Quiz 1

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Which is the nurs'es best response to the patient of a child diagnosed with epiglottis who asks what the treatment will be? a. no intervention b. complete a course of IV antibiotics c. 10 days of aerosolized ribavirin d. surgery to remove the tonsils

b. complete a course of IV antibiotics

Which is the nurse's best response to a parent who asks what can be done at home to help a child with upper respiratory infection (URI) symptoms and a fever get better? a. "Give your child small amounts of fluid every hour to prevent dehydration." b. "Give your child OTC cold medicine at night." c. "Give your child Robitussin at night to reduce his cough and help him sleep." d. "Give your child a baby aspirin every 4 to 6 hours to help reduce the fever."

a. "Give your child small amounts of fluid every hour to prevent dehydration."

The parents of a 4-month old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response? a. "Thirty minutes before feeding the child breakfast." b. "Only when the child has congestion or coughing." c. "Thirty minutes after feeding the child breakfast." d. "After deep-suctioning the child each morning."

a. "Thirty minutes before feeding the child breakfast."

What statement about pneumonia is accurate? a. Children with bacterial pneumonia are usually sicker than those with viral pneumonia b. Children with viral pneumonia must be treated with a complete course of antibiotics c. Pneumonia is most frequently caused by bacterial agents d. Children with viral pneumonia are usually sicker than those with bacterial pneumonia

a. Children with bacterial pneumonia are usually sicker than those with viral pneumonia

The nurse is caring for a 3-year old who had an appendectomy 2 days ago. The child has a fever of 101.8 F and breath sounds are slightly diminished in the right lower lobe. Which action is most appropriate? a. Encourage the child to blow bubbles. b. Obtain an order for Tylenol. c. Obtain an order for IV antibiotics d. Teach the child how to use an incentive spirometer.

a. Encourage the child to blow bubbles

The nurse is caring for a 4-month-old who has just had an isolated cleft lift repaired. Select the best position for the child in the immediate post-operative period. a. supine b. prone c. right side-lying d. left side-lying

a. supine

What information should the nurse provide the parent of a child diagnosed with nasopharyngitis? a. use comfort measures for the child b. complete the entire prescription of antibiotics c. avoid sending the child to day care d. restrict the child to clean liquids for 24 hours

a. use comfort measures for the child

Which child can be discharged without further evaluation? a. A 2-year-old who has had 24 hours of watery diarrhea that has changed to bloody diarrhea in the past 12 hours b. A 2-year-old who had a relapse of one diarrhea episode after restarting a normal diet. c. A 6-year-old who has been having vomiting and diarrhea for 2 days and has decreased urine output. d. A 10-year-old who has just returned from a Scout camping trip and has had several episodes of diarrhea.

b. A 2-year-old who had a relapse of one diarrhea episode after restarting a normal diet.

The nurse is caring for an 8-week-old infant being evaluated for pyloric stenosis. Which statement by the parent would be typical for a child with this diagnosis? a. "The baby is a very fussy eater and just does not want to eat." b. "The baby is happy in spite of getting really upset after spitting up." c. "The baby tends to have a very forceful vomitng episode about 30 minutes after most feedings." d. "The baby is always hungry after vomiting so I re-feed."

d. "The baby is always hungry after vomiting so I re-feed."

The nurse is caring for a 9 month old with diarrhea secondary to rotavirus. The child has not vomited and is mildly dehydrated. Which is likely to be included in the discharge teaching? a. the infant may return to day care 24 hours after antibiotics have been started b. administer imodium as needed c. administer Kaopectate as needed d. continue breastfeeding per routine

d. continue breastfeeding per routine


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