Exam 3 Q&A (Mgmt of Ped Integumentary, Peds Resp Care, Ped Critically Ill & Dying) Flashcards
A mother–baby nurse is demonstrating swaddling a neonate as a method of keeping the baby warm. The mother asks why she needs to be so careful about the baby’s temperature. Which response by the nurse is the most appropriate?
A) “After being in your womb for 9 months, this is how the baby prefers to stay.”
B) “Babies’ immune systems are immature; any cold breeze will make them sick.”
C) “Their skin is thin and they have little fat, so it’s hard to control their temperature.”
D) “You need to keep their temperature above what we call normal to keep them well.”
C
The pediatric clinic nurse assesses small, pink “pearl-like” lesions on the trunk of a school-aged child. Which treatment regimen does the nurse plan to teach the family about based on the assessment findings?
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A) Antibiotics twice a day for 7–10 days
B) Cleaning the bathtub after the child bathes
C) Intramuscular injection of an antibiotic
D) Topical use of tretinoin (RetinA) on lesions
B
The clinic nurse is assessing a child who had a tick bite for tick-borne disease. What assessment finding indicates to the nurse the child may have Rocky Mountain Spotted Fever and not Lyme disease?
A) Abdominal pain
B) Clear skin
C) Fever
D) Headache
A
A child is brought to the emergency department from a house fire. She has singed eyebrows and sounds hoarse. After applying 100% oxygen, which action by the nurse takes priority?
A) Assemble intubation equipment.
B) Gently cleanse any burn wounds.
C) Place child on a cardiac monitor.
D) Prepare to give pain medication
A
A new nurse is caring for a child after spinal fusion to correct scoliosis. Which action by the new nurse causes the experienced nurse to intervene?
A) Assesses neurological status and vital signs every hour
B) Instructs patient to turn by pulling on side rails
C) Monitors chest tube for air leakage and drainage
D) Promotes use of the incentive spirometer each hour
B
A child who has been limping for several weeks is brought to the clinic and undergoes radiological studies. The results show osteonecrosis of the femoral head. Which information does the nurse plan to teach the parents about their child’s condition?
A) Non-weight-bearing status and mobility limitations
B) Overcorrection with serial casting for 2–3 years
C) Join a sport to increase physical activity
D) Wearing and caring for a Browne splint
A
A home health-care nurse is visiting a child with Duchenne’s muscular dystrophy (MD). The child has a new cough, poor appetite, fatigue, and a reddened area on his coccyx from sitting in his wheelchair all day. What intervention by the nurse takes priority?
A) Assess the child for his favorite high-protein foods.
B) Develop a protocol for changing positions more often.
C) Encourage the family to allow the child plenty of rest.
D) Notify the health-care provider and request antibiotics.
D
A teen has a scoliosis curve of 35°. What treatment option does the nurse prepare the child and family for?
A) Bracing
B) Continued screening
C) Exercise therapy
D) Surgical intervention
A
A young teen has been diagnosed with Osgood-Schlatter disease. Which information does the nurse teach the patient and family regarding this diagnosis? (Select all that apply.)
A) Activity level is determined by pain.
B) Apply ice to the knee after activity.
C) Modified bedrest for 1 week is needed.
D) Surgical correction is usually required.
E) Use ibuprofen (Motrin) for pain.
A, B, E
An eight month old is brought to the ER. Caregiver states that patient “dunked” hands into a pot of boiling water when they were cooking pasta for dinner. The nurse consults social services. Is this an appropriate response?
A) Yes
B) No
A
The pediatric nurse attends a debriefing session following the death of a young child who was hospitalized for several months with cancer. The nurse developed a strong relationship with the child and even worked overtime to care for the child. The nurse now describes feelings of sadness, insomnia, fatigue, helplessness, and frustration. Which type of suffering is this nurse experiencing?
A) Burnout
B) Compassion Fatigue
C) Alarm Fatigue
D) Moral Distress
A
The parents of a chronically ill 8-year-old do not want him to go outside and play or to attend his friends’ birthday parties for fear he will become ill. What response by the nurse is most appropriate?
A) “Have you considered letting one or two friends come over to play?”
B) “Children his age need to maintain friendships!”
C) “He can go outside if he wears a mask all the time.”
D) “You are right to be concerned that he will get sick.”
A
A pediatric intensive care nurse wants to practice in a way that helps reduce parents’ stress while their child is in the unit. Which action by the nurse would be most helpful?
A) Explain procedures to the parents first, then to the child.
B) Include the parents in all decisions and patient care activities.
C) Provide comprehensive discharge teaching in advance.
D) Round with physicians to ensure parents’ understanding.
B
A nurse is evaluating how well the family of a dying child understands the concept of hospice care in the home. Which statement by the family indicates the need for further instruction?
A) “If she gets short of breath, I will call 911 right away.”
B) “It will be great that she can play with her sister at home.”
C) “Pain control will be very important even near death.”
D) “We can put her bed in the family room so she can be close to us”
A
You are caring for a three year old that has presented to the ED with symptoms of a upper respiratory infection and barky cough that started at bedtime. What do you think is going on and what would be your intervention?
A) Acute Laryngotracheitis/ Administer IV antibiotics
B) Epiglottitis/Encourage fluids, cool mist humidifcation, and tylenol or motrin for pain/fever management
C) Acute Laryngotracheitis/Encourage fluids, cool mist humidifcation, and tylenol or motrin for pain/fever management
D) Epiglottitis/ Administer IV antibiotics
C
