Peds Exam 3 Review

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A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A. A 10-year-old child who has sickle cell anemia who reports severe chest pain. B. A ... 7-year-old child who has a diabetes insipidus and a urine specific gravity of 1.016 C. A 1 year old toddler who has roseola and a temperature of 39 C (102.2 F) D. A 4-year-old who has asthma a PCO2 of 37 mm Hg - ANSWER A. A 10-year-old child who has sickle cell anemia who reports severe chest pain. A nurse is teaching a client who starting to take methotrexate to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching? A. Avoid eating foods high in vitamin K B. Use an alcohol-based mouthwash after each meal C. Take the medication daily D. Drink at least 2 liters of water daily - ANSWER D. Drink at least 2 liters of water daily A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? A. Extremities that turned blue when exposed to cold B. Tingling feeling in the extremities C. Jerking movements of the extremities D. Spasms of the extremities - ANSWER B. Tingling feeling in the extremities A nurse is caring for a 17 year old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take? A. Initiative the IV per the patient's request B. Notify the provider of the situation C. Administer a sedative to calm the client D. Offer the client an antiemetic - ANSWER B. Notify the provider of the situation A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority? A. Place a pillow under the child's head B. Position the child side-lying C. Loosen restrictive clothing D. Clear the area of hazards - ANSWER B. Position the child side-lying A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen? A. Take the medication with an aspirin to increase effectiveness B. Take the medication with food C. Taking the maximum dose will offer stroke prevention D. Sustained-release forms may be crushed for easier administration - ANSWER B. Take the medication with food A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching? A. Eating a high fiber will reduce my risk for developing skin cancer B. I should check my skin monthly for any changes C. I should avoid the use of tanning booths D. I should use suncreen even on cloudy days - ANSWER A. Eating a high fiber will reduce my risk for developing skin cancer A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care? A. Keep the head of the bed at a 30 degree angle B. Reposition the client by log rolling every 4 hr C. Place the client in protective isolation D. Initiative the use of PCA pump for pain control - ANSWER D. Initiative the use of PCA pump for pain control A nurse working on a medical unit is caring for client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client's plan of care? A. Obtain IV access B. Keep the lights on when the client is sleeping C. Place the client's bed in the high position D. Keep a padded tongue blade available at the client's bedside - ANSWER A. Obtain IV access A nurse is a provider's office is assessing a client who has a rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? A. Anorexia B. Knuckle deformity C. Low-grade fever D. Weight loss - ANSWER B. Knuckle deformity A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is a priority action for the nurse to take? A. Perform a neurovascular assessment B. Explain the discharge instructions to the client and parents C. Provide reassurance to the client and parents D. Apply an ice pack to the casted leg - ANSWER A. Perform a neurovascular assessment A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of the following actions should the nurse take? A. Log roll the client every 2 hr B. Assist the client to sit upright in a chair for 4 hr at a time C. Expect clear drainage on the spinal dressing D. Elevate the client's legs when he is sitting in a chair - ANSWER A. Log roll the client every 2 hr A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect? A. Expressive affect B. Associative looseness C. Echolalia D. Ambivalence - ANSWER C. Echolalia A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of the following actions should the nurse take? A. Log roll the client every 2 hr B. Assist the client to sit upright in a chair for 4 hr at a time C. Expect clear drainage on the spinal dressing D. Elevate the client's legs when he is sitting in a chair - ANSWER A. Log roll the client every 2 hr A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take? A. Wrap the arm of the child's doll or toy prior to the procedure B. Tell the child, This will make your arm feel better C. Place a heated fan at the bedside to facilitate drying D. Support the casted arm with a firm grasp - ANSWER A. Wrap the arm of the child's doll or toy prior to the procedure A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed? A. Do not palpate abdomen B. No venipuncture or blood pressure in left arm C. Contact precautions D. Collect all urine - ANSWER A. Do not palpate abdomen A nurse is caring for a client who is postoperative and in skeletal traction. When assessing the client, the nurse should expect which of the following findings? (Select all that apply) A. Slight pain at the insertion site B. Serous drainage on the dressing C. Movement of the pin at the insertion site D. Elastic bandages secure around the traction ropes E. Minimal edema around the pin - ANSWER A. Slight pain at the insertion site B. Serous drainage on the dressing E. Minimal edema around the pin