#3

The nurse comes into the room of a child who was just diagnosed with a chronic disability. The childs parent begin to yell at the nurse and a variety of concerns. The nurses best response is?

"Being angry is only natural"

Care for grieving families during the dying process, a nurse should encourage parents to (SATA)

-Participate in caring for patient -Remain near the child as much as possible -Discuss special memories and people -Read favorite books, providing favorite toys/objects -Continue verbal communication, even if the client seems unconscious

A patient is admitted to a hospital with cheyne-stokes respirations. What would the nurse expect the assessment finding to reveal?

Alternating periods of apnea and deep rapid breathing

A 4-month-old infant diagnosed with gastroesophageal reflux disease (GERD) is thriving without other complications. What should the nurse suggest to minimize reflux?

Thick formula with rice cereal

The nurse is caring for an infant with a suspected urinary tract infection. Which clinical manifestations would be observed?

Vomiting Failure to gain weight Persistent diaper rash

What should the nurse recommend to prevent urinary tract infections in young girls?

Wearing cotton underpants

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

You will need to avoid adding salt to your child's food.‖

The nurse finds that a terminally ill patient is experiencing nausea and vomiting. Which would be an appropriate nursing action?

administer antiemetic drugs before meals as ordered

A patient is diagnosed with Hepatitis A. The patient asks how a person can become infected with this condition. You know the most common route of transmission is?*

Fecal-oral

A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply)

Fever Vomiting watery stools

The nurse closely monitors the temperature of a child diagnosed with nephrosis. The purpose of this is to detect an early sign of what undesirable outcome?

Infection

What is the earliest clinical manifestation of biliary atresia?

Jaundice

An infant diagnosed with pyloric stenosis experiences excessive vomiting that can result in which condition?

Metabolic alkalosis

What is the most common cause of acute renal failure in children?

Severe dehydration

The nurse provides care for an oncology unit and is discussing the difference between hospice care and palliative care with the patients family. What is an appropriate explanation by the nurse?

Hospice care is provided after a person decides to forgo curative treatment

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?

Initiate oral hydration therapy

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with which intervention?

Intravenous fluids

The viral pathogen that frequently causes acute diarrhea in young children is

Rotavirus.

A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?

WBC >2; specific gravity 1.030

What major complication is noted in a child with chronic renal failure?

Water and sodium retention

The nurse cares for a patient in the terminal stage of leukemia who opted for hospice care. When is the patient considered to be eligible for hospice care?

When two primary health care providers certify that the patient has less than 6 months to live.

Hospice nurses provide a variety of skilled services, including the following

Wound care Medication administration IV fluids, medication, and parenteral nutrition Central line care Urinary catheter insertion and maintenance

A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (select all that apply.)

Fever watery stools vomiting

A school-age child has been admitted to the hospital diagnosed with minimal-change nephrotic syndrome. Which clinical manifestations should the nurse expect to assess? (Select all that apply.)

Generalized edema Proteinuria >2+ Fatigue Irritability

Which statements regarding hepatitis B are correct? (Select all that apply.)

Hepatitis B can be prevented by hepatitis B virus vaccine Hepatitis B can be transferred to an infant of a breastfeeding mother

A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply)

It is a bacterial infection bloody diarrhea is common

The nurse is caring for a 6 yr old in the early stages of acute hepatitis. Which of the following manifestations should the nurse expected to find?

Nausea, vomiting, generalize malaise

What are the primary clinical manifestations of acute glomerulonephritis? (Select all that apply.)

Oliguriab. Hematuriac. Proteinuria Hypertension

Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following?

Projectile vomiting

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect? ( Select all that apply)

Projectile vomiting constant hunger

Which diagnostic finding is present when a child has primary nephrotic syndrome?

Proteinuria

An objective of care for the child with nephrosis is what desired outcome?

Reduced excretion of urinary protein

An important nursing consideration in the care of a child with celiac disease is to facilitate which intervention?

Refer to a nutritionist for detailed dietary instructions and education.

The diet of a child with nephrosis usually includes requirement?

Salt restriction

A nurse is teaching a group of caregivers about E.coli. Which of the following information should he nurses include in the teaching? (select all that apply)

Severe abdominal cramping occurs It can lead to hemolytic uremic syndrome It is a foodborne pathogen

A nurse is teaching a group of caregivers about E. Coli. which of the following information should the nurse include in the teaching? ( Select all that apply)

Severe abdominal cramping occurs it can lead to hemolytic uremic syndrome It is a foodborne pathogen

Which factor predisposes a child to urinary tract infections?

Short urethra in young girls

The nurse finds that the parent of a terminally ill child is unusually optimistic about the child condition. What should the nurse interpret from this?

The parent is in the denial stage of grief

A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. Which should be the nurse's next action?

The physician should be notified immediately, as a sudden change or loss of pain often indicates a perforated appendix 2

Which clinical manifestation would be seen in a child with chronic renal failure?

