ob/peds ch 23,24,28,30,33
The school nurse instructs school teachers about strategies for managing a child with attention-deficit hyperactivity disorder (ADHD) in the classroom. Which statement made by a teacher indicates the need for additional teaching?
"I should have the child sit in a corner of the classroom."
A child with musculoskeletal disorder has abnormal side-to-side curvature of the spine and uneven hips and shoulders. The curves of the spine are at an angle of 30 degrees. Which treatment strategy will be beneficial for the child?
Applying a Milwaukee brace
Which types of skin grafts are considered permanent?
Autografts Isografts
Which characteristics indicate impulsivity in a child?
Being overly talkative Causing trouble for others Extreme excitability
What is the presence of blood in the anterior chamber of the eye called?
Hyphema
Which are symptoms of attention-deficit hyperactivity disorder (ADHD)?
Impulsivity Distractibility inattention hyperactivity
The nurse is caring for a 15-year-old boy after left lower extremity amputation surgery after a diagnosis of osteosarcoma. The patient reports that his "left foot is in severe pain." Which nursing intervention should be performed first?
Medicate for pain as ordered.
The nurse assessing a child recognizes which skin condition appears in a horseshoe-like distribution around the chin and cheeks and can be associated with zinc deficiency, diarrhea, and failure to thrive?
Scaling skin eruption
The nurse squeezes the patient's toe and observes that blanching persists for more than 3 seconds after releasing the pressure. This finding allows the nurse to reach which conclusion?
The patient has impaired circulation
What is the purpose of a lumbar puncture (LP)?
To analyze cerebrospinal fluid
Which precaution is the best to prevent sepsis?
Vaccinate the child with pneumococcal conjugate vaccine (PCV).
The nursing instructor is teaching a student nurse about addressing a hearing-impaired child. Which statement by the student nurse indicates the need for further teaching?
"I should use exaggerated facial expressions."
The nurse is teaching a parent about the measures to be taken when the child is affected with conjunctivitis. Which statement by the parent indicates the need for further teaching?
"I will apply ointment during the day." "I will stop the medication when symptoms subside."
The mother of a 3-year-old tells the nurse she is concerned about her child's bow-legged appearance. What is the best response from the nurse?
"Is your child having any pain or difficulty walking?"
The nursing instructor is teaching the student nurse about Tanner mesh graft. Which statement would the nurse include in the teachings?
"It has been expanded to nine times its original size."
The nurse notes an abdominal mass appears in the umbilical area when a child begins to cry. Which statement made by the parent would the nurse associate with the assessment finding?
"My child has always been constipated."
Which instructions would help prevent atelectasis in a patient who has undergone lower limb fracture surgery?
"Perform deep-breathing exercise with an incentive spirometer."
After assessing an adolescent with burns the nurse concludes that the burn wound has undergone basic healing. Which interventions would the nurse suggest to the adolescent to provide further healing and protection?
"Take a bicarbonate soda bath." "Apply sunblock to the healed skin." "Apply Eucerin cream on the burns."
A parent states that he or she read to not start a 2-month-old infant on cereal. Which response would the nurse provide?
"The baby does not have the ability to properly digest the cereal." --digestion of cereal and other foods are deficient until 4 to 6 months of age
The nurse is preparing to teach a parent about the scheduled Schilling test for a child with failure to thrive. Which information would the nurse include?
"This test will assess the absorption capacity of the lower ileum."
The nurse is providing discharge instructions for the parents of an infant with otitis media. Which statement made by the parents indicate effective learning?
"We will give the infant oral amoxicillin for 10 days."
Which complication may be caused by anorexia nervosa?
Cardiac dysrhythmia
The nurse finds that a child has euphoria, tachycardia, agitation, and hallucinations. After interacting with the child's mother, the nurse finds that the child had mistakenly eaten something from a colorful packet that resembles a tea packet. Which drug did the child consume?
Cathinones
A patient with which condition would be advised against consuming wheat and wheat products?
Celiac disease
The nurse recognizes that the poor school performance of a 10-year-old child diagnosed with obsessive-compulsive disorder (OCD) is most likely related to which factor?
