Ped Exam 2
A nurse is caring for an infant who has tetralogy of Fallot and is experiencing a hypercyanotic episode. Which of the following actions should the nurse take? A. place infant in a knee-chest position B. initiate a fluid restriction C. provide O2 by nasal cannula D. admin acetaminophen
A
A 10-year-old who is receiving chemotherapy has received ondansetron before this therapy session. About an hour later, the child tells the nurse that his mouth feels really dry. The child has urinated several times and his skin turgor is normal. Which response by the nurse would be most appropriate? A. "The drug you got to help with the nausea can cause dry mouth." B. "Let me increase your intravenous fluids." C. "You might be having a severe allergic reaction. Are you itchy?" D. "This indicates an infection. We need to start antibiotics."
A
A 9-year-old child is diagnosed with von Willebrand's Disease (vWD) with the following characteristics: decreased quantities of all sizes of von Willebrand's factor multimers and decreased activity of von Willebrand's factor. The nurse identifies this as which type of vWD as being involved? A. Type I B. Type II C. Type III D. Type IIIB
A
A 9-year-old child with leukemia is scheduled to undergo an allogenic hematopoietic stem cell transplant. When teaching the child and parents, what information would the nurse include? A. "We'll need to have a match to a donor." B. "The risk for rejection is much less with this type of transplant." C. "You won't need to receive the high doses of chemotherapy before the transplant." D. "You'll need to have an incision in your hip area to instill the cells."
A
A child is to receive an oral corticosteroid as part of the treatment regimen for leukemia. After teaching the child and family about this drug, the nurse determines the need for additional teaching when they state: A. "We should administer the drug on an empty stomach." B. "We should check our son's urine for glucose." C. "He might develop a rounded face from this drug." D. "We will need to gradually decrease the dosage."
A
A child who is experiencing an exacerbation of asthma is brought to the emergency department by his parents. When reviewing the child's laboratory and diagnostic test results, which is consistent with the diagnosis? A. Hyperinflation of lungs on chest radiograph B. Increased peak expiratory flow rate C. Low arterial blood carbon dioxide level D. Decreased pulmonary function tests
A
A nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take? A. admin ibuprofen B. limit daily fluid intake C. apply cold compresses to painful joints D. w/hold live virus immunizations
A
A nurse is caring for a group of infants w/ congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? A. Transposition of the great arteries B. Ventricular septal defect C. Coarctation of the aorta D. Patent ductus arteriosus
A
A nurse is caring for a school aged child who has sickle cell anemia. Which of the following actions should the nurse plan to take to help decrease the risk for vaso-occlusive crisis? A. Provide adequate fluid intake throughout the day B. Provide O2 at 2L/min via nasal cannula C. Admin a blood transfusion D. give ibuprofen to manage pain
A
A nurse is caring for a school-aged child who has sickle cell anemia & was admitted for a vaso-occlusive crisis. Which should the nurse report to Dr ASAP? A. slurred speech B. hemoglobin 9 C. hematuria D. pan level 7 on FACES scale
A
A nurse is conducting a presentation for a community parent group about respiratory conditions in children. The nurse determines that the teaching was successful when the group identifies which of the following as one of the most common conditions seen during early childhood? A. Croup B. Bronchiolitis C. Asthma D. Pneumonia
A
An adolescent is recovering from surgery, radiation, and chemotherapy following a diagnosis of Ewing sarcoma. Which statement by the family indicates that reteaching is needed? A. "Our child is looking forward to playing football again." B. "We will remind our child to care for the skin following radiation." C. "Our child's friends shaved their heads in solidarity to show their support." D. "We will watch for signs of infection and report it to our health care provider."
