Enter Category Name
the bladder capacity of a 3 year old is approximately how much?
1. 1.5 fl oz
2. 3 fl oz
3. 4 fl oz
4. 5 fl oz
5 fl oz
(add 2 to the Childs age)
the parent of a child with glomurenphritis ask the nurse why the urine is a funny color. what is the best response?
a. it is not uncommon for the urine to be discolored when children are receiving steroids and blood pressure medications
b. there is blood in the Childs urine that causes it to be tea colored
c. your Childs urine is very concentrated, so it appears to be discolored
b. there is blood in the Childs urine that causes it to be tea colored
a child with nephrotic syndrome has generalized edema, the skin appears to be stretched and some areas have breakdown. the child is receiving furosemide twice a day for several days. what does the nurse expect to be included into the treatment plan?
a. increase in the amount of furosemide
b. addition of a second diuretic
c. administration of intravenous albumin
d. elimination of all fluids and sodium from the Childs diet
c. administration of intravenous albumin
albumin helps return fluid into the bloodstream from the interstitial tissues
which finding might delay a cardiac catherization procedure on a 1 yr old?
a. 30th percentile for weight
b. severe diaper rash
c. allergy to soy
d. O2 sat 91% on room air
diaper rash due to increased risk of infection
a. polycythemia
b. blood clots
c. cerebrovascular accident
d. developmental delays
e. viral pericarditis
f. brain damage
g. alkalosis
polycythemia, CVA, blood clots, developmental delays, and brain damage
what should the nurse teach group of girls and parents about the importance of of preventing UTIs?
a. avoiding constipation has not effect on the occurrence of UTIs
b. always wipe back to front to prevent fecal contamination
c. hygiene is an important measure and can be accomplished by frequent tub baths
d. increasing fluids will help prevent and treat UTIs
D. increasing fluids will help prevent and treat UTIs
which finding requires immediate attention in a child with glomerulophritis?
a. sleeping most of the day and being very "cranky" when awake; BP is 170/90
b. urine output is 190 ml in an 8 hr period and is the color of coke
c. complaining of a severe headache and photophobia
d. refusing breakfast and lunch and stating " just not hungry'
c. complaining of a severe headache and photophobia
this is due to hypertension; need immediate attention
the nurse is caring for a newborn with hypospadias. his parents ask if circumcision is an option. what is the best response?
a. circumcision is a fading practice and is not contraindicated in most children
b. circumcision is children with hypospadias is recommended because it helps prevent infection
c. circumcision is an option, but it cannot be done at this time
d. circumcision can never be performed in a child with hypospadias
c. circumcision is an option, but it cannot be done at this time
needs to be delayed so the foreskin can be used for the repair
which intervention decrease cardiac demands in an infant with CHF? SATA
a. allow parents to hold and rock child
b. feed only when crying
c. keep the child uncovered to promote low body temp
d. make frequent position changes
e. feed the child when sucking fists
f. change bed linens only when necessary
g. organize nursing activités
a. allow parents to hold and rock child
d. make frequent position changes
e. feed the child when sucking fists
f. change bed linens only when necessary
g. organize nursing activités
a 6 month old who has episodes of cyanosis after crying could have the congenital heart defect (CHD) of decreased pulmonary blood flow called
Tetralogy of Fallot
what is the best way to obtain a urine culture in an 8 month old being evaluated for a UTI?
a. carefully cleanse the perineum from front to back and apply a self adhesive urine culture bag to the perineum
b. insert an indwelling Foley catheter, obtain the sample, and wait for the results
c. place a sterile cotton ball in the diaper and immediately obtain the sample with a syringe after the first void
d. using a straight Cath, obtain the sample and immediately remove the catheter without waiting for the results
D using a straight Cath, obtain the sample and immediately remove the catheter without waiting for the results
which statement by a parent is most consistent with nephrotic syndrome?