Compulsive repetitive behavior
Which disorder is characterized by irritable behavior at home and school, and displayed every day?
Conduct disorder
Which action would the nurse take when caring for a child who is intellectually impaired?
Contact the school nurse and plan the child's school needs.
Which is a sex-linked inherited musculoskeletal disorder in males?
Duchenne's muscular dystrophy
A 1-year-old child has been treated for 2 weeks for an electrical burn of the mouth sustained from biting into an electrical cord. The child's mother calls the nurse reporting concern because her child's burn continues to bleed at times throughout the day. What education should the nurse provide to the patient's mother?
Electrical burns of the mouth may bleed for several weeks.
Which is the most useful diagnostic procedure in diagnosing a seizure disorder?
Electroencephalography
The nurse observes a newborn experiencing abdominal distention after each breath. Which pathophysiological condition would the nurse suspect?
Esophageal atresia
The nurse is caring for an infant with suspected otitis media. Which clinical manifestations would the nurse expect to find?
Fever of 104°F Generalized irritability Frequent rubbing of the ear Rolling of the head from side to side
Which coping patterns do children of parents with alcoholism often display?
Flight perfect child Fight Super coper
A child is admitted to the hospital with dehydration. The physician orders potassium to be added to the child's IV. What is the nurse's priority assessment?
Genitourinary status
Which term describes a seizure in which the child cries out, falls to the floor, becomes rigid, and then suffers a convulsion?
Grand mal
A child who was in an accident has swelling, pain, and discoloration in the lower arm. The x-ray reports indicate that the child's ulna is broken at one end and is bent from the other end. These findings indicate which type of fracture?
Greenstick fracture
Which signs/symptoms are characteristics of brain tumors in children?
Headache upon awakening Projectile vomiting Seizure activity
A newborn does not pass meconium within the first 48 hours after birth. Which diagnosis does the nurse suspect?
Hirschsprung's disease
The nurse is caring for an adolescent patient with poor self-esteem. The nurse finds that the patient interacts little with the people around him. Which nursing interventions will be beneficial for the patient?
Instruct the patient to draw "how I see myself." Have the patient list healthy methods of coping Inform the patient to list two positive things daily. Encourage the patient to verbalize inner feelings.
The nurse is caring for a patient who has athlete's foot. Which intervention is beneficial for the patient?
Instructing the patient to keep the toes dry
The nurse may participate in which situation that is a planned event by others to get an individual into professional counseling for treatment of addiction or a life crisis?
Intervention
Which symptoms does the nurse monitor in an 11-year-old child during a well-child health visit who was recently diagnosed with depression?
Irritability Weight loss Loss of appetite Social withdrawal Feelings of worthlessness
Which condition is a result of protein-energy malnutrition?
Kwashiorkor
Which is a characteristic of tinea capitis?
Patches of alopecia
Which coping pattern involves a child trying to gain love from alcoholic parents by never causing any trouble?
Perfect child
What is the most important nursing intervention to identify and minimize compartment syndrome?
Perform frequent neurovascular checks
Which is the most important nursing intervention to identify and minimize compartment syndrome?
Perform frequent neurovascular checks.
A patient in Russell skin traction is provided with a vertical pulley from the knee sling and a horizontal pulley from the footplate. Which risk can be prevented by this intervention?
Posterior subluxation of the tibia on the femur
Which potential causes of autism spectrum disorders (ASDs) does the nurse explain when asked about them by a new graduate nurse?
Prematurity Prenatal environment Advanced parental age Close spacing of pregnancies
What clinical manifestation is most suggestive of pyloric stenosis?
Projectile vomiting
The primary health care provider has prescribed eardrops to a 1-year-old infant with otitis media. What is the appropriate method for administering the eardrops?
Pull the pinna of the ear down and back.
Which would be a finding in a child who has a conduct disorder?
Tends to violate the rules of society
An adolescent refrains from expressing feelings and likes to spend an excessive amount of time away from home. The nurse finds that both the parents are alcoholics. Which conclusion would the nurse reach, based on the adolescent's behavior?
The adolescent is exhibiting flight behavior.
