Peds Test 2 PrepU Quizzes
The nurse is caring for a child diagnosed with low functioning parathyroid. Which is a treatment goal of a child with hypoparathyroidism.
Maintain the child's calcium level at a normal level with calcium replacement as prescribed
To prevent infective endocarditis in the child with artificial heart valve, the nurse teaches parents to
Administer prophylactic antibiotics before dental work
When examining a child with congenital heart disease, an organ in the URQ of the abdomen can be palpated 4 cm below the rib cage. What would most likely explain this assessment finding?
The liver size increases in right-sided heart failure
A nurse is caring for an infant who just had open-heart surgery and the parents are asking why there are wires coming out of the infant's chest. What is the best response by the nurse?
These wires are connected to the heart and will defect if your infant's heart gets out of rhythm
The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was:
80 bpm
The nurse is planning care for an infant with a nursing diagnosis of decreased CO related to a cardiac defect. What is the most appropriate outcome for this nursing diagnosis? The child will
demonstrate stable vital signs, capillary refill less than 3 seconds, and a urine output of 1-2 ml/kg/hr
The nurse is teaching the mother of a child with phenylketonuria (PKU) about diet and realizes the mother needs further instruction when she makes which statement?
"Lots of fish and meat will help him"
The nurse is teaching a group of caregivers of children diagnosed with diabetes. 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?
"My child measures their own medication but sometimes doesn't administer the correct amount"
A 10-year-old child has been diagnosed with type 1 diabetes. The child is curious about the cause of the disease and asks the nurse to explain it. Which explanation will the nurse provide?
"Special cells in a part of your body called the pancreas cannot make a chemical called insulin, which helps control the sugar level in your blood."
A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy. Which statement would indicate to the nurse that additional teaching is needed?
"We can stop the penicillin when her symptoms disappear"
A nurse is examining a 10-year-old girl who has a heart murmur. On auscultation, the nurse finds that the murmur occurs only during systole, is short, and sounds soft and musical. When she has the girl stand, she can no longer hear the murmur on auscultation. Which statement should the nurse make to the girl's mother in response to these findings?
"Your daughter has an innocent heart murmur, which is nothing to worry about."
The nurse caring for a 5-year-old child recently diagnosed with type 1 diabetes. When discussing the care and management of the disorder with the child's parents, which statement(s) indicates understanding? Select all that apply
- "Regular exercise will help in regulation of my child's blood sugar levels" - "The insulin dosages will be directly associated to my child's carbohydrate ingestion" - "We need to rotate insulin injection sites to prevent complications"
The nurse is caring an infant who has been diagnosed with congenital hypothyroidism and is starting therapy with sodium levothyroxine. What will the nurse include in the plan of care?
Administering vitamin D to prevent rickets
The parents of a child who was diagnosed with diabetes insipidus ask the nurse, "How does this disorder occur?" When responding to the parents, the nurse integrates knowledge that a deficiency of which hormone is involved?
Antidiuretic hormone
Diabetes insipidus is a disorder of posterior pituitary that results in deficient secretion of which hormone?
Antidiuretic hormone (ADH)
The nurse is reviewing the lab results of several children who have come to the clinic for evaluation. Which child would the nurse identify as having the least risk for hyperlipidemia?
Child A with a total cholesterol of 150 mg/dl and low-density lipoprotein (LDL) of 80 mg/dl
The nurse is reviewing the laboratory work for a new client who is 6 weeks pregnant. Based on the above results, what is the nurse's conclusion?
Client is anemic and at risk for gestational diabetes
The nurse knows that which condition is caused by excessive levels of circulating cortisol?
Cushing syndrome
The nurse is seeing a new client in the clinic who reports polyuria and polydipsia. These conditions are indicative of which endocrine disorder?
Diabetes insipidus (DI)
A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?
Peeling hands and feet; fever
The nurse is interviewing the caregivers of a child admitted with a diagnosis of type 1 diabetes mellitus. The caregiver states, "She is hungry all the time and eats everything, but she is losing weight." The caregiver's statement indicates the child most likely has:
Polyphagia
Which findings should the nurse except to assess when completing the health history of a child admitted for possible type 2 diabetes? Select all that apply
Polyuria Polydipsia Polyphagia
A patient brings an infant in for poor feeding and listlessness. Which assessment data would most likely indicate a coarctation of the aorta?
