Peds Q# 2, Ch.21-26 T3
scoliosis screening is done at what age?
10-14 with school health exams
child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
Ans: Albuteral
checks would be used prior to medication administration? Select ALL that apply A. Check med with another licensed health care provider B. Check med with another nurse C. Obtain a weight D. Use Braslow tape if unable to obtain weight
Ans: All
Child with rheumatic fever. When obtaining the client's medical history from the parent, the nurse should recognize which of the following findings as significant? A. A classmate has fifth disease. B. A sibling had a sore throat 3 weeks ago. C. The father had gastritis 2 weeks ago. D. A neighbor's child has chickenpox.
Ans: B
a child who is to receive percussion, vibration, and postural drainage. Which of the following actions should the nurse take first? A. Administer albuterol by nebulizer. B. Percuss the upper posterior chest. C. Perform vibration while the client exhales slowly through the nose. D. Instruct the client to cough.
Ans: A
caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. what is the best care? A . Apply an antibiotic ointment to the suture site. B. Clear oral secretions using a bulb syringe. C. Feed the infant using a spoon. D. Position the infant on her abdomen
Ans: A
pancrelipase capsules used for Cystic Fibrosis patients. what would be a part of teaching for this med use? A. "Administer the medication with meals and snacks B. "Tell your child to chew the capsules thoroughly." C. "Discontinue the medication when the child's symptoms resolve. D. "Observe for signs of bleeding.
Ans: A
postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client? A. Orange ice pop B. Hot tea C. Ice cream D. Cranberry juice
Ans: A
scoliosis screening. Which of the following statements by a parent indicates an understanding of the teaching? A. "During the screening, the child is asked to stand and bend forward at the waist with his arms hanging." B. "Boys should be screened for scoliosis at a younger age than girls." C. "Children who have scoliosis will often report back pain.
Ans: A
suspected infant has otitis media. Expected findings A. Tugging at the ear B. Bluish-green discharge from the ear canal C Erythema and edema of the affected auricle
Ans: A
2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching? A. "I will adjust the harness straps every day. B. "I will place the diaper over the harness. C. "I will check my baby's skin three times each day. D. "I will gently massage lotion on his skin around the harness clasps."
Ans: C
new plaster cast on her right arm Which of the following actions should the nurse take? A. Position the casted arm in a dependent position. Rationale: The nurse should elevate the casted arm B. Place a warm, moist heat pack on the cast. C. Administer diphenhydramine to relieve itching.. D. Move the casted arm with a firm grasp.
Ans: C
teaching about nutrition with a parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should start solid foods when my baby is 3 months old. B. "I should introduce cow's milk when my baby is 9 months old." C. "I should wait to give my baby fruit juice until 6 months of age."
Ans: C
toddler a on a clear liquid diet. What the best choice for diet? A. Yogur B. Pureed fruit C. Gelatin D. Strained soup
Ans: C
thick secretions and salty what disease?
Ans: Cystic Fibrosis
croup which of the following findings should the nurse report to the provider? A. Barky cough B. Paroxysmal attacks of laryngeal spasm at night C. Hoarseness D. Drooling
Ans: D
open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first? A. Remove the window and view the incision. B. Turn the client so the cast will dry on all sides. C. Medicate the client for pain. D. Perform neurovascular checks of the affected extremity.
Ans: D
parent of a school-age child who has a new diagnosis of asthma. Which of the following responses should the nurse make? A. "You should give your child cromolyn sodium at the first sign of breathing difficulty." B. "Your child should stop playing basketball, but she can swim instead. C. "Your child will need a written excuse to stay out of physical education class." " D. "Repeat back to me what to do if your child has trouble breathing."
Ans: D
school-age child who has a fracture to the right femur. Which of the following findings is the nurse's priority? A. 2+ right pedal pulse B. Respiratory rate 24/min C. Capillary refill less than 2 seconds D. Tingling in the right foot
Ans: D
teaching with the parents of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? A. "Administer a bronchodilator to the child after chest percussion therapy." B. "A pigeon-shaped chest might become evident as the disease progresses. C. "Bradycardia is an early indicator of a pneumothorax. D. "Engage the child in daily aerobic exercise.
Ans: D
diagnostic tests for diagnosing cystic fibrosis?
Ans: Sweat chloride test
school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?
Ans: Upright Optimal positioning for allowing maximal lung expansion and comfort in children who have respiratory insufficiency or failure is sitting upright or leaning forward.
aspirin to a toddler for a fever
Ans: no Tylenol is better
Meningitis primary diagnostic tool?
Ans: spinal tap
are there any pediatric diseases that aspirin could be prescribed to treat?
Ans: yes with Kawasaki disease.