Peds review
What lifestyles changes does the nurse advise for a child diagnosed with type 1 diabetes? A. Plan an exercise schedule according to the Childs capabilities B. Avoid snacks or food before or during and exercise activity C. Exercise vigorously when there are signs of hypoglycemia D. Provide 1 tbsp of sugar if the child is hyperglycemic
A
Which of the following developmental milestones should the nurse be concerned about if a 10-month-old could not do it? A. Crawl B. Cruise C. Walk D. Have a pincer grasp
A
A child is admitted to the pediatric unit with spastic CP. Which of the following would the nurse expect this child to demonstrate? Select all that apply A. Increased deep tendon reflexes B. Decreased muscle tone C. Scoliosis D. Contractures E. Scissoring F. Good control of posture G. Good Fine Motor Skills
A C D E
The parents of a child who is being treated for congenital adrenal hyperplasia (CAM) tell the nurse that they are planning fora new child again. Which is the best response by the nurse? A. You must wait until your child is well • B. Your next child will have CAl too C. You should go for genetic counseling • D. The second child will be at risk for cardiac arrest
C
What is the primary goal in caring for the child with cognitive impairment? A. Encourage play B. Develop vocational skills C. Promote optimum development D. Help families adjust to future care
C
Scabies leave _______ on for ____ hours
Scabicide 8
School nurse should do what for molluscum contagiousum
Send letter to parents in class (transmitted by skin to skin)
_________ CP is most common and causes paralysis
Spastic
Most common causes for cellulitis
Staph and strep
Life threatening complication of Hodgkin lymphoma cancer?
Vena cava syndrome
4-2-1 maintenance fluid
4 ml/kg/hr - 10 kg 2 ml/kg/hr - 10 kg 1 ml/kg/hr - remaining kg
A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and his friends were racing bikes near a major intersection. The Childs parents are concerned about his judgment. What should the nurse understand? A. The Childs behavior is typical of young teens. B. The Childs behavior is related to hormonal surges during adolescence C. This was an isolated incident and will not likely happen again D. The Childs behavior is related to teen rebellion.
A
A 7-year-old boy has been diagnosed with precious puberty. What is the best explanation of the condition the nurse gives to the parents? A. It is sexual development in boys before the age of 9 years B. It is the proportional overgrowth of the long bones C. It is the absence or regression of secondary sex characteristics D. It is a state of uncontrolled diuresis due to posterior pituitary hypofunction.
A
A child comes to the clinic for diphtheria, pertussis, and tetanus and inactivated poliovirus vaccines. The child has a temperature of 101F. The nurse should take which of the following actions? A. Withhold the vaccines, and reschedule when the child is afebrile B. Administer Tylenol, and give the vaccine C. Give the vaccine, and instruct the parent to give Tylenol every 4 hours for the next 2 days D. Have the physical order an antibiotic and give the vaccine.
A
A child with a heart defect is placed on a maintenance dose of digoxin elixir. The Dose is 0.07 mg/kg/day and the child weighs 16 Ib. The medication is to be given two times a day. The nurse prepares how much digoxin to be given to the child? A. 0.25mg B. 0.37mg C. 0.5mg D. 2.5mg
A
The nurse assesses an infant at birth for height, weight, and other vital signs. What should the nurse include in the assessment to identify a conductive hearing disorder? A. The infants response to an auditory stimulus B. Wether the infants eyes move forward a flashlight C. The infants physical activity toward a large moving object D. The infants vocal expressions during vocal communication
A
The parent of a 12-month-old male with HIV are concerned about him receiving routine immunizations. What will the nurse tell them about immunizations? A. "Your child will not receive routine immunizations today" B. "Your child will receive the recommended vaccines today; regular immunizations help prevent childhood illnesses. C. "Your child is not severely immunocompromised, but I would still be concerned about him receiving them. Let's not give them today." D. "Your child may develop infections if he gets his routine immunizations. Your child will not be immunized today."