The nurse is caring for an adolescent who attempted to commit suicide. After checking the adolescent's medical history, the nurse finds that he has depression. Which goals should the nurse include in the treatment plan?
The adolescent will talk about future career plans. The family will verbalize the seriousness of suicidal threats. The adolescent will make a positive statement about himself.
The nurse learns that a child's parents are alcoholics. The nurse observes that the child is displaying the fight coping pattern. Which behavior would the nurse observe in the child?
The child displays aggressive, acting-out behavior.
Which medication increases sun sensitivity?
Tretinoin
The nurse teaching a class for parents of children with learning disabilities states that dyslexia is characterized by which factors?
Trouble with word recognition Difficulty in sounding out words Confusing words that sound alike Decreased reading comprehension
Which condition can be diagnosed using a purified protein derivative (PPD) test?
Tuberculosis
Which is a symptom of an earache in an infant?
Tugging at the ear and rolling the head
Which test helps rule out the presence of foreign bodies in the soft tissues, joint effusions, and developmental hip dysplasia in the fetus?
Ultrasound
Which symptom is considered a manifestation of retinoblastoma?
Yellowish-white reflex seen in the pupil
Which medication may cause Reye's syndrome in children?
aspirin
The nurse is caring for a patient who consumes large quantities of food in a short span of time and then intentionally vomits afterwards. Which symptoms would the nurse expect to find in the patient?
Muscle weakness Electrolyte imbalance Erosion of tooth enamel
The basic staff of the modern child guidance clinic is comprised of which members who provide diagnostic and treatment services?
Nurse Pediatrician Psychiatrist Psychologist Social worker
Which side effect would the nurse likely find in an epileptic child who has been treated with phenytoin for a prolonged period?
Nystagmus
The nurse is collecting data on a child with obsessive-compulsive disorder (OCD). Which factors would the nurse assess for in the child?
Ritualistic behavior normal growth and development
The nurse is providing emergency care for a child during a fire. Arrange the actions in the order that the nurse would perform them while caring for the child.
Roll the child in a blanket and smother the flames. Brush off any caustic powder from the patient's skin. Wash the area of the burn with cool water. Check the breathing and circulation of the child. Cover the burns with a clean cloth and minimize air contact.
Which condition would the nurse suspect in a 4-year-old child who presents with mild erythema with sandpaper texture and vesicles in various stages of rupturing and peeling that expose a bright red surface?
Scalded skin syndrome
Which condition would the nurse suspect in a 13-year-old patient who presents with thick, yellow crust-like scales on the scalp and forehead?
Seborrheic dermatitis
The nurse is caring for an infant who has bruises on the back and soles of the feet. The nurse anticipates that the child was physically abused 2 to 5 days ago. Which finding supports the nurse's assumption?
The child has red bruises.
After communicating with a child whose parents are alcoholics, the nurse determines that the child is a super coper. Which behavior does the nurse find in the child?
The child is doing all the housework to help the family.
The nurse is caring for a patient with severe depression. The nurse finds that the patient feels lonely and socially withdrawn and asks her to draw "how you see yourself" on a paper. Why does the nurse ask the patient to perform this activity?
To determine the patient's self-esteem
The nurse is caring for a patient with soft tissue injury in the leg. The nurse applies an elastic bandage at the site of the injury and frequently performs neurovascular checks in the patient. Which are the possible reasons for this nursing intervention?
To monitor ischemic conditions in the patient To monitor compartment syndrome in the patient To ensure adequate tissue perfusion in the patient
The nurse is caring for a patient with a femur fracture who is in Buck's extension. The nurse avoids placing the patient's bed in high-Fowler's position. Which is the reason behind this nursing intervention?
To promote countertraction
The nurse is caring for a patient with soft-tissue injury in the lower arm. The nurse applies cold packs and elastic wraps to the patient alternately every 30 minutes. Which is the rationale for this nursing intervention?
To reduce pain To reduce edema To reduce bleeding To reduce infection
Which condition should the nurse expect in the fetus if a pregnant woman is diagnosed with polyhydramnios?
