Peds Exam 4 Pretest
The nurse is teaching the parents of an infant newly diagnosed with congenital hypothyroidism about the etiology of the disease. What is the contributing factor? Select all that apply. symptoms are evident during the first 6 months of life environmental factors absent or nonfunctioning thyroid gland more common in infant girls cause is unknown
absent or nonfunctioning thyroid gland environmental factors more common in infant girls
Assessment of a child reveals a tension pneumothorax. The nurse would prepare the child for: defibrillation. suctioning. intubation. needle thoracotomy.
needle thoracotomy.
An infant was born with a genetic condition. The nurse is obtaining a neonatal health history from the parents. Which question(s) will the nurse ask the parents? Select all that apply. "Has your infant ever experienced a seizure?" "Do you ever feel like your infant's muscle tone is not good?" "Was your infant small for a term pregnancy?" "Did your infant require staying under the warmer or in an incubator to stay warm?" "Have you had problems feeding your infant?"
"Did your infant require staying under the warmer or in an incubator to stay warm?" "Have you had problems feeding your infant?" "Has your infant ever experienced a seizure?" "Do you ever feel like your infant's muscle tone is not good?"
The nurse is collecting a brief health history from the parents of a 3-year-old child brought to the emergency department experiencing a cardiac emergency. What questions are appropriate for inclusion? Select all that apply. "What foods or drugs is your child allergic to?" "How many children live in the home?" "Has your child had any recent illnesses?" "Tell me about any coughing or wheezing you may have noticed when your child has been playing lately." "What activities does your child like to do?
"Has your child had any recent illnesses?" "What foods or drugs is your child allergic to?" "Tell me about any coughing or wheezing you may have noticed when your child has been playing lately."
A nurse is conducting a physical examination of a 12-year-old girl with suspected systemic lupus erythematosus (SLE). How would the nurse best interview the girl? "Do you have any shoulder pain or abdominal tenderness?" "Have you noticed any hair loss or redness on your face?" "Have you noticed any new bruising or different color patterns on your skin?" "Do you notice any wheezing when you breathe or a runny nose?"
"Have you noticed any hair loss or redness on your face?"
The nurse is performing the intake assessment on a child about to undergo allergy skin testing. Which statements by the parent would demonstrate to the nurse that the parent understands the procedure? Select all that apply. "I am a little nervous because I know my child could have a severe reaction during testing." "I stopped giving my child their antihistamine yesterday like I was instructed." "It will take a couple of days to know if my child is allergic to anything." "We will be here in the exam room for quite a while I'm guessing." "If my child is allergic to any of the substances there will be a raised red area at the reaction site."
"I am a little nervous because I know my child could have a severe reaction during testing." "We will be here in the exam room for quite a while I'm guessing." "If my child is allergic to any of the substances there will be a raised red area at the reaction site."
The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best? "You must be so scared right now...especially since you were the one driving." "I am here to answer your questions and be with you during this difficult time." "I know this is overwhelming, but I want you to know he will be OK." "How could this accident have happened with you both there?"
"I am here to answer your questions and be with you during this difficult time."
A 4-year-old is brought to the urgent care center for evaluation of a burn on the forearm. On inspection, the burn is minor. After teaching the parents about how to care for this minor burn. the nurse determines that the teaching was successful based on which statement by the parents? "After bathing, we should dry the skin vigorously with a towel." "We should apply ice to the burned area every few hours." "If blisters form, we should leave them alone and not break them." "We should wrap the area tightly with a compression bandage."
"If blisters form, we should leave them alone and not break them."
The mother of a 5-year-old child with allergies to a variety of foods including eggs, milk, peanuts, and shellfish asks if her child will "always have these problems." What response by the nurse is most accurate? "Most children with allergies will outgrow them." "In most cases allergies to peanuts and shellfish persist into adulthood but the others may diminish and disappear." "Sadly, allergies to foods will persist." "We cannot be sure at this point but most children who are allergic to peanuts will not have this allergy in adulthood."
