d. yellow pigmentation of the sclerae of the eyes
b. warm and swollen knees and elbows a. Erythema marginatum is one of the major manifestations of RF; however, it is not a vesicular rash. It is a well-demarcated macular rash that is seen on the torso and inner surfaces of the extremities. b. Polyarthritis, one of the major manifestations of RF, is manifested by warm, swollen, and painful joints. c. Abdominal masses are not associated with RF. d. Yellow pigmentation of the sclerae is not associated with RF.
A couple is being discharged from the hospital with the 2-day-old Down syndrome baby. the nurse is providing teaching. the nurse should include in the teaching information regarding which of the following physiological characteristics of the syndrome? a. small cerebral ventricles b. weak musculature c. inability to feel pain d. low GFR
b. weak musculature The nurse should educate the parents regarding the child's weak musculature because the child will be at high risk for a number of problems, including upper respiratory infections, pendulous abdominal muscles, and lumbering gait
Decreasing the demands on the heart is a priority in care for the infant with congestive heart failure (CHF). In evaluating the infant's status, which of the following is indicative of achieving this goal? a. Irritability when awake b. Capillary refill of more than 5 seconds c. Appropriate weight gain for age d. Positioned in high Fowler position to maintain oxygen saturation at 90%
c. Appropriate weight gain for age indicates a reduction in caloric loss secondary to CHF
A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on knowledge of which of the following? a. Treatment is most successful if it is started during adolescence. b. Treatment is considered successful if children attain full stature by adulthood. c. Replacement therapy requires daily subcutaneous injections. d. Replacement therapy will be required throughout child's lifetime.
c. Replacement therapy requires daily subcutaneous injections
a nurse is educating the parents of a newborn regarding the child's risk for dehydration. which of the following info should the nurse include in the teaching session? a. they have a relatively small body surface area b. they retain electrolytes in high concentrations c. a high percentage of their weight is from fluid d. a low concentration of potassium is in their blood
c. a high percentage of their weight is from fluid
which of the following should the nurse include when teaching the mother of a 9 mo infant about administering liquid iron preparations? a. give with meals b. stop immediately if N/V occur c. adequate dosage will turn the stools a tarry green color d. allow preparation to mix with saliva and bathe the teeth before swallowing
c. adequate dosage will turn the stools a tarry green color
the nurse is educating a new mother of a child born with cleft lip and cleft palate regarding formula feeding. which of the following actions should the nurse include in her teaching session? select all a. instruct mother to add rice cereal to formula b. encourage mother to cup feed her baby rather than bottle feed c. advise mother to hold baby in an upright position during feedings d. advise the mother to feed the baby slowly to allow the baby time to swallow and to rest e. notify the mother of the importance of giving the baby pain medicine before each feeding
c. advise mother to hold baby in an upright position during feedings d. advise the mother to feed the baby slowly to allow the baby time to swallow and to rest fed upright d/t risk of ear infections, give time to rest because it is more difficult for them to feed
a 6 week old infant is admitted to the hospital with possible hypertrophic pyloric stenosis. which sx is most descriptive of pyloric stenosis in infants? a. abdominal peristaltic waves passing from right to left b. appears hungry. small emesis after every feeding c. emesis usually occurs after a feeding and is projectile d. decreased interest in feedings with weight loss
c. emesis usually occurs after a feeding and is projectile
The mother of a 6yo child who has T1DM calls a clinic nurse and tells the nurse that the child has been sick. the mother reports that she checked the childs urine and it was positive for ketones. the nurse should instruct the mother to take which action? a. hold next dose of insulin b. come to clinic immediately c. encourage child to drink liquids d. administer additional dose of regular insulin
c. encourage child to drink liquids liquids are essential to aid in clearing the ketones. bringing the child to the clinic immediately is not necessary. insulin doses should not be adjusted or changed.
a child with cleft palate is post-op reconstruction surgery. which of the following interventions should the nurse perform? a. maintain total parenteral nutrition for one week following surgery b. place the child with a roommate who also is not allowed to eat c. feed the child without inserting any utensils into the mouth d. check the position of the device protecting the sutures each hour
c. feed the child without inserting any utensils into the mouth Because eating utensils could damage the cleft palate repair, the baby will be fed soft foods until the surgery is healed. The nurse and parents should feed the child using a large spoon or other device that is too large to insert into the mouth.
a child is admitted to the pediatric unit. while the nurse was taking the history, the child regurgitated vomitus that looked like coffee grounds and smelled like feces. which of the following communications would it be appropriate for the nurse to report to the HCP? "after assessing the vomitus, it appears the child: a. has an obstruction proximal to the stomach" b. has a perforated duodenal ulcer" c. is vomiting blood from the lower bowel" d. is exhibiting signs of ruptured esophageal varices"
c. is vomiting blood from the lower bowel"
A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, the nurse's priority intervention is to: a. reduce environmental stimulation to prevent seizures. b. have the laboratory repeat the analysis with a new specimen. c. minimize energy expenditure to decrease cardiac workload. d. administer intravenous fluids to correct the dehydration.
c. minimize energy expenditure to decrease cardiac workload.
