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peds 42
| Question | Answer |
|---|---|
| The nurse is developing a plan of care for the child hospitalized with nonorganic failure to thrive (NFTT). The following nursing interventions would be included in this plan. Which nursing intervention would be the highest priority for this child? | The nurse should teach and support the caregiver. |
| The nurse has gathered the following data on four different children. Which child will likely be further assessed and tested for autism spectrum disorder? | a 14-month-old whose reaction to his caregiver leaving him is to calmly repeat the statement, "Bye bye, Will. Bye bye, Will." |
| When weighing and measuring an adolescent whose ideal body weight is 105 pounds, the nurse would identify the child as obese if the child weighs which ofthe following? | 126 pounds |
| "It won't matter much, but okay, I'll be ready in a minute." The nurse recognizes that the child's seeming well-being and drastic change in behavior should be further investigated to determine if the child: | is planning to commit suicide. |
| During the visit, the same child climbs off the table several times even after the nurse has asked him to stay on the table. Each time the nurse reminds him he says, "Oh, yeah," and happily climbs back up. The nurse suspects that the child has: | attention deficit hyperactive disorder (ADHD). |
| The nurse is collecting data on an 18-month-old old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis? | The child does not make eye contact. |
| The nurse is observing a group of 2- and 3-year-olds in a play group. Which behavior noted in one of the children indicates to the nurse that the child mayhave autism spectrum disorder (ASD)? | While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack. |
| The nurse is working with a group caregivers of children who are diagnosed with autism. Which statement made by the parents shows an example of echolalia? | "When she watches TV and hears a commercial, she repeats one word from the commercial but doesn't seem to understand what she issaying." |
| The nurse is working with a group of caregivers of school-aged children diagnosed with attention deficit hyperactivity disorder (ADHD). Which statement would be most appropriate for the nurse to make to this group of caregivers? | "The medications your child is on may cause a decreased appetite." |
| The nurse is working with school-aged children who are having enuresis or encopresis. What will most likely be the first step in this child'streatment? | The child will have a complete physical exam. |
| In discussing this topic, one of the nurses says she has heard that there may be physical and psychological signs that occur when a drug is no longer being used. Which term best describes what the nurse is referring to? | withdrawal symptoms |
| The ability of body tissues to endure and adapt to continued or increased use of a substance, so that the drug user requires larger doses of the drug to produce the desired effect, is called: | tolerance. |
| The most common use disorder among children and adolescents is: | . alcohol. |
| Another teen was correct in saying that most states consider a person under the influence of alcohol if the blood alcohol level is which of the following? | . 0.08 % |
| However, since he started using drugs he has no motivation, he is never on time, and he makes the worst decisions, especially when he is driving." These behaviors indicate that this adolescent was likely using which substance? | marijuana |
| Adolescent athletes sometimes take megadoses of which of the following substances because they believe it will increase their athletic abilities? | anabolic steroids |
| The nurse observes that she is diaphoretic, clenching her teeth, and complaining of blurred vision. Which substance would this adolescent most likely have been using? | ecstasy |
| The nurse is caring for a 6-month-old infant diagnosed with nonorganic failure to thrive. Which of the following would the nurse most likely have noted with this child? | The child plays and sleeps quietly for long periods of time without fussing. |
| The nurse is collecting data for a child diagnosed with nonorganic failure to thrive, and notes that the child voluntarily vomits after eating. This is referredto as: | rumination. |
| The nurse is doing a presentation on the diagnosis of bulimia to a group of pediatric nurses. Which clinical manifestation would the nurse teach this group to observe for in the adolescent with bulimia? | hypokalemia |
| Which characteristic is commonly noted in the child with anorexia nervosa? | The child has rigid study skills and ritualistic behavior. |
| The nurse is collecting data on a 16-year-old girl with the diagnosis of bulimia. What would the nurse most likely note in this child? | The child is of normal weight for her height according to the growth charts. |
| The nurse is discussing health concerns and issues with a group of caregiversof adolescents. Which statement made by a caregiver would indicate a need for follow-up by the nurse? | "Our daughter has never had any health problems, and now she has developed so many cavities." |
| The nurse is caring for a child with an eating disorder. Which is the priority treatment for the disorder? | Correct fluid and electrolyte imbalances |
| Which disorder is a concern in adulthood as well as in childhood for the person who is overweight or obese during childhood? | diabetes mellitus |
| The nurse recognizes in working with children that the child who has polyphagia will likely exhibit which of the following? | compulsive overeating |
| "I have heard that some drugs have the effect of causing an excited feeling and it makes the person more social." Which drug would most likely have the effect this caregiver is describing? | cocaine |
| In discussing this topic, one of the nurses says that sometimes a person has a compulsive need to use a substance for its satisfying or pleasurable effects. Which term best describes what the nurse is referring to? | dependence |
| tells the caregiver she doesn't feel good just before it's time to go to school. However, after the caregiver lets her stay home, she is fine by midmorning. She is also fine on weekends. Which question should the nurse prioritize to this caregiver? | "Have you explored with your child if something is causing her to be afraid to go to school?" |
| The nurse is working on forming a contract with a hospitalized adolescent diagnosed with anorexia nervosa. Which information should the nurse prioritize with the client when making the contract? | Stress to the client that he or she is in control of the outcome of the care. |
| The nurse is caring for an adolescent with anorexia nervosa. Whatintervention should the nurse include in the care of this client? | A parent expresses concern that the child has an autism spectrum disorder. The nurse obtains a health history of the symptoms to understand the parent's concern. Which question would the nurse ask first? |
Created by:
AlijahG7