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Pediatric Nursing 328 - Exam 2 Study Questions
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows that before this young woman can be examined, consent must be obtained from which source? ✔✔Herself The nurse needs to take the blood pressure of a preschool boy for the first time. What action would be best in gaining his cooperation? ✔✔Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff in place. A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother puts the hospital gown on her, but the child is crying because she wants to leave on her underpants. What is the most appropriate nursing action at this time?? ✔✔Allow her to wear her underpants. Using knowledge of child development, what approach is best when preparing a toddler for a procedure? ✔✔Demonstrate on a doll how the procedure will be done. The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not want to lose his blood. What approach is best by the nurse? ✔✔Discuss with him how his body is always in the process of making blood. A bone marrow biopsy will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. How should the nurse respond? ✔✔Holding may help your child relax. A 6-year-old child needs to drink 1 L of GoLYTELY in preparation for a computed tomography scan of the abdomen. To encourage the child to drink, what should the nurse do? ✔✔Use little cups and make a game to reward him for each cup he drinks. A toddler is being sent to the operating room for surgery at 9 AM. As the nurse prepares the child, what is the priority intervention? ✔✔Verifying that the child and procedure are correct A 5-year-old child returns from the pediatric intensive care unit after abdominal surgery. The orders state to monitor vital signs every 2 hours. On assessment, the nurse observes that the childs heart rate is 20 beats/min less than it was preoperatively. What should be the nurses next action? ✔✔Recheck the pulse and blood pressure in 15 minutes. A 10-year-old child requires daily medications for a chronic illness. Her mother tells the nurse that the child continually forgets to take the medicine unless reminded. What nursing action is most appropriate to promote adherence to the medication regimen? ✔✔Establish a contract with her, including rewards.
A 7-year-old is identified as being at risk for skin breakdown. What intervention should the nursing care plan include? ✔✔Ensuring that nutritional intake meets requirements A 6-year-old boy is hospitalized for intravenous antibiotic therapy. He eats very little on his regular diet trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. What nursing action is the most appropriate? ✔✔Request these favorite foods for him. A 14-year-old adolescent is hospitalized with cystic fibrosis. What nursing note entry represents best documentation of his breakfast meal? ✔✔One pancake, eggs, and 240 ml OJ A child, age 7 years, has a fever associated with a viral illness. She is being cared for at home. What is the principal reason for treating fever in this child? ✔✔Relief of discomfort A critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as acetaminophen. How should the nurse respond to the parents? ✔✔Antipyretics are of no value in treating hyperthermia. The nurse gives an injection in a patients room. How should the nurse dispose of the needle? ✔✔Dispose of the syringe and needle in a rigid, puncture-resistant container in the patients room. A child who has cystic fibrosis is admitted to the pediatric unit with methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse recognizes that in addition to a private room, the child is placed on what precautions? ✔✔Contact An 11-month-old hospitalized boy is restrained because he is receiving intravenous (IV) fluids. His grandmother has come to stay with him for the afternoon and asks the nurse if the restraints can be removed. What nurses response is best? ✔✔That is fine as long as you are with him. A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care? ✔✔Show the child the equipment to be used before the procedure. A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, what should the nurse do? ✔✔Prepare the child for conscious sedation being used for the procedure. Frequent urine tests for specific gravity are required on a 6-month-old infant. What method is the most appropriate way to collect small amounts of urine for these tests? ✔✔Aspirate urine from cotton balls inside the diaper with a syringe without a needle. A child has a central venous access device for intravenous (IV) fluid administration. A blood sample is needed for a complete blood count, hemogram, and electrolytes. What is the appropriate procedure to implement for this blood sample? ✔✔Withdraw a blood sample equal to the amount of fluid in the device, discard, and then withdraw the sample needed.
