Shared Flashcard Set

Details

N380 Peds final
Final exam for Peds
136
Nursing
Undergraduate 3
12/09/2011
Click here to study/print these flashcards.

Create your own flash cards! Sign up here.

Additional Nursing Flashcards

 

 

Cards

Term
Cast application
 Definition
–use palms of hands to prevent indents/pressure points
Term
Instruct the child (cast care)
 Definition
-no foreign objects under the cast to avoid trauma to the skin.
Term
Complications of cast care
 Definition
-Tightness
–Severe pain
Term
*Fractures: 6 Ps -abnormal
 Definition
Pain -Increasing pain not relieved
with elevation or pain medication

Paresthesia–Numbness or tingling, pins
and needles sensation

Pallor–increased cap refill, blue fingers or toes

Polar–cool/cold fingers or toes

Paralysis –Unable to move fingers or toes unable to plantar/dorsiflexankle

Pulses-Weak palpable pulses & unable to palpate

NOTIFY HCP IMMEDIATELY!!
Term
*Compartment Syndrome
 Definition
–swelling causes pressure/tightness within the closed space
Pain is the hallmark sign, pain out of proportion to the normal clinical course. Notify MD immediately
Term
Compartment syndrome and cast care
 Definition
Cast must be removed or irreversible neurovascular, muscular, vascular damage occurs that can lead to renal failure and death.
Term
Skin traction
 Definition
uses a pulling force that is applied by weights
Term
Skeletal traction
 Definition
uses a continuous pulling force that is applied directly to the bone by weights attached by a rope
Term
Traction serves to?
 Definition
Stretch the muscle -Reduce muscle spasm
Realign bone fragments
Provide rest
Prevent or improve deformity
Immobilization
Term
Traction care
 Definition
Maintain body alignment Avoid lifting or removing weights. Do Not Adjust
Routinely monitor the child’s skin integrity and document.
Assess pin site for pain, redness, swelling, drainage, or odor.
Promote frequent position changing within restrictions of traction.
Assure that weights hang freely
Term
Goal of traction:
 Definition
to prevent muscle from contracting
Term
*Skin Breakdown Prevention
 Definition
Monitor skin at least every 2-hours
Reposition the child's extremity frequently
Use pressure reducing devices
Change child’s position frequently
Avoid harsh cleaning products
Term
*Club Foot care
 Definition
X-ray to determine bone placement and tissue involved for clubfoot.
Use manipulation and serial casting
Minor deformity may correct spontaneously or through passive exercise.
Surgery is performed between 4 to 12 months if full correction is not achieved with casting
Term
*Scoliosis: Clinical Manifestations
 Definition
Lateral curvature of spine of more than 10°
Most noticeable during the preadolescent growth spurt
Pain is not a normal finding
Often present with uneven hemline or poor fitting slacks or skirts
Unequal scapula
Unequal hips
Term
*Scoliosis: Post-operative
 Definition
Assist with respiratory therapy procedures
PCA-for pain
Log roll -to prevent damage to spinal fusion
Additional pain meds for break through pain as requested
Keep skin clean and dry
Giving emotional encouragement
Term
*Osteomyelitis: Management
 Definition
Culture of the blood
Aspiration at site of infection
Intravenous antibiotics x 4-8 weeks
PO antibiotics if ESR rate going down
Monitor ESR
–Decrease in levels indicates improvement
Term
The nurse is caring for a 10 year old girl in traction, the girl is experiencing muscle spasms associated with the traction. What would the nurse expect to administer as ordered?
 Definition
Diazepam
Term
The nurse is caring for a 6 year old boy with Russell's traction applied to his left leg what is the most appropriate nursing intervention to prevent complications?
 Definition
Assess the popliteal region carefully for skin breakdown
Term
The nursei is caring for a 14 year old boy in Buck's traction for a slipped capital femoral epiphysis (SCFE) WHat would be included in the neurovascular assessment of the affected leg?
 Definition
color, sensation, movement, pulse of the affected extremity
Term
The nure is assessing a 10 year old girl recently fitted with a cast on her wrist. Which assessment finding would alert the nurse to a possible infection?
 Definition
Drainage or foul smell
Term
The nurse is caring for an 8 month old in Bryant's traction for developmental dysplasia of the hip and is monitoring for complications. What assessment findings would alert the nurse to possible complications?
 Definition
A weak pedal pulse
Term
The nurse is caring for a child with Rickets. What test result would the nurse expect to find in the patient's chart?
 Definition
Low serum Calcium and Phosphate, high alk phos
Term