A
The parent of a child tells the nurse that the child voids excessive urine and immediately drinks amounts of water. The parent also says that the Childs bed is often wet in the morning. Which condition does the nurse suspect in the child? A. Diabetes insipidus B. Chronic adrenocrotical insufficiency C. Cushing syndrome D. Congenital adrenal hyperplasia
A
The parent of a toddler newly diagnosed with CP ask the nurse what caused it. The nurse should answer 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 unknown D. The exact cause os known in every instance
A
The parents of a cognitively impaired child ask the nurse for guidance with discipline. What is the nurses best response? A. Behavior modification is an excellent form of discipline B. Discipline is ineffective with cognitively impaired children C. Discipline is not necessary for cognitively impaired children D. Physical punishment is most appropriate form of discipline
A
The nurse is caring for a child with cognitive impairment. Which statement Made by the nurse to the parents is a reason for concern? A. I need to know more about cognitive impairment B. I will ask the other staff to help with the Childs care C. I do not know what is going on with this Childs health D. I'll ask the health care provider to clarify my question
C
Which nursing intervention should take place prior to all vaccination administration? A. Document the vaccination to be administrated on the immunization record and medical record B. Provide the vaccine information statement handout, and answer all questions C. Administer the most painful vaccination first, and then alternate injection sites D. Refer to the vaccination as "baby shots" so the parent understands the baby will be receiving an injection
B
Which of the following would be the priority intervention the nurse should initiate for a child suspected of having varicella (chickenpox)? A. Contact precautions B. Contact and droplet respiratory precautions C. Droplet respiratory precautions D. Universal precautions and standard precautions
B
Which of the following would be the priority teaching to the parent of a child diagnosed with chickenpox (varicella) who was prescribed diphenhydramine (Benadryl) for itching? A. Give a warm bath with mild soap before lotion application B. Avoid Caladryl lotion while taking diphenhydramine (Benadryl) C. Apply Caladryl lotion generously to decrease itching D. Give a cool shower with mild soap to decrease itching
B
How can the nurse best facilitate the trust relationship between infancy and parent while the infant is hospitalized? A. The nurse should encourage the parents to remain at their Childs beside as much as possible B. The nurse should keep parents informed about all aspects of their child's condition C. The nurse should encourage the parents to hold their child as much as possible D. The nurse should encourage the parents to participate actively in thier child's care
C
In order to prevent separation anxiety in a hospitalized toddler, which of the following should the nurse do? A. Assume the prenatal role when parents are not able to be at the bedside. B. Encourage the parents to remain at the bedside always C. Establish a routine that is similar to that of the Childs home D. Rotate nursing staff so the child becomes comfortable with a variety of nurses.
C
The nurse is caring for a 4 year old female in the ER is about to start a peripheral IV. The nurse's best method for explaining the procedure to the child is to: A. Show the child a pamphlet with pictures showing the IV placement procedure. B. Have the 5-Year old patient next door tell the 4 year old about her experience with her IV placement C. Show the child the IV placement equipment, and demonstrate the procedure on a doll. D. Tell the child that if she remains still the procedure will be over quickly
C
A 10 year old child is diagnosed with an autism spectrum disorder. The parents ask the nurse about the cause of the disorder. Which answer given by the nurse is most appropriate? A. The disorder is caused by vaccines that contain thimerosal B. The exact cause of autism spectrum disorders is unkown C. Alcohol consumption during pregnancy is linked to autism D.Autism is caused by a high intake of proteins during pregnancy
B
A 16 year old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for their patient, what action can you take that will most enhance his psychosocial development. A. Fax the teen's teacher, and have her send in his homework B. Encourage the teen's friends to visit him in the hospital. C. Encourage the teen's grandparents to visit frequently D. Tell the teen he is free to use his phone to call friends
B
A nurse is caring for a child with spastic cerebral palsy. Which of the following medications should be used for the treatment of spasticity? A. Dexamethasone B. Baclofen C. Didofenac D. Carbamazepine
B
The nurse is caring for a 12-month-old girl. The Childs mother asks if the unit has any toys that her daughter can play with. The nurse goes to the toy area in search of a toy for the child. Which toy is the best choice for this child? A. A Doll B. A musical rattle C. A Board Book D. Colorful beads
B
A 5 year old girl has been brought to the ER for suspected child abuse. What approach should the nurse use to gather information from the child? A. The nurse should promise the child that her parents will not know what she tells the nurse. B. The nurse would promise the child that she will not have to see the suspected abuser again. C. The nurse should use correct anatomical terms to discuss body parts. D. The nurse should tell the child that the abuse is not her fault and that she is a good person.
D
The nurse is developing a plan of care for a child recently diagnosed with CP. which of the following should be the nurse's 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 nurse knows the teaching of parent of a child newly diagnosed with CP is successful when the parents state that CP is which of the following? A. Inability to speak and drooling B. Poor dentition due to poor hygiene C. Involuntary movement of upper extremities only D. An increase in muscle tone and deep tendon reflex
D
The parent of an infant asks the nurse what to watch for to determine if the infant has CP. The nurse should reply which of the following? A. If the infant cannot sit up without support before 8 months B. If the infant demonstrates tongue thrust before 4 months C. If the infant has poor head control after 2 months D. If the infant has clenched fists after 3 months
D
What would the most therapeutic response if the mother of a 6-month-old female tells the nurse she does not want her infant to have the TaP vaccine because the infant had localized redness the last time she received the vaccine? A. "I will let the physician know, and we will not administer the DTaP vaccination today." B. "Every child has that allergic reaction, and your child will still get the DTaP today." C. "I will let the physician know that you refuse further immunizations for your daughter.: D. "Would you mind if we discussed you concerns?"
D
Signs of infection during chemo
Pain and nausea
What nursing intervention is most important for a patient who has completed chemotherapy?
Pain and nausea meds