A laboratory technician is performing a blood draw on a toddler. The toddler is holding still but crying loudly. The nurse should take which action? ✔✔Do nothing. Its Okay for a child to cry during a painful procedure. At which age should a nurse keep teaching time short (5 minutes)? ✔✔Toddler The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing action is appropriate? ✔✔Check to be sure the Tylenol dose does not exceed 15 mg/kg. The nurse is administering an IM injection into a vastus lateralis muscle of a 6-month-old infant. What should the length of the needle and amount to be given be? ✔✔5/8 to 1 inch; 0.5 to 1.0 ml The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, Do it later, okay? What action should the nurse take? ✔✔Start the IV line and then allow for expression of feelings. The nurse is preparing to administer a liquid medication by a nasogastric feeding tube. What is the first thing the nurse should do? ✔✔Check the pH of the gastric aspirate. To facilitate the administration of an oral medication to a preschool-age child, what action should the nurse take? ✔✔Set limits about the need to take medication and offer praise immediately after the task is accomplished. A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing intervention should be implemented for the child? ✔✔Hold the child while rocking in a chair after each injection. When checking the intravenous (IV) site on a child, the nurse should take which action? ✔✔Look at the site while palpating the area. The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures. What interventions should be included in the childs care plan? ✔✔-Place a call light and desired items within reach.
- Have the child wear an appropriate-size gown and nonskid footwear. . What methods should the nurse use to measure compliance to a treatment plan? ✔✔Pill counts Chemical assays Direct observation Monitoring therapeutic response What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child? ✔✔Nutrition consult Using skin moisturizers Turning the child every 2 hours
Using draw sheets to minimize shear The nurse is preparing to obtain a nasal washing from a child. What equipment should the nurse gather for the procedure? ✔✔Syringe with tubing Sterile normal saline The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What should the nurse include in the teaching session? ✔✔The child has a stiff neck. The fever is over 40.6 C (105 F). The child is younger than 2 months. What strategies should the nurse implement to assist in feeding a sick child? ✔✔Make mealtimes pleasant. Avoid foods that are highly seasoned. Provide finger foods for young children. Ensure a variety of foods, textures, and colors. What disease processes require contact isolation? ✔✔Rotavirus Hepatitis A Respiratory syncytial virus What disease processes require airborne precautions? ✔✔Measles Varicella Tuberculosis What are the advantages of an implanted port (Port-a-Cath)? ✔✔Reduced risk of infection Reduced cost for the family Placed completely under the skin What play activities should the nurse implement to encourage fluid intake for a child? ✔✔Have a tea party. Use a crazy straw. Cut gelatin into fun shapes. Make ice pops using the child's favorite juice. Urinary tract anomalies are frequently associated with what irregularities in fetal development? ✔✔Malformed or low-set ears What urine test result is considered abnormal? ✔✔pH 4. What diagnostic test allows visualization of renal parenchyma and renal pelvis without exposure to external-beam radiation or radioactive isotopes? ✔✔Renal ultrasonography What name is given to inflammation of the bladder? ✔✔Cystitis
A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse recognizes that the childs prognosis is related to what factor? ✔✔Response to steroid therapy A 12-year-old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor? ✔✔The amount of hematuria is not a reliable indicator of the seriousness of renal injury. What condition is the most common cause of acute renal failure in children? ✔✔Severe dehydration A child is admitted in acute renal failure (ARF). Therapeutic management to rapidly provoke a flow of urine includes the administration of what medication? ✔✔Mannitol (Osmitrol) or furosemide (Lasix) (or both) What major complication is associated with a child with chronic renal failure? ✔✔Water and sodium retention What diet is most appropriate for the child with chronic renal failure (CRF)? ✔✔Low in phosphorus What nursing consideration is most important when caring for a child with end-stage renal disease (ESRD)? ✔✔Multiple stresses are placed on children with ESRD and their families because childrens lives are maintained by drugs and artificial means. The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to what underlying cause? ✔✔Resentment of the control and enforced dependence imposed by dialysis What statement is an advantage of peritoneal dialysis compared with hemodialysis? ✔✔It is easy to learn and safe to perform. What statement is descriptive of renal transplantation in children? ✔✔It is the preferred means of renal replacement therapy in children. The nurse is conducting discharge teaching with the parent of a 7-year-old child with minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a correct understanding of the teaching? ✔✔I should not add additional salt to any of my childs meals. What is the narrowing of preputial opening of foreskin called? ✔✔Phimosis Identification and treatment of cryptorchid testes should be done by age 2 years. What is an important consideration? ✔✔Treatment is necessary to maintain the ability to be fertile when older.