Tracheoesophageal fistula
A 14-year-old girl has been diagnosed with scoliosis with a curve of 30 degrees. What medical intervention will treatment include for this patient?
Use of a Milwaukee brace
A 14-year-old girl has been diagnosed with scoliosis with a curve of 30 degrees. Which medical intervention will treatment include for this patient?
Use of a Milwaukee brace
What are appropriate interventions when caring for a child in traction?
Use of trapeze for positioning Neurovascular checks performed regularly Skin integrity monitored regularly
The nurse is caring for a patient who is receiving a selective serotonin reuptake inhibitor (SSRI) for depression. What behaviors can increase a patient's risk for developing serious side effects?
Using diet pills to lose weight Drinking alcoholic beverages Taking recreational drugs
A nasogastric tube is inserted into a child with severe burns. Which complications are prevented through this intervention?
vomiting paralytic ileus gastric dilation
The nurse is caring for an infant with miliaria. How would the nurse instruct the parents to help relieve the miliaria-related itching?
Bathing the child every day Changing diapers frequently Removing extra clothing from the child
Which treatment strategies does the nurse expect to be ordered for the child diagnosed with autism spectrum disorder?
Behavior modification Structured school environment Well-structured home environment Medication matched to specific problem
A child is being treated for mental illness at a modern child guidance clinic and is reading stories about other children in a similar situation. What type of therapy is this considered?
Bibliotherapy
After collecting data on a child, the nurse concludes that the child has genu varum. Which finding supports the nurse's conclusion?
Bow-shaped legs
The nurse is caring for a patient with an arm injury who has an arm cast. The patient complains of severe pain even after receiving acetaminophen. Which treatment strategy does the nurse expect to be beneficial for the patient?
Fasciotomy
A child is being treated for frostbite of the right hand. How will the nurse know that this condition is improving?
Hand is deep purple associated with severe pain
The nurse is caring for a child with meningitis. Which assessment is leastimportant to perform in the child?
Head circumference
A 16-year-old boy is being examined in the emergency department. While completing the initial assessment, the nurse notes constricted pupils bilaterally, decreased respirations, and needle marks. The patient states he regularly uses "smack." What illegal drug does this street name refer to?
Heroin
The nurse providing care to a 5-year-old child with second-degree burns over 50% of the body plans for which differences in responses of children to burn injuries?
Immature response systems in young children can cause shock and heart failure. The increased basal metabolic rate (BMR) of a child results in increased protein and calorie needs. Less muscle and fat in the child's body results in protein and caloric deficiencies when oral intake is limited. The skin is more elastic in children, causing pulling on the scarring areas and resulting in formation of a larger scar.
Which therapy involves consideration of the physical and social environment provided for a child?
Milieu therapy
The nurse has provided teaching to the parents of an infant with gastroesophageal reflux disease. Which statement made by the parents would the nurse recognize requires further teaching?
"After a feeding I can sit the baby upright in an infant seat."
Which instruction should the nurse give the parent of a child fitted with a hearing aid?
"Be sure the ear canal is free of hair before inserting the earpiece."
The nursing instructor is teaching the student nurse about burns in children compared to burns in adults. Which statements by the student nurse indicate effective learning?
"Children will have large scars in response to burns." "Children have excessive fluid, electrolyte, and heat loss with burns." "Children experience deeper burns in a shorter time upon exposure to lower temperatures."
While collecting data on an 18-month-old child, the nurse finds that the child is unable to walk independently. Which is the best directive the nurse can give to the child's parents?
"Consult the primary health care provider immediately."
A child presents to the clinic with suspected functional constipation. Which question would the nurse ask?
"Has your child ever been incontinent of stool?" --defecation fewer than 2 times a week is associated--
The nurse teaches comfort measures to the parents of a 3-year-old child who just had surgery on the eardrum. Which statement by the parents indicates the need for further teaching?
"I should clean the ear with a cotton swab."
The nurse has provided teaching for a parent about fluid and nutrition replacement for a child at risk for dehydration. Which statement made by the parent indicates further teaching is required?
