Peds Final

Which laboratory test should the nurse prepare to draw when admitting a pediatric client with acute renal failure? Select all that apply.

Blood urea nitrogen (BUN) Creatinine

The school nurse has noticed an increase in the number of children in the school being diagnosed with type 2 diabetes. What changes could the nurse implement at the school to help reduce students' risk for developing type 2 diabetes?

Increase the amount of daily physical activity.

The nurse is planning an educational session for a group of 9-year-olds and their parents aimed at decreasing injuries and accidents among this age group. Which topics should be included in the educational session to accomplish the goal?

Pedestrian, motor vehicle, and bike safety rules

When assessing a child with leukemia which clinical manifestations should the nurse anticipate?

Petechiae Fever Fatigue

A nine-year-old child understands that an arm will look the same when the IV is removed. Which of the principles according to Piaget supports this statement?

The principle of conservation

The nurse is preparing a child for possible alopecia from chemotherapy. What information should the nurse give regarding alopecia?

When hair regrows, it may have a slightly different color or texture.

Which information about the hemophilia will the nurse include in the teachi8ng plan for the parents of a child diagnosed with hemophilia?

X-linked recessive inherited disorder in which blood clotting factors are deficient.

The parents of a child with sickle cell anemia ask why their child did not have a sickle cell crisis until he was approximately 6 months old. How should the nurse respond?

"Affected children can be asymptomatic in early infancy because of high levels of fetal hemoglobin that inhibit sickening."

A child diagnosed with aplastic anemia is admitted to the hospital. The parents ask the nurse what aplastic anemia is. Which response by the nurse is accurate?

"Aplastic anemia is caused by the bone marrow producing inadequate cells."

The parents of a school-age child ask the nurse if she thinks that their child has attention deficit hyperactivity disorder (ADHD). Which statement regarding the child's behavior at school is most indicative of ADHD?

"He cannot sit still in his seat and constantly moves his legs."

A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?

Cigarette smoking

When assessing a child with chronic renal failure which clinical manifestations would the nurse expect to find?

Uremic frost

The nurse is caring for a child with Beta Thalassemia. Which child is in a group most at risk for Beta Thalassemia?

A three-year-old girl of Mediterranean descent.

The child is admitted to the hospital unit newly diagnosed with retinoblastoma. Which clinical manifestation does the nurse anticipate upon assessment?

A white reflux

The nurse is caring for a child with Neuroblastoma. Where is the tumor most commonly located?

Abdomen

A child diagnosed with a soft tissue tumor is being treated with chemotherapy. Prior to administering the chemotherapy, which laboratory test should the nurse monitor to determine if the child has any capability of fighting infections?

Absolute neutrophile count (ANC)

A child is admitted to hospital with acute renal failure. The parents ask about the prognosis for acute renal failure. The nurse's response should be based on which statement about acute renal failure?

Acute renal failure may be reversible

The nurse is teaching the mother of a 9-month-old infant about administering liquid iron preparation. Which information should be included in the teaching?

Adequate dosage will turn the stools a tarry, black color.

A school-age child is admitted to the pediatric unit with Vaso-occlusive crisis. Which of these should be included in the nursing plan of care?

Adequate hydration, oxygenation, and pain management

When planning care of a child who has a urinary tract infection the4 nurse should give priority to which treatment measure?

Administer ordered antibiotics on schedule.

The nurse is preparing to administer a prescribed, as needed, antiemetic drug for a child who is diagnosed with cancer. Which action by the nurse is most appropriate?

Administering the drug prophylactically prior to the next dose of chemotherapy

A four-year-old boy is admitted in the hospital with leg pain and fever. He is pale looking and has bruises over various areas of his body. The physician suspects acute lymphoblastic leukemia (ALL). Which test would be used to confirm the diagnosis?

Bone marrow aspiration

Which menu choices for a child who is diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?

Carrots and green, leafy vegetables

In a child with Hemophilia which measures would be used to manage hemarthrosis (bleeding into a joint space)? Select all that apply.

Immobilize the joint Factor replacement Apply ice packs Range of motion exercises

Which teaching point should the nurse include when providing education to an adolescent client, who participates in soccer, regarding the plan of care for diabetes mellitus?

Increase food intake

A 14-year-old with chronic renal failure suddenly becomes non-compliant with the medication regimen. Which nursing intervention would most likely improve compliance?

Set up a meeting with some older teens who have chronic renal failure and have been managing their disease effectively.

Which clinical manifestations should the nurse anticipate when assessing a child for hypoglycemia?

Shaky feeling and dizziness

A sixteen-year-old boy is diagnosed with osteosarcoma. What information should the nurse know regarding the treatment plan?

Treatment usually consists of surgery and chemotherapy.

The nurse is caring for a child with acute postinfectious glomerulonephritis. Which of the following best describes the pathophysiology of acute postinfectious glomerulonephritis?