Congenital defects of the genitourinary tract, such as hypospadias, are usually repaired as early as possible to accomplish what? ✔✔Promote development of normal body image. The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son. The nurse replies based on what knowledge? ✔✔Additional surgery may be necessary to achieve continence. An infant has been diagnosed with bladder obstruction. What do symptoms of this disorder include? ✔✔Posturination dribbling The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurses intervention include? ✔✔Explain the disorder so they can explain it to others. Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl. The nurse answers the parents based on what knowledge? ✔✔Gender assignment involves collaboration between the parents and a multidisciplinary team. Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what? ✔✔Prevent damage to the undescended testicle. What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS) who has scrotal edema? ✔✔Elevate the scrotum with a rolled washcloth. What do the clinical manifestations of minimal change nephrotic syndrome include? ✔✔What do the clinical manifestations of minimal change nephrotic syndrome include? For minimal change nephrotic syndrome (MCNS), prednisone is effective when what occurs? ✔✔Diuresis occurs as urinary protein excretion diminishes A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after administration of prednisone. The nurse realizes further teaching is required if the parents state what? ✔✔We understand our child will not be able to attend school, so we will arrange for home schooling. A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What would be the nurses best response? ✔✔Urine output will increase. A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis during this acute phase to show? ✔✔Hematuria and proteinuria
What signs and symptoms are indicative of a urinary tract disorder in the childhood period (2 to 14 years)? ✔✔Fatigue Growth failure Blood in the urine What dietary instructions should the nurse give to parents of a child in the oliguria phase of acute glomerulonephritis with edema and hypertension? ✔✔Moderate sodium restriction Limit foods high in potassium What dietary instructions should the nurse give to parents of a child with minimal change nephrotic syndrome with massive edema? ✔✔No salt added at the table Restriction of foods high in sodium A child is hospitalized in acute renal failure and has a serum potassium greater than 7 mEq/L. What temporary measures that will produce a rapid but transient effect to reduce the potassium should the nurse expect to be prescribed? ✔✔Calcium gluconate Sodium bicarbonate Glucose 50% and insulin Parents of a child who will need hemodialysis ask the nurse, What are the advantages of a fistula over a graft or external access device for hemodialysis? What response should the nurse give? ✔✔There are fewer complications with a fistula. There is less restriction of activity with a fistula. It produces dilation and thickening of the superficial vessels. What are signs and symptoms of a possible kidney transplant rejection in a child? ✔✔Fever Diminished urinary output Swelling and tenderness of graft area What test is used to screen for carbohydrate malabsorption? ✔✔Stool pH A toddlers mother calls the nurse because she thinks her son has swallowed a button type of battery. He has no signs of respiratory distress. The nurses response should be based on which premise? ✔✔The location needs to be confirmed by radiographic examination. The mother of a child with cognitive impairment calls the nurse because her son has been gagging and drooling all morning. The nurse suspects foreign body ingestion. What physiologic occurrence is most likely responsible for the presenting signs? ✔✔The object may be lodged in the esophagus. What is a high-fiber food that the nurse should recommend for a child with chronic constipation? ✔✔Popcorn
A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation. What should the therapeutic plan initially include? ✔✔Bowel cleansing What statement best describes Hirschsprung disease? ✔✔The colon has an aganglionic segment. What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction? ✔✔Marking the point of measurement with a pen A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. How should the nurse prepare this child? ✔✔It is essential because it will be an adjustment. A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is the purpose of the NG tube? ✔✔Prevent abdominal distention. A parent of an infant with gastroesophageal reflux asks how to decrease the number and total volume of emesis. What