A
Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications? A. Administer the antiemetic before starting chemotherapy B. Provide the antiemetic as needed (PRN) when nausea and vomiting are reported C. Use the antiemetic after it is clear that nonpharmacologic methods are not effective D. Start the antiemetic on a scheduled basis when the chemotherapy begins to cause nausea
A
Beta-adrenergic agonists such as albuterol are given to Reggie, a child with asthma. Such drugs are administered primarily to do which of the following? A. Dilate the bronchioles B. Reduce secondary infections C. Decrease postnasal drip D. Reduce airway inflammation
A
The nurse is assessing a 10-year-old girl with acute lymphoblastic leukemia. What information would lead the nurse to suspect that the cancer has infiltrated the central nervous system? A. Child reports of facial palsy and vision problems B. Observing petechiae, purpura, or unusual bruising C. Noting adventitious breath sounds during auscultation D. Palpation of abdomen reveals enlarged liver and spleen
A
The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis? A. Slightly yellow sclera B. Enlarged mandibular growth C. Increased growth of long bones D. Depigmented areas on the abdomen
A
The nurse is caring for a 2-year-old diagnosed with bacterial pneumonia. The child has been placed in a mist tent. In caring for the child, it is important for the nurse to: A. monitor the child regularly for signs of cyanosis. B. avoid contact with the mist if the nurse is a sexually active female of childbearing age. C. use contact transmission precautions. D. check for hyperthermia related to enclosure in the tent
A
The nurse is caring for a child who has been admitted with a possible diagnosis of tuberculosis. Which laboratory/diagnostic tools would most likely be used to help diagnose this child? A. Purified protein derivative test B. Sweat sodium chloride test C. Blood culture and sensitivity D. Pulmonary functions test
A
The nurse is preparing a discharge teaching plan for the parents of an 8-year-old girl with leukemia. Which instruction would be the priority? A. Calling the doctor if the child gets a sore throat B. Keeping a written copy of the treatment plan C. Writing down phone numbers and appointments D. Using acetaminophen if the child needs an analgesic
A
The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor. Which statement should the nurse post immediately? A. "Do not palpate abdomen." B. "No intramuscular injections." C. "No milk or milk products allowed." D. "No blood sampling in lower extremities
A
The nurse is providing education to parents of a child with a blood pressure in the 90th percentile. What would be included in the intervention strategies? A. The nurse would review the child's 24-hour diet recall. B. The child should not be allowed to participate in sports. C. Blood pressures should be measured daily. D. Beta blocker education should be given to the parents.
A
Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial prevention for Sheri who is diagnosed with rheumatic fever? A. Treating streptococcal throat infections with an antibiotic B. Giving penicillin to patients with rheumatic fever C Using corticosteroid to reduce inflammation D Providing an antibiotic before dental work
A
The nurse identifies the nursing diagnosis of risk for infection related to chemotherapy-induced immunosuppression. What would the nurse include in the teaching plan for the child and parents about reducing the child's risk? Select all that apply. A. Having the child sleep in a single bed and room B. Encouraging frequent, thorough handwashing C. Providing a low-carbohydrate, low-protein diet D. Encouraging frequent close contact with numerous visitors E. Cheering up the environment with fresh flowers and plants
A B
The nurse is assisting in the development of a plan of care for a child with asthma. In planning care, many goals would be appropriate for this child and/or family caregiver. Which two goals would be the highest priority for this child or family? (SATA) A. The child will maintain a clear airway. B. The child will have adequate fluid intake. C. The child and family will connect with families living with the same diagnosis. D. The child and family will improve knowledge and understanding of varied pharmacologic options. E. The child will maintain adequate pain control
A B
The nurse is caring for a child diagnosed with rheumatic fever. When addressing the child's pain, the nurse should perform which intervention(s)? Select all that apply. A. Carefully handle the child's knees, ankles, elbows and wrists when moving the child. B. Administer salicylates after meals or with milk. C. Teach the child how to use a patient-controlled analgesia system. D. Administer intravenous morphine as prescribed. E. Prioritize nonpharmacologic interventions over pharmacologic interventions
A B
A child with sickle cell anemia comes to the emergency department for evaluation. The nurse suspects that the child is experiencing a vaso-occlusive crisis based on assessment of which signs and symptoms? Select all that apply. A. Low back pain B. Fever C. Distended abdomen D. Splenic enlargement E. Increased reticulocyte count
A B C
A nurse is providing home care instructions to a parent of a child who is receiving chemo. Which of the following instructions should the nurse include in the teaching? (SATA) A. manifestations of infection B. bleeding precautions C. hand hygiene D. homeschooling E. airborne precautions
A B C
After teaching the parents of a child diagnosed with sickle cell disease, the nurse determines that the teaching was successful when the parents state that they will contact the primary health care provider if the child develops which signs or symptoms? Select all that apply. A. Chest pain B. Severe dizziness C. Sudden change in vision D. Constipation E. Irritability
A B C
The nurse is reviewing the health history and physical examination of a child diagnosed with heart failure. What would the nurse expect to find? Select all that apply. A. Tiring easily when eating B. Shortness of breath when playing C. Crackles on lung auscultation D. Bradycardia E. Hypertension
A B C
The nurse is providing teaching to the parents of a child whose blood pressure is in the 90th percentile. Which of the following would the nurse expect to include? Select all that apply A. Family lifestyle modification B. Sodium restriction C. Aerobic exercise D. Stress reduction E. Antihypertensive therapy.
