Exam 4 peds

The nursing instructor asks a student nurse to describe osteogenic sarcoma. Which statement by the student indicates the need to further research the disease?

The child does not experience pain at the primary tumor site

Symptoms of Autism

The core symptoms of autism include impaired communication and restrictive/repetitive behaviors

Osteosarcoma

malignant tumor of the bone; most common

The nurse reinforces instructions to the parents of a child with leukemia regarding measures related to monitoring for infection. Which statement by the parents indicates the need for further teaching?

"I need to take my child's rectal temperature daily."

Hodgkin's disease

Characterized by the presence of Reed-Sternberg cells in the lymph nodes

A child is brought to the emergency room and the mother reports that the child accidentally swallowed paint thinner after mistaking it for water. The nurse must perform which action first?

Check the airway, breathing, and circulation status of the child.

Iron Reversal Agent

Deferoxamine

A school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The nurse reinforces instructions regarding how to prevent hypoglycemia during practice. Which would the nurse tell the child?

Drink a half a cup of orange juice before soccer practice.

Rotovirus causes...

Gastroenteritis

Sulfonylurea reversal agent

Ocetreitide

asthma signs and symptoms

coughing, wheezing, SOB, tachycardia, hypoxia, and Respiratory alkalosis or acidosis (hyperventilation or hypoventiation respectively)

The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitating factor, indicates the need for further teaching?

fluid overload

Stages of Chemotherapy

induction, consolidation, maintenance

syngeneic

stem cells donated by an identical twin

A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which finding is characteristic of chicken pox?

Macular rash on the trunk and scalp

Leukotriene Modifiers

Montelukast (Singulair)

Acetaminophen Reversal Agent

N-acetylcysteine

Asperger's vs autism

Asperger's doesn't have a language delay

Cholinergic reversal agent

Atropine

The mother of a 6-year-old child 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 would instruct the mother to take which action?

Encourage the child to drink liquids.

Ethylene glycol reversal agent

Ethanol 10 percent or antizol

benzodiazepines reversal agent

Flumazenil (Romazicon)

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings would the nurse expect to note?

Fruity breath odor and decreasing level of consciousness

The nurse would implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL?

Give the child a teaspoon of honey, Prepare to administer glucagon subcutaneously if unconsciousness occurs.

vasoocclusive crisis

Inflammation and obstruction of blood vessels by sickle cells

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of IV infusion?

Normal saline flush

anticoagulant reversal agent

Vitamin K

Pathophysiology of sickle cell disease

autosomal recessive inheritance of 2 defective gene alleles for hemoglobin synthesis; at least 40% total hemoglobin have abnormal beta chains (hemoglobin S); when O2 is decreased, HbS pile together and distort the RBC shape; clumps obstruct blood vessels, hypoxia and organ damage results; RBC w/ HgS life span: 12-15 days - hemolytic anemia results also

autologous

originating from one's self

allogenic

originating within another

The nurse is providing discharge instructions to the parents of a 14-year-old child who is undergoing radiation for Hodgkin's disease. Which statement by a parent indicates the need for further teaching?

"I will need to keep my child's skin from flaking, so we will be allowing showers every 2 or 3 days."

The nurse observes a mother giving an oral iron supplement to her 6-year-old child with iron deficiency anemia. Which action by the mother indicates the need for further teaching?

The mother administered the iron with milk

Leukemia

In leukemia, proliferating immature white blood cells (WBCs) depress the bone marrow, causing anemia from decreased erythrocytes, infection from neutropenia, and bleeding from decreased platelet production