Occurs after a streptococcal infection

Which assessment findings should the nurse expect in a child with sickle cell anemia experiencing an acute Vaso-occlusive crisis?

Painful swelling of joints in hands and feet, tissue engorgement.

A child is admitted in renal failure. Which of these findings should the nurse expect?

Polyuria and elevated creatinine clearance.

The nurse is caring for an adolescent who is overweight. Which of the following psychological effects of being overweight during adolescence will the nurse consider when planning care for the adolescent?

Poor body image

Which medication should the4 nurse expect to administer to a child diagnosed with Nephrotic Syndrome to decrease proteinuria?

Prednisone

A child with nephrotic syndrome is severely edematous. The primary health care provider has placed the child on bed rest. Which nursing intervention should be included in the plan of care?

Reposition the child every two hours

The nurse is caring for a child with sickle cell anemia with the following order: Morphine Sulfate 2 mg IV every 24 hours. Morphine Sulfate is available in 10 mg/1mL. How many mL should the nurse administer?

0.2

The nursing is caring for a child receiving chemotherapy with the following orders: Zantac 70 mg IV in normal Saline 30 mL infuse over 30 minutes. The nurse should set the infusion pump to deliver how many mL/hours?

60

Which parental statement indicates correct understanding of information presented regarding the prevention of iron deficiency anemia in infants?

"We will begin an iron-fortified infant cereal at 4 to 6 months of age."

The mother of a child with typ3 1 diabetes asks the nurse why her child cannot avoid all those 'shots' and take pills like an uncle does. How should the nurse respond?

"Your child needs insulin replaced, and the oral hypoglycemic only add to an existing supply of insulin."

The parents of a child with acute postinfectious glomerulonephritis (APIGN) ask how they will know that the condition is improving. How should the nurse respond?

"Your child's urine output will increase, and the urine will become less brown in color"

Which clinical manifestations should the nurse expect in a child diagnosed with nephroblastoma?

Hypertension

The nurse is providing education to the parent of a child with Beta-thalassemia. Which risk factors about the condition should the nurse include in the teaching?

Chronic hypoxia and iron overload

The nurse is teaching the parents of a child with sickle-cell disease how to avoid precipitating factors that can contribute to a sickle-cell crisis. Which precipitating factors should the nurse include in the teaching? Select all that apply.

Fever Dehydration Stress

The nurse is assessing a child with type 2 diabetes. The child is awake and alert with a serum glucose of 60 mg/dL. What action should the nurse take?

Give 15g of carbohydrates

Following treatment for iron deficiency anemia, the physician orders lab tests. Which lab value would indicate an improvement in the child's condition?

High reticulocyte count

Which general manifestations should the nurse monitor for when conducting a history and physical assessment for a pediatric client who is diagnosed with cancer? Select all that apply.

Infection Anemia Pain Cachexia

A six-year-old child is admitted to hospital with a diagnosis of urinary tract infection. Which of these factors contribute to urinary tract infections in young children?

Infrequent voiding which results in urinary stasis.

A child is admitted to the hospital with acquired aplastic anemia. What is the cause of acquired aplastic anemia in children?

Ingestion of drugs such as chloramphenicol or antiepileptics.

Which laboratory value at the time of diagnosis should the nurse anticipate would determine the worst prognosis for a child with leukemia?

Leukocytes of 275,000/mcL.

Which dietary information should the nurse include in the teaching plan for a school-age child with chronic renal failure?

Low in phosphorus.

Which clinical manifestations should the nurse anticipate when assessing a child who has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?

Massive proteinuria, hypoalbuminemia, and edema

Which medication should the nurse expect to administer to a child with an acute sickle cell pain crisis?

Morphine

A 10-year-old boy is admitted to the pediatric neurologic unit with a suspect brain tumor. When assessing the child, the nurse should expect which of these symptoms? Select all that apply.

Nausea and vomiting Headache Change in vision

Urinary excretion of the breakdown products of catecholamines, especially vanillylmandelic acid (VMA) and homovanillic acid (HVA), are detected in which type of cancer?

Neuroblastoma

The nurse is providing information to an adolescent newly diagnosed with diabetes. Which clinical manifestations of diabetic ketoacidosis (DKA) should the nurse include in the teaching session? Select all that apply.

Tachycardia Fruity breath odor Rapid, shallow respirations Abdominal pain

Which instructions should be provided to the parents of a 4-year-old girl who has experienced urinary tract infections (UTIs) in the last 2 years? Select all that apply

Teach the child to wipe from front to back. Encourage the child to drink additional fluids throughout the day Plan potty breaks every 2 hours throughout the day.

An eleven-year-old boy is admitted with a history of type 1 diabetes. What information about school age should the nurse use to formulate the teaching plan for daily injections?

The child is old enough to give most of his injections.