The ED nurse is caring for a 3 year old girl with an arm injury. The mother is very upset because she believes that she broke her daughter's arm: she was lifting the girl up by her hands and she felt a pop at the girls wrist. The child instantly began screaming and is now guarding and refusing to move her arm. WHat is the most appropriate response by the nurse?
 Definition
"Don't worry, we see this every day. It's easily fixed with no complications"
Term
A nurse is caring for a 3 year old boy with a fracture of the humerus. His chart indicates that his "fracture is partially throught he physis extending into the metaphysis" what is the correct Salter-Harris classification?
 Definition
Type II
Term
A nurse is conducting a physical examination on an 11 year old boy with slipped capital femoris epiphysis or Legg-Calve-Perthes disease. What assessment finding would be expected?
 Definition
Trendelenburg gate
Term
Th nurse is caring for an active 11 year old with tenderness in his shoulder. He is the pitcher for his baseball team and complains of shoulder pain with active internal rotation but is able to continue past the pain with full range of motion. Based on the reported symptoms the nurse is aware that the disorder is?
 Definition
Epiphysiolysis of the proximal humerus
Term
The nurse is providing home care instructions for the parents of an infant with cradle cap. Which of the following responses indicates the need for further teaching.
 Definition
We can scrape the crusts off his scalp with a cotton swab
Term
The nurse is caring for a 15 year old boy with psoriasis. In addition to the plaques, which of the following physical findings would the nurse expect to note?
 Definition
Fissures and scaling on the palms and soles
Term
A nurse is caring for a child with a partial thickness burn, which of the following assessment findings would the nurse expect to note on the burn?
 Definition
Edematous with wet apperance and blisters
Term
The nurse is providing teaching for hoe wound care. Which of the following responses indicates a need for further teaching?
 Definition
"We can apply calendula preparation for wound healing"
Term
The nurse is caring for a 2 year old boy with a burn. Which of the following findings would warrant a referral to a burn unit?
 Definition
The boy has suffered a chemical burn
Term
he nurse is caring for a 7 year old child with burns. Which of the following physical findings would be a sign of child abuse-induced burn?
 Definition
Stocking or glove pattern on hands or feet
Term
The nurse is caring for a child with a suspected fungal infection. Which of teh following tests should the nurse expect to prepare as ordered?
 Definition
Potassium Hydroxide (KOH)prep
Term
The nurse is caring for a child with urticaria. Which of the following is a priority nursing assessment?
 Definition
Assess airway, breathing and note any wheezing or stridor
Term
The nurse is caring for a 13 year old girl with acne vulgaris. The nurse is providing teaching on skin care. Which of the following responses from the girl requires further teaching?
 Definition
"I should avoid eating any kind of chocolate"
Term
The nurse is administering mepreidine as ordered for pain management for a 10 year old boy in sickel cell crisis. The nurse knows to watch for which complication associated with meperidine
 Definition
Seizure
Term
The nurse is caring for a 10 year old girl with iron toxicity. What would the nurse expect to administer for a child with this disorder?
 Definition
Desferal
Term
The nurse is caring for a child in sickel cell crisis, to best promote hemodilution, the nurse would expect to administer how much fluid per day?
 Definition
150 mL/kg of fluids or as much as double maintenance (orally or intravenously)
Term
Teh nurse is caring for a 10 year old boy with hemophilia. He asks the nurse's advice on appropriate physical activities. Which of the following activities would be best for him?
 Definition
aseball, swimming, basketball and bicycling (with a helmet)
Term
The nurse is providing family education for the prevention or early recognition of vaso-occlusive events in sickle cell anemia. which response by family members indicates the need for furhter teaching?
 Definition
"We should call the Dr. for any fever over 100 degrees"
Term
The nurse is caring for a 2 year old with sickle cell anemia. The nurse is teaching about acute versus chronic manifestations of sickle cell anemia. Which statement by the mother indicates the need for further teaching?
 Definition
"Only the acute manifestations like splenic sequestration are life threatening"
Term
A 10 month old has been admitted to the hospital with hemolytic anemia and chronic hypoxia. The nurse notes icteral sclerae, jaundice of the skin, and frontal and maxillary bossing. based on these assessment findings, the nurse is aware that the disorder is?
 Definition
Beta thalessemia major
Term