"In most cases allergies to peanuts and shellfish persist into adulthood but the others may diminish and disappear."
A 13-year-old female adolescent is being evaluated for lupus. Which statement(s) by the adolescent indicates a need for further education regarding this disease? Select all that apply. "I just got over a sinus infection last week. This may have been what triggered the disease." "Since I am 13, it would be unusual for me to be diagnosed. Younger kids usually get it." "I am at a higher risk than of developing lupus than a man would be." "My grandmother was diagnosed with lupus, so that means I am at a higher risk." "I should have not spent so much time in the sun. That may have been what caused me to get lupus."
"Since I am 13, it would be unusual for me to be diagnosed. Younger kids usually get it." "I should have not spent so much time in the sun. That may have been what caused me to get lupus."
The parents of a preschool age child ask the nurse, "Why are infants and young children are so prone to getting infections?" What is the best response by the nurse? "Phagocytosis in the infant and young child is overactive, allowing infections to occur." "Infants and young children probably get infections more than adults because they aren't aware of how to prevent infection." "The immune system of infants and young children is weaker than that of adults. The system matures as the child ages." "It is really unclear why infants and children get infections more than adults."
"The immune system of infants and young children is weaker than that of adults. The system matures as the child ages."
The nurse is caring for a child diagnosed with juvenile idiopathic arthritis. Which statement(s) by the parents demonstrates an understanding of how to care for their child with this disease? Select all that apply. "We need to administer medication to decrease inflammation and pain in our child." "We may note our child has a fever above 103°F (39.5°C) for a couple weeks and should monitor our child's temperature." "Our child may report photosensitivity, so we should always carry sunglasses for our child." "We may notice our child has alopecia and should prepare our child for this." "We should encourage swimming as an activity for our child.
"We may note our child has a fever above 103°F (39.5°C) for a couple weeks and should monitor our child's temperature." "We need to administer medication to decrease inflammation and pain in our child." "We should encourage swimming as an activity for our child."
Which of the following women has the greatest risk of having a child with Down syndrome? 42-year-old 30-year-old 25-year-old 35-year-old
42-year-old
A health care provider has prescribed cephalexin 30 mg/kg PO daily in 4 divided doses for a child diagnosed with impetigo. The child weighs 30 lb (14 kg). How many milligrams should the child receive each day?
420
A nurse is providing care to a 13-year-old client hospitalized with deep partial- and full-thickness (deep second-degree and third-degree) burns on the neck, torso and arms. The nurse attempts to begin a treatment, but the client refuses and angrily tells the nurse "What is the point in all this? I will never be the same again!" What action should the nurse take? Acknowledge that the client is upset and offer to talk about feelings. Tell the client that this behavior will not be tolerated. Express disappointment in the client's behavior. Leave the room to give the client a chance to calm down.
Acknowledge that the client is upset and offer to talk about feelings.
The nurse is educating a family of an infant newly diagnosed with a genetic disorder. What strategies will benefit the family? Select all that apply. Allow the parents time to adjust to the new diagnosis. Offer information in a consistent manner, such as written information. Repeat the information only if the parents seem unsure or uncertain. Assess the family's willingness to learn before beginning the teaching session. Provide teaching in one session to assure questions are addressed.
Allow the parents time to adjust to the new diagnosis. Assess the family's willingness to learn before beginning the teaching session.
A child presents to the emergency department via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be? Begin circulation/cardiac assessment and count the pulse. Remove the child's clothing to assess for injury. Assess the child's airway and manage airway patency. Update the parent and obtain consent to treat.
