PN3 Test 8 4/30/15
a 9-yr old is admitted to the pediatric unit with a fractured right femur. the child is in skeletal traction. which nursing interventions should be included in the care plan of a child in skeletal traction? select all that apply. 1. maintain the child in the prone position 2. clean the pin site every 8 hrs 3. perform ROM exercises on each leg. 4. release weights on the traction every 2 hrs 5. monitor client for signs of cloudy urine 6. cover protruding tips of pins with protective materials
2. clean the pin site every 8 hrs 5. monitor client for signs of cloudy urine 6. cover protruding tips of pins with protective materials
when taking the newborn to the parents for the first visit, which action is the nurses priority? 1. teaching the parents how to feed the infant 2. demonstrating open acceptance of the infant 3. discussing the plans for surgical repair of the defect 4. showing the parents how to use a bulb syringe
2. demonstrating open acceptance of the infant
the nurse is caring for a newborn infant with a cleft lip. during the initial data collection process in the nursery, the nurse palpates the roof of the newborns mouth to assess for which finding? 1. the infants ability to suck 2. the presence of a gag reflex 3. an opening in the palate 4. position of the uvula
3. an opening in the palate
when does the posterior fontanel close?
6-8 weeks
what is normal capillary refill?
<3 seconds
A nurse is caring for a child who has Meckel's diverticulum. Which of the following are clinical manifestations of Meckel's diverticulum? (Select all that apply.) A. Abdominal pain B. Fever C. Mucus, bloody stools D. Vomiting E. Rapid, shallow breathing
A. Abdominal pain C. Mucus, bloody stools
A nurse is caring for a child who has cellulitis on the hand. Which of the following is an appropriate action for the nurse to take? A. Apply hot compresses. B. Cleanse area using Burow's solution. C. Prepare for cryotherapy. D. Administer antifungal medication.
A. Apply hot compresses.
A nurse is caring for a male infant. Which of the following are clinical manifestations of an epispadias? (Select all that apply.) A. Bladder exstrophy B. Inability to retract foreskin C. Widened pubic symphysis D. Broad, spade-like penis E. Pain
A. Bladder exstrophy C. Widened pubic symphysis D. Broad, spade-like penis
A nurse is caring for an adolescent who has acne and is prescribed isotretinoin 13-cis-retinoic acid (Accutane). Which of the following laboratory findings should be monitored? A. Cholesterol and triglycerides B. BUN and creatinine C. Serum potassium D. Serum sodium
A. Cholesterol and triglycerides
A nurse is caring for a child who has a fracture. Which of the following are clinical manifestations of a fracture? (Select all that apply.) A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis
A. Crepitus B. Edema C. Pain E. Ecchymosis
A nurse is collecting data on a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply.) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion
A. Fever B. Vomiting C. Watery stools
A nurse is collecting data from an infant who has eczema. Which of the following are clinical manifestations of eczema in an infant? (Select all that apply.) A. Generalized distribution B. Papules C. Clusters D. Crusting lesions E. Lichenification
A. Generalized distribution B. Papules D. Crusting lesions
A nurse is contributing to the plan of care for a child who has tinea capitis. Which of the following should the nurse contribute to the plan of care? (Select all that apply.) A. Instruct parents to treat infected house pets. B. Use selenium sulfide shampoo. C. Cleanse area with Burow's solution. D. Administer antiviral medication. E. Use moist, warm compresses.
A. Instruct parents to treat infected house pets. B. Use selenium sulfide shampoo.
A nurse is reinforcing teaching with a parent of an infant about gastroesophageal reflux disease (GERD). Which of the following should be included in the teaching? (Select all that apply.) A. Offer frequent feedings. B. Thicken formula with rice cereal. C. Use a bottle with a one-way valve. D. Position baby upright for 1 hr after feedings. E. Use a wide based nipple for feedings.
