Peds Test 4
the nurse is caring for a 10 year old with allergic conjunctivitis. the nurse would be alert to the childs increased risk for what issue?
atopic dermatitis
an infant is diagnosed with infantile glaucoma. when developing the plan of care for the infant, what would the nurse expect to prepare the infant and fam?
goniotomy
a child is in the ED with an asthma exacerbation. upon auscultation the nurse us unable to hear air movement in the lungs. what action should the nurse take first
administer a beta 2 adrenergic agonist
a group of nursing students are reviewing the meds used to treat asthma. the students demonstrate understanding of the info when they identify which agent as appropriate for an acute episode of bronchospasm?
albuterol
a nurse develops a plan of care for a child that includes patching the eye. this plan of care would be most appropriate for which condition?
amblyopia
a child has been prescribed a nasal cannula for oxygen delivery. what should the nurse do before applying the cannula?
assess patency of the nares
a 10 month old infant is brought to the ED by the parents after they found the infant face down in the bathtub. the parent states, "I just left the bathroom to answer the phone. When I came back, I found my infant." which nursing action is priority?
assess the clients resp. rate
the nurse is taking a health history for a 9 year old girl. which finding would alert the nurse to a possible risk factor specifically associated with visual impairment?
being of african american heritage
a group if nursing students are reviewing info about the variations in resp anatomy and physiology in kids in comparing to adults. the students demonstrate understanding of the info when they identify which finding?
children develop hypoxemia more rapidly than adults fo
a child w pneumothorax has a chest tube attached to a water seal system. when assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. what would the nurse do first?
clamp the chest tube
a child is hospitalized w pneumonia, the nurse assesses an increase in the work of breathing and in the resp rate. what intervention should the nurse do first to help this child
elevate the HOB
the nurse is teaching the parent of a child w cystic fibrosis about nutrition requirements for the child. what should be included in this teaching
give your child high calorie foods and snacks feed your child foods that are high in protein give pancreatic enzymes with meals
a group of students are reviewing information about head injuries in children. the students demonstrate understanding of this information when they identify what as the most common type of skull fracture in children?
linear
a nurse is reviewing the med record of a child with hearing loss and notes that the childs hearing loss is in the range 40 to 60 decibels. the nurse interprets this as indicating which level of hearing loss?
moderate loss
the physician has ordered rectal diazepam for a 2 year old boy with status epilepticus. which instruction is essential for the nurse to teach the parents?
monitor their childs level of sedation
a group of nursing students are reviewing information related to seizures that occur in infants and children. the students demonstrate a need for additional review when they identify which type as common in neonates?
myoclonic
a child with a seizure disorder will be discharged home from the hospital on the drug levetiracetam. what discharge instruction is the most important for the nurse to provide the parent?
notify health care provider if child experiences poor coordination
the nurse is examining a 7 year old boy with blepharitis. what would then nurse least likely expect to assess?
pain
a hospitalized child suddenly begins reporting chest pain, is tachypneic and has tachycardia. the nurse auscultates the lung sounds and finds absent breath sounds on one side. after notifying the provider what action would the nurse take first?
prepare for chest tube insertion
what finding would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure?
projectile vomiting
the nurse is caring for a 3 year old boy with ambylopia. which intervention would be most appropriate to include in the childs plan of care?
promoting eye safety
A 4 year old boy has a febrile seizure during a well-child visit. what action would be a priority?
protecting the child from harm during the seizure
the nurse is examining an 8 year old boy with tachycardia and tachypnea. the nurse anticipates which test as most helpful in determining the extent of the childs hypoxia?
pulse ox
the parents of a 5 year old boy bring their son to the ED bc if significant eyelid edema. the mom states "He scratched himself near his eye a couple of days ago while playing outside in the yard." the nurse suspects periorbital cellulitis based on which finding?
purplish discoloration of the eyelid
a nurse is preparing a presentation for a local health fair about meningitis and has developed a display a list of the following causes. which would the nurse highlight as the most common cause of meningitis?
streptococcus group B
the nurse is caring for a 3 year old with a resp disorder. the nurse anticipates the need for providing supplemental oxygen to the child when performing which action?
suctioning a trach tube
a 16 year old boy reports to the school nurse with a headache and a stiff neck. which sign or symptom would alert the nurse that the child might have bacterial meningitis?
sunlight is "too bright"
the nurse inspects the eyes of a child and observes that the sclera is showing over the top of the iris. the nurse documents this finding as:
sunsetting
the nurse is caring for an 8 year old boy who has chronic epilepsy. what would be most important to address when teaching the child and parents about living with this condition?
support for maintaining self esteem because of his altered lifestyle
bacterial pneumonia is suspected in a 4 year old boy w fever, HA and chest pain. which assessment finding would most likely indicate the need for this child ti be hospitalized
tachypnea with retractions
the nurse is caring for a 3 month old with nasolcarimal duct obstruction. which intervention would be most appropriate for the nurse to implement?
teaching the parents how to gently massage the duct
a group of students are reviewing info about the differences int he hearing and vision capabilities of a child when compared to an adult. the students demonstrate a need for additional study when the identify what as one of the differences?
the ability to discriminate colors is completed by birth
a child is in the ED with a head injury obtained in a MVA. the glascow coma scale assessment is rated at 10. how should the nurse interpret these findings?
the childs eye opens to verbal stimuli, is confused and flexes with painful stimuli
a nurse providing teaching to the parents of a child who has had a shunt inserted as treatment for hydrocephalus. the parents demonstrate understanding of the teaching when they make what statement?