recommendation should the nurse include in teaching this parent? ✔✔Thicken feedings and enlarge the nipple hole. After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric (NG) tube. What nursing action is most appropriate to perform at this time ✔✔Notify the practitioner. An adolescent with irritable bowel syndrome comes to see the school nurse. What information should the nurse share with the adolescent? ✔✔Stress management may be helpful. What clinical manifestation should be the most suggestive of acute appendicitis? ✔✔Colicky, cramping, abdominal pain around the umbilicus When caring for a child with probable appendicitis, the nurse should be alert to recognize which sign or symptom as a manifestation of perforation? ✔✔Sudden relief from pain The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. What intervention is appropriate to relieve the abdominal discomfort during the evaluation? ✔✔Allow the child to assume a position of comfort. What statement is most descriptive of Meckel diverticulum? ✔✔Intestinal bleeding may be mild or profuse. One of the major differences in clinical presentation between Crohn disease (CD) and ulcerative colitis (UC) is that UC is more likely to cause which clinical manifestation? ✔✔Rectal bleeding
The nurse is caring for an infant who had surgical repair of a tracheoesophageal fistula 24 hours ago. Gastrostomy feedings have not been started. What do nursing actions related to the gastrostomy tube include? ✔✔Leave the tube open to gravity drainage. What should preoperative care of a newborn with an anorectal malformation include? ✔✔Gastrointestinal decompression A child who has just had definitive repair of a high rectal malformation is to be discharged. What should the nurse address in the discharge preparation of this family? ✔✔Changes in stooling patterns to report to the practitioner The parents of a newborn with an umbilical hernia ask about treatment options. The nurses response should be based on which knowledge? ✔✔The defect usually resolves spontaneously by 3 to 5 years of age. The nurse is preparing to care for a newborn with an omphalocele. The nurse should understand that care of the infant should include what intervention? ✔✔Covering the intact bowel with a nonadherent dressing to prevent injury What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia? ✔✔Liver transplantation may be needed eventually. A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse suspect? ✔✔Hirschsprung disease A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include? ✔✔Assessing bowel function An infant is born with a gastroschisis. Care preoperatively should include which priority intervention? ✔✔Covering the defect with a sterile bowel bag What is the purpose in using cimetidine (Tagamet) for gastroesophageal reflux? ✔✔The medication reduces gastric acid secretion. A health care provider prescribes feedings of 1 to 2 oz Pedialyte every 3 hours and to advance to 1/2 strength Similac with iron as tolerated postoperatively for an infant who had a pyloromyotomy. The nurse should decide to advance the feeding if which occurs? ✔✔The infant is taking the Pedialyte without vomiting or distention. The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest? ✔✔Corn on the cob with butter
An infant with short bowel syndrome will be on total parenteral nutrition (TPN) for an extended period of time. What should the nurse monitor the infant for? ✔✔Central venous catheter infection, electrolyte losses, and hyperglycemia A child is being admitted to the hospital with acute gastroenteritis. The health care provider prescribes an antiemetic. What antiemetic does the nurse anticipate being prescribed? ✔✔Ondansetron (Zofran) The nurse should instruct parents to administer a daily proton pump inhibitor to their child with gastroesophageal reflux at which time? ✔✔30 minutes before breakfast An infant had a gastrostomy tube placed for feedings after a Nissen fundoplication and bolus feedings are initiated. Between feedings while the tube is clamped, the infant becomes irritable, and there is evidence of cramping. What action should the nurse implement? ✔✔Vent the gastrostomy tube. What intervention is contraindicated in a suspected case of appendicitis? ✔✔Enemas The nurse is caring for a child with Meckel diverticulum. What type of stool does the nurse expect to observe? ✔✔Currant jellylike The nurse is evaluating the laboratory results of a stool sample. What is a normal finding? ✔✔The nurse is evaluating the laboratory results of a stool sample. What is a normal finding? The nurse is teaching a parent of a 6-month-old infant with gastroesophageal reflux (GER) before