PEDS FINAL
A child undergoes surgical removal of a brain tumor. During the postoperative period, the nurse is monitoring the child and notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action?
Notify the health care provider (HCP)
The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which intervention should the nurse perform immediately?
Notify the health care provider (HCP).
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia (IDA). The nurse should instruct the mother to administer the iron with which food item?
Orange juice
The mother of a child who was recently diagnosed with acute glomerulonephritis asks the nurse why the physician keeps talking about casts in the urine. The nurses response is based on the knowledge that the presence of casts in the urine indicates
Glomerular injury
A child is admitted with acute glomerulonephritis. The nurse expects the urinalysis during this acute phase to show
Hematuria and proteinuria
Which statement by a parent of a child with nephrotic syndrome indicates an understanding of a no-added-salt diet?
I do not put any salt in foods when I am cooking.
A client is being discharged to home after application of a plaster leg cast. Which statement indicates that the client understands proper care of the cast?
I need to avoid getting the cast wet.
The nurse closely monitors the temperature of a child with nephrotic syndrome. The purpose of this is to detect an early sign of which possible complication?
Infection
The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 cells/mm3. On the basis of this laboratory result, which intervention should the nurse include in the plan of care?
Initiate bleeding precautions
Which clinical finding warrants further intervention for the child with acute poststreptococcal glomerulonephritis?
Inspiratory crackles
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse question? Select all that apply.
1. Restrict fluid intake. 6. Give meperidine (Demerol), 25 mg intravenously, every 4 hours for pain.
The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents?
2. Administer the iron through a straw.
Oral iron is prescribed for a child with iron deficiency anemia. The nurse provides instructions to the mother regarding the administration of the iron. The nurse should instruct the mother to administer the medication in which way?
Between meals
What is an appropriate intervention for a child with nephrotic syndrome who is edematous?
Change the childs position every 2 hours.
Which diagnostic finding is present when a child has primary nephrotic syndrome?
Proteinuria
The most appropriate nursing diagnosis for the child with acute glomerulonephritis is
Risk for Imbalanced Fluid Volume related to a decrease in plasma filtration
A 6-year-old child has just been diagnosed with localized Hodgkin's disease, and chemotherapy is planned to begin immediately. The mother of the child asks the nurse why radiation therapy was not prescribed as a part of the treatment. What is the nurse's best response?
Sometimes age has to do with the decision for radiation therapy.
The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?
Tea-colored urine
Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission?
Urine is up to a trace for protein for 5 to 7 days.
A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother?
he flowers from your garden are beautiful, but should not be placed in the child's room at this time.
