Module 5 Nursing Care of Children

hearing impairment prevention

screenings avoid hazardous noises ear protection in loud environments

involve interference of the transmission along the nerve pathways which can result from congenital defects or secondary to acquired conditions

sensorineural losses

seizure laboratory tests

serum electrolytes and drug levels

childrens SaO2 expected range

95-100

A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take?

Administer humidified oxygen Suction the nasopharynx as needed

The nurse is reinforcing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include?

Administer pancreatic enzymes with meals and snacks

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?

Assist with initiating oral rehydration therapy

A nurse is assisting with the care of a 2-year-old child who has a heart defect and is scheduled for cardiac catheterization. Which of the following actions should the nurse take?

Check for iodine or shellfish allergies prior to the procedure

A nurse is collecting data from an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect?

Projectile vomiting Dry mucous membranes Constant hunger

A nurse is collecting data from an infant who has heart failure. Which of the following findings should the nurse expect?

Cool extremities Peripheral edema Nasal flaring

A nurse is collecting data from a child who has rheumatic fever. Which of the following findings should the nurse expect?

Erythema marginatum (rash) Elevated C- reactive protein

A nurse is reinforcing teaching with the caregiver of an infant who has a prescription for digoxin. Which of the following statements should the nurse make?

Give the correct dose of medication at regularly scheduled times

A nurse is assisting with performing a peripheral vision test on a child. Which of the following actions should the nurse take?

Have the child focus on an object while performing the test

A nurse is reinforcing teaching with a guardian of an infant who has Down syndrome. Which of the following statements indicates an understanding of the teaching?

I should place a cool mist humidifier in his room

A nurse is reinforcing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding?

My child should take the supplement through the straw

A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take?

Obtain vital signs prior to the procedure Tell the child to take slow deep breaths Determine if the child should use a mask Attach the device to an air source

A nurse is reinforcing teachings with a group of guardians about influenza. Which of the following information should the nurse include?

Oseltamivir should be given within 48 hours of the onset of manifestations

A nurse is contributing to the plan of care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care?

Place the child in an upright position Monitor oxygen saturation Administer bronchodilators

A nurse is assisting with the development of an in-service about viral and bacterial meningitis. The nurse should include the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children?

Pneumococcal conjugate vaccine (PCV) Haemophilus influenzae type B (Hib) vaccine

A nurse is providing reinforcement teaching about epistaxis to the parent of a school-age child. Which of the following should the nurse take when managing an episode of epistaxis?

Press the nares together for at least 10 min Apply a cold cloth across the bridge of the nose

A nurse is reviewing the diagnostic findings for a preschool-age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis?

Sweat chloride content 85 meq/L

A nurse is assisting with the admission of a child who has cystic fibrosis. Which of the following medications should the nurse expect the provider to prescribe?

Tobramycin Fat-soluble vitamins Albuterol Dornase alfa

A nurse is preparing to administer iron dextran IM to a school-age child who has iron-deficiency anemia. Which of the following actions by the nurse is appropriate?

Use the Z-track method when administering the dose

A nurse is collecting screening data from a toddler for possible hearing loss. Which of the following findings are indications of hearing impairment?

Uses monotone speech Speaks loudly Appears shy

A nurse is preparing to reinforce treatment options with the guardian of a child who has worsening seizures. Which of the following treatment options should the nurse include in the discussion?

Vagal nerve stimulator Additional antiepileptic medications Corpus callosotomy Focal resection

A nurse is collecting data from a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status?

Wheezing Retraction of sternal muscles Nasal flaring

A nurse is reinforcing teaching with a group of parents about Salmonella. Which of the following information should the nurse include?

a bacterial infection bloody diarrhea is common transmission can be from house pets

generalized seizure more often found in girls and develops after the fifth year

absence seizure

infection of the upper airways

acute streptococcal pharyngitis

A nurse is assisting with the care of a child in the postoperative period following a tonsillectomy. Which of the actions should the nurse take?

administer analgesics on a schedule

A nurse is collecting data from a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect?

abdominal pain mucus and blood in stool

A nurse is reinforcing teaching to an adolescent about the appropriate use of their asthma medication. Which of the following medications should the nurse instruct the client to use as needed before exercise?

albuterol

prenatal diagnostic procedure for down syndrome

alpha fetoprotein in maternal blood

reye syndrome risk factors

aspirin use viral illness

is a contagious infection and prognosis depends on how quickly care is initiated

bacterial meningitis

mostly caused by respiratory syncytial virus and primarily affects the bronchi and bronchioles

bronchiolitis

associated with an upper airway infection and self limiting

bronchitis

risk factors for Down syndrome

cause is unclear but can be caused from maternal age greater than 35 years

all other hearing losses related to natural causes

central auditory imperception

infant diagnostic procedures for down syndrome

chromosome analysis and echocardiography

starts with motor activity then progresses to other body sites with loss of or altered state of consciousness

complex partial seizure

involve interference of sound transmission which can result from otitis media, external ear infection and excessive ear wax

conductive losses

A nurse is collecting data from a child who has myopia. Which of the following findings should the nurse expect?

difficulty reading poor school performance

A nurse is collecting data from a child who has epiglottitis. Which of the following findings should the nurse expect?

difficulty swallowing drooling stridor

suctioning indications

remove mucus plugs and excessive secretions

A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?

