4/28 Flashcards
Which of the following are manifestations of hypoglycemia? SATA
A. sweating and palpitations
B. gradual onset
C. pallor
D. thirsty
E. shallow breathing
Answer: A, C, E
Rationale: Quick onset
Hyperglycemia - gradual onset; thirsty; pee a lot
What is the most common trigger for diabetic ketoacidosis?
A. overeating carbohydrates
B. stress and illness
C. excessive exercise
D. skipping meals
Answer: B
A child with autism is hospitalizaed with asthma. The nurse should plan the care so that the:
A. child is supported through the autistic crisis
B. parents need not be at the hospital
C. parents’ expectations are met
D. child’s routine habits and preferences are maintained
Answer: D
Which signs and symptoms would the nurse expect when assessing a 4-year-old child with newly diagnosed acute lymphocytic leukemia (ALL)? SATA
A. edema
B. anorexia
C. alopecia
D. petechiae
E. insomnia
Answer: B, D
Rationale: Edema, alopecia, insomnia - related to treatment
An adolescent is admitted to the unit with a tentative diagnosis of a bone tumor of the left femur. During the admission procedure the adolescent casually asks, “Do they ever have to cut off a leg if someone has bone cancer?” How would the nurse respond?
A. “I don’t understand why you’re asking. Do you think that this will happen to you?”
B. “Sometimes it’s necessary. What do you think about the treatment?”
C. “The decision can’t be made now, because the kind of bone cancer must be determined first.”
D. “Most times the leg can be saved, but sometimes it may be necessary.”
Answer: B
Rationale: We are exploring their feelings; find out why asking that question
An auditory screening reveals that a child has mild hearing loss. Which statement by the would the nurse use to explain this degree of hearing loss?
A. a severe hearing deficit may develop
B. it will not interfere with progress at school
C. speech therapy and hearing aids may be required
D. an immediate follow-up visit is not needed
Answer: C
Which action would the nurse be responsible for during a lumbar puncture for an 18-month-old toddler?
A. keeping the child immobilized with restraints
B. having the mother hold the child in her arms
C. maintaining the continuous flow of local anesthetic
D. collecting the aspirated drainage in a culture tube
Answer: D
Rationale: LP - sterile procedure; cannot move - nurse holds child tightly and in sterile stuff - doctor very careful and meticulous on how do it; emela cream on it to help it
While working with a mother of a child diagnosed with ADHD, the mother states that she feels like she “caused her child’s problem.” Which response would be the most appropriate?
A. “There’s no reason to feel that way. Most experts feel there is no connection between hereditary or parenting skills and ADHD.”
B. “Sometimes parents feel that way. I can give you information about support groups for parents of children with ADHD.”
C. “You should not feel that way. No one really knows what causes ADHD.”
D. “It may be true that ADHD is inherited, but there is nothing you can do about that now.”
Answer: B
Which of the following best indicates to you that a 14-year-olds methylphenidate (Ritalin) administration may need to be adjusted?
A. during recess, the child has bee socializing effectively with his peers
B. the child has not eaten his lunch in several days, staging, “I’m just not hungry.”
C. according to the mother, the child has been wanting to sleep past his alarm most mornings
D. the child’s math grade has only risen from 62% to 65% since the beginning of the school year
Answer: B
Rationale: ADHD - not want to eat and cause lose weight; often not want to wake up
The pediatric nurse knows that short stature and failure to grow is one of the first noticeable manifestations in which genetic syndrome?
A. Turner syndrome
B. Fragile X syndrome
C. Klinefelter syndrome
D. Down syndrome
Answer: A
