On Stage Performance
Erikson stage:
parallel play
playing with blocks
push pull toys
What is Autonomy vs. Shame/Doubt or toddler (1-3 y/o)?
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take?
a. Schedule the child for a preoperative visit to the facility.
b. Inform the child she will be put to sleep during the procedure.
c. Read the child a story about a cartoon character having a similar operation.
d. Tell the child the appointment is to have her throat checked.
What is schedule the child for a preoperative visit to the facility?
Elevated blood pressure and bounding pulse in upper extremities, low blood pressure and faint pulse in lower extremities, cool skin
What is coarction of the aorta?
A child had a tonsillectomy 6 days ago and was seen in the emergency room 4 hours ago due to post-operative hemorrhage. The parent noted that her child was “swal- lowing a lot and finally began vomiting large amounts of blood.” The child’s vital signs are as follows: T 99.5°F (37.5°C), HR 124, BP 84/48, and RR 26. The nurse knows that this child is at risk for which type of renal failure? 1. CRF due to advanced disease process. 2. Prerenal failure due to dehydration. 3. Primary kidney damage due to a lack of urine flowing through the system. 4. Postrenal failure due to a hypotensive state.
What is Prerenal failure due to dehydration
A nurse is discharging a child with sickle cell anemia after an acute crisis episode. Which of the following should the nurse teach the child's parents to do?
a. Monitor the child's temperature daily.
b. Restrict outdoor play activity to 1 hr per day
c. Encourage the child to drink lots of fluids.
d. Have the child eat a high-protein diet.
What is encourage the child to drink lots of fluids?
A nurse is teaching assistive personnel to measure a newborn’s respiratory rate. Which statement indicates understanding of why the respiratory rate should be counted for a complete minute?
During a well-child checkup for an infant with tetralogy of Fallot (TOF), the child develops severe respiratory distress and becomes cyanotic. The nurse’s first action should be to: 1. Lay the child flat to promote hemostasis. 2. Lay the child flat with legs elevated to increase blood flow to the heart.
3. Sit the child on the parent’s lap, with legs dangling, to promote venous pooling. 4. Hold the child in knee-chest position to decrease venous blood return.
What is hold the child in knee to chest position to decrease venous blood return?
A nurse is caring for a child who is receiving peritoneal dialysis. Which of the following is a complication of this procedure?
a. constipation
b. metabolic acidosis
c. hypoglycemia
d. peritonitis
What is peritonitis?
A nurse is caring for a child who is 2 hr postop following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
What is crushed ice?
Toxicity: Cardiac medication
- Decreased HR
- Decreased appetite
- Nausea & vomiting
What is digoxin?
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client’s psychological needs according to Erikson?
What is administer a bolus of normal saline?
Which GI disorder has projectile vomiting, blood tinged vomit, and olive-shaped mass as a manifestation?
What is pyloric stenosis
Cyanosis at birth that progresses over the first year of life, systolic murmur, episodes of acute cyanosis and hypoxia
What is tetralogy of fallot
Usually occurs 2-6wks following untreated or partially treated URI (strep throat) w/ GABHS
What is rheumatic fever?
At how many months?
Runs clumsily
throws ball overhand
builds 3-4 blocks
jumps in place with both feet
what is 18 months?
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following findings is the nurse’s priority?
a. Blood streaking of the sputum
b. Dry mucous membranes
c. Constipation
d. Inability to clear secretions
What is inability to clear secretions?
Infection of the inner lining of the heart and valve; causative organisms include streptococcus viridians and staphylococcus aureus
What is Infective endocarditis
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse’s priority?
a. A child who has asthma and a pulse oximetry of 94%
b. A child who has nephrotic syndrome and 1+ protein on the urine dipstick
c. A child who has sickle cell anemia and a urine specific gravity of 1.030
d. A child who has insulin-dependent diabetes mellitus and a fingerstick glucose reading of 110 mg/dL
What is A child who has sickle cell anemia and a urine specific gravity of 1.030
A nurse is preparing to administer an highlight intramuscular injection to a 2-month-old infant. In which of the following sites should the nurse plan to administer the injection?
What is Vastus lateralis?
A nurse is assessing the pain level of a 3-year-old child who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use?
a. Word-graphic rating scale
b. Color tool
c. FACES pain rating scale
d. Numeric scale
What is c, FACES pain rating scale?
A child with LTB (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action?
a. tell the mother that the child must stay in the tent.
b. call the provider and obtain prescription for a mild sedative.
c. place a toy in the tent to make the feel more comfortable.
d. let the mother hold the child and direct the cool mist over the child's face.
What is d, let the mother hold the child and direct the cool mist over the child's face?
If a child has a distended abdomen and episodic diarrhea, they probably are suffering from what disease?
What is Hirschsprung's disease
A nurse is planning care of a child who has CF and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
What is administer albuterol prior to CPT
Episodic abdominal pain along with currant jelly stool and sausage shaped mass in the abdomen are sign of ________.
What is Intussusception?