The nurse is reveiwing the results for a clotting study on a healthy 6 year old. WHat is the expected result for prothrombin time?
 Definition
11.0 to 13.0 seconds
Term
The nurse is caring for a 3 year old boy with suspected iron deficiency anemia. Which test would the nurse expect to be ordered to confirm the diagnosis?
 Definition
Serum ferritin (major iron storage protein)
Term
The nurse is providing parent teaching regarding nutrition for a 4 year old girl with thalassemia. The nurse asks the mother about good snack choices to send to preschool. Which of the following responses by the mother would indicate the need for further teaching?
 Definition
Graham crackers and peanutbutter. Iron should be avoided.
Term
The nurse is caring for a child who is beginning to show signs and symptoms of anaphylaxis. What is the priority nursinf intervention?
 Definition
Assess the patency of the airway
Term
The nurse is reviewing the results of a rheumatoid factor test of a patient with juvinile idiopathic arthritis. Which patient is most likely to demonstrate a positive rheumatoid factor?
 Definition
Adolescents with polyarticular disease
Term
The nurse is caring for a child with systemic lupus erythematosus. The Dr. will most likely order which test to monitor the child's progress?
 Definition
Complement assay (C3 and C4)
Term
The nurse is preparing to administer an intravenous immune globulin infusion. While reconstituting the product according to the manufacturer's instructions, the nurse knows to take which step for proper preparation?
 Definition
Gently roll the vila to mix the medication
Term
The nurse is providing the family education about the administration of cyclosporine. Which response indicates a need for further teaching?
 Definition
"The medication is best absorbed with the vitamin C in citrus juices."
Term
A 6 month old boy has been admitted to the hospital with severe bloody diarrhea. The nurse notes petichiae and eczema with signs of secondary infection. As the nurse documents the boy's history, the parents note easy bruising and prolonged bleeding after circumcision. Based on these findings, the nurse suspects a diagnosis of which of the following?
 Definition
Wiscott-Aldrich syndrome
Term
The nurse is caring for an infant exposed to HIV. The polymerase chain reaction (PCR) test was negative at birth. The nurse tells the mother that the child will most likely be tested again at what age?
 Definition
4 to 7 weeks and again at 8-16 weeks.
Term
The nurse is caring for a 4 year old girl with HIV. The girl is taking nucleoside analogue reverse transcriptase inhibitors (NRTI) as part of a three-drug regimen. The nurse knows to monitor for signs of a fatal hypersensitivity reaction that can occur with which of the following medicatons?
 Definition
Abacavir
Term
The nurse is providing dietary teaching doe the parents of a 4 year old boy with peanut allergy. The nurse inquires about unexpected locations of peanuts or peanut oil in food products. Which response by the mother would indicate a need for further teaching?
 Definition
"We catn go wrong with hamburgers and hotdogs" (may be a hidden ingredient in BBQ sauce.)
Term
The nurse is administering intravenous immune globulin to a 10 year old boy as ordered. What is an important nursing action related to the administration of this medication?
 Definition
Have epinephrine available.
Term
The nurse is caring for 1 month old girl with thyrotoxicosis. Which assessment is associtated with this condition?
 Definition
The child has a strong appetite but fails to thrive
Term
The nurse is assessing an 8 year old biy who is performing at the second grade level, but complains of feeling tired and weak and is only 45 inches tall. Which of the following findings would be specific to hypothyroidism?
 Definition
The child complains that the exam room is cold.
Term
The nurse is assessing a 5 year old boy whose mother says he has been vominting lately and has no appetite. Whaich signs and symptoms are unique to M type 1?
 Definition
The child has lost weight recently
Term
The nurse is caring for a 13 year old girl with delayed puberty. What is a priority nursing intervention for this child?
 Definition
Monitoring therapeutic results and side effects of medication
Term
The nurse is teaching a year old girl with DM type 1 and her parents about blood glucose monitoring. Which comment indicates a need for additional teaching?
 Definition
"The normal level is 70 to 110" The proper level is actually 80-150 for a child with type 1 DM
Term
The nurse is assessing a 5 year old boy who has had several convulsions. Which signs and symptoms would point to hypoparathyroidism?
 Definition
Observation reveals tetany
Term
The nurse is teaching a 12 year old girl with DMtype 2 and her parents dietary measures to control her glucose levels. Which comment indicates that further teaching is necessary?
