Pediatricl
This type of acid-base imbalance is most common in infants who have persistent vomiting from pyloric obstruction.
Answer: What is metabolic alkalosis?
Meaning split or divided, this disorder results from incomplete fusion of the oral cavity/lip.
What is cleft lip?
An infant is brought to the emergency department with poor skin turgor, sunken fontanel, lethargy, and tachycardia. This is suggestive of which condition?
Dehydration
A boy with leukemia screams whenever he needs to be turned or moved. Which is the most probable cause of this pain?
Bone involvement
This electrolyte is commonly lost with extracellular dehydration.
What is sodium?
Frequent, watery stools leading to dehydration are the hallmark of this gastrointestinal symptom in children.
Answer: What is diarrhea?
This abnormality is identified by a painless swelling in the "belly button" area.
What is an umbilical hernia?
An infant diagnosed with pyloric stenosis experiences excessive vomiting that can result in which condition
Metabolic alkalosis
The nurse is preparing a child for possible alopecia from chemotherapy. Which intervention should be included?
The nurse is preparing a child for possible alopecia from chemotherapy. Which intervention should be included?
Explain to child that hair usually regrows in 1 year.
Advise child to expose head to sunlight to minimize alopecia.
Explain to child that wearing a hat or scarf is preferable to wearing a wig.
Explain to child that when hair regrows, it may have a slightly different color or texture.
Explain to child that when hair regrows, it may have a slightly different color or texture.
This assessment is the most reliable method of detecting fluid loss/gain in children.
What is daily weight?
Severe diarrhea in children can result in this life-threatening complication if fluids are not replaced.
Answer: What is dehydration?
This disorder may be discovered by palpation of an olive-shaped mass during an abdominal assessment.
What is pyloric stenosis?
A nurse is conducting dietary teaching on high-fiber foods for parents of a child with constipation. Which foods should the nurse include as being high in fiber? (Select all that apply.)
White rice
Avocados
Whole grain breads Correct
Bran pancakes Correct
Raw carrots Correct
Whole grain breads Correct
Bran pancakes Correct
Raw carrots Correct
An adolescent with osteosarcoma is scheduled for a leg amputation in 2 days. The nurse’s approach should include which action?
Answering questions with straightforward honesty
Avoiding discussing the seriousness of the condition
Explaining that, although the amputation is difficult, it will cure the cancer
Assisting the adolescent in accepting the amputation as better than a long course of chemotherapy
Answering questions with straightforward honesty
Term for potassium level 3.1 mEq/L.
What is hypokalemia?
The classic triad of colicky abdominal pain, currant jelly stools, and a sausage-shaped mass indicates this condition.
Answer: What is intussusception?
This type of enema is used to treat intussusception.
What is a barium or air/gas enema?
The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis?
Abdominal rigidity and pain on palpation
Rounded abdomen and hypoactive bowel sounds
Visible peristalsis and weight loss Correct
Distention of lower abdomen and constipation
Visible peristalsis and weight loss
What is a common side effect of corticosteroid therapy?
What is increase appetite
What is an appropriate nursing intervention when caring for a child in traction?
Remove adhesive traction straps daily to prevent skin breakdown.
Assess for tightness, weakness, or contractures in uninvolved joints and muscles.
Provide active range-of-motion exercises to affected extremity 3 times a day.
Keep child in one position to maintain good alignment.
Assess for tightness, weakness, or contractures in uninvolved joints and muscles.
This congenital disorder is caused by absence of ganglion cells in the distal colon, leading to functional obstruction.
Answer: What is Hirschsprung disease?
5-year-old girl recovered from a strep infection 2 weeks ago. She now presents with loss of appetite, dark colored urine, and periorbital edema. Which of the following is the nurse's assessment of the possible causes of these manifestations:
What is my diagnosis?
Nephritis
Which Anemia condition are all the formed elements of the blood simultaneously depressed?
Aplastic anemia
. What major complication is noted in a child with chronic renal failure?
What is Water and sodium retention
A child has come into the emergency department after a confirmed bite from a brown recluse. Which action can the nurse take to alleviate pain?
Elevate the affected area.
Place an ace wrap on the bite.
Apply a cool compress.
Administer Benadryl.
Apply a cool compress