pediatric Flashcards
You are reinforcing the education provided to your 8-year-old patient diagnosed with sickle cell anemia. He has had three crisis events this year. Which of the following points do you enforce with him and his parents to help prevent more sickle cell crises? Select all that apply.
A. Drink lots of water.
B. Avoid flying on airplanes.
C. Call the PCP if he becomes febrile.
The LPN is reviewing discharge education with the family of a 5-year-old newly diagnosed with hemophilia B. She knows the family understands when they state that their child is missing which of the following clotting factors?
IX
You are caring for a 14-month-old diagnosed with severe iron deficiency anemia. She is admitted for a blood transfusion and is started on oral iron supplementation. When you change her diaper, you note a dark black stool. What are the appropriate nursing actions?
A.Document the finding.
B. Continue with your assessment.
C. Administer the oral iron supplement as prescribed.
Black stool is expected in iron supplement
Which of the following statements regarding growth in the infant are true? Select all that apply.
A. Infants should triple their birth weight by 12 months of age.
B. Infants should double their birth weight by 6 months of age
You are reinforcing education to a group of parents after an outbreak of pediculosis capitis at the local elementary school. Which of the following points should you include? Select all that apply.
A. Teach your children not to share hats or combs to prevent the spread of lice.
B. It is important to apply the permethrin cream twice as soon as you can.
C. Parents will need to manually remove the lice and nits with a fine-tooth comb once a day until there are no visible lice.
D. Anyone can get lice; it is not indicative of a dirty house.
While administering digoxin to an infant in heart failure, the nurse knows to monitor which of the following electrolytes?
Potassium
Wilms tumor is a type of cancer most common in children under the age of 5. These tumor cells originate from which of the following?
Renal cells.Wilms tumor, also known as nephroblastoma, is a cancer of the kidneys.
Which of the following food choices would be suitable for a patient with iron deficiency anemia? Select all that apply.
A. Quinoa.
B. Liver.
C. Spinach.
D. Baked beans
While caring for a child who is six weeks old, the LPN checks their temperature and notes that it is 38.7C. Which of the following diagnostic tests does she expect the provider to order? Select all that apply.
A. Blood cultures.
B. Urine culture
While caring for an 8-month-old child admitted for dehydration, the nurse prepares to administer an IV fluid bolus. She knows that the appropriate amount of fluid to apply is based on the child’s weight and would be which of the following?
20 mL/kg
Which of the following assessment findings would you expect in a patient diagnosed with iron deficiency anemia? Select all that apply.
A. Tachycardia.
B. Pica.
C. Pallor
While working in the emergency department, the nurse takes care of a client who has overdosed on morphine. Which of the following medications does she expect the healthcare provider to order?
Naloxone
While working in the emergency department, the nurse takes care of a client who has overdosed on benzodiazepine. Which of the following medications does she expect the healthcare provider to order?
Flumazenil
the nurse is caring for a 4 year old in respiratory distress. The nurse knows to monitor for which of the following complications that frequently occurs with respiratory distress?
dehydration
Which of the following maternal infections can increase the risk of congenital heart defects in the fetus?
rubella
Which of the following interventions is a priority when caring for an infant diagnosed with transposition of the great arteries?
Initiate Alprostadil infusion
Which of the following educational points are correct when teaching patients who are started on iron supplements? Select all that apply.
A. Take iron supplement on empty stomach.
B. Drink a glass of orange juice with your iron supplement.
C. Drink suspension with a straw
Which of the following medications may be prescribed to control hypertension associated with nephroblastoma?
Enalapril.
The LPN is assessing a patient diagnosed with an atrioventricular canal. She knows that many infants with an atrioventricular canal also have a diagnosis of which of the following?
Trisomy 21 is also call down syndrome
Which of the following vital sign abnormalityis a clinical manifestation of the patient’s with Wilms Tumor?
hypertension
The LPN is caring for a 5-year-old girl diagnosed with hemophilia. She presents to the clinic today with a recurrent episode of hemarthrosis. The nurse should assess for which of the following findings? Select all that apply.
A. Joint pain and swelling.
B. Bruising
hemarthrosis means bleeding into a joint cavity.
Which of the following medications does the OB nurse expect to be ordered for the patient experiencing hypotonic labor?
Oxytocin. Because this patient is in hypotonic labor, meaning she is not having strong and coordinated contractions for her labor to progress, she needs intervention.
which medication used in preterm labor to help stop contractions ?
Magnesium sulfate
what steroid is administered to mothers in preterm labor to help develop the fetus’s lungs in anticipation of preterm delivery.
Betamethasone
The LPN is assigned to take care of a patient with hemophilia. When she reviews the lab values, she expects to find which of the following? Select all that apply.
A. Normal PT level.
B. Abnormal PTT level.
C. Normal Thrombin time.
D. Normal INR
One of the most serious side effects of selective serotonin reuptake inhibitors (SSRI) is serotonin syndrome. Which of the following signs of serotonin syndrome should the nurse monitor for when a patient begins taking an SSRI? Select all that apply.
A. Rapid heartbeat.
B. Muscle twitches.
What is a common side effect of SSRI
Sweating and diarhea
Which of the following would be your priority nursing action for the infant experiencing a tet spell?
Calm the infant
An 8-year-old boy diagnosed with hemophilia A is brought into the urgent care clinic for a prolonged episode of hematemesis. Which of the following describes this symptom?
Bloody vomit
Bleeding from the nose is a symptom known as?
epistaxis
Which of the following signs does the LPN know to expect for her 1-year-old patient in heart failure? Select all that apply.
A. Diaphoresis.
B. Weight Gain.
C. Poor feeding.
“Spoon-shaped” nails associated with iron-deficiency anemia are known as _____________.
Koilonychia.
A 13-year-old girl diagnosed with ALL is worried about the side effects of steroid medications. Which of the patient’s following statements indicates to the LPN that the adolescent understands the side effects of steroids? Select all that apply.
A. “I will have more water in my body so that I might look puffier.
B.“This medicine might make me moody.”
The nurse knows that her patient with AML is neutropenic. When reviewing their CBC results in the morning, which of the following does she expect? Select all that apply.
A. Decreased neutrophil count.
B. Increased blast percentage.
C. Decreased platelet count.
D.decrease in erythrocytes
Which of the following clinical manifestations would alert the nurse to the possibility of Kawasaki disease in her 8-year-old patient? Select all that apply
Kawasaki disease is a swelling in the walls of the arteries throughout the body.
A. Strawberry tongue. B. high fever that persists for five or more days, C. rash on the torso and groin D.bloodshot eyes E.bright red swollen lips F.red palms and soles of the feet.
The nurse is preparing to receive a newborn diagnosed with tetralogy of fallot. She knows that to maintain a patent ductus arteriosus the provider will order __________.
. Alprostadil
The nurse is preparing to receive a newborn diagnosed with tetralogy of fallot. She knows that to close a patent ductus arteriosus the provider will order __________.
Indomethacin
The temperature at which an infant is considered febrile is _______ C.
38.0
