Peds B

22. A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of the following considerations is the nurse is priority one making your room assignment?

Disease process The transmission of infectious diseases is the greatest risk to this child and other children on the unit.

38. A nurse is caring for a toddler who has acute otitis media and a temperature of 40°C (104°F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature?

Dress the toddler in minimal clothing To expose the skin to air in max mice heat evaporation from the skin.

46. A nurse in an emergency department asking for a school age child who has appendicitis and rates his of Domino pain at 7 on a 0 to 10 scale. Which of the following actions should the nurse take?

Give morphine 0.05 mg per kilogram IV.

9. A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements show the nurse make?

"Let's talk about some of the ways you have handled previous stressors in your life."

20. A nurse is assessing a six month old infant at a well infant visit. Which of the following financial the nurse report to the provider?

Presence of strabismus Strabismus or crossing the eyes disappears at 3 to 4 months of age.

56. A nurse is caring for a school-age child who is receiving chemotherapy any severely immuno compromised. Which of the following actions should the nurse take?

Screen the child's visitors for indications of infection. Live virus immunization like MMR is contraindicated. And immuno compromised client has a decrease neutrophil count resulting from chemotherapy.

32. A nurse is providing teaching to the parent of an infection who has a diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area?

Zinc oxide Provides a protective barrier.

50. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas of the infant?

Great toe

54. A nurse is assessing a toddler who has gastroenteritis and he's exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?

Tachypnea When using the airway, breathing, circulation approach to client care, the first finding the nurse should address is the toddler's tachypnea, which results when the kidneys are unable to excrete hydrogen ions and produce bicarbonate leaving to metabolic acidosis

25. A nurse is planning an educational program for school age children and their parents about bicycle safety. Which of the following information should Nurse plan to include?

The child should be able to stand on the balls of her feet when sitting on the bike.

28. A nurse in an emergency departments suspects that a toddler has epiglottitis. Which of the following actions should the nurse take?

Prepare the toddler for nasotracheal intubation

3. A nurse is providing anticipatory guidance to the parents of an 8 month old infant during a well child visit. Which of the following statements should the nurse make?

Your baby should be able to sit unsupported

31. A school nurse is assessing and adolescent who has scoliosis. Which of the following findings should the nurse expect?

A Unilateral rib hump An increase curvature of the thoracic spine is a manifestation of kyphosis. An increase anterior convexity of the lumbar spine is a manifestation of lordosis. Lateral flexion of the neck is an indication of torticollis as a result of contracture of the sternocleidomastoid muscle.

40. A nurse is assessing a school age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis?

Abdominal distention Peritonitis is an inflammation of the lining of the abdominal wall. This inflammation of the abdomen along with ileus causes abdominal distention.

23. A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?

Use a semipermeable transparent dressing to cover the site.

10. A nurse is a meeting in Frank's who has intussusception. Which of the following findings should the nurse expect? Select all that apply

Vomiting and lethargy Obstruction occurs when a segment of the bowel telescopes within another segment of bowel. A child with intussusception may have mucus field in current jelly like diarrhea due to the leaking of blood and mucus into the intestinal lumen.

2. A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? (Audio)

Wheezes

57. A nurse is teaching a school age child who has a severe allergy to bee venom and his parents about epinephrine. Which of the following section should I nurse include in the teaching?

Use a second dose if the first dose of epinephrine does not completely reversed the symptoms. A biphasic response, In which the child will appear to recover and then experience a recurrence of symptoms, is possible with some allergic reactions. STORE epinephrine in a dark area not the refrigerator

6. A nurse in an emergency department is caring for school age child who has sustain a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take?

Use in antimicrobial ointment on the affected area.

37.A nurse is planning care for a school age child who is in the oliguric phase of acute kidney injury (AKI) And has a sodium level of 129. Which of the following intervention should the nurse include in the plan

Initiate seizure precautions for the child Hey sodium level of 129 indicates hyponatremia impressed as a child at increased riskFor neurological deficits and seizure activity. The nurse should complete a neurological assessment and implement seizure precautions in order to maintain the child safety.

60. A nurse is caring for school age child who is receiving a blood transfusion. Which of the following manifestation should alert the nurse to a possible hemolytic transfusion reaction?

Flank pain Flank pain is caused by the breakdown of red blood cells and is an indication of hemolytic reaction to the blood transfusion.