A. Offer frequent feedings. B. Thicken formula with rice cereal. D. Position baby upright for 1 hr after feedings.
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following is an appropriate action for the nurse to take? A. Perform a tape test. B. Collect stool specimen for culture. C. Test the stool for occult blood. D. Initiate IV fluids.
A. Perform a tape test.
A nurse is caring for an infant who has ambiguous genitalia. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) A. Prepare for surgery. B. Obtain a detailed family history. C. Plan for a circumcision. D. Refer to genetic counseling. E. Explain the need for a chromosomal analysis.
A. Prepare for surgery. B. Obtain a detailed family history. D. Refer to genetic counseling. E. Explain the need for a chromosomal analysis.
A nurse is collecting data on an infant. Which of the following are clinical manifestations of hypertrophic pyloric stenosis? (Select all that apply.) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger
A. Projectile vomiting B. Dry mucus membranes E. Constant hunger
A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? (Select all that apply.) A. Remove the clothing over the rash. B. Initiate contact isolation precautions. C. Expose the rash to a heat lamp for 15 min. D. Cleanse the affected skin with hydrogen peroxide solution. E. Apply calamine lotion to the skin.
A. Remove the clothing over the rash. E. Apply calamine lotion to the skin.
A nurse is reinforcing teaching to a group of parents about E. coli. Which of the following should be included in the teaching? (Select all that apply.) A. Severe abdominal cramping occurs. B. Watery diarrhea is present for more than 5 days. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen. E. Antibiotics are given for treatment.
A. Severe abdominal cramping occurs. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen.
A nurse is caring for a 10-year-old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider? A. Serum protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. Platelets 200,000 mm^3
A. Serum protein 5.0 g/dL
A nurse is reinforcing teaching with a group of parent about fractures. Which of the following should be included in the teaching? A. "Children need a longer time to heal from a fracture than an adult." B. "Epiphyseal plate injuries may result in altered bone growth." C. "A greenstick fracture is a complete break in the bone." D. "Bones are unable to bend, so they break."
B. "Epiphyseal plate injuries may result in altered bone growth."
A nurse is reinforcing teaching with the parent of an infant who has seborrheic dermatitis. Which of the following should be included in the teaching? A. "The patches are from not washing the infant's head regularly." B. "The cause is unknown and not contagious." C. "The patches are due to an infection the infant has." D. "The cause is due to the infant acquiring it from another child at day care."
B. "The cause is unknown and not contagious."
A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take? (Select all that apply.) A. Apply talcum powder with every diaper change. B. Allow the buttocks to air dry. C. Use commercial baby wipes to cleanse the area. D. Use cloth diapers until the rash is gone. E. Apply zinc oxide ointment to the affected area.
B. Allow the buttocks to air dry. E. Apply zinc oxide ointment to the affected area.
A nurse is reinforcing teaching with a group of parents about preventing insect bites. Which of the following should the nurse include when she reinforces the teaching? (Select all that apply.) A. Wear perfumes when outside. B. Avoid areas of tall grass. C. Wear bright-colored clothing. D. Wear insect repellent. E. Check house pets frequently.
B. Avoid areas of tall grass. D. Wear insect repellent. E. Check house pets frequently.
A nurse is reinforcing teaching with the parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Wear nylon underpants. B. Avoid bubble baths. C. Empty bladder completely with each void. D. Provide information about clinical manifestations of infection. E. Wipe perineal area back to front.
B. Avoid bubble baths. C. Empty bladder completely with each void. D. Provide information about clinical manifestations of infection.
A nurse is caring for a child who is in Russell traction. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) A. Remove the boots once a day for a bath. B. Check the child's position frequently. C. Check pin sites every 4 hr. D. Ensure the weights are hanging freely. E. Ensure the buttocks are raised off of the bed.
B. Check the child's position frequently. D. Ensure the weights are hanging freely.
A nurse is caring for a child who sustained a fracture. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) A. Place a heat pack on the site of injury. B. Elevate the affected limb. C. Check neurovascular status frequently. D. Encourage ROM of the affected limb. E. Stabilize the injury.
