PEDS Final- New material
which child is most at risk for SIDS a. infant who is 3mo b.2yo who has apnea lasting up to 5 seconds c. firstborn child whose parents are in their early 40s d. 6mo who has had 2 bouts of pneumonia
1 (2-4months)
The nurse is caring for a six-month-old infant diagnosed with meningitis when the child is placed in the supine position and flexes his neck the nurse notes he flexes his knees and hips this is referred to as a. Brudzinski sign b. cushing triad c. kernig sign d. nuchal rigidity
A
Which are the most common nonlethal complications occuring from meningitis a. cranial nerve deficits b. epilepsy c. bleeidng intracranially d. cerebral palsy
A
Which should the nurse include when teaching sexuality education to an adolescent with a spinal cord injury a. you can enjoy a healthy sex life and most likely conceive children b. you will never be able to conceive if you have no genital sensation c. development of secondary sex characteristics is delayed d. a few females have regular menstrual periods after injury
A
A child involved in a motor vehicle accident is currently on a backboard with a cervical collar and place the child is diagnosed with cervical fracture which with the nurse expect to find in the child plan of care a. Remove the cervical collar keep the backboard in place and administer high dose methylprednisolone b. continue with all forms of spinal stabilization and administer high-dose methylprednisone and ranitidine c. remove the backboard and cervical collar and prepare for halo traction placement d. remove the cervical collar and backboard place the child on spinal precautions and administer high dose methylprednisolone and ranitidine
B
A child with cerebral palsy has been fitted for braces and is beginning physical therapy to assist with ambulation the parents ask why he needs the braces when he was calling without any assistive devices select the nurses best response a. the CP has progressed and he now needs more assistance to ambulate b. as your child grows different muscle groups may need more assistance c. most children with CP need braces to help with ambulation d. we have found that when children with CPUs braces they are less likely to fall
B
A trio child with CP is admitted for dehydration following an episode of diarrhea the nurses assessment follows awake hale then ChildLine in bed multiple contractors drooling coughing spells noted wooden parent feeds temperature 97.8 pulse 75 respiratory rate 25 weight 7.2 kg no diarrhea stool for 48 hours which nursing diagnosis is most important a. potential for skin breakdown lying in one position b. alterations in nutrition less than body requirements c. potential for impaired social support mother sole caretaker d. alteration in elimination diarrhea
B
the nurse is aware that cloudy CSF most likely indicates a. viral meningitis b. bacterial meningitis c. no infection, CSF is usually cloudy d. sepsis
B
Which child is at increased risk for CP a. infant born at 34 weeks with an Apgar score of six at five minutes b. 17 day old infant with group B streptococcus meningitis c. 24 month old child who is experienced a febrile seizure d. five-year-old with a closed head injury after falling off a bike
B (any infection of the CNS system increases risk)
A child fell off his bike and sustained a closed head injury the child is currently awake and alert but his mother states that he passed out for approximately two minutes the mother appears highly anxious and is very tearful the child is not wearing a helmet which is a priority for the triage nurse to say at this time a. Was anyone else injured in the accident b. tell me more about the accident c. did he vomit have a seizure or display any other behavior that was unusual when he woke up d. why was he not wearing a helmet
C
seizures that originiate in one hemisphere are called
partial or focal seizures
After spinal cord surgery and adolescent suddenly complains of a severe headache what should be the nurses first action a. check the blood pressure b. check for a full bladder c. ask if pain is present somewhere else d. ask if other symptoms are present
B
A child with spastic CP had an intrathecal dose of baclofen in the early afternoon what is the expected result 3 1/2 hours post does it suggest the child would benefit from a baclofen pump a. the ability to self feed b. the ability to walk with little assistance c. decreased spasticity d. increased spasticity
C
Child in the PICU with a head injury is comatose and unresponsive the parent asked if he needs pain medication selected the nurses best response A. pain medication is not necessary as he is unresponsive and cannot feel pain b. Pain medication may interfere with his ability to respond in the mask any signs of improvement c. pain medication is necessary to make him comfortable d. pain medication is necessary for comfort but we used cautiously as it increases the demand for oxygen
C
