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Peds Exam 2
Chapters 25, 26, 27, 29
| Question | Answer |
|---|---|
| A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child asks, "Am I going to die?" Which of the following is an appropriate response by the nurse? | "Let's talk about that. Tell me more about what you are thinking." |
| A child is experiencing an acute asthma attack in the hospital. Which treatment should the nurse anticipate? | Albuterol (bronchodilator treatment) |
| What breathing should the nurse expect in a child with asthma? | Wheezing |
| A child is diagnosed with RSV. Which precautions should the nurse implement? | Private room, Contact and droplet precautions |
| A child has Tetralogy of Fallot. Which findings should the nurse expect? | Chronic hypoxia, Clubbing of fingers |
| Which risk factors should be included in teaching about hypertension? | Poor diet, Stress, Obesity, Heredity |
| A child is prescribed iron (ferrous sulfate). Which instructions should the nurse provide? | Give with Vitamin C (Orange Juice), Use a straw to prevent tooth staining |
| What is the priority intervention for a child in sickle sell crisis? | Increase hydration IV and oral fluids |
| How should pancreatic enzymes be administered for cystic fibrosis? | With meals and snacks |
| What is the correct intervention for a nosebleed? | Lean forward, Apply pressure to nose for 10 minutes |
| What finding is expected in a child with coarctation of the aorta? | Decreased blood pressure in the legs |
| An infant becomes fatigued while feeding. What is the cause? | Inadequate oxygen to support energy metabolism |
| Which test is used to diagnose cystic fibrosis? | Sweat chloride test |
| A child with cystic fibrosis has a pulmonary infection. What finding is expected? | Inability to clear secretions |
| What is a major symptom of sickle cell disease? | Severe pain (especially in joints) |
| A child has suspected rheumatic fever. What should the nurse ask? | "Has your child has a sore throat recently?" |
| A child is receiving chemotherapy. What oral care is appropriate? | Use a soft tooth brush |
| What additional findings are seen with cystic fibrosis? | Clubbing, Barrel-shaped chest |
| A child has immune thrombocytopenia (ITP). What lab result is expected? | Decreased platelets |
| A child develops child and back pain during a blood transfusion. What is the first action? | Stop the transfusion |
| What is the most important when administering digoxin? | Give correct dose at scheduled time |
| Which findings indicate respiratory distress in a child? | Wheezing, Nasal flaring, Retractions |
| What diet is recommended for a child with cystic fibrosis? | High-fat diet |
| A child has epiglottitis. What is the priority action? | Place resuscitation equipment at bedside |
| What activity is appropriate for child with bleeding disorders? | Non-contact sports |
| What is a common finding in Hodgkin's disease? | Enlarged lymph nodes |
| Which finding is priority in CF exacerbation? | Oxygen saturation of 85% |
| Which statement shows understanding of Tetralogy of Fallot care? | "If my baby turns blue, I will hold them in a knee-chest position." |
| What should the nurse expect during a sickle cell crisis? | Severe pain |
| Which statement indicates understanding of pancreatic enzymes? | "They help digest fats." |
| What antibiotic is commonly prescribed for strep throat? | Amoxicillin |
| After tonsillectomy, what indicates bleeding? | Frequent swallowing |
| How should parents clear infant nasal secreations? | Use a bulb syringe |
| How can SIDS be prevented? | Place infant on their back to sleep |
| What test is needed for Kawasaki disease complications? | Echocradiogram |
| What non-invasive test evaluates heart structure and murmurs? | Echocragiogram |
| What helps increase iron absorption? | Vitamin C |
| What is a major risk in hemophilia B? | Excessive bleeding |
| Which statements should be included in teaching about latex allergy? | Rash and wheezing can occur, Check labels for latex, Reactions can be mild to severe, Healthcare equipment may contain latex |
| How should feeding be modified for an infant with CHF? | Small, frequent, high-calorie feedings |
| Which factors increase risk for hypertension? | Obesity, Poor diet, High sodium intake, Low potassium intake, Lack of physical activity |
Created by:
efilchner
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