Pathophysiology
What should the nurse caring for a 6-year-old child with acute glomerulonephritis anticipate as the most difficult part of the care to implement?
Bed rest
A teenage girl has been placed in a brace for the treatment of scoliosis, the most common skeletal deformity of adolescence. The family asks what they can do to be more supportive. What suggestion of the nurse is the most appropriate?
Purchasing clothes to disguise the cast
The parents are concerned for their infant who has just been diagnosed with intussusception. What is the hallmark sign of intussusception?
Currant jelly–like stools
Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?
Partial thromboplastin time
A child has been diagnosed with respiratory distress syndrome. What most influences the severity of respiratory distress syndrome (RDS)?
The gestational age at birth
A child with Duchenne muscular dystrophy rises from the floor by walking up the thighs with the hands. How should the nurse record this observation?
Gowers sign
When selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse?
Skin impairment
Following a bout of diarrhea, the parents of the sick infant are receiving education from the nurse regarding the condition. Which intake should be offered to the school-age child?
Oral rehydration solution
The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain. What is the most likely explanation you will provide for the cause of the pain?
Obstructed blood flow
You are educating a new nurse regarding the diagnosis of epiglottitis on an admission received to the unit. The nurse explains ___________could suddenly occur in a child with acute epiglottitis?
Airway obstruction
A pediatric patient was recently diagnosed with coarctation of the aorta. What is the most common clinical manifestation of coarctation of the aorta?
Upper extremity hypertension
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child’s femurs?
Abduction
During education to the mom of a patient being discharged on I & O, how should the nurse explain to measure urinary output for an infant with dehydration?
Weighing the diaper
In a discussion about an 11-month-old patient’s diet, which statement by her mother indicates a possible cause for iron-deficiency anemia?
“Formula is so expensive. We switched to regular milk early on.”
A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The oxygen level in the tent is 25%. What would be the correct action by the nurse?
Increase the oxygen concentration in the tent
When interviewing parents of an infant with hypertrophic pyloric stenosis, the nurse expects the parents to report what symptom?
Projectile vomiting
A newborn has talipes and is wearing casts. The parents leave the appointment understanding that the casts should be changed regularly to accomodate the growing infant. These changes of the cast should occur_________.
Weekly
You are providing education to the parents of a small child. Following surgical repair of a cleft palate, you explain that what device should be used to prevent injury to the suture line?
Cup
The parents of a child recently diagnosed with sickle cell anemia ask what can be done to avoid a sickle cell crisis. What should be included in the medical management of sickle cell crisis?
Provisions for adequate hydration and pain management
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. Which responses would be the most correct?
The child’s rapid respirations pose a risk for aspiration
The nurse uses a diagram to show that the Tetralogy of Fallot involves a combination of four congenital defects. What are the defects?
Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?
Cognitive impairment
The mother of a child who has been diagnosed with Hirschsprung disease is receiving education from the patient nurse. The mother learns that a causative factor of Hirschsprung disease is: _________________.
The absence of parasympathetic ganglion cells in a portion of the colon
What should the therapeutic management of iron deficiency anemia include?
Ferrous sulfate
When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs the class that the infant should be placed in which position to sleep?
Supine