PT3

A mother of a newborn daughter is upset because she is worried that her daughter will have hemophilia like her son does. Which of the following statements by the nurse would be accurate to address her fears?

"Females are carriers of the disorder but do not have hemophilia."

A nurse is reinforcing teaching to the parent of a 9 month old who has a prescription for digoxin. Which of the following instructions should the nurse include?

"Give the correct dose of medication at regularly scheduled times."

A parent of a school age child who has Growth Hormone Deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following statement should the nurse make?

"Injections should be continued until there is evidence of epiphyseal closure.

The nurse is caring for an infant who had come to the nursing unit for observation and treatment of Tetralogy of Fallot. The child suddenly becomes cyanotic and the oxygen saturation reading drops to 60%. Which action should the nurse perform first?

Place the child in a knee chest position.

Which of the following teaching points should the nurse include when preparing parents to take home an infant on Digoxin? Select all that apply.

-Monitor for toxicity symptoms such as nausea and vomiting -Hold medication if the heart rate is <90 BPM.

A parent has called the pediatricians office to report that her child with type 1 diabetes has developed a respiratory infection and is sick in bed. Which of the following instructions should the nurse include in the teaching for this parent? Select all that apply.

-Monitor the blood glucose every 3 hours. -Call the pediatricians office if the blood glucose exceeds 240 mg/dL. -Test the urine for ketones.

When caring for a child who has a history of seizures, which nursing interventions would be appropriate. Select all that apply.

-The nurse teaches the caregivers regarding seizure precautions. -The nurse has oxygen available to use during a seizure. -The nurse stays with the child and calls for help when a seizure begins. -The nurse positions the child on the side during a seizure.

The doctor has prescribed Gentamicin 4.2 mg for a child who weighs 27 pounds. The safe dose is 2.5mg/kg/dose every 8 hours. The concentration of medication is 10mg/ml. How many ml's will you draw up to administer?

0.42 ml

A nurse is caring reinforcing teaching with a group of parents about characteristics of infants who have failure to thrive. Which of the following statements from the parents demonstrate an understanding of the teaching?

Children who are failure to thrive may have developmental delays.

A nurse is preparing to administer acetaminophen 10 mg/kg PO to a preschool child for fever. The child weighs 22 pounds. The concentration of medication is 160 mg/5 mL. How many ml's should the nurse draw up to administer?

3.1 mL

The nurse is caring for a child who is suspected of having rheumatic fever. Which of the following will the nurse anticipate the parents will report?

A recent strep throat infection.

The nurse anticipates that the child is experiencing which of the following conditions?

An absence seizure

The nurse is caring for a child who was admitted into the ER with a decreased level of consciousness. Upon assessment, the nurse notes that the child has a "fruity" odor to the breath. Which condition does the nurse suspect the child is presenting with?

Diabetic Ketoacidosis.

The nurse working with a child in a sickle cell crisis would question which of the following orders written by the physician?

Discontinue IV fluids.

The nurse admits an infant with a possible diagnosis of congestive heart failure. Which signs or symptoms would the infant most likely be exhibiting?

Feeding problems

The nurse is caring for a patient who is experiencing a generalized seizure. Which of the following is a priority nursing action?

Position the child in a side lying position.

The nurse is caring for an infant with congestive heart failure. Review the chart below. Based on the data provided, what should be the primary nursing intervention?

Provide clustering of care to conserve the infant's energy and promote weight gain.

The nurse is reviewing the medical history of a school-age client who possibly has Reye syndrome. The nurse should identify which of the following findings as a risk factor for Reye syndrome?

Recent episode of varicella.

The nurse is caring for a 9 month old infant who was admitted with seizures. The parents stated that they were at the older sibling's baseball game when the infant was struck with a baseball. Scans showed that there was internal bleeding in the brain, but there was no external trauma to the head or body. What is the nurse's primary concern?

The possibility of abuse.

The nurse is caring for a child who was prescribed liquid oral iron supplements. Which of the following items should the nurse include in the teaching?

Use a straw to administer the medication.

A nurse is collecting data from a 4 month old infant who has meningitis. Which of the following findings should the nurse expect?

High-pitched cry.

The nurse is providing education for the family of a child being prescribed somatotropin. Which of the following teaching points should the nurse include?

Injections should be given daily.

The nurse is caring for a child with Kawasaki Disease. The parents ask the nurse why the child is being given Aspirin, when it is contraindicated in children. Which of the following responses should the nurse make to help the parents understand?

It is being given because of the antiplatelet effects to prevent the formation of an aneurysm.

The nurse is taking care of a child who has depression and has been prescribed an anti-depressant. When teaching the parents, what side effect of this type of medication is a priority for the nurse include?

Monitor for suicidal ideations.

The nurse caring for a child who has been hospitalized with hemophilia would question which of the following orders written by the physician?

Give all injections via the IM route, deep into the muscle.

The nurse is caring for a 4 year old child who is being seen for a well visit. The parents are concerned because the child has is non-verbal and does not interact socially with adults or children. The mother reports that in infancy, the child did not make eye contact or exhibit a social smile. Which condition is the nurse concerned this child may be presenting with?

Autism Spectrum Disorder (ASD)

Which of the following cardiac defects are included in Tetralogy of Fallot? (Place in the correct categories).

CategoryPresent in Tetralogy of Fallot Pulmonary Stenosis Right Ventricular Hypertrophy Overriding Aorta Ventricular Septal Defect (VSD) CategoryNot present in Tetralogy of Fallot Tricuspid Atresia Coarctation of the Aorta Aortic Stenosis Truncus Arteriosis Patent Ductus Arteriosus Hypoplastic Left Heart Syndrome

The nurse is caring for a young child who just returned from a cardiac cath. Which of the following represents a priority nursing intervention?

Monitor the site for bleeding.

A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of the following findings indicate viral meningitis? Select all that apply.

Negative gram stain Blood glucose level within the expected reference range Protein level within the expected reference range

What is the primary nursing intervention and what condition does the nurse suspect this newborn is presenting with?

Notify the physician, Coarctation of the Aorta