PEDS PREP U
premature newborn diagnosed with retinopathy of prematurity. Which comment will be part of the information provided?
"It's an overgrowth of retinal blood vessels."
The nurse is monitoring a child with burns during treatment. Which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation?
Adequacy of capillary filling
vaso-occlusive sickle cell crisis. The nurse plans for which priority treatments in the care of the child?
Adequate hydration, pain management
The nurse is screening a 4-year-old girl for vision problems. What problem could result in loss of vision?
Amblyopia
small, superficial burn (first-degree burn). Which action by the nurse would be most appropriate to take first?
Apply cold compresses to the area.
24-month-old boy with regressed retinopathy of prematurity. Which intervention is priority for this child?
Assessing the child for asymmetric corneal light reflex.
Which is a late sign of increased ICP?
Bradycardia
human rabies vaccine
IM anterolateral thigh, deltoid, NOT gluteus
What is a true statement regarding status epilepticus?
It is a common neurologic emergency in children.
suspecting the possibility of Wilms' tumor, should avoid which during the physical assessment?
Palpating the abdomen for a mass
pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms?
Projectile vomiting
A child is diagnosed with Reye's syndrome. The nurse creates a nursing care plan for the child and should include which intervention in the plan?
Providing a quiet atmosphere with dimmed lighting
3-year-old diagnosed with diabetes mellitus. The child's eating patterns are unpredictable
Rapid-acting insulin
emergency department and diagnosed with diabetic ketoacidosis. What treatment would the nurse expect to administer?
Regular insulin
cleft palate are concerned and ask the nurse when the palate will be repaired. The nurse should plan to base the response on which information about cleft palate repair?
Repair usually is performed between 6 months and 2 years.
The nurse is planning care for a child with hemolytic-uremic syndrome who has been anuric and will be receiving peritoneal dialysis treatment. The nurse should plan to implement which measure?
Restrict fluids as prescribed.
What is a true statement regarding varicella zoster virus infection?
Secondary bacterial infections of the skin can occur.
Which is the best intervention for the parents when removing an old dressing?
Soak the old dressing in tepid water before attempting to remove.
Which organism usually causes impetigo in infants?
Staphylococcus aureus
type 1 diabetes mellitus how to self-inject insulin. Which method should she recommend to the child for regular doses?
Subcutaneously in the outer thigh
Reed-Sternberg cells. The nurse prepares to assist the primary health care provider to discuss which initial procedure with the parents?
Surgical biopsy
The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). The nurse should assess the infant for which early sign of HF?
Tachycardia
burn develops a wound infection. Which intervention would be the most effective form of treatment?
Topical antibiotics applied to the wound site
11-year-old boy with Legg-Calvé-Perthes disease. Which assessment finding would be expected?
Trendelenburg gait
tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action?
Turn the child to the side.
prescribed phenytoin. What information should be included in discussion about this medication?
Use a soft toothbrush.
burns from a house fire. The nurse notes burn areas surrounding the client's nose and mouth upon initial assessment. Which priority complication should the nurse be alert for?
airway obstruction related to 889 swelling
The nurse is interpreting the negative feedback system that controls endocrine function. What secretion will the nurse correlate as decreasing while blood glucose levels decrease?
insulin
rabies immune globulin
into and around wound, IM site distant from vaccine inoculation
one dilated but reactive pupil
intracranial mass
children more likely to experience
ischemic stroke
pediatric glasgow coma scale
lower score less responsive child
A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the parents to be alert for signs and symptoms of:
scarlet fever
The most common complication of varicella is:
secondary bacterial infections.
dilated but reactive pupils
seizures
visual impairment. Which action would the nurse be least likely to include as an example of a self-stimulatory action?
shouting
Which diagnostic measure is most accurate in detecting neural tube defects?
significant level of alpha-fetoprotein present in amniotic fluid
potassium hydroxide testing performed. What will be needed to complete this test?
skin scraping
erythema infectiosum (5th disease)
slapped cheek, trunk, lace like, no palms or soles, arthritis, droplet
erythema multiforme tx
supportive resolves on its own
botulism
weak cry, raw honey, listlesness, diminished gag reflex
pertussis
whooping cough, protruding tongue,cyanosis
rocky mnt spotted fever rash
wrists, forearms, ankles, soles and palms
The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed?