Assess the child's airway and manage airway patency
A nurse is preparing a presentation for a group of parents with children diagnosed with type 1 diabetes. The children are all adolescents. What issues would the nurse address related to their developmental level? Select all that apply. Struggle for independence Body image conflicts Deficient decision-making skills Feelings of being different Self-monitoring of blood glucose levels
Deficient decision-making skills Body image conflicts Struggle for independence
A 4-year-old diagnosed with diabetes insipidus is being discharged. Which information below is most important to emphasize to the parents? Only one person in the house needs to learn how to give the injections of vasopressin. Children younger than 5 do not need to wear medical alert tags. Diabetes insipidus is different from diabetes mellitus. Children outgrow this diagnosis over time.
Diabetes insipidus is different from diabetes mellitus.
The nurse is caring for a 7-year-old girl diagnosed with precocious puberty. The child is tearful when talking with the nurse about the signs and symptoms of the disorder. She states, "I don't look like my friends." When preparing the care plan for this child, which nursing diagnosis has the highest priority? Disturbed body image Imbalanced nutrition Interrupted family process Deficient knowledge
Disturbed body image
Which of the following is a congenital condition? Stroke HIV disease Spinal cord injury Down syndrome
Down syndrome
The nurse just received laboratory results for a 2-day-old infant that show an increased phenylalanine level. Which action should take priority? Inform the parents that their infant has phenylketonuria. Educate the parents on dietary requirements for phenylketonuria. Draw blood for additional testing. Make referrals for appropriate developmental therapies.
Draw blood for additional testing
The nurse is caring for an adolescent client with a genetic disorder with the following assessment data: large head, long face, prominent ears, flat feet, flexible joints, and a short attention span. Which facts are true for the suspected genetic disorder? Select all that apply. It requires hormone therapy from an early age. It has an X-linked dominant inheritance pattern. It is caused by the presence of three chromosomes on chromosome 13. Foods high in phenylalanine need to be avoided. Focus of care is on developmental therapies.
Focus of care is on developmental therapies. It has an X-linked dominant inheritance pattern.
The nurse is discussing infection control with the parents of an immunocompromised child. Which causative factors should be presented as the most effective means to prevent infection? Cleaning all equipment between uses Handwashing Use of hand sanitizer before eating Use of aseptic techniques for procedures performed on the child
Handwashing
A child is seen in the pediatrician's office. The nurse completes an assessment and notes that the child has edema around the left eye. The parent states that a couple of days ago the child was running and fell, injuring the face. Which assessment finding(s) should the nurse consider concerning? Select all that apply. The affected area is reddened and warm to the touch. The child has an oral temperature of 100.2°F (38°C) The child winces in pain as the nurse palpates the area. Inflammation seems to have increased over the past few days. The affected area is around the left eye.
Inflammation seems to have increased over the past few days. The child has an oral temperature of 100.2°F (38°C) The affected area is around the left eye.
A nurse is reviewing a plan of care for a 5-year-old child hospitalized with severe burns. Due to systemic changes that occur secondary to the burn injuries, what intervention(s) related to nutrition should the nurse expect to implement? Select all that apply. Start the child on a low-protein diet. Administer a proton pump inhibitor. Initiate total parenteral nutrition. Offer the child's favorite foods. Insert a nasogastric tube.
Insert a nasogastric tube. Administer a proton pump inhibitor. Offer the child's favorite foods. Initiate total parenteral nutrition.
A newborn was screened for a possible hereditary metabolic disorder at 8 hours old. Which action by the nurse is most appropriate? No further intervention is needed Instruct the parent to have another screening in 1 to 2 weeks. If the infant is premature, screening needs to be done every 8 hours for 48 hours. Repeat screening in 8 hours..
Instruct the parent to have another screening in 1 to 2 weeks.
A nurse is conducting a parenting class on infant skin care. What information should the nurse include when preparing materials on the characteristics of the skin of infants? Select all that apply. The epidermis is thicker than in adults. Substances are easily absorbed. Sweat glands are fully functioning at birth. Skin is less susceptible to the sun. It is thinner and more fragile than an adult's
It is thinner and more fragile than an adult's Substances are easily absorbed.
