Peds Final

To confirm a tentative diagnosis of leukemia a bone marrow aspiration and biopsy are to be performed on a 4-year-old boy. The nurse gives an age-appropriate explanation of the procedure to the child. What else is involved in caring for this child? 1 Telling the child that there will be pressure without pain 2 Explaining to the child that he will sleep during the procedure 3 Placing the child in the semi-Fowler position supported by pillows 4 Asking the child to hold some nonsterile equipment dur

2 explaining to the child that he will sleep during the procedure

A 3-year-old child is seen in the emergency department after a fall off a swing, and a possible concussion is diagnosed. When using the Glasgow Coma Scale, the nurse should remember that most children 3 years of age: 1 Can state their name and address 2 May not respond to strangers asking questions 3 Will be able to clearly state the time and place 4 Should be assessed without their parents present

2 may not respond to strangers asking questions

A nurse is caring for a 4-year-old child who is terminally ill. The 4-year-old child's concept of death is based on a sense of causality. In what stage of Piaget's cognitive development is this child? 1 Formal operations 2 Preoperational thought 3 Sensorimotor operations 4 Concrete operational thought

2 preoperational thought

A 4-year-old child is admitted to the pediatric unit with a diagnosis of Wilms tumor. Considering the unique needs of a child with this diagnosis, the nurse should place a sign on the child's bed that states: 1 Keep NPO 2 No IV medications 3 Record intake and output 4 Do not palpate the abdomen

4 do not palpate the abdomen

A 3-year-old child is to receive a liquid iron preparation. What should the nurse teach the mother regarding this medication? 1 Monitor the stools for diarrhea. 2 Administer the iron at least an hour before meals. 3 Avoid giving the child orange juice with the iron preparation. 4 Have the child drink the diluted iron preparation through a straw.

4 have the child drink the diluted iron preparation through a straw

A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be prevented. The nurse responds: 1 "Scratching causes lesions to become more contagious." 2 "Scratching spreads dermatitis to other areas of the body." 3 "Scratching results in skin breaks that can lead to infection." 4 "Scratching produces changes that are precursors to skin cancer."

3 "scratching results in skin breaks that can lead to infection."

Which belief should a nurse expect a preschooler to hold regarding the concept of death? 1 A temporary condition 2 Results from certain illnesses 3 Something that happens in the hospital 4 An event that eventually happens to everyone

1 a temporary condition

A 4½-year-old child is brought to the emergency department with a fractured tibia. Which type of fracture is most common in children of this age? 1 Greenstick 2 Transverse 3 Compound 4 Comminuted

1 green stick

A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when caring for the child? (Select all that apply.) 1 Pallor 2 Fatigue 3 Jaundice 4 Multiple bruises 5 Generalized edema

1 pallor, 2 fatigue, 4 multiple bruises

A young child with acute nonlymphoid leukemia is admitted to the pediatric unit with a fever and neutropenia. What are the most appropriate nursing interventions to minimize the complications associated with neutropenia? 1 Placing the child in a private room, restricting ill visitors, and using strict handwashing techniques 2 Encouraging a well-balanced diet, including iron-rich foods, and helping the child avoid overexertion 3 Avoiding rectal temperatures, limiting injections, and applying dire

1 placing the child in a private room, restricting ill visitors, and using strict hand washing techniques

A 4-year-old child is brought to the emergency department after falling on the handlebars of a tricycle. The child is guarding the abdomen, crying, and not allowing any physical contact with the staff. What is the best action by the nurse? 1 Medicating the child for pain before proceeding 2 Allowing the child to guide the examiner's hand to the area that hurts 3 Having the parents restrain the child while the abdomen is auscultated 4 Suggesting that the health care provider prescribe computed to

2 allowing the child to guide the examiners hand to the area that hurts

A 4-year-old child with newly diagnosed leukemia is admitted for chemotherapy. While assisting with morning care the nurse observes bloody expectorant after the child has brushed the teeth. How should the nurse respond to this occurrence? 1 By securing a smaller toothbrush for the child to use 2 By documenting the incident without alarming the child 3 By telling the child to be more careful when brushing the teeth 4 By rinsing the child's mouth with half-strength hydrogen peroxide

2 by documenting the incident without alarming the child.

A nurse who volunteers in a daycare for preschoolers has been asked to give a presentation to parents about health promotion. Which topics should the nurse include? 1 Nutrition and bullying 2 Injury prevention and dental health 3 Organized sports and immunizations 4 Toilet-training and attention deficit disorder

2 injury prevention and dental health

A health care provider writes prescriptions for a young child with a tentative diagnosis of Wilms tumor. Which prescription should the nurse question? 1 MRI 2 CT scan 3 Renal biopsy 4 Abdominal ultrasound

3 renal biopsy

A 3-year-old child with sickle cell anemia is admitted to the child health unit during a painful episode. Splenomegaly is identified. The nurse explains to the parents that splenomegaly is: 1 Common in infancy 2 Difficult to palpate in children 3 Triggered by a vaso-occlusive crisis 4 Most common during late childhood

3 triggered by a vaso occlusive crisis

The mother of a preschool-age child tells the nurse that her husband is dying of cancer and that she is worried about how her child will cope. As part of their discussion, the nurse includes that preschool-age children view death as: 1 Universal 2 Irreversible 3 A form of sleep 4 A frightening ghost

3 a form of sleep

A 4-year-old child is admitted to the pediatric unit with a tentative diagnosis of acute lymphocytic leukemia (ALL). The mother states that changes in her child's behavior and the "black and blue" marks were noticed several days ago. She blames herself for not bringing her child to the clinic sooner. On what information about the pathophysiology of leukemia should the nurse base a response? 1 The diagnosis can be certain only after a blood smear is analyzed. 2 If leukemia is diagnosed, the child

3 early signs and symptoms of leukemia are similar to those of other mild illnesses of childhood.

A 4-year-old boy with Reye syndrome is beginning to show signs of recovery. The intracranial pressure has receded, the vital signs are stable, the fever has subsided, and urine output is within the acceptable range for the child's weight and fluid intake. What should the nurse tell the parents about their son's recovery? 1 "The illness has resolved." 2 "Your son is out of danger now." 3 "Your son seems free of complications." 4 "The recovery is now progressing as we'd hoped."

4 "the recovery is now progressing as we'd hoped."

A preschool child with a spinal cord injury will be on prolonged bedrest. The nurse explains to the parents that certain foods will be restricted to prevent complications associated with immobility. What food should be noted as restricted in the teaching plan? 1 Fish 2 Fruit 3 Beef 4 Cheese

4 cheese