Lagniappe I
A child has developed a diaper rash, and the parents are using zinc oxide to treat it. What does the nurse suggest to aid in the removal of the zinc oxide?
Mineral oil
You are working on an adolescence unit and are receiving an admission patient who has attempted suicide. You know that among adolescents, ______ is the most common method of attempted suicide.
Drug overdose
The mother of an infant with a diagnosis of Down syndrome learns the child is at risk for developing which congenital defect, which is common in children with Down syndrome?
Heart defects
Infants suffering from neonatal abstinence syndrome are most comfortable in which environment?
Being swaddled while suckling a pacifier
The mother of a child who has been diagnosed with varicella asks the nurse when the child can return to school. When is the child no longer contagious?
When the lesions are crusted over
An adolescent female asks the nurse about taking retinoic acid (Accutane). What information should be included in the education provided by the nurse?
The medication requires that sexually active females use contraception
The nurse is caring for a child who has been diagnosed as having an attention deficit hyperactivity disorder (ADHD). What is the most important intervention for the nurse?
Allay any feelings of guilt the parents may have
A one-year-old is arriving to the pediatrician office for a sick visit. The mother describes several clinical manifestations for the child’s diagnosis of otitis media, which include:
Fever, irritability, pulling on ear
The nurse is providing instruction to the parents of a child who is having a myringotomy. The education includes to place the child in which position?
On the affected side
Which additional congenital malformation is expected in 80% of infants with a myelomeningocele?
Hydrocephalus
The health care provider is treating a child with meningitis with a course of antibiotic therapy. When should the nurse expect the child to be out of isolation?
When the antibiotics have been initiated for 24 hours
Which is a priority nursing intervention for the cognitively impaired child?
The family will provide loving interactions
Interventions for the care of a child with cerebral palsy include the following:
Encourage activity at appropriate ages ( sitting, crawling, walking)
Ensure rest periods prior to attempting locomotion or mobility activities
Assist the child with leg movements when learning to walk
A child is diagnosed with Attention Deficit/Hyperactivity Disorder. The nurse meets with the parents to educate on the following:
Provide a routine for daily activities
What are priority nursing interventions designed to do for a 4-year-old child with cerebral palsy?
Encourage the child to ambulate independently
A three-year-old has been admitted to the Emergency Department having high fever and lethargy. The physician explains to the parents the diagnosis of meningitis. When the parents ask how the child could have caught this, the physician explains that the most common cause is ________________.
Bacterial
The parents of a child suffering from depression ask the nurse what causes depression in children. Which answer is an appropriate response by the nurse?
Major affective disorders in parents increase depression in children
A child is being tested for genetic disorders, including Down Syndrome. The nurse knows that the primary nursing goals, during this time, include:
Supporting the family
Referring the child and family to agencies that provide support during this time
Referring the child and family to agencies that provide services during this time
Which assessment is the most important for the early detection of hydrocephalus?
Routinely measure head circumferance and compare for rapid changes
How can the nurse assist and support the parents if the child is experiencing school avoidance?
Reassure parents that the behavior is normal and related to stress
When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone?
Anemia
Recurrent abdominal pain (RAP) is most often seen in school-age or adolescent children. The nurse should assess closely for what potential problems?
Emotional problems
The mother is quite frustrated because the child has attention-deficit/hyperactivity disorder, and it is taking several hours each night to help the child finish his homework. What is the best recommendation to give to the mother?
Create a calm and quiet space with limited objects and fewer distractions
Disorders that affect neurologic function belong into the following major categories:
Increased intracranial pressure
Hypoxia
Seizure activity
A parent is in the pediatric ICU with their child who has been admitted with meningitis. Which signs/symptoms would be considered classical signs of meningeal irritation?
Positive Brudzinski sign, positive Kernig sign, and photophobia