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning? Label poisonous solutions. Do not leave the toddler alone. Closely monitor the toddler's activity. Keep cleaning solutions locked up.
Keep cleaning solutions locked up.
A child is diagnosed with diabetes insipidus (DI) and will start on the medication desmopressin. Which instruction(s) would the nurse include in teaching the parent about administering this drug? Select all that apply. Clear the nostrils before administering the drug. Keep the drug refrigerated. The drug must be administered every 24 hours. Monitor the urine specific gravity while the child is taking the drug. If the child sneezes, repeat the dose administration.
Keep the drug refrigerated. Clear the nostrils before administering the drug. If the child sneezes, repeat the dose administration. Monitor the urine specific gravity while the child is taking the drug.
The nurse is providing care to a 2-day-old newborn. The nurse suspects that the newborn may have trisomy 21 based on which assessment finding(s)? Select all that apply. Loose joints Small jaw and mouth Short sternum Poor muscle tone Overlapping, clenched digits
Loose joints Poor muscle tone
A nurse is providing care to a child who was involved in a severe car accident. The child sustained significant internal injuries and blood loss. The child has developed refractory shock. Which action is most important for the nurse take? Increase the rate on the child's intravenous fluid infusion. Monitor the child closely for any further changes in the child's condition. Ask the health care provider to consider changing the child's medications. Make arrangements for the parents to meet with the health care team.
Make arrangements for the parents to meet with the health care team.
The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "The teacher tells us that our child has to use the restroom many more times a day than other students do." The caregiver's statement indicates the child most likely has: Pica Polyuria Polydipsia Polyphagia
Polyuria
A female adolescent comes to the clinic with symptoms of delayed puberty. The nurse discusses sexual development with the adolescent, the beginning of menstruation, and how to take the low-dose estrogen product. What additional topic is most important for the nurse to discuss with the adolescent? side effects of the medication to report signs of the first menstrual period risk for infertility peer pressure at school
Risk for infertility
A nurse is preparing a presentation for a group of parents of toddlers at the local community center. The topic of the presentation is burn prevention. When describing burns in toddlers, which situation would the nurse likely identify as the most common cause of thermal burns? Playing unsupervised with matches Touching an open, hot oven door Playing with a household cleaning agent container Scalding from pulling a hot pan off the stove
Scalding from pulling a hot pan off the stove
The nurse is assessing a child with a varicella infection. The nurse would be alert for which possible complication(s)? Select all that apply. Scarring Secondary bacterial infection Scarlet fever Pneumonia Encephalitis
Secondary bacterial infection Pneumonia Scarring Encephalitis
An 8-year-old child is brought to the emergency department after being lost in the woods for the past 10 hours. It has been snowing and the temperatures have been between 20°F and 25°F (-6.7°C to -3.9°C), with the windchill 0°F (-17.8°C). The nurse assesses the child and suspects fourth-degree frostbite of the hands and feet. Which finding(s) would support the nurse's suspicion? Select all that apply. Sloughing of skin on the soles of both feet and hands Waxy blue appearance of skin on both feet and right hand Edema of the both hands and both feet Clear vesicles on three fingers of right hand and four toes of right foot Gangrene of the right index finger and left great toe
Sloughing of skin on the soles of both feet and hands Gangrene of the right index finger and left great toe
The nurse is teaching a school-age child and the parents about an insulin pump. Which instruction is appropriate? Select all that apply. Carefully monitor the child's response to medication. Change the insertion site every week. It is safe to wear the pump while swimming or bathing. Remove the pump but leave the catheter in while showering. The needle is inserted at a 45-degree angle. Tape the small catheter in place before turning on the pump.
The needle is inserted at a 45-degree angle. Carefully monitor the child's response to medication. Tape the small catheter in place before turning on the pump. Remove the pump but leave the catheter in while showering.