A B C D
What are characteristic of von Willebrand's disease? (SATA) A. easy bruising occurs B. gum bleeding occurs C. hereditary bleeding disorder D. Tx & care similar to that for hemophilia E. Characterized by extremely high creatinine levels F. The disorder causes platelets to adhere to damaged endothelium
A B C D F
The nurse is caring for a 1-day-old newborn with patent ductus arteriosus with the following vital signs: pulse 160, respirations 80, oxygen saturation 92%, retractions, and crackles noted in bilateral lungs. Which nursing actions are appropriate at this time? Select all that apply. A. Administer furosemide. B. Initiate intravenous access. C. Apply oxygen via oxyhood. D. Feed a high-calorie formula. E. Begin indomethacin infusion.
A B C E
When caring for a child with acute bronchiolitis which nursing interventions should be included in the plan of care. Select all that apply. A. Encourage fluids B. Administer oxygen C. Place child in mist tent D. Administer antibiotics E. Follow contact precautions F. Encourage activity
A B C E
A parent calls the "on call" line stating that her infant has had a bark-like cough for the past three nights. The parent states no fever or cold symptoms. Which suggestions may save a trip to the emergency department? Select all that apply. A. Use a cool mist humidifier in the infant's room. B. Take the infant into a steamy bathroom. C. Provide the infant cold oral fluids. D. Use the coolness of the night air. E. Assess throat for throat obstruction
A B D
A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (SATA) A. weak femoral pulses B. cool skin of lower extremities C. severe cyanosis D. clubbing of the fingers E. heart failure
A B E
A nurse is providing teaching to the parent of a child who has a neuroblastoma. Which of the following statements should the nurse include in the teaching? (SATA) A. half of the children who have neuroblastoma have metastatic disease B. your child will need a bone marrow biopsy C. your child will be paralyzed because of this tumor D. most children are diagnosed around age 12 E. your child will need surgery for resection of the tumor
A B E
A child has been admitted to the inpatient unit to rule out acute Kawasaki disease. A series of laboratory tests have been ordered. Which findings are consistent with this disease? Select all that apply. A. Reduced hemoglobin levels B. Reduced white blood cell count C. Elevated erythrocyte sedimentation rate (ESR) D. Negative C reactive protein levels E. Reduced platelet levels
A C
A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. What would the nurse expect the physician to prescribe? Select all that apply. A. Intravenous immunoglobulin B. Ibuprofen C. Acetaminophen D. Aspirin E. Alprostadil
A C D
A nurse is caring for a child who is experiencing neuropathy d/t chemo. Which of the following are manifestations of neuropathy? (SATA) A. constipation B. skin breakdown C. foot drop D. jaw pain E. hemorrhage cystitis
A C D
A nurse is providing teaching about Kawasaki disease. Which statements by the parent indicates an understanding of the teaching? (SATA) A. My child will likely be irritable for the next few weeks B. I will notify my child's dr if the skin on her hands/feet begins to peel C. I will ensure my child doesn't receive any live vaccines for at least 18 months D. I will keep a record of my child's temp until she has no fever for several days E. My child will have joint stiffness primarily at the end of the day
A C D
A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? (SATA) A. erythema marginatum (rash) B. continuous joint pain of the digits C. tender, subcutaneous nodules D. decreased erythrocyte sedimentation rate E. elevated C-reactive protein
A E
A school-age child with asthma has cromolyn sodium added to the medication regimen. What should the nurse include when teaching the child and parents about this medication? Select all that apply. A. Use this medication with a metered-dose inhaler. B. Take this medication before an inhaled bronchodilator. C. Repeat doses of this medication until symptoms subside. D. This medication is to be used for an acute asthma attack. E. Wait 1 to 2 minutes between puffs when taking this medication
A E
A 6-month-old girl is seen with retinoblastoma. When taking a health history from her father, which symptom would you expect him to report he has noticed? A. The infant always keeps her eyes tightly closed. B. He has noticed one pupil appears white. C. His daughter tugs and pulls at one ear. D. His daughter's eye appears to be protruding
B
A child receiving chemotherapy wants to have a large birthday party and invite all the classmates. When the parent asks the nurse about this, what is the nurse's best response? A. "That will be a good way to cheer your child up!" B. "It is better to avoid large groups right now." C. "What about taking your child to a movie instead?" D. "We can have the party here in the hospital play room."