Pulses weaker in lower extremities compared to upper extremities
An infant with congenital heart disease is not growing and developing adequately. The nurse will institute what feeding strategy?
Raise the caloric density of the feeding beyond 20 calories per ounce
A 9-year-old child with Graves disease is seen at the pediatrician's office reporting sore throat and fever. The nurse notes in the history that the child is taking propylthiouracil. Which of the following would concern the nurse?
The child may have developed leukopenia
Which problem-based nursing care plan will the nurse indicate as priority for the child following cardiac surgery for tetralogy of Fallot?
altered cardiopulmonary tissue perfusion risk
The nurse is caring for a child admitted to the hospital for a cardiac catheterization. Upon return from cardiac cauterization, which nursing action is priority?
assess the dressing at the insertion site
What will the nurse include in the feeding plan for a breastfed infant with congenital heart disease?
breastfeed with small, frequent feeds
When assessing an infant born at 32 weeks gestation, which finding would lead the nurse to suspect that the newborn has a patent ductus arteriosus (PDA)?
continuous murmur on asucultation
The nurse is caring for a 14-year-old girl with atrial fibrillation. Which medication would the nurse expect to be prescribed?
digoxin
A child is prescribed glargine insulin. What information would the nurse include when teaching the child and parents about this insulin?
do not mix this insulin with other insulins
After assessing a child, the nurse suspects coarctation of the aorta based on a finding of
femoral pulse weaker than brachial pulse
A child is diagnosed with hypothyroidism. What findings should the nurse should expect to assess?
heat intolerance
The nurse is performing echocardiography on a newborn who is suspected of having a congenital heart defect. The child's mother is concerned about the safety of using this on a newborn and wants to know how the technology works. The nurse assures her that this technology is very safe and may be repeated frequently w/o added risk. What should the nurse mention in explaining how this diagnostic test works?
high-frequency sound waves are directed toward the heart
A group of nursing students are reviewing the components of the endocrine system. The students demonstrate understanding of the review when they identify what as the primary function of this system?
hormonal secretion
A nurse is reviewing blood work for a child with cyanotic heart defect. What result would most likely be seen in a client experiencing polycythemia?
increased RBC
The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. What would the nurse be least likely to include?
maintenance of strict bed rest
A nurse suspects a child is experiencing cardiac tamponade after heart surgery. What would be the priority nursing intervention?
notify the doctor immediately
The nurse is caring for a 6-year-old child with congenital heart defect. To best relieve a hyper-cyanotic spell, what action would be the priority?
place the child in a knee-to-chest position
An infant with tetralogy of Fallot become cyanotic. Which nursing intervention would be the first priority?
place the infant in the knee-chest position
Nursing students are reviewing information about cardiopulmonary arrest in children. They demonstrate an understanding of the information when they identify which of the following as the most common cause of cardiac arrest?
respiratory failure
When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess?
strawberry tongue
A nurse is caring for a child who is experiencing heart failure. Which assessment data was most likely seen when initially examined?
tachycardia
A nurse caring for a child with Graves disease is administering propylthiouracil (PTU). The child has been on this drug for a few weeks and now has sudden symptoms of a sore throat. What is the priority intervention for the nurse?
Hold the dose and call the HCP
For which pair of metabolic disorders must the nurse instruct the parents to eliminate breast and cow's milk from the diet?
galactosemia and phenylketonuria
The nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormally. 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
The nurse is caring for a child with rheumatic fever who has polyarthritis. Which lab result would the nurse most anticipate with this child's diagnosis and symptoms?
increased erythrocyte sedimentation rate (ESR)
The nurse is interpreting the negative feedback system that controls endocrine function. What secretion will the nurse correlate as decreasing while blood glucose levels decrease?
insulin
The nurse is obtaining a health history from parents whose 4-month-old boy has congenital hypothyroidism. What would the nurse most likely assess?
it is difficult to keep the child awake
After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which assessment finding?
jerky movements of the face and upper extremities
What finding would the nurse expect to assess in a child with hypothyroidism?
weight gain
A 2-year-old client is at the office for a follow-up visit. The client has had excessive hormone levels in recent bloodwork and the parents question why this was not found sooner. What is the best response by the nurse?