B. Elevate the affected limb. C. Check neurovascular status frequently. E. Stabilize the injury.
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. Urinary tract infection B. Emotional problems C. Urosepsis D. Progressive kidney disease
B. Emotional problems
A nurse is caring for an infant who has a hydrocele. Which of the following is an appropriate action for the nurse to take? A. Prepare for immediate surgery. B. Explain to the parents that this will self-resolve. C. Retract the foreskin and cleanse properly. D. Refer the family for counseling.
B. Explain to the parents that this will self-resolve.
A nurse is collecting data on a child. Which of the following are clinical manifestations of Legg-Calve-Perthes disease? (Select all that apply.) A. Longer affected leg B. Hip stiffness C. Intense pain D. Limited ROM E. Limp with walking
B. Hip stiffness D. Limited ROM E. Limp with walking
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? A. Offer chicken broth. B. Initiate oral rehydration therapy. C. Start hypertonic IV solution. D. Keep NPO until the diarrhea subsides.
B. Initiate oral rehydration therapy.
A nurse is collecting data on an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply.) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever
B. Irritability D. Vomiting E. Fever
A nurse is reinforcing teaching to a group of parents about Salmonella. Which of the following should be included in the teaching? (Select all that apply.) A. Incubation period is nonspecific. B. It is a bacterial infection. C. Bloody diarrhea is common. D. It is diagnosed more frequently in winter months. E. Antibiotics are used for treatment.
B. It is a bacterial infection. C. Bloody diarrhea is common. E. Antibiotics are used for treatment.
A nurse is collecting data on an infant who has scabies. Which of the following are expected findings? (Select all that apply.) A. Presence of nits on the hair shaft B. Pencil-like marks on hands C. Blisters on the soles of the feet D. Bluish-gray skin color E. Pimples on the trunk
B. Pencil-like marks on hands C. Blisters on the soles of the feet E. Pimples on the trunk
A nursing is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following is an appropriate action for the nurse to take? A. Remove the packing in the mouth. B. Place the infant prone. C. Offer a pacifier with sucrose. D. Check mouth with a tongue blade.
B. Place the infant prone.
A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take? A. Encourage a high-fiber, low-protein, low-calorie diet. B. Prepare the family for surgery. C. Place an NG for decompression. D. Initiate bed rest.
B. Prepare the family for surgery.
A nurse is collecting data on a child who has a urinary tract infection. Which of the following are clinical manifestations of a urinary tract infection? (Select all that apply.) A. Night sweats B. Swelling of the face C. Pallor D. Pale-colored urine E. Fatigue
B. Swelling of the face C. Pallor E. Fatigue
A nurse is caring for a preschool-age child. Which of the following techniques should the nurse use to check for developmental dysplasia of the hip? A. Barlow test B. Trendelenburg sign C. Manipulation of foot and ankle D. Ortolani test
B. Trendelenburg sign
A nurse is caring for an infant. Which of the following are clinical manifestations of obstructive uropathy? (Select all that apply.) A. Decreased urine flow B. Urinary tract infection C. Metabolic alkalosis D. Concentrated urine E. Hydronephrosis
B. Urinary tract infection E. Hydronephrosis
A nurse is caring for a child. Which of the following are clinical manifestations of nephrotic syndrome? (Select all that apply.) A. Dipstick protein of 1+ B. Edema in the ankles C. Hyperlipidemia D. Weight loss E. Anorexia
B. Edema in the ankles C. Hyperlipidemia E. Anorexia
A nurse is caring for a child. Which of the following are clinical manifestations of acute poststreptococcal glomerulonephritis (APSGN)? (Select all that apply.) A. Frothy urine B. Periorbital edema C. Ill appearance D. Decreased creatinine E. Hypertension
B. Periorbital edema C. Ill appearance E. Hypertension
A nurse is caring for a 10-year-old child who has acute glomerulonephritis (AGN). Which of the following findings should the nurse report to the provider? A. Serum BUN 8 mg/dL B. Serum creatinine 1.3 mg/dL C. Blood pressure 100/74 mm Hg D. Urine output 550 mL over 24 hr
B. Serum creatinine 1.3 mg/dL
What medications would be used for muscle spasms in CP(cerebral palsy)
Baclofen
A nurse is reinforcing preoperative teaching with an adolescent client who is going to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the instructions? A. "You will go home the same day of surgery." B. "You will have minimal pain." C. "You will need to receive blood." D. "You will not be able to eat until the day after surgery."