 Definition
"I can have 2 small cookies with each meal"
Term
The nurse is caring for a 14 year old boy with hyperpituitarism. WHich is the priority intervention for this child?
 Definition
Administering otreotide acetate as ordered. (acromegaly)
Term
The nurse is educating the parents of a 1 month old boy with congenital adrenal hyperplasia. What is a priority teaching subject for the parents of this infant?
 Definition
Advising the parents that the child will need additional medication in times of stress, infection or surgery
Term
The nurse is teaching the parents of a 3 year old girl with diabetes insipidus how to administer desmopressin acetate (DDAVP). which comment indicates further teaching is needed?
 Definition
"If she sneezes I will wait until the next dose" this medication would actually need to be readministered immediately.
Term
The nurse is preparing a discharge teaching plan for the parents of an 8 year old girl with leukemia. Which is the priority information to be explained?
 Definition
Calling the Dr. if the child develops a sore throat
Term
The nurse is caring for a 6 year old with non-Hodgkin's lymphoma who is being treated with biotherapy drugs. Which nursing intervention would be necessary if monoclonal antibodies were administered?
 Definition
Monitoring for allergic reactions or anaphylaxis
Term
The nurse is caring for a 5 year old boy who will soon die of cancer and is experiencing dyspnea and increasing levels of pain. Which of the following nursing interventions would be the priority for pain management of a child dying of cancer?
 Definition
Preventing and alleviating pain
Term
The nurse is providing supportive care for a 12 year old boy who has finished stem cell transplantation for a realpse of Hodgkin's disease. Which of the following nursing actions would be questionsed in the care of this child?
 Definition
Monitoring for redness and desquamation of the skin
Term
The nurse is caring for a 17 year old girl in the terminal phase of osteosarcoma. WHich of the following actions is recommended by the American Academy of Pediatrics (AAP) Committee on Bioethics?
 Definition
Telling the child exactly what to expect in future treatments
Term
The nurse is caring for a 9 year old boy undergoing chemotherapy whose CBC with diff reports 7% banded and 14% segmented neutrophils with a WBC of 2540. He has an oral temp of 38.3C. What is the priority nursing intervention for this child?
 Definition
Administering braod spectrum IV antibiotics.is absolute neutrophil count (ANC) indicates that he is neutropenic.
Term
The nurse is caring for a 6 year old boy with an abdominal neuroblastoma prior to having an MRI scan without contrast done. Which of the following interventions would the nurse expect to perform?
 Definition
Administering a sedative in order to keep the child still.
Term
The nurse is assessing an 11 year old girl who was previously treated for acut elymphoblastic leukemia and is in respiratory distress. Which finding would indicate that the child has developed acute myelogenous leukemia?
 Definition
CBC indicates hyperleukocytosis. About 25% of patients present with CBCs of >100k
Term
The nurse is assessing a 10 year old girl with acute lymphoblastic leukemia. WHich signs or symptoms would be present if the central nervous system has been infiltrated?
 Definition
The child complains of facial palsy and vision problems
Term
The nurse is caring for a 2 year old girl who is recieving chemotherapy using antitumor antibiotics. Which of the following interventions would be questioned?
 Definition
Assessing the mouth for redness, lesions or ulcers- as this medicaiton does not cause these side effects.
Term
The nurse is performing an assessment on a girl with Turner syndrome. WHich of the following findings is most likely to be found by the nurse?
 Definition
Short stature and slow growth
Term
The nurse is assessing a 3 month old boy with abnormally small vertibrae who has had a colostomy. WHich assessment finding would suggest the child has VATER association?
 Definition
Assessment shows that the child ws born with only one arm.
Term
The nurse is caring for a 6 year old girl who has been diagnosed with neurofibromatosis. WHich is the priority intervention for this child and family?
 Definition
Urging the parents to schedule a yearly physical exam: checking for scoliosis, BP, opthalmology,and neuro exams should be promoted.
Term
The nurse is teaching the parents of a 14 year old boy who has been diuagnosed with Klinefelter syndrome. WHich of the following parent responses indicate the need for more teaching?
 Definition
"We could also have a girl with male characteristics" This disorder does not happen in females.
Term
The nurse is caring for a 1 year old boy with Down syndrome. WHich is the priority intervention for this child?