Child with Reye syndrome is described in the nurses note as followed: 1200 comatose with sluggish pupils when stimulated demonstrates decerebrate posturing. 1400 unchanged except that now demonstrate decorticate posturing when stimulated the nurse concludes that the child's condition is a. Worsening and progressing to be more advanced stage of the syndrome b. Worsening and the child may likely experience cardiac and respiratory failure c. Improving and progressing to a less advanced stage d. improving of the child postural reflexes are similar
C
Is caring for a one-year-old who is just been diagnosed with viral encephalitis the parents ask if the child will be admitted to the hospital select the nurses best response a. Your child will likely be sent home because encephalitis is usually caused by a virus and not bacteria b. Your child will likely be admitted to the pediatric floor for IV antibiotics and observation c. your child will likely be admitted to the PICU for close monitoring and observation d. your child will likely be sent home because she's only one years old we see if you were complications and a shorter disease process in the younger child
C
Nurse is caring for a child who is been in a motor vehicle accident the child falls asleep unless her name is called or she is gently shake in this state of consciousness is referred to as a.coma b. delirium c. Obtunded d. confusion
C
Surviving a motor vehicle accident but in doing a spinal cord injury and adolescent is unable to walk but can use his arms has no bowel or battle bladder control and has no sensation below the nipple line identify the vertebrae spinal column court area most likely injured a. C-1 -C5 b. C5-C7 c. T1-T4 d. T5-T12 e. L2-L5 f. S1-S5
C
The nurse knows that teaching has been successful when the parents of a child with muscle weakness states of the diagnostic test for muscular dystrophy is which of the following a. electro myelogram b. nerve conduction velocity c. muscle biopsy d. creatine kinase level
C
The nurse prepares to administer Baclofen into a child with CP who just had her hamstring surgically released the child's parents ask with the medication is for select the nurses best response a. It is a medication that will help decrease the pain from her surgery b. it is a medication that will prevent her from having seizures c. it is a medication that will help control her spasms d. it is a medication that will help with bladder control
C
The nurse should tell the parents of a child with muscular dystrophy that some of the progress of complications include a. dry skin and hair hirsutism protruding tongue and mental retardation b. anorexia gingival hyperplasia dry skin and hair c. contractures obesity and pulmonary infections d. trembling frequent loss of consciousness and slurred speech
C
The parent of a young child with CP brings the child to the clinic for a check up which parent statement indicates an understanding of the child's long-term needs a. my child would need all of my attention for the next 10 years b. once in school my child will catch up and be like the other children c. my child will grow up and need to learn to do things independently d. I'm the one who knows the most about my child and can do the most for my child
C
The parent of an infant with CP asked the nurse if infant will be mentally retarded which is the nurses best response a. Children with CP have some amount of mental retardation b. approximately 20% of children with CP have normal intelligence c. many children with CP have normal intelligence d. mental retardation is expected of motor and sensory deficits are severe
C
The parents of a child with meningitis and multiple seizures ask if the child life we develop CP select the nurses best response a. when your child is stable she will undergo CT and MRI the physicians will be able to let you know if she has CP b. most children do not develop CP at this late age c. your child will be closely monitored after discharge in the developmental specialist will be able to make the diagnosis d. most children who have had complications following meningitis develop some amount of CP
C
What should a nurse in the ED be prepared for in a child with a possible spinal cord injury a. severe pain b. elevated temperature c. respiratory depression d. increased intracranial pressure
C
What should the nurse teach the parent of a child with suspected meningitis a. antibiotics are not initiated until the CSF cultures are definitive for specific T to prevent resistance b. antibiotics are useless to get spiral infection so they are not used for meningitis c. antibiotic should be started before the CSF fluid cultures or definitive culture results take up to three days d. antibiotic initiation is based on the age signs and symptoms of a child not on the causative agent
C
Which is immediate postop care for shunt placement in an infant diagnosed with hydrocephalus a. what to dry dressing changes at both the shunt insertion site and the abdominal incision site b. Measure the child's head at least once a day c. position for infants head of off-the-shunt site for the first two postop days d. complete vital signs and neurochecks every four hours