The nurse is caring for a pediatric client diagnosed with Turner syndrome. Which assessment finding(s) will the nurse expect? Select all that apply. Narrow fingernails Webbed neck Short stature Swollen hands Low-set ears
Webbed neck Swollen hands Narrow fingernails Short stature
Which couple will the nurse highlight for the primary health care provider as being at highest risk for having a child with a trisomy 21 disorder? a couple with a history of drug use a couple in their late 40s a couple of African descent a teenage couple with limited prenatal care
a couple in their late 40s
A nurse should recognize that which laboratory result would be most consistent with a diagnosis of diabetes mellitus? glucose in the urine proteinuria a fasting blood glucose greater than 126 mg/dl a fasting blood glucose less than 126 mg/dl
a fasting blood glucose greater than 126 mg/dl
Which drug should be available for emergency treatment of a child who goes into anaphylactic shock? ephedra insulin epinephrine dopamine
epinephrine
A nurse is teaching parents about erythema infectiosum and describing the progression of the disease from earliest to latest. Place the following manifestations in the order in which the nurse would describe them. 1 lace-like lesion appearance 2 rash on the flexor surfaces of extremities 3 intense red rash on the face 4 fever and headache 5 rash on extremity extensor surfaces
fever and headache intense red rash on the face rash on extremity extensor surfaces rash on the flexor surfaces of extremities lace-like lesion appearance
The nurse is developing a care plan for a 15-year-old female client with Turner syndrome with the assessment notes shown above. Which expected outcome should take priority? demonstrating an understanding of Turner syndrome adhering to growth hormone therapy maintaining appointments with a cardiologist receiving referrals for appropriate developmental therapy
maintaining appointments with a cardiologist
As part of their orientation to their pediatric clinical rotation, an instructor is teaching a group of students how to perform cardiopulmonary resuscitation (CPR) on a child. Two students return-demonstrate the skill using an infant manikin. What action indicates the proper technique? placing the heel of the hand on the midsternum using two hands to perform chest compressions giving 2 breaths followed by 15 compressions compressing 30 times for every 2 breaths
giving 2 breaths followed by 15 compressions
The nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormality. In caring for a child that has issues with the anterior pituitary, the nurse knows that this child has issues with which hormone? growth hormone oxytocin antidiuretic hormone vasopressin
growth hormone
The nurse is caring for a child with juvenile idiopathic arthritis (JIA). There is involvement of five or more small joints and it is affecting the body symmetrically. This tells the nurse that the child: has pauciarticular JIA. is at risk for anaphylaxis. has polyarticular JIA. has systemic JIA.
has polyarticular JIA.
The nurse is caring for a child with HIV. The doctor will most likely order which test to monitor the child's progress? IgG subclasses immunoglobulin electrophoresis lymphocyte immunophenotyping T-cell quantification complement assay (C3 and C4)
lymphocyte immunophenotyping T-cell quantification
The nurse is speaking to a local parent group about poisoning in children. Which of the following would the nurse include as one of the most common causes of poisoning death in children? Acetaminophen Iron Hydrocarbons Lead
iron
The nurse prepares to assess the circulation status of a toddler in the emergency room following a near-drowning. What would the nurse specifically assess? Select all that apply. level of consciousness respiration rate skin color and temperature apical and femoral pulse heart rate via cardiac monitor tympanic or rectal temperature
level of consciousness apical and femoral pulse skin color and temperature
The nurse is educating an immunocompromised child about the organs that assist in the immune process. The nurse recognizes teaching was effective when the child identifies which organs? Select all that apply. gall bladder bone marrow liver spleen thymus
liver spleen thymus bone marrow
A mother who is HIV positive is distraught when she learns that her 6-month-old baby is also HIV-positive. The child had undergone open heart surgery as a newborn and had received numerous blood transfusions. The nurse recognizes that the most likely means of transmission of the disease to this child was: the mother kissing the baby on the forehead. blood transfusion products contaminated with the virus. breastfeeding. placental spread during pregnancy.