B
A family is caring for their son who is suffering from tetralogy of Fallot. Which of the following are defects associated w/ this congenital heart condition? A. Aorta exits from the right ventricle, pulmonary artery exits from the left ventricle, and two noncommunicating circulations B. Ventricular septal defect, overriding aorta, pulmonic stenosis (PS), and right ventricular hypertrophy C. Coarctation of aorta, aortic valve stenosis, mitral valve stenosis, and patent ductus arteriosus D. Tricuspid valve atresia, atrial septal defect, ventricular septal defect, and hypoplastic right ventricle
B
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following lab values should the nurse expect? A. platelets 500,000 mm^3 B. RBCs 2.5 million/uL C. WBCs 4,000/mm^3 D. Hct 60%
B
A nurse is assessing a 6yo who began Tx for pneumococcal pneumonia 4 days ago. Which of the following is an indication the Tx is effective? A. dullness w/ chest percussion B. HR 118 bpm C. conjunctival discharge D. RR 28 bpm
B
A nurse is assessing a child who has stage I Hodgkin disease. Which of the following findings should the nurse expect? A. generalized petechiae B.. enlarged lymph nodes C. chronic vomiting D. dependent edema
B
A nurse is caring for a toddler who has a Wilms' tumor. Which of the following actions should the nurse take? A. palpate the child's abdo to ID the size of the tumor B. prepare the child for surgery C. teach the parents about dialysis D. obtain a 24-hr urine specimen from the child
B
A nurse is caring for an infant whose screening test reveals that he might have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. sickle solubility test B. hemoglobin eletrophoresis C. complete blood count D. transcranial doppler
B
A nurse is reviewing the lab report of a toddler who is receiving chemo for leukemia. Which of the following should the nurse report to the Dr? A. platelets 150,000 B. Hgb 6 C. WBC 6,000 D. potassium 4.5
B
Bryce is a child diagnosed with coarctation of aorta. While assessing him, Nurse Zach would expect to find which of the following? A. Squatting posture B. Absent or diminished femoral pulses C. Severe cyanosis at birth D cyanotic ("tet") episodes
B
Nurse provides a teaching session to nursing staff regarding osteosarcoma. Which statement indicates a need for information? A. The femur is the most common site of this sarcoma B. The child does not experience pain at the primary tumor site C. Limping if a weight bearing limb is affected is a clinical manifestation D. The symptoms of the disease in the early stage are almost always attributed to normal growing pains
B
The nurse is assessing a child who is experiencing acute splenic sequestration secondary to sickle cell disease. The nurse would identify which of the following as the priority? A. Pain relief B. Emergent transfusion C. Antibiotic administration D. Oxygen administration
B
The nurse receives the shift report of multiple pediatric clients. Which pediatric client will the nurse see first? A. an infant whose parents report difficulty feeding with a temperature of 100.1°F (38°C) B. a toddler with tetralogy of Fallot squatting quietly in the corner of the room C. a child with history of hypertension and a current blood pressure of 130/90 mm Hg D. an adolescent with coarctation of the aorta with reports of coughing and coryza
B
The nurse is assessing a child with suspected rheumatic fever. What assessment findings are consistent with the disease process? Select all that apply. A. Diastolic murmur B. Involuntary limb movement C. Macular rash on trunk D. Tender swollen joints E. Nonpalpable subcutaneous nodules
B C D
A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are indications of metastasis from the primary site? (SATA) A. Wt gain B. bone pain C. periorbital ecchymoses D. proptosis E. ill appearance
B C D E
A nurse is planning care for an infant who has HF. Which of the following interventions should the nurse include in the plan to meet the nutritional needs of the infant? (SATA) A. offer the infant a feeding every 2 hr B. allow 30 min to complete each feeding C. gradually increase the caloric density of the formula D. position the infant semi-upright during feedings E. provide gavage feeding if respiratory rate exceeds 80/min
B C D E
A child is receiving chemotherapy and develops stomatitis. The nurse identifies a nursing diagnosis of impaired oral mucous membranes related to the effects of chemotherapy. What instructions would the nurse include in the child's plan of care? Select all that apply. A. Vigorously rub the child's gums with gauze to clean them. B. Provide various soft and bland foods to minimize further irritation. C. Have the child rinse the mouth with lukewarm water three times a day. D. Give the child acidic foods (e.g., orange juice) to cleanse the mouth. E. Apply a lip balm or petroleum jelly to prevent cracking.