C
a 6 week old infant is brought to the ER not breathing. SIDS is discovered. which in;initial intervention should the nurse take a. call their spiritual advisor b. explain the etiology of SIDS c. allow them to see their infant d. collect the infants belongings and give them to the parents
C
parents bring their chils to the ED because it stopped breathing. a nurse obtains a brief hx of events occuring before and after the parents found the infant not breathing. which question should the nurse as the parents first a. was the infant sleeping while wrapped in a blanket b. was the infant lying on hist stomach c. what did the infant look like when you found him d. when had you last checked on the infant
C
And adolescent with the T4 spinal cord injury suddenly become dangerously hypertensive and bradycardic which intervention is appropriate a. Call the neurosurgeon immediately as this sounds like sudden intracranial hypertension b. check to be certain that the patient's bladder is not distended c. administer Hyperstat to treat the blood pressure d. edminister atropine for bradycardia
B
why does spinal cord injury without radio-graphic abnormality sometimes occur in children a. children can suffer momentary severe subluxation and trauma to the spinal cord b. the immature spinal column in children does not allow for quality films c. the hemorrhaging that occurs with injury obscures radio-graphic abnormalities d. radio graphic abnormalities are not evident bc of incomplete ossification of the vertebrae
A
Child requires continuous follow up because of behavior suspicious of CP a. one month old who demonstrates the startle reflex when allowed noises heard b. six-month-old who always reaches for toys with the right hand c. 14th-month-old who has not begun to walk d. two-year-old who is not yet achieved bladder control during waking hours
B
During the nurses assessment of child begins to have generalized tonic clonic seizure the drug of choice and method of administration the nurse expect the healthcare provider to order our which of the following a. lorazepam and diazepam combined in an IV solution of D5W b. lorazepam given IV or diazepam given directly into a vein c. phinne barbital administered in an IV solution of D5W .45 normal saline d. phenytoin in a dextrose solution given IV over one hour
B
Knows the teaching what was successful when a parent states which of the following early signs of muscular dystrophy a. increased muscle strength b. difficulty climbing stairs c. high fevers and tiredness d. respiratory infections and obesity
B
A two-month-old infant is brought to the ER after experiencing a seizure the infinite peers lethargic with very regular respirations and periods of apnea the parent reports the babies no longer interested in feeding and before the seizure rolled off the couch what additional testing should the nurse immediately prepare for a. CT scan of head and dilation of the eyes b. ct scan of the head and EEG c. x rays of head d. x rays of all long bones
A (CT reveals trauma, dilating eyes looks for retinal hemorrhages that are seen in an infant with SBS)
A child diagnosed with meningitis is having generalized tonic clonic seizures what should the nurse do first a. Administer a blow by oxygen and call for additional help b. Reassure the parents that seizures are common in children with meningitis c. Coll a code and ask the parents to leave the room d. assess the child's temperature and blood pressure
A
A child with a seizure disorder has been having episodes during which she drops her pencil and simply appears to be daydreaming this is most likely an a. Absence seizure b. Akenetic seizure c. Non-epileptic seizure d. Simple spasm seizure
A
A three-month-old with spina bifida is admitted to the nurses unit which gross motor skills should the nurse assess at this age a. head control b. pincer grasp c. sitting alone d. rolling over
A
Five-year-old is been diagnosed with muscular dystrophy which nursing intervention would be appropriate a. discuss with the parents the potential need for respiratory support b. explain that to this disease is easily treated with medication c. suggest exercises that will limit the use of muscles and prevent fatigue d. assist the parents and finding a nursing facility for future care
A
Sense of an infant with hydrocephalus can ask about future activities in which their child can participate in school and as an adolescent the nurse should tell the parents which of the following is appropriate a. how much should be worn during any activity that could lead to head injury b. only noncontact sport should be pursued such as swimming or tennis c. because of the risk of Sean system infection swimming is not a sports option d. the child should wear a medic alert bracelet then there's no need to be concerned about the shunt
A