a. my child missed 2 days of school last week because of a bad cold
b. after camping last week, my Childs legs were covered in bug bites
c. my child came home from school a week ago because of vomiting and stomach cramps
a. my child missed 2 days of school last week because of a bad cold
upper respiratory infection often proceeds nephrotic syndrome by a few days
what can an electrocardiogram ECG detect? SATA
a. ischemia
b. injury
c. cardiac output
d. dysrhythmias
e. systemic vascular resistance
f. occlusion pressure
g. conduction delay
ichemia
Injuries
dysthymia
a child who has reddened eyes with no discharge; red, swollen, and peeling palms and soles of the feet; dry, cracked lips; and a "strawberry tongue" most likely has
Kawasaki disease (KD)
while looking through the chart of an infant with a CHD of decreased pulmonary blood flow, the nurse would expect which finding?
a. decreased platelet count
b. polycythemia
c. decreased ferritin level
d. shift to the left
b. polycythemia
which child is at risk for developing glomurenphritis?
a. 3 yr old who had impetigo a week ago
b. 5 yr old with a history of 5 UTIs in the previous year
c. 6 yr old with new onset of diabetes
d. 10 yr old recovering from pneumonia
A. 3 yr old who had impetigo a week ago
impetigo is a skin infection caused by streptococcus which is associated with glomurenphritis
the clinical manifestations of nephrotic syndrome are due to which of the following?
a. chemical changes in the composition of albumin
b. increased permeability of the glomeruli
c. obstruction of the capillaries of the glomeruli
d. loss of the kidneys ability to excrete waste and concentrate urine
b. increased permeability of the glomeruli
increased permeability allows large substances such as protein to pass through and be excreted in the urine
newborn diagnosed with CHD. the test results reveal that the lumen of the duct between the aorta and pulmonary artery remain open. the defect is know as
patent ductus arteriosus
a nurse is caring for a child with Kawasaki disease. a student nurse who is on the unit asks if there are medications to treat this disease. The nurses response to the student nurse is:
a. immunoglobulin G an aspirin
b immunoglobulin G and ACE inhibitors
c. immunoglobulin E and heparin
d. imunnoglobulin and ibuprofen
a. immunoglobulin G an aspirin
the nurse is caring for a 9 month old who is born with CHD. assessment reveals a HR of 160, capillary refill of 4 seconds, bilateral crackles and sweat on the scalp. These are signs of
Congestive Heart Failure
which combination of signs is commonly associated with glomurenphritis?
a. massive proteinuria, hematuria, decreased urine output, lethargy
b. mild proteinuria, increased urinary output, lethargy
c. mild proteinuria, hematuria, decreased urine output, lethargy
d. massive proteinuria, decreased urine output, hypotension
c. mild proteinuria, hematuria, decreased urine output, lethargy
the parents of a child with nephrotic syndrome ask why the last blood test revealed elevated lipids. what is the nurses best response?
a. if your child had just eaten a fatty meal, the lipids may have falsely elevated
b. its not unusual to see elevated lipids in children because of the dietary habits
c. because your child is losing so much protein, the liver is stimulated and makes more lipids
d. your Childs blood is very concentrated because of the edema, so the lipids are elevated
c. because your child is losing so much protein, the liver is stimulated and makes more lipids
Teralogy of Fallot involves which defects? SATA
a. ventricular septal defect (VSD)
b. right ventricular hypertrophy
c. left ventricular hypertrophy
d. pulmonary stenosis
e. pulmonic atresia
f. overriding aorta
g. patent ductus arteriosus (PDA)
(PROV)
Pulmonary stenosis
Right ventricular hypertropia
Overriding aorta
VSD ventricular septal defect
during a child checkup with tetralogy of Fallot, the child develops severe respiratory distress and becomes cyanotic. the nurses first action should be:
a. lay the child flat to promote hemostasis
b. lay the child flat with legs elevated to increase blood flow to the heart
c. sit the child on the parents lap, with legs dangling to promote venous pooling
d. hold the child in knee chest position to decrease venous blood return
d. hold the child in knee chest position to decrease venous blood return
in which congenital heart defect would the nurse need to take upper and lower extremity BPs?
a. transposition of the great vessels
b. aortic stenosis
c. coarctation of the aorta
d. tetralogy of fallot
c. coarctation of the aorta