B C E
A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? (SATA) A. hematuria B. anorexia C. petechia D. ulcerations in the mouth E. unsteady gait
B C E
A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (SATA) A. bradycardia B. cool extremities C. peripheral edema D. increased urinary output E. nasal flaring
B C E
The nurse is teaching a 14-year-old child on the proper use of a metered-dose inhaler to control symptoms of asthma. Which teaching points should the nurse include in these instructions? Select all that apply. A. Take two puffs at a time. B. Shake the canister before using. C. Wait 5 minutes between puffs. D. Hold the breath for 5 to 10 seconds. E. Activate the inhaler while taking a deep breath.
B D E
Which assessment findings should the nurse expect to see in the infant diagnosed with pulmonary stenosis and heart failure? Select all that apply. A. Crackles (rales) B. Cyanosis C. Left ventricular hypertrophy D. Murmur E. Right ventricular hypertrophy
B D E
A nurse is caring for a child who is postop following surgical removal of a Wilms' tumor. Which of the following assessments is an indication to continue NPO status? A. abdo girth 1cm larger than yesterday B. report of pain at the op site C. absent bowel sounds D. passing of flatus every 30 mins
C
A nurse is caring for an adolescent who has a new Dx of osteosarcoma. Which of the following actions should the nurse take? A. ensure that the teen has a referral for a psychiatrist visit B. prepare a teaching plan to educate the teen in detail about his Dx & Tx C. spend time w/ the teen to answer any questions he can have D. perform a mental status exam to assess the teen's thought patterns
C
A 10yo child w/ hemophilia A has slipped on the ice & bumped his knee. The nurse should prepare to admin what? A. Injection of factor X B. IV infusion of iron C. IV infusion of factor VIII D. IM injection of iron using Ztrack method
C
A 16-year-old child suffering from alopecia related to chemotherapy treatment is refusing to let friends visit. Which action by the nurse is most appropriate? A. Respect the child's wishes and document refusal B. Have the parents explain the importance of letting friends visit C. Provide opportunities for the child to discuss his or her body image changes D. Allow friends to visit because socialization is important for adolescents
C
A child with sickle cell disease is brought to the emergency department by his parents. He is in excruciating pain. A vaso-occlusive crisis is suspected and analgesia is prescribed. Which of the following would the nurse least likely expect to be ordered? A. Morphine B. Nalbuphine C. Meperidine D. Hydromorphone
C
A high-school football player has been diagnosed as having osteosarcoma of the femur. The parents are angry because they told the adolescent not to play football. Which health teaching points would the nurse include in the teaching plan for the adolescent and parents? A. Osteosarcoma often follows trauma, such as a football injury. B. You can expect some discoloration of the leg following chemotherapy. C. Football injuries do not contribute to the development of a tumor. D. Tumor growth is related to your dislike of milk
C
A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottis? A. lethargy B. spontaneous coughing C. drooling D. hoarseness
C
A preschooler who received chemotherapy in the pediatric oncology outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C). Which is the most appropriate response by the nurse? A. Tell the parent to administer acetaminophen every 4 hours until the fever dissipates. B. Ask whether any family members or other close associates are ill. C. Have the parent bring the child to the pediatric oncology clinic as soon as possible. D. Instruct the parent to immediately obtain and give the antibiotic that the oncologist will order.
C
Fred is a 12-year-old boy diagnosed with pneumococcal pneumonia. Which of the following would Nurse Nica expect to assess? A. Mild cough B. Slight fever C. Chest pain D. Bulging fontanel
C
The nurse expects to note documentation of which clinical manifestation specifically found with aortic stenosis? A. pallor B. hyperactivity C. activity intolerance D. GI disturbances
C
The nurse is collecting data on a 5-year-old child admitted with the diagnosis of congestive heart failure. Which clinical manifestation observed during the physical assessment would be consistent with this diagnosis? A. Jerking movements of the arms and legs B. Scissoring of the legs with toes pointed down C. Failure to gain weight D. Spooning of the finger nails
C
The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching? A. Suggest the child participate in sports activities without restriction. B. Treat upper respiratory infections with over-the-counter medication. C. Ensure a consistent and daily intake of adequate fluids to prevent dehydration. D. Remind to avoid immunizations to prevent the introduction of bacteria into the body.