Adam, a usually healthy 2-month-old, was brought to the pediatrician's office by his mother for excessive vomiting for 2 days. On examination, you note that he is irritable and has not gained any weight since his last checkup. His mother states that he "throws up after every feeding." Adam's physical examination and diagnostic procedures confirm a diagnosis of GERD. •In discussing treatment of GERD, which of the following is not the most appropriate, immediate intervention to discuss with Adam's mother? A.Thicken feedings with rice cereal. B.Do not feed more frequently than every 3 hours. C.Avoid placing the child supine after feedings. D.Use medications to control Adam's symptoms.
D. Use medications to control Adam's symptoms. Pharmacologic intervention should be used only after more conservative therapy has failed. These medications will be used to suppress acid production and improve gastric motility.
Which child may need extra fluids to prevent dehydration? Select all that apply. 1. 7-day-old receiving phototherapy. 2. 6-month-old with newly diagnosed pyloric stenosis. 3. 2-year-old with pneumonia. 4. 2-year-old with full-thickness burns to the chest, back, and abdomen. 5. 13-year-old who has just started her menses.
1. 7-day-old receiving phototherapy. 2. 6-month-old with newly diagnosed pyloric stenosis. 3. 2-year-old with pneumonia. 4. 2-year-old with full-thickness burns to the chest, back, and abdomen.
Which of the following factors need(s) to be included in a teaching plan for a child with sickle cell disease? Select all that apply. 1. The child needs to be taken to a physician when sick. 2. The parent should make sure the child sleeps in an air-conditioned room. 3. Emotional stress should be avoided. 4. It is important to keep the child well hydrated. 5. It is important to make sure the child gets adequate nutrition.
1. The child needs to be taken to a physician when sick. 3. Emotional stress should be avoided. 4. It is important to keep the child well hydrated. 5. It is important to make sure the child gets adequate nutrition. 1. Seek medical attention for illness to prevent the child from going into a crisis. 2. A cold environment causes vasoconstriction, which needs to be prevented to get good tissue perfusion. 3. Stress can cause a depressed immune system, making the child more susceptible to infection and crisis. Parents and children are advised to avoid stress. 4. The child needs good hydration and nutrition to maintain good health. 5. The child needs good hydration and nutrition to maintain good health.
A nurse instructs the parent of a child with sickle cell disease about factors that might precipitate a pain crisis in the child. Which of the following factors identified by the parent as being able to cause a pain crisis indicates a need for further instruction? 1. Infection. 2. Overhydration. 3. Stress at school. 4. Cold environment.
2. Overhydration. overhydration does not cause a crisis
An 18-month-old male is brought to the clinic by his mother. His height is in the 50th percentile, and his weight is in the 80th percentile. The child is pale. The physical examination is normal, but his hematocrit level is 20%. Which of the following questions should assist the nurse in making a diagnosis? Select all that apply. 1. "How many bowel movements a day does your child have?" 2. "How much did your baby weigh at birth?" 3. "What does your child eat every day?" 4. "Has the child been given any new medications?" 5. "How much milk does your child drink per day?
3. "What does your child eat every day?" 5. "How much milk does your child drink per day? Because the child has a low hematocrit level, the child most likely has anemia. Iron-deficiency anemia is the most common nutritional anemia. The number of bowel movements the child has is important information but not necessary to make the diagnosis of iron-deficiency anemia.