placental spread during pregnancy
A child is brought into the emergency department experiencing significant hypothermia. Core rewarming techniques have been ordered. The nurse would most likely assist with administration of which of the following? Select all that apply. warmed IV fluids pleural lavage heated, humidified oxygen extracorporeal circulation warmed blankets
pleural lavage warmed IV fluids heated, humidified oxygen extracorporeal circulation
A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time? preparation for an emergency endoscopy to remove the batteries oxygen to ensure that the child's blood is thoroughly oxygenated activated charcoal so that the child will vomit the batteries emergency intubation to ensure that the child has an adequate airway
preparation for an emergency endoscopy to remove the batteries
The most common complication of varicella is: scarring. secondary bacterial infections. encephalitis. pneumonia.
secondary bacterial infections.
A 5-year-old child is exhibiting manifestations of hypotension. What is the first-line treatment for poor perfusion and hypotension? volume replacement sodium bicarbonate atropine epinephrine
volume replacement
During a routine assessment, the nurse determines that a school-age child has head lice. What did the nurse assess in this child? white flecks on hair shafts macular rash on the arms pustule formation on the trunk red raised rash on the neck
white flecks on hair shafts
The mother of a child with pediculosis capitis infestation tells the nurse that she does not understand why her child still has the infestation. The mother states, "I used the prescribed treatment just like I was instructed." How should the nurse respond? "Maybe you should use some of the home remedies like petroleum jelly or mayonnaise." "Do you wash your child's hair daily? Having clean hair will help get rid of the infestation." "Have you been combing the hair for nits from the hair on a weekly basis?" "After finding the infestation did you wash items that your child's head came into contact with, like bed linen?"
"After finding the infestation did you wash items that your child's head came into contact with, like bed linen?"
The nurse is caring for a pregnant client who received prenatal testing. The results showed phenylketonuria (PKU). The client is concerned and asks the nurse about PKU. Which statement made by the nurse is most accurate? "It can lead to brain damage without treatment." "PKU is the leading cause of intellectual disability in children." "A diet high in phenylalanine will be needed for the child's life." "Symptoms can be controlled with hormone therapy."
"It can lead to brain damage without treatment."
The nurse is preparing to administer intravenous immune globulin (IVIG) to a pediatric client. The nurse reviews the primary health care provider's prescription which states: Give 400 mg/kg IVIG subcutaneously. Which action will the nurse take next? Assess the client's vital signs. Obtain the client's weight. Ensure epinephrine is available. Contact the primary health care provider.
Contact the primary health care provider.
A child is undergoing diagnostic testing for an endocrine dysfunction. The results indicate excessive levels of circulating cortisol. The nurse interprets this finding as indicating which of the following? Turner syndrome Cushing syndrome Graves disease Addison disease
Cushing syndrome
A pediatric nurse practitioner (PNP) is conducting an in-service education program for a group of pediatric nurses on shock. The PNP is describing the different categories of shock and the events that occur with each. The PNP determines that the teaching was successful when the group identifies the events of distributive shock. Place the events below in the order from first to last that would demonstrate successful teaching. Use all options. 1 Decreased venous return 2 Decreased stroke volume and cardiac output 3 Decreased peripheral vascular resistance 4 Insufficient organ perfusion 5 Relative hypovolemia 6 Massive vasodilation
Massive vasodilation Decreased peripheral vascular resistance Relative hypovolemia Decreased venous return Decreased stroke volume and cardiac output Insufficient organ perfusion
A 15-year-old girl has had type 1 diabetes since she was 2 years old. She recently began dialysis and is also struggling with exhaustion. She has been hospitalized with an infection and confides to the nurse that she feels hopeless due to her failing health. How should the nurse respond? "Would you like to help me create your daily schedule while you are here?" "Have you talked with your parents about the things that concern you?" "What do you think would help you feel better or improve your situation?" "After we get the infection under control, you will start feeling better."