 Definition
Promote annual vision and hearing tests.
Term
The nurse is assessing a 7 year old girl with Down syndrome. Which of the following findings is least likely to be assessed?
 Definition
Inspectionfinds the nasal passages clear and open.
Term
The nurse is performing a physical examination of a 1 week old girl with trisomy 13. WHich of the following signs or symptoms would be among the findings?
 Definition
Observation reveals a microcephalic head
Term
The nurse is counseling a couple who are concerned that their children might inherit sickle cell disease. Which of the following responses formthe couple indicate a need for further teaching?
 Definition
The father cannot pass the gene to his son or the mother to the daughter. This is not an x linked inheritance so the father CAN pass this gene on to his son and the mother CAN pass this gene on to her daughter.
Term
The nurse is counseling a couple who are concerned about vitamin D resistant rickets because a member of the father's family has this disorder. Which of the following statements indicates that more teaching is necessary?
 Definition
If the father doesn't have the gene then the daughter won't have rickets. Vitamin D resistant rickets is an X linked dominant trait even if teh father doesn;t have the gene it can be passed from mother to daughter if the mother had this condition or was the carrier.
Term
The nurse is describing some of the developmental milestones the mother of a 3 month old boy with Down syndrome can expect to see in her child. Which statement describes the milestones that are expected in a child with Down syndrome?
 Definition
You can expect him to eat with his hands by the age of 12 months
Term
The nurse is caring for a 7 year old girl with conduct disorder. The child is very aggressive and at risk for self-harm. To promote the child's adaptive and social skills, the nurse referes the family to a therapist who specializes in which of the following types of therapy?
 Definition
Millieu therapy
Term
The nurse is caring for a 10 year old recently diagnosed with ADHD. The nurse would expect to provide teaching regarding which of the following medications?
 Definition
Methylphenidate
Term
The nurse is conducting a physical examination of a toddler whith suspected autism spectrum disorder. Which of the following assessment findings would the nurse expect to note?
 Definition
The presence of large, prominent or posteriorly rotated ears.
Term
The nurse is caring for a child who has been hospitalized repeatedly at multiple hospitals. There is no clear medical diagnosis and the mother is threatening to leave the hospital against medical advice. The nurse is alert to the warning signs of which of the following conditions?
 Definition
Munchausen syndrome by proxy
Term
The nurse is caring for a 13 year old girl with a nursing diagnosis of ineffective coping r/t inability to heal with life stressors aeb few or no meaningful friendships and low self-esteem. WHich of the following is the priority nursing intervention?
 Definition
Encourage her to discuss her thoughts and feelings
Term
The nurse is caring for a 10 year old with an anxiety disorder. During a physical exam, which of the following findings would the nurse expect to find?
 Definition
Patches of hair loss
Term
The nurse is providing teaching about the potential side effects of lithium for the parents of a girl recently diagnosed with bipolar disorder. WHich of the following responses indicates a need for further teaching?
 Definition
This medication may cause her appetite to increase and may cause weight gain
Term
The nurse is caring for a child with ADHD who has had difficulty with the side effects of the prescribed psychostimulant, particularly insomnia. The parents are considering stopping the medication and want to know if there are other options. How should the nurse respond?
 Definition
S[eak to the Dr. about atomoxetine ( a non-stimulant norepinephrine reuptake inhibitor which does not contribute to insomnia)
Term
The nurse is assessing a 6 year old with ADHD. The nurse observes teh boy making repeated clicking noises and notes he has a slight grimace. THe nurse recommends the boy recieve further evaluation for which of the following?
 Definition
Tourette's syndrome
Term
The nursei scaring for a 10 year old girl with a history of inappropriate behavior. Which of the following statements by the mother would indicate conduct disorder rather than oppositional defiant disorder?
 Definition
"She recently trampled our neighbor's flower bed"
destruction of property is a hallmark sign
Term
A 5 year old girl is breathing spontaneously but is unable to maintain an airway. WHich is the priority nursing intervention for this child?
 Definition
Insert an oropharyngeal airway