"He will need more surgeries to replace the shunt as he grows"
the parents of a 10 year old girl with refractive error ask the nurse about the possibility of laser surgery to correct the vision. which statement by the nurse would be most appropriate?
"Laser surgery typically is not done until shes 18 years old"
a child is brought to the ED after sustaining a concussion. the child is to be discharged home with his parents. what would the nurse include in the childs discharge instructions?
"Wake him every 2 hours to check his movements and responses"
after teaching a group of new parents about their newborns eyes and vision, which statement by the group indicated effective teaching?
"We wont know the babys eye color until hes at least 6 months old"
a nurse is admin 100% oxygen to a child with pneumothorax based on the understanding that this tx is used primarily for which reason?
hasten air reabsorption
a nurse is preparing a teaching plan for the fam of a child with allergic rhinitis. when describing the immune reaction that occurs, the nurse would identify the role of which immunoglobulin
IgE
the nurse knows that children have larger heads in relation to the body and a higher center of gravity. when developing a teaching plan for parents, the nurse includes information about an increased risk for which problem?
head trauma
as a result of seizure activity, a CT scan was performed and showed that an 18 month old child has intercranial arteriovenous malformation. when developing the childs plan of care, what would the nurse expect to implement actions to prevent?
hemorrhagic stroke
the nurse is obtaining a health history of a child suspected of TB. what question would the nurse ask first about the childs cough?
how long has your child has a cough?
the nurse is developing a plan of care for a 5 year old with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. which behavior would the nurse have most likely assessed?
immature emotional behavior
after teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify what as the most common cause of visual difficulties in children?
refractive errors
the nurse is caring for a child hospitalized with reye syndrome who is in the acute stage of the illness. the nurse would assess the child most carefully for what finding?
indication of increased intercranial pressure
a mom bring her child to the clinic because she thinks that the child has conjunctivitis. which assessment would lead the nurse to suspect bacterial conjunctivitis? SATA
inflamed conjunctiva mild pain
the nurse is discussing discharge instructions with the parents of a 6 year old who had a tonsillectomy. what is the most important thing to stress?
inspect the throat for bleeding
a child is brought to the ED by his parents bc he suddenly developed a barking cough. further assessment leads the nurse to suspect the child is experiencing croup. what would the nurse have most likely assessed?
inspiratory stridor
the nurse is examining a 3 year old boy with acute otitis media who has a mild earache and a temp of 38.5. which action will be taken?
instruct the parents to watch for worsening symptoms
a nurse examining a child who has sustained blunt trauma to the eye area. the nurse suspects a simple contusion based on what finding?
intact extraocular movements
the nurse is instructing the parents of a school age child with an eye disorder how to care for her eye. which condition would the nurse explain as resolving by itself w/o the use of anitbiotics?
Chalazion
a child with persistent otitis media with effusion is to undergo insertion of pressure-equalizing myringotomy. the child is to be discharged later that day. after teaching the parents about caring for their child after discharge, which statement indicated that the teaching was effective?
He should wear earplugs when swimming in a pool or lake
the nurse is educating the parents of a 7 year old with asthma about the meds that have been prescribed. which drug would the nurse identify as an adjunct to b2-adrenergic agonist for tx of bronchospasm?
Ipratropium
during class, a student states, "I didnt think children could have strokes. I thought this could only occurred in older adults." when responding to the student, what would be most important for the instructor to integrate into the response?
Ischemic strokes are more common than hemorrhagic strokes
a child with increased intracranial pressure is being treated with hyperventilation. the nurse understands that after this treatment:
PaCO2 levels will decrease, causing vasoconstriction
the nurse is providing care to several children who have been brought to the clinic reporting cold like symptoms. the nurse would most likely suspect sinusitis in which child
a 7 year old with halitosis and thick yellow nasal drainage
the nurse is preparing a room for a child being transferred out of the ICU, the child has a trach. what items are essential for the nurse to have available at the bedside in case of emergency? SATA
a new trach tube of same size a new trach tube os a smaller size a bag valve mask
hydrocephalus is suspected in a 4 moth old infant. which would the nurse expect to assess?