"What do you think would help you feel better or improve your situation?"
A 3-year-old child has sustained injuries from a fall. Once the airway is secured, which of the following interventions would be done next? Administering 100% oxygen. Stabilizing the cervical spine. Checking mouth for debris. Establishing antecubital IV access.
Stabilizing the cervical spine.
The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best? "We should ask a physical therapist to address your concern." "How many other children do you and your husband have?" "How old was your child when he or she first begin to smile?" "Milestones are often delayed for children with Down Syndrome."
"Milestones are often delayed for children with Down Syndrome."
The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed? "Family members should wear a mask when coming to visit us." "Our child is contagious for 1 week after the rash appeared." "Antibiotics are needed to help our child recover from rubella." "Acetaminophen or ibuprofen can be given to help with pain."
"Antibiotics are needed to help our child recover from rubella."
The parent of a child diagnosed with nonbullous impetigo brings the child back to the clinic. The parent states, "I am doing what I am supposed to for my child, but the lesions have not gone away yet." The child began treatment with a topical antibiotic ointment 7 days ago. Which response by the nurse is most appropriate? "Your child most likely developed another type of skin infection." "It looks like a secondary infection has started." "It takes 10 to 14 days for the lesions to decrease." "The medicine is taking longer to treat the infection than usual."
"It takes 10 to 14 days for the lesions to decrease."
The nurse is teaching a group of caregivers of children diagnosed with diabetes mellitus. The nurse is explaining insulin shock and the caregivers make the following statements. Which statement indicates the best understanding of a reason an insulin reaction might occur? "If my child eats as much as their older brother eats they could have an insulin reaction." "On the weekends we encourage our child to participate in lots of sports activities and stay busy so they don't have an insulin reaction." "My child measures their own medication but sometimes doesn't administer the correct amount." "My child monitors their glucose levels to keep them from going too high."
"My child measures their own medication but sometimes doesn't administer the correct amount."
The nurse is caring for a child admitted to the emergency center in diabetic ketoacidosis. Which clinical manifestations would the nurse most likely note in this child? Drowsiness and fruity odor to breath Hyperactive and restless behavior Pale and moist skin Slow pulse and elevated blood pressure
Drowsiness and fruity odor to breath
A nurse working as a member of a genetic counseling team carefully assesses which body areas in a newborn to gain important indications for structural genetic disorders? Space between the eyes, the shape of the ears, and the numbers of fingers and toes Eye color, skin color, and parent's race Length, weight, and head circumference Presence or absence of primitive reflexes
Space between the eyes, the shape of the ears, and the numbers of fingers and toes
An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child? iron acetylcysteine deferoxamine dexamethasone
acetylcysteine
Which exercise would the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis? jogging every other day swimming playing basketball using a treadmill
Swimming
The nurse is providing education on prenatal testing for a 39-year-old client with Fragile X syndrome who is at 16 weeks' gestation. Which statement by the nurse accurately describes the appropriate testing option for this client? "A quadruple screen places no risk to the pregnancy." "Amniocentesis uses an ultrasound to guide a needle to draw fluid that is tested." "Chorionic villus sampling has the lowest risk to the pregnancy." "Percutaneous umbilical blood sampling is the most accurate for determining genetic disorders."
"Amniocentesis uses an ultrasound to guide a needle to draw fluid that is tested."
An adolescent is found wandering around. The client is confused, sweaty, and pale. Which test will the nurse prepare to perform first? blood toxicology computed tomography (CT) scan serum ketone testing blood glucose level
blood glucose level
A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the nurse is priority? Administer epinephrine subcutaneously to the client Locate the stinger and remove it with tweezers Notify the client's caregivers and primary health care provider Assess the client's airway and breathing rate
Assess the client's airway and breathing rate