"Antibiotics are needed to help our child recover from rubella."
The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the primary health care provider did not prescribe antibiotics. Which response should the nurse make?
"Antibiotics are not indicated unless a bacterial infection is present."
treatment plan with the parents of a newborn with hypospadias. Which statement by the parents indicates their understanding of the plan?
"Circumcision has been delayed to save tissue for surgical repair."
hospitalized with a diagnosis of severe impetigo. The nurse is interviewing the family. Which question will have the greatest impact on the child's care?
"Does your child have any allergies to medications?"
evaluating the parents' understanding of atopic dermatitis. Which statement shows their understanding?
"Flare-ups of lesions are not uncommon following therapy."
Gabapentin has been prescribed for a pediatric client. Which statement by the client indicates an understanding of teaching related to the medication?
"I can't take this medication within 2 hours of taking my antacid medication."
2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicates the need for further instruction?
"I'll let him decide when to return to his play activities."
hyposensitization therapy.
"Your child will have to remain in the office for about one-half hour after each treatment."
The nurse is preparing to administer the child's ordered lispro (Humalog) insulin at 0800. When will the child's blood glucose level begin to decline?
0815
normal range for the dosage of acetaminophen is
10 to 15 mg/kg
child immediately seen
10-month old, fever, grunting, petechiae
A child with a diagnosis of tetralogy of Fallot exhibits an increased depth and rate of respirations.
A hypercyanotic episode
aortic stenosis
Activity intolerance
The nurse is providing instructions to the parents of an infant with a ventriculoperitoneal shunt. The nurse should include which instruction?
Call the primary health care provider if the infant has a high-pitched cry.
dried blood on the back of the dressing. The child is alert and oriented, and the vital signs and neurological signs are stable. Which nursing action is most appropriate initially?
Check the operative record to determine whether a drain is in place.
lumbar puncture is performed on a child suspected to have bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse reviews the results of the CSF analysis and determines that which results would verify the diagnosis?
Cloudy CSF, elevated protein, and decreased glucose level
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease?
Conjunctival hyperemia
2-year-old child with acute diarrhea has been diagnosed with mild dehydration. Which rehydration methods would the nurse expect the primary health care provider to prescribe?
Consume oral rehydration fluid, advancing to a regular diet.
abnormal flexion of the upper extremities and an extension of the lower extremities. What should the nurse document that the child is experiencing?
Decorticate posturing
A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition?
Decreased wheezing
A 12-year-old child with newly diagnosed thalassemia
Deficient production of functional hemoglobin
A 12-year-old is admitted to the hospital with a low-grade fever and joint pain. Which diagnostic test finding will assist to determine a diagnosis of rheumatic fever?
Elevated erythrocyte sedimentation rate
The nurse is developing a plan of care for a 6-year-old child diagnosed with acute glomerulonephritis. The nurse should include which priority intervention in the plan of care?
Encourage limited activity and provide safety measures.
child's urine and it was positive for ketones. The nurse should instruct the mother to take which action
Encourage the child to drink liquids.
discharge after sustaining a simple contusion of the eye. Which advice would the nurse expect to include in the discharge instructions
Encourage the parents to apply ice to the area for 20 minutes at a time for the first 24 hours.
imperforate anus. The nurse monitors the infant, knowing that which is a clinical manifestation associated with this disorder?
Failure to pass meconium stool in the first 24 hours after birth
atopic dermatitis (eczema) is made. Which would be an essential element to include in the plan of care for this child?
Frequently rehydrating the skin.
What accurately depicts the hemodynamic changes that occur in the body within the first 24 to 48 hours after a burn?
Hematocrit and white blood cell (WBC) counts increase
moderate frostbite of an extremity. Which nursing intervention is appropriate for this client?
Immerse the affected part in 104°F (40°C) water for 15 to 30 minutes
stages of an infectious disease
Incubation, Prodrome, Illness, Convalescence
A 1-year-old comes to the clinic for a routine visit. The eye examination reveals an enlarged, edematous, and hazy cornea. The child appears sensitive to light. What should the nurse suspect?
Infantile glaucoma
The mother of a 4-week-old infant is discussing her baby's vision with the nurse. What information should be included? Select all that apply.