The parent of a toddler newly diagnosed with CP asked the nurse what caused it the nurse should answer with which of the following a. most cases are caused by unknown prenatal factors b. it is commonly caused by perinatal factors c. the exact cause is not known d. the exact cause is known in every instance
A
The parents of a 12 month old with CP asked the nurse if they should teach their child sign language because he has not begun to vocalize the nurse bases the response and the knowledge that sign language a. may be a very beneficial way to help children with CP communicate b. may cause confusion and further delay vocalization c. is difficult to learn for most children with CP d. is beneficial to learn but it would be best to wait until the child is older
A
The parents of a child with CP are learning how to feed their child and avoid aspiration the nurse would question which of the following when reviewing the teaching plan a. place the food on the tip of the tongue b. place the child in an upright position during feedings c. feed the child soft and blended foods d. feed the child slowly
A
The parents of a preschooler diagnosed with muscular dystrophy are asking questions about the course of their child's disease what should the nurse tell them a. muscular dystrophy is yours the results and progressive weakness b. the weakness that your child is having will probably not increase c. your child will be able to function normally and not need any special accommodations d. the extent of weakness depends on doing daily physical therapy
A
Which symptoms will a child suffer from complete spinal cord injury experience a. loss of motor and sensory function below the level of the injury b. loss of interest in normal activities c. Extreme pain below the level of the injury d. loss of some function with sparing of function below the level of the injury
A
Which will help a school age child with muscular dystrophy stay active longer a. normal activity such as swimming b. using a treadmill every day c. several periods of rest every day d. using a wheelchair upon getting tired
A
You're still the family of a child with CP that since the 1960s the incidence of CP has a. increased b. decreased c. remained the same d. decreased due to early misdiagnosis
A
an infant has died from SIDS. what is the nurses best response to the grieving parents a. you did not cause your infants death b. an autopsy will confirm the cause of your infants death c. don't worry, you'll have more children d. be sure to place your next infant on his back to sleep
A
which child has the higest risk of SIDS a. neonate at 32 weeks weight 3lb 15oz b. neonate at 39 weeks weight 7lb 14oz c. 3mo hospitalized with a temp of 103.4 d. first born child who has a distant half cousin who died from SIDS
A
The nurse is caring for an unconscious six-year-old who has had a severe closed head injury and Oates the following changes heart rate has dropped from 120 to 55 blood pressure has increased from 110/44 to 195/62 and respirations are becoming more irregular what should the nurse do first after calling the physician a. Call for additional help and prepare to administer Mannitol b. continue to monitor the patient's vital signs and prepare to administer a bolus of isotonic fluids c. call for additional help and prepare to administer an antihypertensive d. Continue to monitor the patient and administer supplemental oxygen
A (Mannitol is an osmotic diuretic that helps decrease the increased ICP)
The nurse is caring for a child with a skull fracture who is unconscious and has severely increased ICP the nurse notes the child's temp to be 104 what should the nurse do first a. place a cooling blanket on the child b. Administer Tylenol via NG tube c. administer Tylenol rectally d. place ice packs in the child axillary areas
A (cooling blanket then tylenol)
The nurse is planning care for a child with a T 12 spinal cord injury which life from complications could the child and family know about select all that apply a. skin integrity b. incontinence c. lots of large and small motor activity d. loss of voice e. flaccid paralysis
A, B
In preparing the patient and family for hospital discharge which of the following signs and symptoms of shunt malfunction and infection should the nurse include in the teaching plan select all that apply a. emesis lethargic b. a change in neurological behavior c. fever irritability d. diarrhea or constipation e. redness along the shunt system
A,B,C,E
The mother of a child with muscular dystrophy asked the nurse who in the family should have genetic screening who should the nurse say must be tested select all that apply a. mom b. sister c. brother d. aunts and all female cousins e. uncles and all male cousins
A,B,D
the nurse is teaching an infant care course. the parents of a newborn at 38 weeks gestation mention that their niece died of SIDS and that they want to reduce the risk in their own infant. what statement should the nurse make. select all that apply a. use a pacifier when putting the baby down to sleep b. use a cardiac monitor with preterm babies c. place the baby on his or her back for 12 months d. co share the room with the baby e. re position the baby onto the back if he has rolled over to his stomach