discharge. What instructions should the nurse include? ✔✔Prescribed cimetidine (Tagamet) should be given 30 minutes before feedings. Hold the infant in the prone position after a feeding. The nurse is preparing to admit a 3-year-old child with intussusception. What clinical manifestations should the nurse expect to observe? ✔✔Passage of red, currant jellylike stools Tender, distended abdomen Sudden acute abdominal pain The school nurse is teaching a group of adolescents about avoiding contaminated water during a mission trip. What should the nurse include in the teaching? ✔✔Ice Meats Raw vegetables Unpeeled fruits The nurse is teaching parents about high-fiber foods that can prevent constipation. What foods should the nurse include in the teaching? ✔✔Lima beans Baked beans Raisin bran cereal
Jaundice is present The mode of transmission is principally by the parenteral route. The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe? ✔✔Pain is common. Weight loss is severe. Diarrhea is moderate to severe. What term is defined as the volume of blood ejected by the heart in 1 minute? ✔✔Cardiac output A chest radiography examination is ordered for a child with suspected cardiac problems. The childs parent asks the nurse, What will the x-ray show about the heart? The nurses response should be based on knowledge that the radiograph provides which information? ✔✔Supplies information on heart size and pulmonary blood flow patterns A 6-year-old child is scheduled for a cardiac catheterization. What consideration is most important in planning preoperative teaching? ✔✔Preoperative teaching should be adapted to his level of development so that he can understand. After returning from cardiac catheterization, the nurse monitors the childs vital signs. The heart rate should be counted for how many seconds? ✔✔ 60 The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is too wet. The nurse finds the bandage and bed soaked with blood. What nursing action is most appropriate to institute initially ✔✔Apply direct pressure above the catheterization site. What statement best identifies the cause of heart failure (HF)? ✔✔Consequence of an underlying cardiac defect The nurse finds that a 6-month-old infant has an apical pulse of 166 beats/min during sleep. What nursing intervention is most appropriate at this time? ✔✔Report data to the practitioner. What drug is an angiotensin-converting enzyme (ACE) inhibitor? ✔✔Captopril (Capoten) A 2-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than which rate? ✔✔90 beats/min What clinical manifestation is a common sign of digoxin toxicity? ✔✔Vomiting The parents of a young child with heart failure (HF) tell the nurse that they are nervous about giving digoxin. The nurses response should be based on which knowledge? ✔✔Parents need to learn specific, important guidelines for administration of digoxin.
What nutritional component should be altered in the infant with heart failure (HF)? ✔✔Increase in calories Decreasing the demands on the heart is a priority in care for the infant with heart failure (HF). In evaluating the infants status, which finding is indicative of achieving this goal? ✔✔Appropriate weight gain for age The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes the risk of cerebrovascular accidents (strokes) occurring. What strategy is an important objective to decrease this risk? ✔✔Prevent dehydration. A 3-month-old infant has a hypercyanotic spell. What should be the nurses first action? ✔✔Place the child in the kneechest position. A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in which condition? ✔✔Heart failure What blood flow pattern occurs in a ventricular septal defect? ✔✔Increased pulmonary blood flow The physician suggests that surgery be performed for patent ductus arteriosus (PDA) to prevent which complication? ✔✔Pulmonary vascular congestion What cardiovascular defect results in obstruction to blood flow? ✔✔Aortic stenosis
. What structural defects constitute tetralogy of Fallot? ✔✔Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. How should the nurse reply to this concern? ✔✔The child needs opportunities to play with peers. What preparation should the nurse consider when educating a school-age child and the family for heart surgery? ✔✔Let the child hear the sounds of a cardiac monitor, including alarms. Seventy-two hours after cardiac surgery, a young child has a temperature of 38.4 C (101.1 F). What action should the nurse perform? ✔✔Report findings to the practitioner. What nursing consideration is important when suctioning a young child who has had heart surgery? ✔✔Administer supplemental oxygen before and after suctioning.
