Exam 2 Peds
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
muscle tremors
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
"I only need to catheterize myself twice every day." (Should be done Q4H)
A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?
"It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."
A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?
3% wt loss
The nurse is discussing with a child and family the various sites used for insulin injection. Which site usually has the fastest rate of absorption?
Abdomen
A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Do not palpate abdomen.
Following instruction for a patient with newly diagnosed systemic lupus erythematosus (SLE), the nurse determines that teaching about the disease has been effective when the patient says,
"B. "I need to restrict my exposure to sunlight to prevent an acute onset of symptoms.
The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid should the nurse anticipate the practitioner to order initially to replace fluids
0.9 normal saline
A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
2 mL/kg/hr
a nurse is admitting a 6 month old infant who has dehydration. Which of the following amount of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
2ml
A 16 year old client is admitted to the hospital for acute appendicitis and appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively?
Allow client to interact with others in same age group
A nurce is assessing a toddler who has suspected lead poisoning. Which of the folloning findings shoud the nurse expect the client to manifest with acute lead polsoning?
Anorexia
A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect?
BUN 50 mg/dL
A nurse in an emergency department is caring for an infant who has two days history of vomiting and an elevated temperature . Which of the following should the nurse recognize are the most reliable indicator of fluid lost ?
Body Weight
A parent calls a clinic and reports to a nurse that his 2-month old infant is hungry more than usual but is projectile vomiting immedialely after eating. Which of the following responses should the nurse make?
Bring your child to the clinic today
A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted?
Capillary refill is less than 2 seconds.
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Check the child's daily weight.
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Continue to monitor the client. (UO is WNL for a toddler. The child's urine output should be greater than 1 mL/kg/hr.)
The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of the disorder is documented?
Current jelly stool
A school-age child with type 1 diabetes mellitus has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do?
Eat a small box of raisins or drink a cup of orange juice before soccer practice
The mother of a 6-year old who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action?
Encourage the child to drink liquids.
A nured is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which following actions should the nurse take .
Encourage the parents to rock the child for comfort
A 1 month old client is admitted to the emergency room with severe diarrhea. Which assessment suggests the client is severely dehydrated?
Fontanels depressed, capillary refill greater than three seconds
The clinic nurse reviews the record of an infant and notes that the health care provider has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented in the records, knowing that which sign most likely led the mother to seek health care for the infant?
Foul smelling pencil like stools
nurse is caring for an infant who has Inadequate motilty of part of the intestine resulting In à mechanical obstruction. The nurse should identify, this finding as a manifestation of which of the following disorders?
Hirschsprung's disease
A nurse is proving teaching to a parents of a child who has Hirschsprung disease is scheduled for initial surgery . Which of the following statements made by the parents shows understanding of the disease
I'm glad that my child's ostomy is only temporary
The nurse is teaching the parent of a child newly diagnosed with juvenile idiopathic arthritis (JIA). The nurse would evaluate the teaching as successful when the parent is able to say that the disorder is caused by the:
Immune-stimulated inflammatory response in the joint.
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Low-sodium, fluid-restricted
A nurse is caring for a 6 week-old infant who has pyloric stenosis . Which of the folloining clinical manifestations should the nurse expected
Projectile vomiting
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Projectile vomiting
The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the patient about the child's symptoms?
Projecting vomiting
A client is suspected of having systemic lupus erythematosus. The nurse monitors the client, knowing that which of the following is one of the initial characteristic sign of systemic lupus erythematosus?
Rash on the face across the bridge of the nose
A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority?
Respiratory rate
When caring for a patient who has septic shock, which assessment finding is most important for the nurse to report to the health care provider?
Skin cool & clammy Since patients in the early stage of septic shock have warm and dry skin, the patient's cool and clammy skin indicates that shock is progressing.
The nurse is assessing an infant brought to the clinic with diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicate the infant is still in the early or mild stage of dehydration?
Tachycardia
The nurse provides instructions to a parent of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis?
Thicken the feedings by adding rice cereal to the formula
A pediatric client is diagnosed with Type 1 diabetes. The nurse teaches the client the difference between insulin shock and diabetic hyperglycemia. The nurse evaluates that the client understands the teaching when the client states which characteristics of diabetic hyperglycemia?
Tremors and lethargy
A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?
Urine specific gravity 1.015
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Wilms' tumor (Manifestations of Wilms' tumor include an abdominal mass, hematuria, fatigue, weight loss, and fever.)
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?
Withhold fluids until the client demonstrates a gag reflex
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Yellow nasal discharge
A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?
irritability
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
body wt
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
facial edema
A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?
wilm's tumor