"As endocrine functions become more stable throughout childhood, alterations become more apparent"
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever?
"Children who have this diagnosis may have had strep throat"
A 13-year-old adolescent with hyperthyroidism who takes antithyroid medication has a sore throat and a fever. The parents call the nurse and asks what to do. Which is the best response from the nurse?
"Please take your child straight to the emergency department"
The nurse is providing child and family education prior to discharge following a cardiac catheterization. The nurse is teaching about s/sx of complications. Which statement by the mother indicates a need for further teaching?
"The feeling of the heart skipping a beat is common"
The nurse is taking a history on a 10-year-old child who has a diagnosis of hypopituitarism. Which question is important for the nurse to ask the parents?
"What time each day does your child take his growth hormone?"
A 2-month-old infant is diagnosed with hypothyroidism. When educating the parents, the nurse explains which as signs suggesting hypothyroidism? Select all that apply
- "Your infant had a long period of jaundice from birth" - "Your infant's motor activity has been decreased" - "Your infant has had ongoing constipation"
A 6-year-old girl who is visiting the pediatrician's office is suspected of having cushing syndrome. For which tests to aid in the diagnosis should the nurse prepare the child and family? Select all that apply
- 24 hour urine for 17-hydroxycortcoids - cortisone suppression test
A child is diagnosed with rheumatic fever. For which medication will the nurse educate the caregivers?
Aspirin
What information would be included in the care plan of an infant in heart failure?
Begin formulas with increased calories
A child with diabetes reports that he is feeling a little shaky. Further assessment reveals that the child is coherent but with some slight tremors and sweating. A fingerstick blood glucose level is 70 mg/dl. What would the nurse do next?
Give 10 to 15 grams of a simple carbohydrate
A pediatric nurse is discharging a 1-month-old infant. The infant was diagnosed with congenital hypothyroidism on this admission and will be treated with levothyroxine. The nurse knows it is important to teach the parent about medication administration. Which process will the nurse include in the teaching?
Give the crushed medication in a syringe mixed with a small amount of formula
A 12-year-old is being seen in the office and has hyperthyroidism; the nurse knows that the most common cause of hyperthyroidism is:
Graves disease
A 6-year-old is diagnosed with aortic stenosis. The mother asks the nurse what the likely treatment for this condition will involve. What should the nurse tell the mother?
Insertion of a catheter with an uninflated balloon tip into the affected area followed by inflation of the balloon to open the narrowing
What should be included in the teaching plan for a child with type 1 diabetes who is going home on insulin therapy?
It is absolutely normal for the growing child to require an increase in insulin; this does not mean his/her condition is getting worse
A nurse is teaching a child with type 1 diabetes mellitus how to self-inject insulin. Which method should she recommend to the child for regular doses?
Subcutaneously in the outer thigh
The nurse is assessing a 5-year-old child whose parent reports the child has been vomiting lately, has no appetite, and has had an extreme thirst. Laboratory work for diabetes is being completed. Which symptom would differentiate between type 1 diabetes from type 2 diabetes?
recent weight loss
The nurse working with the child diagnosed with type 2 diabetes recognizes the disorder can be managed by:
taking oral hypoglycemic agents
A 6-year-old has a moon-face, stocky appearance but with thin arms and legs. His cheeks are unusually ruddy. He is diagnosed with Cushing syndrome. What is the most likely cause of this condition in this child?
tumor of the adrenal cortex
A nurse is taking care of an infant with diabetes inspidius. Which assessment data are most important for the nurse to monitor while the infant has a prescription for fluid restriction?
urine output
An infant on the pediatric floor has diabetes insipidus. Which assessment data are important for the nurse to monitor while the infant is on strict fluid precautions?
urine output