Unpleasant ―uremic‖ breath odor

When a child diagnosed with chronic renal failure, the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as what?

Uremia

A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. The nurse's best response should be to identify which occurrence?

Urinary output will increase.

A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse in the teaching? ( Select all that apply)

incubation period is nonspecific Bloody diarrhea is common Transmission can be from house pets

A 4 month old female is brought to the emergency department with severe dehydration. Her heart rate is 198 and her blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant does not cry when the intravenous line was inserted. The child's parents state that she has not ' held anything down" in 18 hours. The nurse obtains a finger stick blood sugar sugar of 94. Which of the following would the nurse expect to do immediately?.

Administer a bolus of normal saline

The nurse is caring for an adolescent who has terminal brain cancer. The nurse observes that the patient does not engage in active conversation and avoids eye contract. Which stage of grief is the patient in?

Depression

A nurse is caring for a child. Which of the following are physical manifestations of impending death

Difficulty swallowing Cheyne-Stokes respirations

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells. This is most suggestive of which condition?

Bacterial gastroenteritis

The nurse, caring for a child with acute renal failure, should recognize event as a sign of hyperkalemia?

Cardiac arrhythmia

Which manifestations would the nurse expect to see in a 4-week-old infant with biliary atresia?

Abdominal distention, enlarged liver, enlarged spleen, clay-colored stool, and tea- colored urine.

Which clinical manifestation would most suggest acute appendicitis?

Abdominal pain that is most intense at McBurney point

Calcium carbonate is given with meals to a child with chronic renal disease. The purpose of this is to achieve which desired result?

Bind phosphorus.

One of the clinical manifestations of chronic renal failure is uremic frost. Which best describes this term?

Deposits of urea crystals on skin

A nurse is preparing to administer an intramuscular ( IM ) injection to a child. Which of the following muscle groups is contraindicated?

Dorsogluteal

What is the most appropriate nursing diagnosis for the child with acute glomerulonephritis

Excess Fluid Volume related to decreased plasma filtration

A 2 -month-old is brought to the pediatric clinic. The infant has had vomiting and diarrhea for 24 hrs. The infant's anterior fontanel is sunken. The child is irritable, and the nurse notes that the infant does not produce tears when he cries. Which of the following test will help confirm the diagnosis of dehydration?

Analysis of serum electrolytes

What intervention is a component of the therapeutic management of nephrosis?

Corticosteroids

The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?

Creatinine clearance

An infant is brought to the emergency department with poor skin turgor, sunken fontanel, lethargy, and tachycardia. This is suggestive of which condition?

Dehydration

What is a common cause of acute diarrhea?

antibiotic therapy

The nurse is caring for a child dying from cancer. Physical signs that the child is approaching death include

change in respiratory rate

The nurse is caring for a 2 yr old child who was admitted to the pediatric unit for moderate dehydration due to vomiting and diarrhea. The child is noted to be restless with periods of irritability. The child is afebrile with a heart rate of 148 and a blood pressure of 90/42. Baseline laboratory test reveals the following NA 152, CL 119, and glucose 115. The parents state that the child has not urinated in 12 hrsA. After establishing a saline lock, the nurse review the physicians orders. Which of the following orders should the nurse question?

After the saline bolus, begin maintance fluids of D5 1/4 NS with 10mEq KCL/L,

Therapeutic management of the child with diarrhea and dehydration usually begins with what intervention?

Oral rehydration solution (ORS)

Which statement is most descriptive of Meckel's diverticulum?

Mucus and blood in stools

A nurse is caring for a child who is suspected to have Enterobius Vermicularis. Which of the following actions should the nurse take?

Perform a tape test

A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse takes?

Place the child in the supine position

What is the primary purpose of prescribing a histamine receptor antagonist for an infant diagnosed with gastroesophageal reflux?

Prevent reflux

The nurse is administering Prilosec (omeprazole) to a 3-month-old with gastro- esophageal reflux (GER). The child's parents ask the nurse how the medication works. Select the nurse's best response.

Prilosec decreases stomach acid, so it will not be as irritating when your child spits up.

An important nursing consideration in the care of a child with celiac disease is to facilitate which intervention?

Refer to a nutritionist for detailed dietary instructions and education.

The parents of a school age child are told that their child is diagnosed with leukemia. As the nurse caring for the child, what is the expected first reponse of the parents to the diagnosis of the chronic illness to their child

Shock and disbelief

A child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show

hematuria and proteinuria.

What type of dehydrations results from water loss in excess of electrolyte loss

hypertonic dehydrations

The nurse is caring for a 3month old male who is being evaluated for possible Hirschsprung disease. His Parents call the nurse and state that his diaper contains large amount of mucus and blood diarrhea. The nurse notes that the infant is irritable and his abdomen appears distended. Which of the following should the nurse's next action?

immediately obtain all vital signs with a quick head to toe assessment

The diet of a child with chronic renal failure is usually characterized as

low in phosphorus.