PEDS Exam 2

the clinic nurse is assessing a child who is scheduled to receive a live virus vaccine. what are the general contraindactions associated with receiving a live virus vaccine? 1. child has symptoms of a cold 2. child had anaphylactic reaction to the vaccine 3. the mother reports the child is having episodes of diarrhea 4. the mother reports the child has not had an appetite 5. the child has a disorder causing a severely deficient immune system 6. the mother reports that the child has recently been exposed to an infectious disease

2 & 5

The nurse is providing medication instructions to a parent. Which statement by the parent indicates a need to further instruction? A. I should cuddle my child after giving the medication B. I can give my child a frozen juice bar after he swallows the medication C. I should mix the medication in the baby food & give it when I feed my child D. if my child does not like the taste of the medicine, I should encourage him to pinch his nose & drink the meds through a straw.

C

Sulfisoxazole, 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads "500-mg tablets." The nurse has determined that the prescribed dose is safe. How many tablets per dose should the nurse administer to the adolescent? a. 1/2tablet b. 1 tablet c. 2 tablets d. 3 tablets

C: 2 tablets

an infant receives a diphtheria, tetanus, & acellular pertussis immunization at a well-baby clinic. the parent returns home & calls the clinic to report that the infant has developed swelling & redness at the sit. which intervention should the nurse suggest? a. monitor infant for fever b. bring infant back to clinic c. apply a hot pack to the injection site d. apply cold pack to injection site

D

the nurse provides home care instructions to the parents of a child with pertussis who is in the convalescent stage & is being prepared for discharge. which statement by a parent indicates a need for further instruction? a. we need to encourage our child to drink fluids b. coughing spells may be triggered by dust or smoke c. vomiting may occur when our child has coughing episodes d. we need to maintain droplet precautions & a quiet environment for at least 2 weeks

D

A pediatrician's prescription reads ampicillin sodium 125mg IV every 6 hours. The medication label reads "when reconstituted with 7.4mL of bacteriostatic water, the final concentration is 1g/7.4mL" The nurse prepares to draw how many mLs for 1 dose? a. 1.1 mL b. 0.54 mL 3. 7.425 mL d. .925 mL

D: .925

penicillin G procaine, 1,000,000 units IM is prescribed for an adolescent with an infection. The medication label reads 1,200,000 units per 2mL. the nurse has determined that the dose prescribed is safe. The nurse administers how many mL per dose? A. .8mL B: 1.2mL C: 1.4mL D: 1.7mL

D: 1.7

the nurse prepares to administer an intramuscular injection to a 4month old infant. the nurse selects which best site to administer the injection? a: ventrogluteal b: lateral deltoid c: rectus femoris D: vastus lateralis

D: Vastus Lateralis

the nurse is caring for a child diagnosed with erythemia infectiosum (fifth disease) which clinical manifestation should the nurse expect to note in the child?

an intense fiery red edamatous rash on the cheeks

A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8mcg/kg/day & the clients weight is 7.2kg. The pediatrician prescribes the digoxin to be given twice daily. The nurse prepares how many mcg at each dose? a. 12.6 mg b. 21.4 mg c. 28.8 mg d. 32.2 mg

c: 28.8

the clinic nurse reviews the record of an infant & notes that the primary health care provider has documented a diagnosis of suspected hirschprungs diease. the nurse reviews the assessment finding documented in the record, knowing that which sign most likely led the mother to seek health care for the infant?

foul smelling ribbon like stools

the nurse is assessing a child admitted with a diagnosis of rheumatic fever. which significant question should the nurse ask the child parent during the assessment?

has any family member had a sore throat within the past few weeks?

an ifant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. the nurse should place the infant in which best position at this time?

left lateral position

the nurse caring for a child diagnosed with rubeola (measles) notes that the pediatrician has documented the presence of kopliks spots. on the basis of this documentation, which observation is expected?

small, blue-white spots with a red base that are found on the buccal mucosa. occurs 2 days before appearance of a rash