Pedia PT Flashcards
Dorie 4 days old is admiyyed to the NICU for management of her Congenital Heart Disease, Acyanotic type with signs of Congestive Heart Failure.
- In assessing Dorie, the nurse would expect to observe:
a. Acrocyanosis
b. An elevated Hematocrit
c. Absence of femoral pulses
d. Dyspnea and brow sweats during feeding
d. Dyspnea and brow sweats during feeding
Through evaluation of Dorie revealed a large patent ductus arteriosus (PDA). A correct understanding of PDA will make the nurse anticipate Sarah to exhibit which of the following symptoms:
a. Becoming cyanotic during feeding and exertion
b. Often assuming a squatting position
c. Being acyanotic but having diff. breathing after physical activity
d. Having breathing difficulty and becoming cyanotic with slight activity
c. Being acyanotic but having diff. breathing after physical activity
- Which of the following signs is the hallmark of Patent Ductus Arteriosus that can be assessed in newborns?
a. machinery-like murmur
b. dyspnea that is relieved by crying
c. acrocyanosis that is relieved by crying
d. circumoral cyanosis with feeding
a. machinery-like murmur
When developing a plan for Dorie, who has CHF and receiving pediatric Furosemide (Lasix), the nurse should include in her plan frequent monitoring of which of the ff?
a. weight increase
b. decrease in serum potassium
c. dec in urine output
d. increase in RR
b. b. decrease in serum potassium
While on Lasix therapy, which of the following nursing actions ensures the child’s safety?
a. measure body wt. weekly
b. document strict I & O
c. measure serum potassium for hyperkalemia
d. assess the client for hypervolemia
b. document strict I & O
Susie has Cystic Fibrosis, a multi disorder of the exocrine gland characterized by pulmonary thick secretions. The most common cause of lung disease in children.
- The physical assessment of Susie yielded signs and symptoms of typical CF. Which is NOT a true sign?
a. undernutrition
b. decreased respiration
c. clubbing of fingers
d. recurrent respi infection
b. decreased respiration
For schooler Susie, who has both Cystic Fibrosis and Asthma, which of these exercises is best?
a. running
b. basketball
c. swimming
d. baseball
c. swimming
- A recommended treatment for Cystic Fibrosis to promote clearing of the lower airway of thick mucus is :
a. postural drainage
b. narcotics
c. antitussive
d. antibiotics
a. postural drainage
- Susie is ordered to continue taking Pancrelipase (Viokase). Which of the ff verbalizations indicates a need for further teaching ?
a. “so fatty foods should be avoided.”
b. “i should take the enzyme with or before meals.”
c. “doubling the dose is alright if i eat jelly, fruit sherbets and bread.”
d. “ i should take it after antacid.”
c. “doubling the dose is alright if i eat jelly, fruit sherbets and bread.”
- When doing discharge teaching, the nurse instructs Susie who is taking Theophylline (Theodur) that she should avoid drinking which of these beverages?
a. Tea and coffee
b. Orange and grape juices
c. Milk and milk shakes
d. Cranberry juice
a. Tea and coffee
A 4 year old David is admitted because of severe skin bruising and frequent, easy nose bleeding episodes. Diagnosis: Acute Lymphocytic Leukemia (ALL)
- Which of the ff would be the priority nursing diagnosis for a preschool child with ALL?
a. Risk for injury related to thrombocytopenia
b. Oral mucus membranes, altered related to chemotherapy
c. Interrupted family processes related to a life-threatening illness or a family member
d. Fatigue related to the disease process
a. Risk for injury related to thrombocytopenia
- The mother of a child with Leukemia asks the nurse why sores developed in the mouth of her child. What is the most appropriate response to the nurse?
a. “There is no need to worry; all kids receiving chemotherapy tend to have them.”
b. “Mouth sores result because the cells in the mouth are sensitive to chemotherapy.”
c. “The child’s oral hygiene needs to be improved.”
d. “He is allergic to the drug, I will notify the doctor and ask for an alternative drug.”
b. “Mouth sores result because the cells in the mouth are sensitive to chemotherapy.”
- As part of a Chemotherapy protocol, an adolescent is to receive Cyclophosphamide (Cytoxan). To prevent the side effects of Cytoxan, she should be instructed to:
a. drink atleast 2,500 mL of fluids each day
b. limit foods high in iron in her diet
c. test her urine for acetone and glucose
d. brush her hair several times a day
a. drink atleast 2,500 mL of fluids each day
- While on chemotherapy, David also takes ordered Alupirinol (Zyloprim). The nurse should recognize that the purpose of Zyloprim for the child with ALL is to:
a. stimulate the kidneys to release erythropoietin, which will stimulate the bone marrow to produce more RBCs.
b. inhibit uric production.
c. promote the deposition of calcium in the long bones
d. interfere with the production of leukemic cells
The nurse would prepare the parents of the child to with suspected Leukemia for which of the following tests that would confirm the diagnosis?
a. lumbar puncture
b. bone marrow aspiration
c. CBC
d. blood culture
b. bone marrow aspiration