a baby that was born 5 min earlier is tachypneic, tachycardic, and markedly cyanotic. a STAT echo confirms the presence of a cyanotic congenital cardiac defect. which of the following defects would be consistent w/ the assessment findings? a. PDA b. Transposition of the Great Vessels c. ASD d. VSD
b. Transposition of the Great Vessels
a student nurse is teaching the mother of an infant ways to prevent iron deficiency anemia. which instruction causes the RN to intervene and correct the teaching? a. "give your child whole milk instead of low fat milk" b. "be sure to feed your child iron-fortified cereals" c. "offer solid foods first, the give your child a bottle" d. "WIC can provide you with iron-fortified infant formula"
a. "give your child whole milk instead of low fat milk"
a child has recently been dx with T1DM. which of the following factors in his medical and family hx would the nurse expect to see? a. child's grandfather has been diabetic since childhood b. child's BMI is 30 c. child rarely engages in aerobic activities d. child has recently gained 15 lbs
a. child's grandfather has been diabetic since childhood Type 1 diabetes is an autoimmune disease with a strong genetic etiology. Although no direct genetic inheritance has been identified, the influence of a variety of factors, one of which is genetics, is known to be the etiology of the disease.
the nurse is conducting staff in-service training on von Willebrand's disease. which should he nurse include as characteristics of von Willebrand's disease? select all a. easy bruising occurs b. gum bleeding occurs c. it is a hereditary bleeding disorder d. treatment and care are similar to that for hemophilia e. it is characterized by extremely high creatinine levels f. the disorder causes platelets to adhere to damaged endothelium
a. easy bruising occurs b. gum bleeding occurs c. it is a hereditary bleeding disorder d. treatment and care are similar to that for hemophilia f. the disorder causes platelets to adhere to damaged endothelium (all but e) von Willebrand's disease is a hereditary bleeding disorder characterized by a deficiency of or a defect in a protein termed von Willebrand factor. the disorder causes platelets to adhere to damaged endothelium. it is characterized by an increased tendency to bleed from mucous membranes. assessment findings include epistaxis, gum bleeding, easy bruising, and excessive menstrual bleeding. an elevated creatinine level is not associated w/ this disorder.
A young boy has been dx with growth hormone deficiency is to receive synthetic growth hormone. when providing medication teaching to the boy and his parents, which of the following should the nurse include? a. educate regarding rationale for administration of SQ injections b. advise the boy to immediately report s/sx of gynecomastia c. advise the boy that he will reach his desired height if he takes the medication as ordered d. educate the boy that to maintain his height, he will have to take the medication for the rest of his life.
a. educate regarding rationale for administration of SQ injections The child will receive growth hormone (GH) subcutaneous injections at bedtime six to seven times each week. Because GH is naturally produced by the anterior pituitary gland during periods of sleep, the injections of GH for those children who produce deficient supplies is administered at bedtime. The vast majority of children who are treated for GH deficiency are male.
a teenage chid has been dx with T2DM. the nurse determines that the child will likely be administered which of the following medications? a. metformin (glucophage) b. aspart (Novolog) c. detemir (Levemir) d. glargine (latnus)
a. metformin (glucophage)
the nurse is reviewing a HCPs prescriptions for a child with sickle cell anemia who was admitted to the hospital for treatment of vaso-occulsive crisis. which prescriptions documented in the child's record should the nurse question? select all a. restrict fluid intake b. position for comfort c. avoid strain on painful joints d. apply nasal oxygen at 2L/min e. provide high-cal high-protein diet f. give meperidine, 25 mg IV q4h for pain
a. restrict fluid intake f. give meperidine, 25 mg IV q4h for pain
which heart valve prevents regurgitation of blood from the pulmonary artery to the right ventricle? a. aortic b. mitral c. pulmonary d. tricuspid
c. pulmonary
a child with T1DM has been diagnosed with ketoacidosis. which of the following lab findings is consistent with the dx? a. hemoglobin A1C: 5.5% b. fasting blood glucose: 124 mg/dL c. serum pH: 7.24 d. Potassium level: 3.9 mEq/L
c. serum pH: 7.24 Ketoacidosis results when the body is devoid of circulating glucose and, as a result, goes into fat catabolism. When ketones, the by-product of fat catabolism, rise in the bloodstream, the pH of the blood drops precipitously
the nurse is providing home care instructions to the parents of a 10 yo with hemophilia. which sport activity should the nurse suggest for this child? a. soccer b. basketball c. swimming d. field hockey
c. swimming
the school nurse is responsible for caring for a number of children with T1DM. before which of the following activities should the nurse make sure the child consumes a snack? a. sculpts in art class b. plays in the band c. acts in the school play d. plays on the soccer team
d. plays on the soccer team
A child with Kawasaki disease is to receive IVIG on day 7 of the illness. a parent asks the nurse, "I am so scared. Will my child be cured after getting the medicine"?" Which of the following responses by the nurse is appropriate? a. "I cannot promise, but children have shown to have the best results from the medicine when it is given before the 10th day of the illness" b. "I am sure your child will be fine. This medicine has been shown to work well for children with Kawasaki disease" c. "I really do not know. we will find out more when your child has follow up testing in 1 or 2 days" d. "I know that you are scared, but it is important to have faith in your doctors because they are doing all that they can do"
a. "I cannot promise, but children have shown to have the best results from the medicine when it is given before the 10th day of the illness" a. This is an appropriate response for the nurse to give. The nurse is providing correct information without making false promises. b. Even when immune globulin is administered, some children still develop aneurysms. The nurse should not give the mother promises that may not be correct. c. This statement dismisses the mother's question. If the nurse is uncertain regarding what the answer should be, he or she should have someone with knowledge speak with the mother. d. This statement does not answer the mother's question. Having trust in the health-care providers is not the issue. The child's health is the issue.