59. A nurse is creating a plan of care for a school age child who has heart disease and has developed heart failure. Which of the following intervention should the nurse include in the plan?

Provide small, frequent meals to the child. The metabolic rate for a child who has heart failure is high because of port cardiac function. Therefore, the nurse should provide small, freaking meals to the child because it helps to conserve energy.

13. A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?

Please the infant in a knee chest position. To decrease the return of the saturated venous blood from the legs and to direct more blood into the pulmonary artery by increasing systemic vascular resistance.

7. A nurse is preparing to sanction an infant who has a tracheostomy. Which of the following actions should the nurse take?

Suction for five seconds or less. The nurse should suction and infant who has a true kiss me for five seconds or less to prevent hypoxia Ensure the vacuum pressure is said between 60 and 100 MMHG for an infant Ensure the vacuum pressure is set between 60 and 100 MMHG for an infant.

35. A nurse is providing discharge teaching to the parents of his six month old infant who is post operative following hypospadias repair with a stent placement. Which of the following instruction should the nurse include in the teaching?

"Allow the stent to drain directly into your infant's diaper "

47. A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent should the nurse identify as understanding to teaching?

"I should keep my child indoors when I mow the yard"

18. A nurse is teaching a school age child who has a new diagnosis of type one diabetes mellitus. The nurse should identify which of the following statements by the child as understanding to teaching?

"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

4. A nurse is providing discharge teaching to the parent of a school age child who has undergone a tonsillectomy. Which of the following statements by the parent should the nurse identify as understanding the teaching?

"I will notify the doctor if I notice that my child is swallowing frequently"

33. A nurse is teaching the parent of an infant who has a Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching

"I will place my infant's diapers are under the harness straps." To prevent swelling of the harness.

8. A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent should the nurse identify ass understanding to teaching?

"Mononucleosis is caused by an infection with Epstein bar virus Monospot is a blood test that uses a special piece of paper to assist in diagnosing mononucleosis. Acute symptoms last approximately 10 days with fatigue lasting up to four weeks. May develop splenomegaly for which activities restriction for 2 to 3 months must be applied to avoid rupture to the spleen.

5. A nurse is teaching a school age child and his parents about post operative care following cardiac catheterization. Which of the following instruction should the nurse include?

"Wait three days before taking a tub bath." The child can attend school the next day but your voice trainees activities to prevent bleeding at the insertion site. The child can resume his regular diet after the procedure The parent can remove the pressure dressing the day after the procedure and show apply a new adhesive bandage strip daily to the site for at least the next two days.

15. A nurse is teaching the mother of a six month old infant about teething. Which of the following statements to the nurse make?

"Your baby may pull at her ears when she's teething."

41. The nurse is caring for a two week old infant who is breast-feeding and requires a heel stick. Which of the following actions should the nurse take to minimize the inference pain?

Administer sucrose to the infant prior to the procedure. Evidence-based practice indicates that sucrose, as well as non-nutritive sucking with a pacifier, can provide nonpharmacological pain management in infants.

49. A nurse is preparing to administer a hepatitis a B vaccine to a one month old infant. The nurse should plan to inject the medication and which of the following locations?

C inject into the vastus lateralis or anterolateral thigh muscle.

24. A nurse is providing anticipatory guidance to the parents of a two week old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors to the nurse include in the teaching?

Covering the sleeping infant with a blanket Supine sleeping in pacifier use during sleep are indicated Allergies or milk allergy is not a risk factor

17. A nurse is assessing a four year old child at a well child visit. Which of the following developmental milestones sure the nurse expect to observe

Cuts of shape using scissors

42. A nurse is caring for a school age child who is receiving cefazolin via intermittent IV bolus. The child suddenly developed diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medication sure the nurse administer first?

Epinephrine According to evidence-based practice first administer epinephrine to treat the anaphylaxis. Epinephrine is a Beta adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.

27. A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following intervention should the nurse include in the plan?

Increase fat content in the child's diet to 40% of total calories A child who has cystic fibrosis is unable to properly digest fats due to fibrosis of the pancreas and a limited secretion of pancreatic enzymes.

14. A nurse is admitting a school age child who has pertussis. Which of the following actions should the nurse take?

Initiate droplet precautions for the child. Contact precautions for hepatitis A and rotavirus. Negative pressure airflow for airborne infection such as measles or varicella. Positive pressure airflow for patient undergone an allogenic hematopoietic stem cell transplant to reduce the risk of disease transmission to the child.

11. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect?

Loud, harsh murmur Due to the left to right shunting of blood, which contributes to hypertrophy of the infant's heart muscle.

53. A nurse is caring for school age child who has a cute rheumatic fever. Which of the following actions should the nurse take?

Maintain the child on bed rest.

1. A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional item should the nurse offer to the toddler?

Oral Rehydration solution

44. A nurse is caring for a school a child who has experience a tonic clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?

Place a child in a lateral position To prevent aspiration.

45. A School Nurse is preparing to administer at a atomoxetine 1.2 mg per kilogram per day PO to a school age child who weighs 75 pounds. Available is atomexerine 40 mg per capsule. How many capsulesShould the nurse administered per day? Well the answer to the nearest whole number.

1 capsule

26. A community health nurse is assessing an 18 month old toddler in a community daycare. Which of the following findings should the nurse identify as a potential indication of physical neglect?

Poor personal hygiene

39. A nurse is assessing a school age child who has an Infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

Decreased attention span Because of decrease blood to the brain.

34. A nurse is caring for a school age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

Deep respirations of 32/minute Rapid respirations is an expected finding. The body's attempt to blow off excess carbon dioxide in achieve a state of homeostasis.

21. A nurse is admitting a four-month-old infant who has heart failure. Which of the following findings is a nurse is priority? "Exhibit"

Episodes of vomiting Using the urgent versus non-urgent approach to client care, the nurse determines that a priority finding is three episodes of vomiting, this can indicate digoxin toxicity, which requires immediate intervention.

12. A nurse is reviewing laboratory results of a school age child who is one week post operative following an open fracture repair. Which of the following value should a nurse identify as an indication of a potential complication?

Erythrocyte sedimentation rate 18 mm/hr ESR rate newborn 0-2 children 0-10 approx

52. A nurse is discuss an organ donation with the parents of the school age child who has a stain brain death due to a bicycling accident. Which of the following actions should the nurse take first?

Explore the parents feelings and wishes regarding organ donation

43. A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider?

Urticaria This may be a manifestation of anaphylactic reaction. The nursing monitor for anaphylaxis during and up to one hour after infusion of chemotherapy and immediately report urticaria, rash, and you Adema, and wheezing to the provider.

51. A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?

Serum creatinine 3.0 mg/dL Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevator serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the normal reference range and may indicate rejection of the kidney

58. A nurse is interviewing the parent of an 18 month I'll talk to her during a well child visit. The nurse should identify that which of the following findings indicate I need to access the top part for hearing loss?

The toddler received tobramycin during a hospitalization 2 weeks ago. The nurse should identify tobramycin as an aminoglycoside, which is in ototoxic medication that can cause mild to moderate hearing loss, and should assess the toddler for a hearing problem.

55. A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hours ago. The nurse should instruct the parents to report which of the following findings to the provider?

Restricted ability to move the toes.

30. A school nurse is assessing a school age child who has every female infectiosum (fifth disease). Which of the following findings should the nurse expect?

Facial rash Predominantly on the child's cheeks or "slapped face" appearance that last from 1 to 4 days.

48. A nurse is reviewing the lumbar puncture results of his school age child suspected of having bacterial meningitis. Which of the following results should a nurse identify as finding associated with bacterial meningitis?

Increase protein concentration Bacterial meningitis: Increase cerebrospinal fluid pressure. Increased white blood cell count in the spinal fluid. A decreased glucose level in the spinal fluid.

29. A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply

Increased temp Xerosphthalmia Cervical lymphadenopathy Acute illness associated with fever last more than four days that's on responsive to antipyretics or antibiotics. Characteristics: strawberry tongue, cracked lips, and edema of the oral mucosa and pharynx, & tachycardia.

16. A nurse is reviewing the laboratory report of a six-year-old child who is receiving chemotherapy. Which of the following laboratory values sure the nurse report to the provider?

Hemoglobin 8.5 g/dL

36. A nurse is assessing an eight-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next?

Initiate IV access

19. A nurse is caring for a newly admitted school age child who has hypopituitary. Which of the following medications sure the nurse expect the provider to recommend to the parents for treating the child's condition?

Recombinant growth hormone Hypopituitarism inhibits cell growth and result in growth failure.