C. "You will need to receive blood."
A nurse is reinforcing teaching with the parent of a child who has pediculosis capitis. Which of the following should the nurse include when she reinforces the teaching? A. Apply mayonnaise to the affected area at night. B. Treat all household pets. C. Use an over-the-counter medication containing 1% permethrin. D. Discard the child's stuffed animals.
C. Use an over-the-counter medication containing 1% permethrin.
A nurse is preparing to administer an immunization intramuscularly to an infant. In which of the following sites should the nurse administer the injection? A. Deltoid B. Outer aspect of the upper arm C. Ventrogluteal D. Anterolateral thigh
C. Ventrogluteal
A nurse is caring for a toddler who has hip dysplasia and is in a hip spica cast. The child's mother asks the nurse why a Pavlik harness is not being used. Which of the following responses by the nurse appropriately addresses the mother's question? A. "The Pavlik harness is used for children with scoliosis, not hip dysplasia." B. "The Pavlik harness is used for school-age children." C. "The Pavlik harness cannot be used for your child because her condition is too severe." D. "The Pavlik harness is used for infants less than 6 months of age."
D. "The Pavlik harness is used for infants less than 6 months of age."
A nurse is caring for a child who is in a plaster spica cast. Which of the following is an appropriate action for the nurse to take? A. Use a heat lamp to facilitate drying. B. Avoid turning the child until the cast is dry. C. Assist the client with crutch walking after the cast is dry. D. Apply moleskin to the edges of the cast.
D. Apply moleskin to the edges of the cast.
A nurse is assisting with the plan of care for a child who has a urinary tract infection. Which of the following should the nurse include? A. Administer antidiuretic. B. Restrict fluids. C. Determine the child's self-esteem. D. Encourage frequent voiding.
D. Encourage frequent voiding.
A nurse is caring for a child. Which of the following diagnostic procedures should the nurse prepare the child for to determine if the child has Legg-Calve-Perthes disease? A. Bone biopsy B. Genetic testing C. MRI D. Radiographs
D. Radiographs
Crystorchidism
Undescended testicle
Phimosis
a congenital narrowing of the opening of the foreskin so that it cannot be retracted.
What is Ditropan (Oxybutynin) and use in children?
a medicine that helps relax the bladder muscle in patients who have an overactive bladder. It lessens your child's urge and frequency to urinate and can help reduce bedwetting.
pt in halo traction what do you need by the bedside in case of emergencies?
a wrench
what does the stool look like with a child with intussuseption?
currant jelly like stools
what can you do for a 5 yr old that wets the bed?
cut fluids back after dinner
infant in bilateral leg casts how do you decrease swelling?
elevate the legs
child with an acute fracture what are you going to do?
ice and elevation
what is a green stick fracture?
incomplete fracture one side may be broken and the other side bent
Torsion Testicle definition and treatment is it an emergency?
occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often severe pain and swelling. requires emergency surgery
s/s of acute pendicitis?
pain on RLQ, rigid abdomen, fever
what does the stool look like with a child with Hirschsprung disease
ribbon like stools
what is hydronephrosis
the swelling of a kidney due to a build-up of urine.
Where do you get salmonella from?
undercooked chicken