Infants experience blurry vision due to the immaturity of their eye structures. Your baby can see about 8 to 10 inches. Children will not have 20/20 vision until they are school age.
child diagnosed with low functioning parathyroid. Which is a treatment goal of a child with hypoparathyroidism?
Maintain the child's calcium level at a normal level with calcium replacement as prescribed.
obtunded
Not easily arousable and limited interaction
surgical repair of a cleft lip located on the right side of the lip. On return from the recovery room, the nurse should plan to place the infant in which position?
On the left side
Breathing exercises and postural drainage are prescribed for a hospitalized child with cystic fibrosis. What instruction should the nurse include in the client's teaching plan?
Perform the postural drainage first and then the breathing exercises.
A child is suspected of suffering from intussusception
Tender, distended abdomen
2-year-old child and suspects that the child may have strabismus. Which observation made by the nurse indicates the presence of this condition?
The child consistently tilts the head to see.
A 9-month-old child has been admitted to rule out sepsis. Which finding offers the most support to the presence of this disorder?
The child has had 8 ounces of formula in the past 24 hours.
A nurse is assessing a child with a tick-borne disease. What finding would indicate to the nurse that the child has developed ehrlichiosis and not Rocky Mountain spotted fever?
absence of rash
5 year old scarlett fever interventions most likely
administration of penicillin V
late lymes disease
arthritis, knees
child tx for infection first action
blood cultures
a right-to-left cardiac shunt.
bluish skin
pale, tachycardic, and has petechiae. Aplastic anemia is suspected. The nurse should prepare the child to obtain which specimen that will confirm the diagnosis?
bone marrow biopsy
fixed and dilated pupil
brain stem herniation 2nd to ICP
pertussis tx
cin drugs, antimicrobial tx, respiratory support,antibiotics to all close contacts
ehrilchiosis
clinical signs to rocky mont spotted fever, tick
diagnosis of severe cellulitis. The nurse is preparing the family for discharge. Which instruction is most important for the nurse to convey to the family?
complete antibiotics
loud or localized bruit
concerning
nursing management scarlet fever
cool mist humidifier, soft food, soup, popsicles, droplet precaution
cephalohematoma s/s
does not cross the suture lines
dnegue
pain behind eyes
scarlet fever tx
penicillin, amocixillin, erythromycin
high humidity environment, frequent suctioning
pertussis management
pinpoint pupils
poisonings, brain stem dysfunction, opiate use
anaplasmosis
tick bite
tick removal
tweezers, upward, soap, rubbing alcohol iodine scrub
ear drops
up and back
The nurse is caring for a child admitted to the hospital for sepsis. Which assessment finding is the most concerning?
urine output of 10 ml over 3 hours
The nurse is caring for a 10-year-old boy with diphtheria. What would the nurse institute as a tier 2 precaution?
use of a protective mask
8 year old risk factor for sepsis in hopsital
use of immunosuppression drugs
rubeola tx
vaccine with 72 hours, fluid intake, IG, air borne precaution
The parents of a 3-year-old child report he was exposed to pertussis 2 days ago. They are concerned and ask the nurse how long it will take until he becomes ill if he indeed contracted the infection. What response by the nurse is indicated?
"The signs of disease will be noted in 1 to 3 weeks."
hospitalized child diagnosed with varicella-zoster virus. The child's parents ask how to prevent the child's siblings from contracting the virus. Which response by the nurse is best?
"We will place your child on contact and airborne precautions. It is best for the other children not to visit."
The parent of a 1-week-old infant is concerned with white scales that have begun to flake off the infant's scalp. The parent asks the nurse what to do to treat this. How should the nurse best respond?
"Your child most likely has cradle cap (seborrhea). You can care for it by cleansing the hair and scalp daily with baby shampoo and applying baby oil."
early disseminated lymes disease
3-5 weeks, neck stiffness, multiple erythema areas
The mother of a child with cystic fibrosis (CF) asks the clinic nurse about the disease. What should the nurse tell the mother about CF?