A,C,D
when explaining to parents how to reduce the risk of SIDS, the nurse should teach about which measures, select all that apply a. maintain a smoke free environment b. use a wedge for side lying positions c. breast feed the baby d. place the baby on his back to sleep e. use bumper pads over the bed rails f. have the baby sleep in the parents bed
A,C,D
Child is admitted to the pediatric unit with spastic CP witch with the nurse expect a child with spastic CP to demonstrate select all that apply a. increased deep tendon reflex b. decreased muscle tone c. scoliosis d. contractures e. scissoring f. good control of posture g. good fine motor skills
A,C,D,E
A two-year-old child has tested positive for TB and has been started on rifampin the child's parents asked the nurse if there is any important information they should know about this medication what important adverse affect should the nurse informed these parents about a. hyper activity b. Orange body secretions c. decreased Billy Rubin levels d. decreased levels of liver enzymes
B
Should the nurse tell the parent of an infant with spina bifida a. bone growth will be more than that of babies who are not sick because your baby will be less active b. physical and occupational therapy will be helpful to stimulate the senses and improve cognitive skills c. nutritional needs for your infant will be calculated based on activity level d. find motor skills will be delayed because of the disability
B
The nurse is educating a team or preparing to place a TB skin test what statement by the nurse is most accurate regarding this test a. the test is read after 24 hours b. the test is positive if the skin has an induration of 10 or more millimeters c. the needle is placed into the fat tissue d. A vaccine for TB does not affect the skin test
B
The nurse knows that young infants are at risk for injury from shaken baby syndrome because a. the anterior fontanelle is open b. they have insufficient musculoskeletal support in a disproportionate head to body ratio c. they have an immature vascular system with veins and arteries that are more superficial d. The nurse knows there is immature myelination of the nervous system and the young infant
B
The parents of a child with altered consciousness ask if they can stay during the morning assessment select the nurses best response a. Your child is more likely to answer questions and cooperate with any procedures if you were not present b. Most children feel Morty's when parents are present so you more than welcome to stay at the bedside c. It is our policy to ask parents to leave during the first assessment of the shift d. many children fear that their parents will be disappointed if they do not do well with procedures so we recommend the no parents be present at this time
B
Three preschool children and their foreign born parents come to a homeless shelter. The family has been homeless for three months the children appear somewhat unkept but nourish one of the children has severe in large cervical lymph nodes and is running a low-grade fever which chronic infection illness should be suspected in the child a. chlamydial pneumonia b. tuberculosis c. pertussis d. asthma
B
Which is the best action for the nurse to take during a child seizure a. Administer the child rescue dose of oral valium b. loosen the childs clothing and call for help c. place a tongue blade in the childs mouth to prevent aspiration d. carry the child to the infirmary to call 911 and start an IV line
B
Which order with a nurse question for a child just admitted with a diagnosis of bacterial meningitis a. maintain isolation cautions until 24 hours after receiving IV anabiotic's b. IV fluids at one half times regular maintenance c. neurological checks every hour d. administer acetaminophen for Tim's higher than 100.4
B (could cause fluid overload and increased ICP)
The nurse is caring for a three-year-old with an altered state of consciousness the nurse determines that the child is oriented by asking the child to a. Name the president of the United States b. Identify her parents and state her own name c. State her full name and phone number d. Identify the current month but not the date
B (developmental level)
The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure the nurse knows clarification is needed when the mother says a. my child will likely have another seizure b. My child seven-year-old brother is also at high risk for febrile seizures c. I'll give my child acetaminophen when ill to prevent a fever from rising too high to rapidly d. most children with febrile seizures do not require seizure medicine
B (not common over the age of 7)
an infant brought to ED after apneic apisode. it is later determined to be ALTE. what statements are correct regarding ALTE. select all that apply a. causal relationship between ALTE and SIDS b. gagging and color change are foten features of ALTE c. infant is usually hypertonic d. stimulation or resuscitation is often required to bring about recovery e. most ALTE episodes occur between 8am-8pm f. more males present with ALTE than females
