PEDs Exam 2

A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching?

All recently used clothing, bedding, and towels must be washed in hot water

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

Amoxicillin-clavulanate

A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching?

Encourage your child to avoid sharing hats with other children.

A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

I will continue to check his blood sugar two times a day

A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?

I'm glad that my child's ostomy is only temporary.

A nurse is creating a plan of care for a child with sickle cell anemia. Which of the following interventions should the nurse include in the plan?

Observe for indications of hypokalemia

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following Instructions should the nurse include in the teaching?

Offer fluids to your child multiple times a day

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluids?

Oral rehydration solution

A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching?

Our child's blood count will need to be monitored routinely for several weeks

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Pain

A school is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse suspect which of the following disorders?

Pediculosis capitis

A school nurse is performing a routine health assessment for a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis?

Pruritis of the scalp

A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

Pull the auricle down and back

A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use?

Pull the auricle up and out

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?

Rice

A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children's parents?

Seal non washable items in airtight plastic bags

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing the client's laboratory values?

WBC 17,000 mm3

A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching?

Wash clothing in hot water

A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?

Wilms' tumor

A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?

A needless syringe and doll

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

A 10-year-old child who has sickle cell anemia who reports severe chest pain

A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

A child who has a new diagnosis of type 1 diabetes mellitus

A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room as this child?

A child who has nephrotic syndrome

A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instruction should the nurse include?

Administer prednisone on an alternate day-schedule

A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?

Administer sodium biphosphonate/sodium phosphate

A nurse is caring for a child who has tinea pedis. The child's parents ask the nurse what this infection is commonly called. The nurse should respond with which of the following common names?

Athlete's foot

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

Bleeding

A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?

Candidiasis

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

Check the client's daily weight

A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instruction should the nurse provide to the parent?

Contact the poison control center

A child is admitted with a suspected Wilms tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Do not palpate the abdomen

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Facial edema

A school nurse is assessing a child for pedicures wapitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Firmly attached white particles on the hair

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and has a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration if this medication?

Give with orange juice

A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent?

Have your child sit with head titled forward and hold pressure on her nose for 10 minutes

A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect?

Hyporflexia (below normal/absent reflexes)

A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

I should eat a snack an hour before playing soccer

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicate a need for further teaching?

I will apply heat

A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

I will be sure my child aspirates before injecting the needle

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.

Inspect, Auscultate, Superficial Palpation, Deep Palpation

A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdominal area and that his urine is pink in color. Which of the following actions is the nurse's priority?

Instruct the parent to avoid pressing not he abdominal area

A nurse is reviewing the laboratory results of four children. Which of the following values should the nurse report to the provider?

Iron 38 mcg/dL

A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?

Lethargy

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

Low sodium, fluid-restricted

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?

My son might complain of feeling shaky when he has low blood glucose level

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?

Sudden decrease in abdominal pain

A nurse caring for a child who has otitis media effusion. The nurse should identify that which of the following manifestations indications tympanic membrane rupture?

Sudden pain relief

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

Teach the parents about cortisol replacement therapy

A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?

Test the urine for ketones

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?

The reason why the child is taking the medication Written information about the medication Adverse effects of medication

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

Tugging on the affected ear lobe

A nurse is instructing the mother of a toddler who has iron-deficiency anemia to increase iron in the child's diet in addition to the prescribe iron supplement. Which of the following foods should the nurse recommend?

Tuna fish

A nurse is caring for a 3-year-old child who is admitted with acute diarrhea and dehydration. Which of the following indicates that oral rehydration therapy has been effective?

Urine specific gravity of 1.015