ensure proper placement of the sensor probe

A nurse is preparing to assist the charge nurse with discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching?

family history of asthma and allergies exposure to smoke low birth weight

A nurse is reinforcing teaching with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include?

febrile episodes hypoglycemia sodium imbalances

generalized seizure associated with a rapid rise in core body temperature

febrile seizure

A nurse is collecting data from a child who is postoperative following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding?

frequent swallowing and clearing of the throat

severe seizure that crosses over the brain's hemispheres and causes full body neuromuscular seizure activity

grand mal or tonic-clonic seizure

affect speech and the ability to clearly process linguistic sounds

hearing impairments

A nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should be performed to distinguish the infant has the trait or the disease?

hemoglobin electrophoresis

tonsillectomy complications

hemorrhage dehydration chronic infection

increased intracranial pressure complications

herniated brain brainstem deterioration sometimes apnea and death

A nurse is collecting data from a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect?

high pitched cry

uncommon, generalized seizure presenting between 3-12 months and peaks at 4-8 months

infantile spasms

expected findings for reye syndrome

lethargy irritability seizures loss of consciousness profuse vomiting

diagnostic procedures for reye syndrome

liver biopsy CSF analysis

A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect?

loss of consciousness appearance of daydreaming dropping held objects

definitive diagnostic test for meningitis

lumbar puncture

nursing care for reye syndrome

maintain hydration while preventing cerebral edema positioning monitor coagulation

handheld devices that allow children to self administer medications on an intermittent basis

metered dose inhaler

A nurse is reinforcing teaching to the guardians of a ch9ld who is to have an electroencephalogram (EEG). Which of the following statements by a guardian indicates teaching was effective?

my child should remain quiet and still during this procedure

generalized seizure involving the brains motor complex

myoclonic seizure

what are some common visual impairments in children

myopia astigmatism cataracts glaucoma

child diagnostic procedure for down syndrome

neck x-ray before sports

A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis?

negative gram stain normal glucose content normal protein content

Reye syndrome causes

not understood but occurs more when influenza occurs

A nurse is reinforcing teaching with the guardian of an infant about gastrointestinal reflux disease. Which of the following instructions should the nurse include?

offer frequent feedings thicken formula with rice cereal position baby upright after feedings

can result from high concentrations of oxygen or from long duration of oxygen therapy

oxygen toxicity

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

expected findings for bronchitis

persistent dry and hacking cough

expected findings for strep throat

pharyngitis headache fever abdominal pain

anticonvulsant medications

phenytoin valproic acid phenobarbital carbamazepine

meningitis expected findings

photophobia vomiting irritability headache

A nurse is assisting with the care of a client who has suspected meningitis and a decreased level of consciousness. Which of the following actions should the nurse take?

place client on NPO status

A nurse is assisting with the care of an infant who has just returned from PACU following cleft lip and palate repair. Which of the following actions should the nurse take?

place the infant in an upright position

A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take?

position the child in a side lying position

post operative nursing actions for tonsillectomy

positioning data collection comfort measures diet

A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?

prepare the family for surgery

nursing care for seizures

protect from injury suction oral secretions loosen restrictive clothing administer oxygen

A nurse is reinforcing teaching with a group of caregivers about possible manifestations of down syndrome. Which of the following findings should the nurse include?

protruding abdomen broad short feet and hands hypotonia

A nurse is reviewing the medical record of a client who has Reye syndrome. Which of the following findings should the nurse identify as a risk factor for Reye syndrome?

recent gastroenteritis

A nurse is reinforcing teaching a group of caregivers about E. coli. Which of the following information should the nurse indicate?

severe abdominal cramping it can lead to a hemolytic uremic syndrome it is a food borne pathogen

A nurse is reinforcing teaching with an adolescent to self administer a corticosteroid medication using a metered dose inhaler. Which of the following instructions should the nurse include?

shake the device prior to use rinse and expectorate after administration inhale slowly with medication administration

only occurs in part of the brain

simple partial seizure

A nurse is reinforcing teaching about the management of epistaxis to an adolescent. Which of the following positions should the nurse instruct the adolescent to take when experiencing a nosebleed?

sit up and lean forward

continuous seizure that lasts longer than 30 minutes or serial seizures with no regained consciousness

status epilepticus

accomplished orally, nasally, endotracheally or through tracheostomy tube

suctioning

A nurse is collecting data from an infant who has a respiratory infection. Which of the following findings is an early indication of acute hypoxemia?

tachypnea

lab test for strep throat

throat culture rapid antigen testing

nebulizer aerosol therapy considerations

treatment can take 10-15 min collect vitals including oxygen saturation

most common chromosomal abnormality of a generalized syndrome

trisomy 21

A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?

unconsciousness

usually requires supportive care for recovery

viral meningitis

encompass both partial sight and legal blindness

visual impairments

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following findings should the nurse expect?

weak femoral pulses cool skin of lower extremities low blood pressure

A nurse is collecting data from a child who has cystic fibrosis. Which of the following findings should the nurse expect?

wheezing clubbing fingers and toes barrel shaped chest

A nurse is reinforcing teaching with a child who has asthma about how to use a peak flow meter. Which of the following information should the nurse include in the teaching?

zero the meter before each dose perform three attempts