A chronic multisystem disorder affecting the exocrine glands
exanthems, the instructor determines that the teaching was successful when the students identify what as the primary cause
Viruses
When caring for a child diagnosed with West Nile virus, the nurse will question which prescription from the primary health care provider?
amoxicillin 40 mg/kg/day orally every 8 hours
osteomyelitis tx
bed rest, antipyretic, antiboitics
The nurse should instruct the mother to administer oral iron in which way?
between meals
late sign ICP
cheyne-stokes respirations
endocrine disorders, the instructor determines that the teaching was successful when the students identify insulin deficiency, increased levels of counterregulatory hormones, and dehydration as the primary cause of which condition?
diabetic ketoacidosis
The nurse is reviewing the laboratory results for an infant with suspected hypertrophic pyloric stenosis. What should the nurse expect to note as the most likely finding in this infant?
metabolic alkalosis
tetanus tx
metronidzale
lymes disease
most common, doxycycline, discoloring teeth, 8 and younger amoxicillin, ring like rash
craniosynostosis activity
move infants head every 2 hours
not taking folic acid risks for
neural tube defect
rocky mnt spotted fever
non cardiogenic pulmonary edema, doxycyline, hyponatremia
mumps
orchitis, respiratory isolation, parotitis
A pediatrician prescribes laboratory studies for an infant of a woman positive for human immunodeficiency virus (HIV). The nurse anticipates that which laboratory study will be prescribed for the infant?
p24 antigen assay
bacterial meningitis s/s
positive kernig and brudzinki signs
rabies wound care
soap and water, povidone iodine solution avoid closure
The nurse working with the child diagnosed with type 2 diabetes recognizes the disorder can be managed by:
taking oral hypoglycemic agents
glomerulonephritis. Which question to the mother should elicit data associated with the cause of this disease?
"Did your child recently complain of a sore throat?"
atopic dermatitis ask the nurse, "My child has a skin disorder. I don't understand why a complete blood count (CBC) was ordered?" What is the appropriate response by the nurse?
"Eosinophils are a type of white blood cell that are often elevated with atopic dermatitis. These are part of the CBC and helps in making the diagnosis."
They told me my daughter has an eye disorder called hyperopia." Which statement made by the mother indicates she has an understanding of this child's current condition?
"Now I know why when she is working on puzzles she says her eye is sleepy."
The parents of a child with a history of seizures who has been taking phenytoin ask the nurse why it's difficult to maintain therapeutic plasma levels of this medication. Which statement by the nurse would be most accurate?
"Small increments in dosage lead to sharp increases in plasma drug levels."
A child is diagnosed with Hirschsprung's disease. The nurse is teaching the parents about the cause of the disease. Which statement, if made by the parent, supports that teaching was successful?
"Special cells are not present in the rectum, which caused the disease."
The nurse is caring for an adolescent who suffered a thoracic spinal cord injury 8 weeks ago. While assessing the adolescent, the nurse notes a blood pressure of 185/95 mm Hg, heart rate of 130 beats/minute, flushed face, and a report of a severe headache. What is the priority action by the nurse?
Assess the adolescent's indwelling urinary catheter to see if it is obstructed.
The nurse is caring for a child diagnosed with hydrocephalus following ventriculoperitoneal shunt placement. The child is currently on a ventilator. Which nursing action is priority?
Assess the client's respiratory status.
cerebral palsy ask the nurse what the surgeon plans to implant in their child's body to control spasticity. What is the nurse's answer?
Baclofen pump
epispadias who is scheduled for surgical repair. When analyzing the results of the urinalysis, which should the nurse most likely expect to note?
Bacteriuria
Diagnostic studies are being performed because acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis?
Bone marrow biopsy showing blast cells
infant with congenital heart disease. Which, if noted in the infant, should alert the nurse to the early development of heart failure?
Diaphoresis during feeding
A nursing student is assigned to care for a child with sickle cell disease (SCD). The nursing instructor asks the student to describe the causative factors related to this disease. Which statement by the student indicates a need for further research?
If each parent carries the trait, the child will carry the trait, and the probability of the child having the disease is 75%.
children are more susceptible to ear infections than adults because of which anatomical difference?
Infants have horizontally placed Eustachian tubes.
serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this result and makes which interpretation?
It is negative.
mononucleosis and provides home care instructions to the parents. Which instruction should the nurse give to the parents?