Term
A 10 year old boy with congenital heart disease is in shock. Which nursing intervention would be the most appropriate for this child?
 Definition
Assessing for pulmonary edema from fluid overload
Term
A 7 year old girl is in intensive care folowing a bicycle accident. Which intervention would be most helpful in providing support to the child's parents?
 Definition
Provide honest answers in a reassuring manner
Term
The condition of an 11 year old boy who is on mechanical ventillation begins to deteriorate. Which is the priority nursing intervention?
 Definition
Checking to see if the tracheal tube is displaced using the mnemonic DOPE
Term
The nurse is assessing the neurologic status of an 11 month old girl. Which finding would be cause for concern?
 Definition
Inspection shows sluggish pupilary reaction which may occur with increased ICP.
Term
A 4 year old girl, injured in an automobile accident, is suspected of having a head injury. Which is the priority nursing intervention for this child?
 Definition
Opening the airway with a jaw thrust maneuver
Term
A 9 year old boy nearly drowned when he fell through the ice while skating on a pond. WHich nursing intervention will resolve the child's bradycardia?
 Definition
Using a convective air warming blanket
Term
The nurse is caring for a 10 month old infant in septic shock. Which intervention would the nurse expect as most likely for this child?
 Definition
Administering intravenous dopamine as ordered.
Term
An 8 year old girl with tachycardia is alert, breathing comfortably, and exhibiting signs of adequate tissue perfusion. Which nursing intervention would be most appropriate for this child?
 Definition
Applying ice to the child's face (vagal maneuver)
Term
Which of the following would be included in the plan of care for a 6 year old girl in shock who is receiving dobutamine?
 Definition
Monitoring for ventricular arrhythmias
Term
The nurse is evaluating a parent's understnading of treatment for torticollis. Which response best indicates that the parent understands the appropriate treatment?
 Definition
Encourages the infant to turn the head to the unaffected side
Term
The nurse is providing client education related to use of a brace that the orthopedic surgeon has ordered for scoliosis in an adolescent girl. Which statement by the teen best indicates an understanding of appropriate use of the brace?
 Definition
"I will take my brace off for only 1 hour per day for showering."
Term
The nurse is caring for orthopedic patients who are in the postoperative period following spinal fusion. What is the most appropriate activity to delegate to unliscensed assistive personnel?
 Definition
Assist with log rolling teh children every 2 hours.
Term
The nurse is caring for a child with a fractured left femur who has been in skeletal traction for several days. Upon assessment, she noted that the left foot is pale, with a nonpalpable pedal pulse.What is the priority nursing intervention?
 Definition
Immediately notify the physician of this abnormal finding.
Term
A child on the hematology unit has the following a.m. lab results: gb 10.0, Hct 30.2, WBC 24000, Platelets 20000. What is the priority nursing assessment?
 Definition
Assess for bruising or bleeding
Term
A child with hemophillia fell while riding his bike. He was wearing a helmet and did not lose consciousness. He is complaining of abdominal pain. What is the priority nursing assessment?
 Definition
Carefully assess abdomen
Term
A 14 year old with thealassemia asks for your assistance in chiising her afternoon snack. Which choice is the most appropriate?
 Definition
Apple slices with cheddar cheese
Term
The nurse is caring for a child who has just been admitted to the pediatric unit with sickle cell crisis. He is complaining that his right arm and leg hurt. What is the priority nursing intervention?
 Definition
Administer pain medication every 3 hours inravenously until pain is controlled.
Term
The nurse is caring for a 6 year old with juvenile idiopathic arthritis. THe mother states the she has trouble getting her daughter out of bed in the morning and believes that the girl's behavior is hue to desire to avoid going to school. What is the best advice by the nurse?
 Definition
Administer a warm bath every morning before school.
Term
A 14 year old with systemic lupus erythematosus wants to know how to care for her skin. What should the nurse teach this adolescent?
 Definition
Use sunscreen daily to avoid rashes.
Term
The mother of a child with hypogammaglobulinemia reports that her child had a fever and slight chills with an intravenous gammaglobulin infusion last month. She wants to know what other course of treatment might be available. WHat is the best response by the nurse?
 Definition