B,D,E
The nurse knows for their education is needed about reye syndrome when a mother states a. I will have my children immunized against varicella and influenza b. I will make sure not to give my child any products containing aspirin c. I will give aspirin to my child to treat a headache d. children with Reye syndrome are admitted to the hospital
C (asprin products develop Reye Syndrome)
Select the best room assignment for a new lead me the child with bacterial meningitis a. semi private room with a roommate who also has bacterial meningitis b. semi private room with a roommate who has bacterial meningitis but is received IV anabiotic's for more than 24 hours c. private room that is dark and quiet with minimal stimulation d. private room that is bright and colorful and has developmentally appropriate activities available
C (avoid cerebral irritation)
To treat a common manifestation of Reye syndrome which medication with the nurse expect to have readily available a. lasix b. insulin c. glucose d. morphine
C (common manifestation is hypoglycemia)
Which signs best indicate increased ICP and an infant select all that apply a. Sunken anterior fontanelle b. complaints of blurred vision c. high-pitched cry d. increased appetite e. sleeping more than usual
C, E
A 15-year-old is spina bifida is seen in the clinic for a well child check up the teen uses leg braces and crutches to ambulate which nursing diagnosis takes priority a. potential for infection b. alteration in mobility c. alteration in elimination d. potential body image disturbance
D
Brain damage in a child who sustained a closed head injury can because by which factor a. Increase perfusion to the brain and increased metabolic needs of the brain b. Decreased perfusion to the brain and decreased metabolic needs of the brain c. Increase perfusion to the brain and decrease metabolic needs of the brain d. Decreased perfusion to the brain and increased metabolic needs of the brain
D
Child is being admitted with a diagnosis of meningitis select the procedure the nurse should do first a. Administration of IV antibiotics b. Administration of maintenance IV fluids c. placement of a Foley catheter d. send the spinal fluid and blood samples to the laboratory for cultures
D
Newborn with suspected hydrocephalus is transferred to the ICU for further evaluation and treatment for infants nurse knows which of the following a. do you sedation is needed to keep the baby from crying or being fussy b. to keep the crib in a flat in neutral position c. to expect the infant to sleep more than an infant without hydrocephalus d. do not use any scalp veins for iv infusions
D
Parents of a child with generalized seizures asked the nurse for information to give their child's teachers which of the following should be included a. a soft how did spoon should be kept nearby to be put between the child's teeth at the onset of a seizure b. well the child onto the abdomen with the head to the left so any contents can flow from the mouth c. if a seizure last longer than 10 minutes the parents or an ambulance should be called d. as the child grows medication dosages may need to be adjusted to control seizure activity
D
The mother of an unconscious child has been calling her name repeatedly and gently shake and your shoulders and attempt to wake her up the nurse knows that the child is flexing arms and wrists will bring her arms closer to the midline of her body the child's mother asks what is going on so let the nurses best response a. I think your daughter hears you and she's attempting to reach out to you b. Your child is responding to you please continue trying to stimulate her c. It appears that your child is having a seizure d. Your child is demonstrating a reflex that indicate she's overwhelmed with the stimulation she is receiving
D
The nurse evaluates teaching the parents of a child newly diagnosed with CP as a successful when the parents state that CP is which of the following a. inability to speak and uncontrolled drooling b. involuntary movements of lower extremity's only c. involuntary movements of upper extremity's only d. an increase in muscle tone and deep tendon reflex is
D
The nurse is caring for a child with CP lose weight is in the 5th percentile and has been hospitalized for aspiration ammonia his parents are anxious and state that they do not want a G-tube placed what should be the nurses best response a. a G tube will help your son gain weight and reduce his risk for future hospitalizations due to pneumonia b. g-tubes are very easy to care for and will make feeding times easier for your family c. are you concerned that you will not be able to care for his G-tube d. tell me what your thoughts are about G-tubes
D