"I will offer my child some orange juice." --fluids high in glucose content should not be used for fluid replacement
The nurse is providing preoperative instructions to the parents of a child scheduled to have a tympanostomy ventilating tube surgically inserted. Which statement made by the parents indicates effective understanding of this procedure?
"The tube may fall out in 6 months."
A patient is being treated for meningitis. Which assessment finding is most likely for this patient?
A high WBC count and decreased level of consciousness
The nurse is caring for an adolescent with a fungal infection and alopecia. Which interventions would the nurse include in the patient's care plan?
Administer griseofulvin after meals. Apply selenium sulfide to the scalp. Avoid exchanging combs with the adolescent.
The nurse is caring for a patient who has slipped capital femoral epiphysis. Which traction would the nurse expect to be prescribed for the patient?
Buck's skin traction
Which skin manifestation may occur because of a chromosomal abnormality and tuberous sclerosis?
Café au lait macules
An adolescent patient with acne has been prescribed an estrogen-containing oral contraceptive. Which finding would the nurse expect in the laboratory reports of the adolescent after this treatment?
Decrease in androgen levels
Which resource defines mental disorders and is used by health professionals to aid in diagnoses of specific mental health conditions?
Diagnostic and Statistical Manual of Mental Disorders
While collecting data on a child with attention-deficit hyperactivity disorder (ADHD), the nurse notices that the child reads the same line over and over two or three times. The nurse also observes that the child has difficulty differentiating words that look or sound alike. Which symptom has the child displayed?
Difficulty in information processing
While communicating with a child, the nurse finds that the child self-induces vomiting because of fears of gaining weight. Which is the first intervention that the nurse should implement to manage the patient?
Establish trust with the child.
Which interventions can be used to prevent diaper dermatitis?
Expose diaper area to air and light. Use non-alcohol baby wipes for cleansing. Apply ointments with vitamins A and D and lanolin. Cleanse with mild soap and water.
The nurse is providing teaching to the family of a child diagnosed with strabismus. Which information would the nurse include in the instructions?
Eyeglasses commonly treat this condition. The child will need to perform eye exercises. If left untreated, the child may become blind in affected eye. Surgery may be considered if other options are not helpful.
A patient who has undergone ankle fracture surgery has inflammation at the site of surgery. The nurse reviews the laboratory reports of the patient and concludes that the patient has osteomyelitis. Which finding enabled the nurse to reach this conclusion?
Increase in white blood cell (WBC) count
The nurse is collecting data on a 5-year-old child with delayed motor development. After reviewing the laboratory report, the nurse concludes that the child has Duchenne's muscular dystrophy. Which finding in the laboratory report supports the nurse's conclusion?
Increased serum creatine phosphokinase levels
Which group of individuals is at a higher risk of middle ear infections?
Infants
While caring for a Vietnamese child, the nurse finds that the child has welts on the back caused by "coining." Which conclusion does the nurse reach from this finding?
It is a cultural practice to allay diseases
The nurse is caring for an infant with suspected hearing impairment. Which test results would the nurse expect to find?
Lack of startle reflex Poor results on a visual reinforcement audiometry (VRA) Poor response on the evoked optoacoustic emissions test
The nurse teaching an expectant parents class would identify which prenatal integumentary developments and functions that occur by 36 weeks gestation?
Lanugo hair Adipose tissue Vernix caseosa Subcutaneous glands Initially very transparent skin
The nurse is caring for a patient who has just had an escharotomy. Which outcome would the nurse expect if the escharotomy was successful?
Less restriction of chest movement
The nurse is caring for a pregnant patient with swayback. Which skeletal abnormality does the nurse expect to find in this patient?
Lordosis
Encephalomyelitis may occur as a complication of which condition?
Measles Lead Poisoning German measles Upper respiratory trac
The nurse is caring for a 15-year-old boy after left lower extremity amputation surgery after a diagnosis of osteosarcoma. The patient reports that his "left foot is in severe pain." What should the nurse do first?
Medicate for pain as ordered.
Which is the earliest sign of esophageal atresia?
Mother develops unexplained polyhydramnios
The nurse assessing a 9-year-old patient diagnosed with attention-deficit hyperactivity disorder (ADHD) expects which behaviors to be reported by the parent?