C
The nurse is monitoring an infant with congenital heart disease closely for signs of HF. The nurse should assess the infant for which early sign of HF? A. pallor B. cough C. tachycardia D. slow & shallow breathing
C
The nurse realizes that the chemotherapy agents and radiation that a child is receiving are likely to irritate the bladder. What are the best measures that the nurse can take to diminish this risk? A. Administer chemotherapy during sleep periods, including naps and overnight B. Have the child wait to void until the bladder becomes full C. Keep intravenous (IV) fluids running to maintain excellent hydration and frequent voids D. Promote drinking of cranberry juice, making it an attractive oral fluid option
C
When creating a teaching program for the parents of Jessica who is diagnosed with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder involves which of the following? A. A single vessel arising from both ventricles B. Obstruction of blood flow from the left ventricle C. Obstruction of blood flow from the right ventricle D. Return of blood to the heart without entry to the left atrium
C
Which piece of equipment is most helpful in determining airway obstruction in the client with asthma? A. A nebulizer B. An inhaler C. A peak flow meter D. An incentive spirometer
C
A nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should the nurse include in the teaching? (SATA) A. your child will need to have chemo for 12 months B. Wilms' tumors are typically genetic in nature C. surgery is done usually w/in 48hrs of Dx D. palpating the tumor could cause spread of the cancer E. further Txs will start immediately after surgery
C D E
A nurse in a pediatric clinic is caring for a 3yo who has blood level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition w/ lead poisoning. Which of the following pieces of info is appropriate for the nurse to include? A. decrease the child's vitamin C intake until the blood lead level decreases to zero B. admin a folic acid supplement to the child each day C. give pancreatic enzymes to the child w/ meals & snacks D. ensure the child's dietary intake of calcium & iron is adequate
D
A nurse in an ED is assessing a child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider? A. excessively prolonged expiration B. increased diaphoresis C. increased production of frothy sputum D. sudden decrease in wheezing
D
A nurse is caring for a child who has tetralogy of Fallot. Which of the following lab values should the nurse expect to find? A. Platelet count of 20,000 B. WBC 4,000 C. Thyroid stimulation hormone 7.0 D. RBC 6.8 million
D
A nurse is planning care for a 6yo who is receiving chemo. The child has a highlight platelet count of 20,000/mm^3. Based on this lab value, which of the following interventions should the nurse include in the plan of care? A. provide foods high in iron B. avoid people who have infections C. admin PRN O2 D. encourage quiet play
D
A nurse is providing teaching to a 12yo who is recovering from an acute episode of hemophilia A. Which of the following statements should the nurse include in the teaching? A. Have your parent stretch & move your legs for you B. Apply heat to joints that become painful, stiff & swollen C. Take aspirin at the first sign of a HA D. You will be able to participate in physical exercises
D
A nurse is reviewing the morning lab results of an infant who is receiving digoxin & furosemide for the Tx of HF. Which of the following findings should the nurse report to dr? A. Sodium 140 B. Calcium 10.2 C. Chloride 100 D. Potassium 3.2
D
In developing a plan of care for the child diagnosed with rheumatic fever, the nursing intervention that takes highest priority for this child is to: A. position the child to relieve joint pain. B. monitor the C-reactive protein and ESR levels. C. provide age-appropriate diversional activities. D. promote rest periods and bed rest
D
When assessing a child for the probable cause of acute bronchiolitis, the nurse focuses on which factor? A. Bacterial infections B. Environmental allergies C. Prenatal complications D. Viral infections
D
When assessing a infant born at 32 weeks' gestation, which finding would lead the nurse to suspect to suspect that the newborn has a patent ductus arteriosus (PDA)? A. Weak, thready pulse B. Decreased pulse rate C. High diastolic arterial pressure D. Continuous murmur on auscultation
D
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation? A Aortic stenosis (AS) B Coarctation of aorta C Patent ductus arteriosus (PDA) D Tetralogy of Fallot
D