The nurse is caring for a school age child with muscular dystrophy in elementary school which would be an appropriate nursing diagnosis a. anticipatory grieving b. anxiety reduction c. increased pain d. activity intolerance
D
The nurse is caring for a two month old infant who is at risk for CP due to extreme low birth weight and prematurity his parents ask why you speech therapist is involved in his care select the nurses best response a. your child is likely to have speech problems because of his early birth involving the speech therapist now will ensure vocalization at a developmentally appropriate age b. the speech therapist will help with tongue and John movements to assist with Babling c. many members of the healthcare team are involved in your child's care so that will know if there are any unmet needs d. the speech therapist will help with Tom and John movements to assist with feeding
D
The nurse is developing a plan of care for a child recently diagnosed with CP what should be the nurses priority goal a. Ensure the ingestion of sufficient calories for growth b. decrease intracranial pressure c. teach appropriate parenting strategies for a special needs child d. ensure that the child reaches full potential
D
The parent of an infant asked the nurse what to watch for to determine if the infant has CP which is the nurses best response a. if the infant cannot sit up without support before eight months b. if the infant demonstrates tongue thrust before four months c. if the infant has poor head control after two months d. if the infant has clenched fist after three months
D
Which foods would be best for a child with muscular dystrophy a. high carb high protein foods b. no special food combos c. extra protein to help strengthen muscles d. low-calorie foods to prevent weight gain
D
when panning a visit to parents of a SIDS baby, the nurse shoudl visit the parents at which time a. a few days after the funeral b. 2 weeks after the funeral c. as soon as the parents are ready to talk d. as soon after the infants death as possible
D
an infant is brought to the ED and is pronounced dead with SIDS. which question should the nurse ask the parents a. did you hear the infant cry out b. was the infants head burried in a blanket c. were any of the siblings jealous of the new baby d. was there vomitus in the infants mouth when you found him
D (ask only factual questions, no blaming)
The nurse is caring for an adolescent who remains unconscious 24 hours after sustaining a closed head injury in a motor vehicle accident she responds to deep painful stimulation with decorticate posturing and and has an intracranial monitor that shows periodic increased ICP all other vital signs remain stable select the most appropriate nursing action a. Encourage the teens peers to visit and talk to her about school and other pertinent events b. encourage the teams parents to hold her hand and speak loudly to her in an attempt to help her regain consciousness c. attempt to keep a normal day and night pattern by keeping a teen in a bright lively environment during the day and a dark quiet environment at night d. attempt to keep the environment dark and quiet and encourage minimal stimulation
D (decrease oxygen consumption and ICP)
which applies to CP select all that apply a. it is the most common chronic disorder of childhood b. hyeprbilirubinemia increases the risk of CP c. it is a progressive chronic disorder d. most children do not experience any learning disabilities e. there is a familial tendency seen in children with CP
a,b
Which has the potential to alter a child's level of consciousness select all that apply a. Metabolic disorders b. Trauma c. hypoxic episode d. dehydration e. endocrine disoders
a,b,c,d,e
The nurses doing discharge teaching for a three month old with the new shunt placed for hydrocephalus which are signs and symptoms of hydrocephalus that the parents may see if the shunt malfunction's select all that apply a. vomiting b. irritability c. poor feeding d. headache e. sunken fontanel f. seizrures g. inability to wake up infant h. hyperactivity
a,b,c,f,g
Which are associated with Gullain Barre select all that apply a. always fatal after 18 to 24 months b. progresses cephalocaudally c. complications are associated with immobility d. respiratory support is a nursing priority e. tube feedings or total parenteral nutrition may become necessary
c,d,e
a parent calls the nurse for dosing information for Pepto-Bismol and aspirin for children who are 8 to 9 years old and and are ill. which does the nurse advise select all that apply a. 15ml of pepto bismol after every diarrha stool b. 81 mg baby aspirin every 4 hours c. no medicaitons necessary d. pepto bismol contains aspirin e. diet as tolerated f. reye syndrome is associated with asprin use
c,d,e,f
which applies to encephalitis select all that apply a. usually cuased by bacterial infection b. a chronic disease c. most commonly seen after a varicella infection in the newborn population d. newborns diagnosed with it often have extensive neuro problems e. can be seen with meningitis
d,e