Notify the PHCP if the child develops abdominal pain or left shoulder pain.
child on the burn unit weighing 100 lb (45.5 kg) who has second-degree (partial-thickness) burns over 30% of the body. During the beginning shift assessment, which assessment finding is of most concern to the nurse?
Urine output of 15 ml per hour over the last 4 hours
Nursing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include which intervention?
Use good hand-washing technique.
multiple wounds from a bike accident. What is the best method for cleansing or washing out the wound?
Use normal saline solution to wash the wound.
scarlet fever
erythematous rash appearing on face, trunk and extremities, strawberry tongue
decerebrate
extremities extended and pronated, brain stem damage
decorticate
extremities flexed, cerebral cortex damage
obtunded
falls asleep unless stimulated
A diagnosis of atopic dermatitis (eczema) is made. What is a key element in the treatment regimen for this diagnosis?
frequently rehydrating the skin
disorders of the pituitary gland depend on the location of the physiologic abnormality. In caring for a child that has issues with the anterior pituitary, the nurse knows that this child has issues with which hormone?
growth hormone
exanthem subitum
high fever, rash pinkish flat or raised blanche when touched, febrile seizures
early sign ICP
high pitched cry, irritability
septic arthritis
hip and knee, medical emergency
lesion on the brain stem s/s
horizontal nystagmus
Fallot. The infant suddenly becomes cyanotic, experiencing a hypercyanotic spell (blue or tet spell). The nurse immediately places the infant in what position?
knee chest position
rubeola (measles)
koplik spots (blue white center), rash head then down and out
varicella zoster (chickenpox)
lesions on scalp, face, trunk then extremities, clear fluid filled,
physical examination of a boy with erythema multiforme. Which assessment finding should the nurse expect?
lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk
muscular dystrophy often exhibits a forward curvature of the lumbar spine. What is this spinal condition called?
lordosis
measles s/s
maculopapular rash that began on the face and has spread to the rest of the body, fever, upper respiratory infection symptoms
zika
mculopapular rash
west nile virus
meningitis, great plains region
azithromycin
potential fatal heart rhythm
early localized lymes disease
rash 7-14 days
early sign of increased ICP should the nurse monitor?
Changes in level of consciousness
The nurse is providing home care instructions to the mother of a child who is recovering from Reye's syndrome. Which instruction should the nurse provide to the mother?
Check the skin and eyes every day for a yellow discoloration.
The nurse is assessing a toddler for motor function. Which activity will be the most valuable?
Watch the child reach for a toy.
4 year old admitted early onset sepsis dx
child is irritable
stupor
child respondes to vigorous stimulation
diphtheria nursing mamangement
droplet precaution, bed rest
sunsetting eyes
early sings of intracranial pressure
osteomyelitis labs
elevated WBC, c-reactive protein
What should the parents observe after the tubes have been placed?
improvement of the child's language and speech development
persistent otitis media effusions and is scheduled to have pressure equalizing tubes placed in 3 days. What should the parents observe after the tubes have been placed?
improvement of the child's language and speech development
neonate just delivered who has gastroschisis. Which concern should the nurse address in the client's plan of care?
infection
burns over 25% of the body. The nurse is preparing to perform a dressing change. What aspect of changing the child's dressings is most important for the nurse to consider?
infection prevention
intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription?
check urine output
pediatric client with deep partial-thickness or second-degree burns on the back and legs. Debridement of the burns is performed 2 to 3 times per week. What nursing diagnosis has the highest priority in regard to this treatment modality?
pain
infant with increased intracranial pressure. The mother is preparing to feed the child. What action by the mother indicates an understanding of the proper care of this infant?
placing the infant in an infant car seat after feeding the infant
diphtheria
pseudomembrane forms over pharynx, uvula, tonsils, and soft palate, edematous
rubella
rash face then head to foot, pin point, droplet precaution,
cephalic tetanus
recurrent otitis media and head trauma
generalized tetanus
trismus (lock jaw) masseter muscle spasms, stiff neck, crankiness, elevated BP, tachycardia
cerebral contusion s/s
trouble focusing when reading
blood specimen 9 year old technique
vein on dorsal side of hand
erythema multiforme cause
viral infections, adenovirus, epstein barr, sulfa drugs, penicillin