the nurse is preparing a community outreach program for adolescents about the characteristics and differences between T1DM and T2DM, which of the following concerns should the nurse include? select all a. T1DM has an abrupt onset b. T1DM is often controlled with oral glucose agents c. T1DM occurs primarily in caucasians d. T2DM always requires insulin therapy e. T2DM frequently has a familial history f. T2DM occurs in people who are overweight
a. T1DM has an abrupt onset c. T1DM occurs primarily in caucasians e. T2DM frequently has a familial history f. T2DM occurs in people who are overweight
a 4yo with Down syndrome is being seen the pediatric clinic. the nurse reminds the parents to seek immediate care if the child exhibits which of the following s/sx? a. URI b. pendulous abdomen c. elevated temp d. protruding brow
a. URI Children with Down syndrome exhibit hypotonic musculature. As a result, they are unable effectively to cough or sneeze pathogens from the upper respiratory tract.
in which of the following conditions are all the formed elements of the blood simultaneously depressed? a. aplastic anemia b. sickle cell anemia c. thalassemia major d. iron deficiency anemia
a. aplastic anemia
appropriate pharmacologic treatment of Kawasaki disease includes which of the following? a. aspirin is used initially for anti-inflammatory effects b. aspirin should never be used in treatment plan c. acetaminophen for analgesia and fever d. ibuprofen and acetaminophen alternated to prevent fever
a. aspirin is used initially for anti-inflammatory effects
which of the following explains why iron deficiency anemia is common in young children? a. cows milk is a poor source of iron b. iron cannot be stored during fetal development c. fetal iron stores are depleted by 1 month of age d. dietary iron cannot be started until 12 mos of age
a. cows milk is a poor source of iron
a child with DI is being monitored for fluid balance. which assessment is the most accurate way to determine fluid balance? a. daily weight b. hemodynamic monitoring c. I&O d. urine osmolality
a. daily weight
a 6 month old child has been dx with congenital hypothyroidism. which of the following s/sx would the nurse expect the child to exhibit? a. developmental delay b. strabismus c. projectile vomiting d. dyspnea
a. developmental delay To prevent developmental delay in a child with congenital hypothyroidism, a daily dosage of thyroid replacement is prescribed. The child will have to take the medication for the rest of his or her life.
a nurse suspects an infant of having advanced heart failure. which clinical manifestations of HF did the nurse assess to reach this conclusion? a. enlarged liver b. feeding problems c. poor growth d. sweating excessively
a. enlarged liver
a one month old child is admitted to the ED with a dx of pyloric stenosis. which of the following lab values would be consistent with the dx? a. hct 48% b. potassium 5.2 mEq/L c. WBC 15,000 cells/mm3 d. platelet count 50,000 cells/mm2
a. hct 48% Because of the recurring vomiting exhibited by babies with pyloric stenosis, they become dehydrated and hemoconcentrated. An elevated hematocrit would, therefore, be consistent with the diagnosis.