Motor restlessness Poor impulse control Increased distractibility Dysfunctional interpersonal relationships
While caring for a hospitalized child with femoral fracture, the nurse encourages the child to perform range-of-motion (ROM) exercises and pull-ups on a trapeze apparatus. Which risk is the nurse attempting to prevent in the child?
Muscle atrophy
Which condition may increase the risk of sepsis in the child?
Neutropenia
The nurse is caring for a child with severe burns who is on fluid therapy in an emergency care unit. The registered nurse inserts a urinary catheter and instructs the nurse to record the child's fluid intake and output. Which condition is the nurse attempting to prevent?
Oliguria
Which condition does the nurse suspect in a 4-year-old with temper tantrums, stubborn behavior, anger-guided disobedience, and a defiant response to parents?
Oppositional defiant disorder (ODD)
The nurse is caring for a child with suspected otitis externa. Which clinical manifestations would the nurse expect to find?
Redness noted in the ear canal Tenderness when moving the tragus of the ear Complaints of pain when moving the pinna of the ear
Which interventions should characterize the nurse's role in autism spectrum disorders (ASDs)?
Refer for follow-up care. Avoid sudden movements during examination. Identify abnormal behaviors as early as possible. Monitor for side effects of prescribed medications.
Which behaviors does the nurses expect in an 11-year-old child diagnosed with obsessive-compulsive disorder (OCD)?
Repetitive hand washing Rechecking multiple times that homework is in backpack Constantly sniffing food and touching it to lip before eating
Which is a common, harmless hemangioma that may become apparent a few weeks after birth and usually disappears without treatment?
Strawberry nevus
The nurse is caring for a child with severe burns in the emergency care unit. The primary health care provider has prescribed cimetidine. Which assessment finding will the medication help control?
Stress ulcer
The nurse is treating a child with an eye dysfunction and has covered the right eye of the child with a patch. What is the reason behind this intervention?
The child has amblyopia
The nurse is checking neurovascular functions in a patient with forearm fracture. The nurse observes that the patient has pallor at a site distal to the fracture. Which conclusion does the nurse reach based on these findings?
The patient has arterial insufficiency.
The nurse is caring for an adolescent suffering from depression after a failed suicide attempt. The nurse instructs the adolescent to draw two boxes and to write things that make him feel happy in one box and things that make him feel sad in the other box. What is the rationale behind this instruction?
To help the adolescent understand his problems
A child is suspected to have appendicitis. Which finding would concern the nurse the most?
abdominal distention
The nurse observes that a child has vomited after ingesting a poisonous substance. The vomitus has a sweet odor. Which compound would the nurse expect as the cause of such odor of the vomitus?
acetone chloroform
The nurse assessing a child with a hemangioma on the chin recognizes that this type of vascular birthmark is often associated with which type of condition?
airway problems
Which findings would the nurse expect in a child diagnosed with Hirschsprung's disease?
anorexia ribbon-like stools abdominal distention vomiting failure to thrive constipation
What is the most accurate diagnostic tool in diagnosing suspected osteomyelitis in the pediatric patient?
bone scan
Which is characterized by recurrent episodes of uncontrolled binge eating followed by self-induced vomiting and the misuse of laxatives and/or diuretics.
bulimia
Which infection is characterized by inflammation on the sebaceous gland of the eyelash?
stye
Which is the gastrointestinal capacity of a 1-year-old infant?
up to 360 mL ---1 week old infant capacity of up 30 to 90 mL 1 month old infant 90-150 2 year old up to 500 mL
Which diagnosis is related to the development of Reye's syndrome in conjunction with aspirin administration in pediatric patients?
varicella
Which diagnosis is related to the development of Reye's syndrome in conjunction with aspirin administration in the pediatric patient?
varicella
What statement by the mother of a 1-year-old with intertrigo suggests that she needs more education about treatment for this diagnosis?
"I should keep him away from other kids until this is healed."
Which condition does the nurse suspect in an adolescent female with a 15-pound weight loss over the past month, dry skin, amenorrhea, low blood pressure, and abdominal pain?