A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply) A. The preschooler stutters when speaking B. The preschooler mispronounces words C. The preschooler speaks in three word sentences D. The preschooler talks to himself when reading E. The preschooler speaks in a nasally tone - ANSWER B. The preschooler mispronounces words E. The preschooler speaks in a nasally tone A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this disease? A. Cardiovascular B. Gastrintestinal C. Integumentary D. Respiratory - ANSWER A. Cardiovascular A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include? A. Encourage the child to take a 45 min nap daily B. Allow the child to stay at home on days when her joints are painful C. Apply cool compresses for 20 min every hour D. Administer prednisone on an alternate-day schedule - ANSWER D. Administer prednisone on an alternate-day schedule A nurse is caring for a 2-year-old child who has seizure and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? A. Shake the container vigorously B. Be sure the child has not eaten within the hour C. Perform mouth care D. Check the child's blood pressure - ANSWER A. Shake the container vigorously A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take? A. Reposition the child every 2 hr B. Remove the traction boot during baths C. Apply antiobiotic ointment to pin sites daily D. Reduce fluid intake - ANSWER A. Reposition the child every 2 hr A home health nurse is developing a place of care for a child who has hemiplegic cerebral palsy. Which of the following foals is the priority for the nurse to include in the plan of care? A. Provide respite services for the parents B. Improve the client's communication skills C. Foster self-care activities D. Modify the environment - ANSWER D. Modify the environment A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication? A. Report of recent migraine headaches B. History of gastric ulcers C. Current diagnosis of glaucoma D. Prior reports of amenorrhea - ANSWER B. History of gastric ulcers A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care? A. Obtain rectal temperatures B. Place the newborn in the prone position C. Cover the lesion with a dry dressing D. Apply snug, clean diapers - ANSWER B. Place the newborn in the prone position A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take? A. Insert a tongue blade in the client's mouth B. Place the client on his side C. Hold the client's arms and legs from moving D. Place the client back in bed - ANSWER B. Place the client on his side A nurse is caring for a client who has increased intracranial pressure (ICP) following a close-head injury. Which of the following actions should the nurse take? A. Instruct the client to cough and deep breathe B. Place the client in a supine position C. Place a warming blanket on the client D. Use log rolling to reposition the client - ANSWER A. Instruct the client to cough and deep breathe A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take? A. Place the wheelchair at a 90 degree angle to the bed B. Lock the wheels of the bed and the wheelchair C. Acquire the help of several people to life the client D. Elevate the bed to a position of comfort for the nurse - ANSWER B. Lock the wheels of the bed and the wheelchair A nurse is caring for an 8 year old who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? A. Auscultating the rate and the characteristics of the child's heart sounds B. Using a pain rating tool to determine the severity of the joint pain C. Identifying the degree of parental anxiety related to the diagnosis D. Assessing the client's erythematous rash - ANSWER A. Auscultating the rate and the characteristics of the child's heart sounds A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A. A grey-colored, non-purpuric papular rash B. A dry, red rash across the bridge of the nose and on the cheeks C. Pitting edema of the hands and fingers D. Subcutaneous nodules on the ulnar side of the arm - ANSWER B. A dry, red rash across the bridge of the nose and on the cheeks A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Which of the following interventions should the nurse include in the plan? A. Instruct the client to flex and extend the ankle twice daily B. Monitor the client's pedal pulses every hour C. Remove the weights every four hours D. Evaluate pressure points daily - ANSWER B. Monitor the client's pedal pulses every hour A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parents indicates an understanding of the teaching? A. I will feed my baby on a schedule every 4 hours B. I will add Polycose to each of my baby's bottles C. I will allow my baby to take as much time as needed to finish the bottle D. I will limit my babies crying to 15 prior to each feedings - ANSWER B. I will add Polycose to each of my baby's bottles A nurse is reviewing laboratory values for a client who has systemic lupus erythematous (SLE). Which of the following values should give the nurse the best indication of the client's renal function? A. Serum creatinine B. Blood urea nitrogen (BUN) C. Serum sodium D. Urine-specific gravity - ANSWER A. Serum creatinine A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching? A. I only need to catheterize myself twice every day B. I carry a water bottle with me because I drink a lot of water C. I use a suppository every night to have a bowel movement D. I do wheelchair exercises while watching TV - ANSWER [Show More]

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