A parent of a 7yo girl with a repaired ventricular septal defect calls the cardiology clinic and reports the child is just not herself. her appetite has decreased, she has had intermittent fevers around 38C, and now her muscles and joints ache. based on this info you advise the mother to: a. immediately bring the child to the clinic for evaluation b. come to the clinic the next week on a scheduled appt c. treat the sx w/ acetaminophen and fluids, since it is likely a viral illness d. recognize the child is trying to manipulate the parent by complaining of vague sx
a. immediately bring the child to the clinic for evaluation these are insidious sx of bacterial endocarditis. since the child is in a high-risk group for this disorder (VSD repair) immediate evaluation and treatment are indicated to prevent cardiac damage
An invagination of one portion of the intestine into another is called: a. intussusception b. pyloric stenosis c. tracheoesophageal fistula d. hirschprung disease
a. intussusception
what is a long-term effect of low oxygenation in cardiac disease? a. polycythemia b. thrombocytopenia c. elevated WBCs
a. polycythemia
which of the following structural defects constitute tetralogy of Fallot? a. pulmonary stenosis, ventricular septal defect (VSD), overriding aorta, ventricular hypertrophy b. aortic stenosis, VSD, overriding aorta, right ventricular hypertrophy c. aortic stenosis, VSD, overriding aorta, left ventricular hypertrophy d. pulmonary stenosis, VSD, aortic hypertrophy, left ventricular hypertrophy
a. pulmonary stenosis, VSD, overriding aorta, ventricular hypertrophy
a one month old baby has been admitted to the pediatric unit with a dx of pyloric stenosis. which of the following assessments is highest priority for a nurse to report to the baby's HCP? a. sunken fontanel b. undigested emesis c. apical HR of 156 d. serum potassium 3.6
a. sunken fontanel child is showing sx of dehydration. all other findings are expectations
The nurse in the pediatric clinic receives a call from the parent of a 5yo and states that the child has been having diarrhea for 24 hours. the parent explains that the child vomited twice 2 hours ago and now claims to be thirsty. the parent asked what to offer the child because the child is refusing pedialyte. select the nurses most appropriate response: a. you can offer clear diet soda such as sprite and ginger ale b. pedialyte is really the best thing for your child, who, if thirsty enough, will eventually drink it c. pedialyte is really the best thing for your child. allow your child some choice in the way to take it. try offering small amounts in a spoon, medicine cup, or syringe d. it really does not matter what your child drinks as long as it stays down. try offering small amounts of fluids in medicine cups
c. pedialyte is really the best thing for your child. allow your child some choice in the way to take it. try offering small amounts in a spoon, medicine cup, or syringe
a baby with a history of cystic fibrosis is admitted to the ED. the baby is crying loudly and drawing his legs up to his abdomen. a dx of intussusception is made. which of the following orders would the nurse expect to receive at this time? a. administer corticosteroids b. prepare baby for abdominal surgery c. prepare baby for air enema d. administer antispasmodic medication
c. prepare baby for air enema
which artery carries deoxygenated blood? a. aorta b. inferior vena cava c. pulmonary artery d. subclavian arteries
c. pulmonary artery
a 3 yo child has just been dx with von willebrands disease. which of the following info should the nurse include in a teaching session for the childs parents? a. serve the child a diet that is rich in calcium b. assess the child's axillary temp each morning c. avoid contact with the offending allergen d. apply pressure and ice to all of the childs injuries
d. apply pressure and ice to all of the childs injuries Von Willebrand's disease is a hereditary bleeding disorder. To prevent excessive bleeding, a child with the disease must have pressure and ice applied to all injuries and receive DDAVP (desmopressin acetate) prior to any surgery or when seriously injured.
the nurse is preparing to care for a child with a diagnosis of intussusception. the nurse reviews the childs record and expects to note which sx of this disorder documented? a. watery diarrhea b. ribbon like stools c. profuse projectile vomiting d. bright red blood and mucus in stools
d. bright red blood and mucus in stools intussusception is telescoping of 1 potion of the bowel into another. the condition results in an obstruction to the passage of intestinal contents. bright red blood and mucus are passed thru the rectum and commonly are described as jelly-like stools
baby is admitted w/ dx of intussusception. which of the following s/sx would the nurse expect to see? a. projective vomiting b. acute constipation c. explosive flatus d. currant jelly stools
d. currant jelly stools
which of the following is an accurate description of the physiologic defect caused by anemia? a. increased blood viscosity b. depressed hematopoietic system c. presence of abnormal hemoglobin d. decreased oxygen carrying capacity of blood
d. decreased oxygen carrying capacity of blood
when caring for a child with Kawasaki disease, the nurse should know which of the following? a. aspirin is contraindicated b. principal area of involvement is in the joints c. childs fever is usually responsive to antibiotics within 48 hours d. therapeutic management includes administration of y-globulin and salicylates
d. therapeutic management includes administration of y-globulin and salicylates high dose IV y-globulin and salicylate therapy is indicated to reduce the incidence of coronary artery abnormalities when given within the first 10 days of the illness