An infant has tetralogy of Fallot. In reviewing the record, what laboratory result should the nurse expect to be documented? ✔✔Polycythemia What child has a cyanotic congenital heart defect? ✔✔A 2-month-old infant with tetralogy of Fallot The nurse is teaching parents about administering digoxin (Lanoxin). What instructions should the nurse tell the parents? ✔✔Give the medication at regular intervals. Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The nurse knows a sign of HF is what? ✔✔Wheezing The health care provider suggests surgery be performed for ventricular septal defect to prevent what complication? ✔✔Pulmonary hypertension A 1-year-old has been admitted for complete repair of a tetralogy of Fallot. What assessment finding should the nurse expect to be documented? ✔✔Increasing cyanosis A 6-month-old infant presents to the clinic with failure to thrive, a history of frequent respiratory infections, and increasing exhaustion during feedings. On physical examination, a systolic murmur is detected, no central cyanosis, and chest radiography reveals cardiomegaly. An echocardiogram is done that shows left-to-right shunting. This assessment data is characteristic of what? ✔✔Ventricular septal defect An infant is diagnosed with transposition of the great vessels. Prostaglandin E1 is given intravenously. The parents ask how long the child will remain on the prostaglandin E1. What is the appropriate response by the nurse? ✔✔Prostaglandin E1 will be given continuously until corrective surgery is performed. What medication used to treat heart failure (HF) is a diuretic? ✔✔Hydrochlorothiazide (Diuril) The nurse is preparing to give digoxin (Lanoxin) to a 9-month-old infant. The nurse checks the dose and draws up 4 ml of the drug. The most appropriate nursing action is which? ✔✔Do not give the dose; suspect a dosage error. A 12-year-old child with Down syndrome is admitted to the hospital for surgical correction of a heart defect. The boys mental age is that of a 3-year-old child. The nurse should prepare the child and family for surgery by what method? ✔✔Provide teaching to the parents, keeping the information to the child simple. Bacterial infective endocarditis (IE) should be treated with which protocol? ✔✔Bacterial infective endocarditis (IE) should be treated with which protocol?
A child is recovering from Kawasaki disease (KD). The child should be monitored for which? ✔✔Electrocardiograph (ECG) changes The test that provides the most reliable evidence of recent streptococcal infection is which? ✔✔Antistreptolysin O test The nurse is caring for a child with Kawasaki disease in the acute phase. What clinical manifestations should the nurse expect to observe? ✔✔Cervical lymphadenopathy Strawberry tongue Erythematous palms The nurse is caring for a child after cardiac surgery. What interventions should the nurse implement with regard to chest tubes placed to a water-seal drainage system? ✔✔Maintain sterility. Check for tube patency. Do not interrupt the water-seal drainage system.
. The nurse is caring for a child with secondary hypertension. What renal disorders are associated with secondary hypertension? ✔✔Renal tumor Hydro nephrosis Glomerulonephritis The nurse is teaching an adolescent with hypertension foods recommended on the DASH diet. What foods should the nurse include in the teaching session? ✔✔Green beans Low-fat yogurt Whole grain bread An adolescent is being placed on an ACE inhibitor. What should the nurse inform the adolescent with regard to this medication? ✔✔Stay well hydrated. Avoid rapid position changes. Avoid rapid position changes. An adolescent is being placed on a beta-blocker. What should the nurse inform the adolescent with regard to this medication? ✔✔Side effects may include bradycardia. Medication may cause fatigue. Side effects may include impotence. An adolescent is being placed on a calcium channel blocker. What should the nurse inform the adolescent with regard to this medication? ✔✔The medication may increase heart rate. The medication may cause constipation. The medication may cause peripheral edema. The nurse is teaching an adolescent with elevated triglycerides foods that should be decreased. What foods should the nurse include in the teaching? ✔✔White flour