Administration of acetominophen or diphenhydramine prior to the next infusion may decrease the incidence of fever or chills.
Term
A 4 month old infant born to an HIV infected mother is going into foster care because the mother is too ill to care for the child. THe foster mother wants to know if the infantis also infected.What is the best response by the nurse?
 Definition
The PCR test is positive; this indicates HIV infection, which may or may not origress to AIDS.
Term
A mother has reeived instructions about avoiding wheat and soy allergens. WHich response by the mother would indicate that further education is needed?
 Definition
"I will allow my child to eat semolina pasta, the kind he loves."
Term
A young mother brings her new baby, diagnnosed with congenital hypothyroidism, to the clinic so she can learn hos to administer levothyroxine, THe nurse should include which of the folloing instructions?
 Definition
Use an oral dipsnser syringe or nipple to give the crushed meedication mixed with small amount of formula.
Term
The nurse is instructing a 14 year old boy about the different typse of insulin. Since he takes NPH insulin every morning at 730 a.m., what time could he possibly have an insulin reaction?
 Definition
When he works out after school at 3 p.m.
Term
A child diagnosed with Graves' disease begins to take propylthiouracil (PTU). WHat symptoms should the parents and child observe for to determine if the dose is too high?
 Definition
Lethargy
Term
Which endocrine disorder is considered the most common one observed in early childhood?
 Definition
Diabetes mellitus
Term
When should growth hormone be given in a child who has growth hormone deficiency?
 Definition
At bedtime
Term
A 5 year old has been diagnosed with Wilms' tumor. What is the priority nursing intervention for this child?
 Definition
Avoid palpating the child's abdomen.
Term
A child with leukemia has the following a.m. lab results: Hgb 8.0, Hct 24.2, WBC 8000, platelets 150000. What is the priority nursing intervention?
 Definition
Assess for pallor, fatigue, tachycardia.
Term
A child with leukemia received chemotherapy about 10 days ago. SHe presents today with a temperature of 100.4 degrees F. an absolute neutrophil count of 500 and mild bleeding of the gums. What is the pirority nursing intervention?
 Definition
Administer IV antibiotics as ordered.
Term
A chuld with cancer is receiving cemotherapy, and his mother is concerned that the nausea and vomiting associated with chemotherapy are reducing his ability to war and gain weight appropriately. What is the most appropriate nursing action?
 Definition
Start antiemetic drugs prior to the chemotherapy infusion.
Term
YOu are counseling a couple, one of whom is addected by neurofibromatosis, an autosomal dominant disorder. They want to know the risk of transmitting the disorder. Te nurse should tell them that each offspring has a?
 Definition
One in two chance (50%)chance of getting the disease.
Term
The nurse working in a women's health clinic determines that genetic counseling may be appropriate for a woman:
 Definition
Whose history reveals a close relative with fragile X syndrome.
Term
A child born with a single transverse palmar crease. a short neck with excessive skin at the nape, a depressed nasal bridge, and cardiac defects is most likely to have which autosomal disease?
 Definition
Trisomy 21
Term
A mother brings her 4 day old infant to the clinic with vomiting and poor feeding. The newbord was healthy at birth. THe nurse should suspect:
 Definition
An inborn error of metabolism
Term
An unresponsive toddler is brought to the emergency department. Assessment reveals mottled skin color, respiratory rate of 10 and a brachial pulse of 52. What is the priority nursing intervention?
 Definition
Provide 100% oxygen with a bag valve mask and start chest compressions.
Term
A 10 year old child in respiratory distress requires intubation. Which size of ET tubes will the nurse prepare?
 Definition
6.0 and 6.5 mm
Term
A preschooler presents to the ED with a history of cvomiting, diarrhea and fever over the past few days. SHe is receiving 100% O2 via NRB. VItals are T 104.5F, P 144, R: 22, B: 70/50. SHe is listless and difficult to arouse and has weak peripheral pulses and prolonged cap refill. What nursing intervention takes priority?
 Definition
Giving an IV bolus of NS 20 mL/kg
Term
Assessment of a 12 year old who crashed his bike without a helmet reveals the following: T:99.2, P:100, R:24 with easy work of breathing, and BP:102/70. WHat is the priority action by the nurse?
 Definition
Assess neurologic status while observing for obvious injuries.
Term
AN 18 month old is brough to the ED via ambulance after an accidental ingestion. WHat is the priority nursing intervention?
 Definition
Take the child's vital signs.
Supporting users have an ad free experience!