lower extremity spasticity
a nurse is talking with the parents of a child who has had a febrile seizure. the nurse would integrate an understanding of what information into the discussion?
febrile seizures are benign in nature
an infant is diagnosed with congenital cataract. what would the nurse expect to assess?
absent red reflex
when performing the physical exam of a child with cystic fibrosis, what would the nurse expect to asses?
decreased tactile fremitus
phenytoin IV has been prescribed by a HCP for a child who has experienced a seizure. before admin, what should the nurse do?
determine the IV fluid infusing is normal saline
an infant w a high resp rate is NPO and is receiving IV fluids. what assessments will the nurse make to assure this infant is hydrated? SATA
measure skin turgor palplate anterior fontanel determine urine output
A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery device would the nurse most likely expect to be used?
simple mask
a parent asks the nurse about immunizing her 7 month old against the flu, which response by the nurse would be most appropriate?
since your daughter is older than 6 months, she should get the vaccine every year
the nurse has developed a teaching plan for the family of a 2 year old boy who holds his breath when he gets frustrated. what will be most important to include in this plan?
stay close to prevent injury when he gets frustrated
the nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. which aspect of the childs vision would the nurse expect to be similar to his fathers vision?
visual acuity of 20/100
a nurse is preparing a school aged child for a lumbar puncture. the nurse would expect to position the child in which manner?
on her side with the head flexed forward and knees flexed to the abdomen
the nurse is preparing to perform a physical exam of a child with asthma. which technique would the nurse be least likely to perform?
palpitation
the nurse is teaching the parents of a child diagnosed with cystic fibrosis about med therapy. which would the nurse instruct the parents to admin orally?
pancreatic enzymes
assessment of a child leads the nurse to suspect viral conjunctivitis based on what finding?
photophobia
the nurse is caring for a 6 year old visually impaired boy and is about to begin the physical exam. which intervention would be most appropriate to promote effective communication with the child?
use his name before touching him
the nurse is examining a 5 year old. which sign or symptom is a reliable first indication of resp illness in children?
rapid, shallow breathing
a parent with a child who has cystic fibrosis asks the nurse how to determine if the child is receiving an adequate amount of pancreatic enzymes. how would the nurse respond? SATA
the dose is adequate when your child is only having 1-2 stools per day the dose is adequate when your childs weight is improving when your child starts to eat more quantity of food you will need to adjust the amount of enzyme pills
after teaching a group of parents about ear infections in kids, which statement indicates that the teaching was successful?
the shorter and wider eustachian tubes of an infant increase the risk
during a well-child visit, the nurse assesses an infants ability to suck on a pacifier. the nurse is assessing which cranial nerve?
trigeminal
the nurse is instructing a 7 year old and his parents about using his prescribed corrective lenses. what would the nurse include in these instructions?
clean the glasses everyday w a mild soap or commercial cleaning agent
a 15 year old adolescent is brought to the ED by his parents. the adolescent is febrile with chills that started suddenly. he states "I had a sinus infection and sore throat a couple days ago" the nurse suspects bacterial meningitis based on which findings?
complaints of stiff neck photophobia vomiting
a nurse is developing a plan of care for a child who is admitted to the hospital for surgery. the child is visually impaired. what would be most appropriate for the nurse to include in the childs plan of care? SATA
explaining instructions using simple and specific terms the child understands allowing the child to explore the postop equipment with his hands using the childs body parts to refer to the area where he may have postop pain
a 4 year old boy has a history of seizures and has been started on a ketogenic diet. which food selection would be most appropriate for his lunch?
fried eggs, bacon and iced tea
when providing care to a newborn infant who was born at 29 weeks gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of what condition?
intracranial hemorrhage
a nursing instructor is preparing a class on chronic lung disease. what info would the instructor include when describing this disorder?
is it seen most commonly in premature infants
the nurse assesses a childs LOC, noting that the child falls asleep unless he is stimulated. what is the childs LOC?
obtunded
a child is diagnosed with bacterial conjunctivitis and is prescribed antibiotic therapy. the childs mom asks when he can return to school. which response by the nurse would be most appropriate
once the drainage is gone, he can go back
a nurse is examining a 7 year old boy with hordeolum. which would the nurse expect to find?
pain
a hospitalized child is scheduled for MRI with contrast. what nursing intervention(s) will the nurse complete to ensure safety during the exam? SATA
place the child in clothing with no metal assess the IV site for patency review any prescriptions for sedation
the nurse is preparing to provide trach care to an infant. after gathering equipment, what would the nurse do next?
position the infant supine with a towel roll under the neck
the nurse is assessing a 5 year old girl who is anxious, has a high fever, speaks in a whisper and sits up with her neck forward. based on these findings what would be least likely appropriate for the nurse to perform?
visualizing the throat
what would the nurse include when teaching parents how to prevent otitis externa?
wearing earplugs when swimming