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Peds test 2

A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority? -placing the toddler in a quiet environment One of the characteristics of children with KD is irritability. They are often inconsolable. Placing the child in a quiet environment may help quiet the child and reduce the workload of the heart. The child
Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? -Notify the physician immediately-For the child with Hirschsprung disease, fever and explosive diarrhea indicate enterocolitis, a life- threatening situation. Therefore, the physician should be notified immediately. Generally, because of the intestina
A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following? -Hirschsprung disease-Failure to pass meconium within the first 24 hours after birth may be an indication of Hirschsprung disease, a congenital anomaly resulting in mechanical obstruction due to inadequate motility in an intestinal segment. Failure to
When assessing a child for possible intussusception, which of the following would be least likely to provide valuable information? -Family history-Because intussusception is not believed to have a familial tendency, obtaining a family history would provide the least amount of information. Stool inspection, pain pattern, and abdominal palpation would reveal possible indicators of
A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first -place the child in knee-to-chest position-the child is experiencing a "tet spell" or hypoxic episode. Therefore the nurse should place the child in a knee-to- chest position. Flexing the legs reduces venous flow of blood from lower extremities and re
Which of the following would the nurse perform to help alleviate a child's joint pain associated with rheumatic fever? -using a bed cradle to avoid the weight of bed lines on the joints -for a child with arthritis associated with rheumatic fever, the joints are usually so tender that even the weight of bed linens can cause pain. Use of the bed cradle is recommended to
Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease? Susceptibility to respiratory infection-Children with congenital heart disease are more prone to respiratory infections. Bleeding tendencies, frequent vomiting, and diarrhea and seizure disorders are not associated with congenital heart disease.
While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised? -Sucking ability-Because of the defect, the child will be unable to from the mouth adequately around nipple, thereby requiring special devices to allow for feeding and sucking gratification. Respiratory status may be compromised if the child is fed im
When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions? -Prone-Postoperatively children with cleft palate should be placed on their abdomens to facilitate drainage. If the child is placed in the supine position, he or she may aspirate. Using an infant seat does not facilitate drainage. Side-lying does not
When developing the teaching plan for the parents of a 12 month old infant with hypospadias and chordee repair, which of the following would the nurse expect to include as most important? -preventing the child from disrupting the catheter by using soft restraints -The most important consideration for a successful outcome of this surgery is maintenance of the catheters or stents. A 12 month old likes to explore his environment. Applying
When assessing a 12 year old child with Wilm's tumor, the nurse should keep in mind that it most important to avoid which of the following? -palpating the child's abdomen-The abdomen of the child with Wilm's tumor should not be palpated because of the danger of disseminating tumor cells. The child with Wilm's tumor should always be handled gently and carefully
Which of the following nursing diagnosis would the nurse identify as a priority for the infant with tracheoesophageal fistula (TEF)? risk of injury related to increased potential for aspiration -because the blind pouch associated with TEF fills quickly with fluids, the child is at risk for aspiration. Children with TEF usually develop aspiration pneumonia.
A child presents to the emergency room with the history of ingesting a large amount of acetaminophen. For which of the following would the nurse assess? -
Created by: ballenx