Anorexia nervosa
scurvy occurs as a result of
vitamin c deficiency
Which are early signs of sepsis?
disorientation decreased bowel sounds increased body temp
Which is an adverse effect of antacid therapy?
drowsiness
Which diagnosis does the nurse expect for a 10-year-old child with receptive language problems, expressive language difficulty, information processing dysfunctions, memory problems, orientation issues, and behavioral difficulties?
Attention-deficit hyperactivity disorder (ADHD)
The nurse is assessing the urine output for an infant weighing 19.8 lb. Which would the nurse anticipate is the average urine output for the infant? __________ mL/hour
18 --average urine output in infants is 2 mL/kg/hr, the output for children is 0.5 mL/kg/hr, and the output for adolescents is 40 to 80 mL/hr.
An infant who has been vomiting is suspected of having a formula intolerance. Which intervention would the nurse include in the care of the infant?
burp the infant after feeding
Which seizure type involves generalized contraction of the body followed by jerkiness of the arms and legs?
tonic clonic seizure
The parents report to the nurse that the child has mistakenly consumed wintergreen oil. Which complication would the nurse monitor the child for?
cardiovascular collapse
The nurse is caring for a child diagnosed with lead poisoning. Which product would be added to the prescription to prevent complications related to lead poisoning?
chelating agent
A newborn is returning to the neonatal intensive care unit after the initial surgery to correct an imperforate anus. For which procedure would the nurse anticipate providing postoperative care?
colostomy
The nurse is caring for a child with salicylate poisoning. The physician prescribes vitamin K. Which assessment finding would the nurse anticipate if the vitamin K is effective?
controlled bleeding
A child who has a habit of biting colored furniture is found to have neuritis and muscular incoordination. Which other symptoms might this child also be exhibiting?
convulsions encephalitis
A child is admitted to the emergency department with suspected intussusception. Which significant assessment finding supports this diagnosis?
currant jelly stools
Which tests are useful for the diagnosis of Meckel's diverticulum?
ultrasound Radionucleotide scintigraphy
rickets occurs as a result of
vitamin d deficiency
What is considered a manifestation of retinoblastoma?
yellowish-white reflex seen in the pupil
What terminology applies when there is an intentional omission of verbal or behavioral actions that are necessary for development of a healthy self-esteem, including social or emotional isolation of a child?
emotional neglect
The presence of blood in the anterior chamber of the eye is called
hyphema
The nurse finds that a child has a clammy mucous membrane, very poor skin turgor, elevated serum globulin levels, very low blood pressure, and decreased urine output. Which complication would the nurse expect in the child?
hypotonic dehydration
Which are the primary goals of nursing care for a child who has just had an appendectomy?
infection control pain management early ambulation
A patient who has severe burns has been prescribed diphenhydramine. The reduction of which assessment finding will indicate the medication is effective?
itching
What are the symptoms of scurvy?
joint pain loose teeth bleeding gums
The nurse is reviewing a child's arterial blood gas (ABG) report. The nurse finds a pH of 7.49, HCO3 value of 27, and PaCO2 value of 36. Which risk does the nurse expect in the patient based on these findings?
metabolic alkalosis
The nurse is caring for a child with acetaminophen poisoning. Which nursing intervention will be necessary if the patient is exhibiting kidney problems?
monitoring intake and output
Which solution would the nurse use to ensure the safe administration of an enema in a child with Hirschsprung's disease?
normal saline
What signs and symptoms would alert the nurse to the possibility of intussusception?
onset is sudden kicking and drawing of legs bile stained vomit currant jelly stools
A 1-year-old child has anorexia, abdominal edema, and white streaks in the hair. The nurse learns that the child no longer breastfeeds. Which nutritional component would have prevented this condition?
protein
What will the nurse include when performing cranial or neurological assessments?
pupil assessment vital signs motor activity level of consciousness
A child presents with an electrical injury. Which assessment will the nurse perform?
record vital signs locating an entry and exit lesion
The nurse is caring for an infant who has thrush. Which finding would the nurse notice if treatment is successful?
reduction of anorexia reduction in number of white patches on gums
