1122
16 1 / 1 pts The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which interventions should be included in the child's care (Select all that apply)
Administer cough syrup. Correct! Encourage infant to drink 8 ounces of formula every 4 hours. Correct! Place on noninvasive oxygen monitoring. Administer antibiotics. Correct! Institute cluster care to encourage adequate rest. Hydration is important in children with RSV bronchiolitis to loosen secretions and prevent shock. Clustering of care promotes periods of rest. The use of noninvasive oxygen monitoring is recommended.
27 1 / 1 pts A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take
Restrain the child's arms. Correct! Position the child laterally. Positioning the child laterally facilitates airway patency. Use a padded tongue blade. Attempt to stop the seizure by holding child's arms
28 1 / 1 pts A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure
Tachycardia Correct! Increased sleeping Following a head injury, an infant's level of consciousness can deteriorate, show signs of excessive sleeping, and eventually go into a coma. Brisk pupillary reaction to light Depressed fontanels
6 1 / 1 pts List two ways to diagnosis and two ways to treat childhood ADHD.
Teachers are a common way to begin diagnosing children with adhd. Hyperactive behavior, forgetfulness, inattentive, Poor time management, Self Consciousness, Routine training, consistency, structure building, Ritalin, Adderall.
13 1 / 1 pts The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of spasmodic croup
The child has a high fever. It is bacterial in nature. Wheezing is heard audibly. Correct! It has a harsh, barky cough. Spasmodic croup is viral in origin, is usually preceded by several days of symptoms of upper respiratory tract infection, and often begins at night. It is marked by a harsh, metallic, barky cough; sore throat; inspiratory stridor; and hoarseness. Wheezing is not a distinguishing manifestation of croup. It can accompany conditions such as asthma or bronchiolitis. A high fever is not usually present.
29 1 / 1 pts Describe Decorticate and Decerebrate Postures. What areas of the brain are altered
Your Answer: Decorticate : Flexor , Arms turned inward / chest / arms shaped in a C like formation/ feet are turned inwards. Cervical Spinal Tract / Cerebral Hemisphere problems. Decerebrate : Extensor, arms and feet curled outward, arms in "e" similar formation. Midbrain / Brainstem problems.
7 1 / 1 pts List a laboratory diagnostic test that can be used to identify Down Syndrome prenatally _______________ .
alpha-fetoprotein in maternal serum maternal serum alpha-fetoprotein
10 1 / 1 pts Which type of croup is always considered a medical emergency
Correct! Epiglottitis Spasmodic croup Laryngotracheobronchitis (LTB) Laryngitis Epiglottitis is always a medical emergency needing antibiotics and airway support for treatment. Laryngitis is a common viral illness in older children and adolescents, with hoarseness and upper respiratory infection symptoms. Spasmodic croup is treated with humidity. LTB may progress to a medical emergency in some children.
14 1 / 1 pts Which intervention for treating croup at home should be taught to parents
Correct! Take the child outside. Have a decongestant available to give the child when an attack occurs. Give the child an antibiotic at bedtime. Have the child sleep in a dry room. Taking the child into the cool, humid, night air may relieve mucosal swelling and improve symptoms. Decongestants are inappropriate for croup, which affects the middle airway level. A dry environment may contribute to symptoms. Croup is caused by a virus. Antibiotic treatment is not indicated.
5 2 / 2 pts You are caring for Crista a 4-year-old female in an urgent care setting. Crista's complaint is right ear pain. Her mother states the pain started 2 days ago after returning from the pool. The pain is now keeping her awake and night. List 5 basic principles (Dos & Don'ts) in a pediatric assessment, and how you will use these principles with Crista.
Don't use Q Tips or other things at home. If infected or in a lot of pain, do not look at ear, wait for Provider to. No reason to hurt her twice. Get kid a Popsicle/ toy. Pain can be worse when laying down, elevate head with pillows. Ibuprofen/Acetaminophen for pain & fever. Warm Compress for pain. Sometimes we can use a stool softener to clean ear, if ear hurts though wait for Provider instruction.
2 1 / 1 pts Which type of seizure involves both hemispheres of the brain
Generalized
9 0.33 / 1 pts Match the nursing interventions you will deliver to a newborn with Down Syndrome with the rationale. Assist with newborn resuscitation
Hypotonicity
8 1 / 1 pts Select all the physical assessment findings that are associated with Down Syndrome.
Moist Skin Correct! Clinodactyly Correct! Enlarged anterior fontanel Correct! High-arched narrow palate Correct! Epicanthal folds Tall Stature Correct! Hypotonia
9 0.33 / 1 pts Match the nursing interventions you will deliver to a newborn with Down Syndrome with the rationale. Provide a specialized bottle
Nasal congestion
9 0.33 / 1 pts Match the nursing interventions you will deliver to a newborn with Down Syndrome with the rationale. Swaddle the infant
Prevent musculoskeletal injury
15 1 / 1 pts Which information should the nurse teach workers at a day care center about respiratory syncytial virus (RSV)
RSV can survive on nonporous surfaces for about 60 minutes. RSV is transmitted through particles in the air. RSV can live on skin or paper for up to a few seconds after contact. Correct! Frequent hand washing can decrease the spread of the virus. Meticulous hand washing can decrease the spread of organisms. RSV infection is not airborne. It is acquired mainly through contact with contaminated surfaces. RSV can live on skin or paper for up to 1 hour and on cribs and other nonporous surfaces for up to 6 hours.
3 1 / 1 pts A child has been diagnosed with febrile seizures. Which of the following information should the nurse include in the parent teaching session
"It should be comforting to know that most children outgrow the febrile seizures by the time they reach 6 years of age."
1 1 / 1 pts Which term is used to describe a child's level of consciousness when the child can be aroused with stimulation
Obtundation